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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

Author

Listed:
  • Marcelo de Maio Nascimento

    (Department of Physical Education, Federal University of Vale do São Francisco, Petrolina 56304-917, Brazil)

  • Élvio Rúbio Gouveia

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland)

  • Bruna R. Gouveia

    (LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
    Regional Directorate of Health, Secretary of Health of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal
    Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal)

  • Adilson Marques

    (CIPER, Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal
    ISAMB, Faculty of Medicine, University of Lisbon, 1649-020 Lisbon, Portugal)

  • Cíntia França

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal)

  • Duarte L. Freitas

    (Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal
    Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal)

  • Pedro Campos

    (LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal
    Department of Informatics Engineering and Interactive Media Design, University of Madeira, 9020-105 Funchal, Portugal)

  • Andreas Ihle

    (Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland
    Department of Psychology, University of Geneva, 1205 Geneva, Switzerland
    Swiss National Centre of Competence in Research LIVES—Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland)

Abstract

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.

Suggested Citation

  • Marcelo de Maio Nascimento & Élvio Rúbio Gouveia & Bruna R. Gouveia & Adilson Marques & Cíntia França & Duarte L. Freitas & Pedro Campos & Andreas Ihle, 2022. "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," IJERPH, MDPI, vol. 19(21), pages 1-13, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:21:p:14135-:d:957162
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    References listed on IDEAS

    as
    1. Milad Karimi & John Brazier, 2016. "Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?," PharmacoEconomics, Springer, vol. 34(7), pages 645-649, July.
    2. Jack Graveson & Sarah Bauermeister & Denis McKeown & David Bunce, 2016. "Intraindividual Reaction Time Variability, Falls, and Gait in Old Age: A Systematic Review," The Journals of Gerontology: Series B, The Gerontological Society of America, vol. 71(5), pages 857-864.
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