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Exploring Mediation Effects of Gait Speed, Body Balance, and Falls in the Relationship between Physical Activity and Health-Related Quality of Life in Vulnerable Older Adults

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Resumo(s)

The present study aimed to examine whether gait speed (GS), body balance (BB), and falls mediated the relationship between physical activity (PA) and health-related quality of life (HRQoL) in community-dwelling older adults. This is a cross-sectional study that included 305 men and 314 women (69.5 ± 5.6 years), residing in the Autonomous Region of Madeira, Portugal. HRQoL and PA were assessed using the SF-36 and Baecke Questionnaires, respectively. While BB was obtained by the Fullerton Advance Balance (FAB) scale, GS by the 50-foot (15 m) walk test, and the frequency of falls was obtained by self-report. According to the analyses, when GS and BB were placed concomitantly as mediators, the direct effect revealed by the model revealed a non-significant relationship between PA and falls. Thus, in the context of falls, GS and BB partially mediated the association between PA and HRQoL in approximately 29.7%, 56%, and 49.2%, respectively. The total HRQoL model explained a variance of 36.4%. The results can help to understand the role that GS, BB, and falls play in the relationship between PA and HRQoL of the vulnerable older adult population.

Descrição

Palavras-chave

Aging Quality of life Physical activity Gait speed Body balance Falls Vulnerability . Faculdade de Ciências Sociais Faculdade de Ciências Exatas e da Engenharia

Contexto Educativo

Citação

Nascimento, M.d.M.; Gouveia, É.R.; Gouveia, B.R.; Marques, A.; França, C.; Freitas, D.L.; Campos, P.; Ihle, A. Exploring Mediation Effects of Gait Speed, Body Balance, and Falls in the Relationship between Physical Activity and Health-Related Quality of Life in Vulnerable Older Adults. Int. J. Environ. Res. Public Health 2022, 19, 14135. https://doi.org/10.3390/ ijerph192114135

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MDPI

Licença CC

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