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The Mediating Role of Physical Activity and Physical Function in the Association between Body Mass Index and Health-Related Quality of Life: A Population-Based Study with Older Adults

2022Journal article Open access
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dc.contributor.authorNascimento, Marcelo de Maio
dc.contributor.authorGouveia, Élvio Rúbio
dc.contributor.authorGouveia, Bruna R.
dc.contributor.authorMarques, Adilson
dc.contributor.authorCampos, Pedro
dc.contributor.authorGarcía-Mayor, Jesús
dc.contributor.authorPrzednowek, Krzysztof
dc.contributor.authorIhle, Andreas
dc.date.accessioned2023-07-13T11:22:18Z
dc.date.available2023-07-13T11:22:18Z
dc.date.issued2022
dc.description.abstractThis study aimed (1) to investigate the association between body mass index (BMI), physical activity (PA), and physical function (PF) with health-related quality of life (HRQoL), and (2) to examine in-depth whether PA and PF mediate the relationship between BMI and HRQoL in older adults. We investigated 802 individuals (mean age 69.8 ± 5.6 years), residents of the Autonomous Region of Madeira, Portugal. Harmol and PA were assessed using the SF-36 and Baecke questionnaires, respectively, and PF by the Senior Fitness Test. The prevalence of overweight was 71.3%, 26.5% for normal weight, and 2.1% for underweight. We verified a small correlation between age and sex with BMI, PA, PF, and medium borderline with HRQoL. After adjusting for covariates (i.e., sex, age, comorbidities), the multivariate regression analysis indicated a 93.1% chance of improvement in HRQoL for low BMI, while PA and PF revealed a chance of increasing HRQoL by 91.8% and 60.0%, respectively. According to the serial mediation pathway, PA and PF partially mediated the association between BMI and HRQoL by 32.3% and 81.5%, respectively. The total variance of the model was 90%. It was concluded that BMI can negatively affect HRQoL. On the other hand, PA and PF are able to increase HRQoL levels during the aging process.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationNascimento, M.d.M.; Gouveia, É.R.; Gouveia, B.R.; Marques, A.; Campos, P.; García-Mayor, J.; Przednowek, K.; Ihle, A. The Mediating Role of Physical Activity and Physical Function in the Association between Body Mass Index and Health-Related Quality of Life: A Population-Based Study with Older Adults. Int. J. Environ. Res. Public Health 2022, 19, 13718. https://doi.org/10.3390/ ijerph192113718pt_PT
dc.identifier.doi10.3390/ijerph192113718pt_PT
dc.identifier.urihttp://hdl.handle.net/10400.13/5271
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationLaboratory of Robotics and Engineering Systems
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectObesitypt_PT
dc.subjectBody mass indexpt_PT
dc.subjectQuality of lifept_PT
dc.subjectPhysical activitypt_PT
dc.subjectPhysical functionpt_PT
dc.subjectAgingpt_PT
dc.subjectVulnerabilitypt_PT
dc.subject.pt_PT
dc.subjectFaculdade de Ciências Sociaispt_PT
dc.subjectFaculdade de Ciências Exatas e da Engenhariapt_PT
dc.titleThe Mediating Role of Physical Activity and Physical Function in the Association between Body Mass Index and Health-Related Quality of Life: A Population-Based Study with Older Adultspt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleLaboratory of Robotics and Engineering Systems
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDB%2F50009%2F2020/PT
oaire.citation.issue21pt_PT
oaire.citation.startPage13718pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume19pt_PT
oaire.fundingStream6817 - DCRRNI ID
person.familyNamede Maio Nascimento
person.familyNameGouveia
person.familyNameGouveia
person.familyNameMarques
person.familyNamePereira Campos
person.familyNameGarcía-Mayor
person.familyNamePrzednowek
person.familyNameIhle
person.givenNameMarcelo
person.givenNameÉlvio Rúbio
person.givenNameBruna
person.givenNameAdilson
person.givenNamePedro Filipe
person.givenNameJesús
person.givenNameKrzysztof
person.givenNameAndreas
person.identifier995955
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person.identifier.ciencia-idE212-42B7-575E
person.identifier.ciencia-id5F18-F9C3-11CB
person.identifier.ciencia-id7C19-B5E5-01CA
person.identifier.ciencia-idCA11-6272-62FF
person.identifier.orcid0000-0002-3577-3439
person.identifier.orcid0000-0003-0927-692X
person.identifier.orcid0000-0001-7706-190X
person.identifier.orcid0000-0001-9850-7771
person.identifier.orcid0000-0001-7706-5038
person.identifier.orcid0000-0002-7212-1974
person.identifier.orcid0000-0002-2128-4116
person.identifier.orcid0000-0001-9845-5190
person.identifier.ridB-3793-2016
person.identifier.ridK-4529-2014
person.identifier.scopus-author-id56090521600
person.identifier.scopus-author-id55082567000
person.identifier.scopus-author-id56416391600
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
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