Association of Self-Reported and Device-Measured Sedentary Behaviour and Physical Activity with Health-Related Quality of Life among European Older Adults.

Dietrich Rothenbacher,Dhayana Dallmeier,Myriam Guerra-Balic,Kelly Ferri,Maria Giné-Garriga,Jason J Wilson,Nicole E Blackburn,Emma Mcintosh,Pia Øllgaard Olsen,Paolo Caserotti,Marta Roqué-Fíguls,Carme Martín-Borràs,Oriol Sansano-Nadal,Beatriz Rodríguez-Roca

doi:10.3390/ijerph182413252

Abstract

Human movement behaviours such as physical activity (PA) and sedentary behaviour (SB) during waking time have a significant impact on health-related quality of life (HRQoL) in older adults. In this study, we aimed to analyse the association between self-reported and device-measured SB and PA with HRQoL in a cohort of community-dwelling older adults from four European countries. A subsample of 1193 participants from the SITLESS trial (61% women and 75.1 ± 6.2 years old) were included in the analysis. The association between self-reported and objective measures of SB and PA with HRQoL were quantified using Spearman’s Rho coefficients. The strength of the associations between self-reported and device-measured PA and SB with self-rated HRQoL (mental composite score, MCS; physical composite score, PCS) were assessed through multivariate multiple regression analysis. Self-reported and device-measured PA and SB levels showed significant but poor associations with PCS (p < 0.05). The association with MCS was only significant but poor with self-reported light PA (LPA) and moderate-to-vigorous PA (MVPA). In conclusion, the findings of this study suggest that both self-reported and device-measured PA of all intensities were positively and significantly associated, while SB was negatively and significantly associated with the PCS of the SF-12.

Highlights

Human movement behaviours such as physical activity (PA) and sedentary behaviour (SB) have a significant impact on health and quality of life (QoL) in older adults [1,2]
Women body mass index (BMI) ranged from 16.7 kg/m2 to 51.5 kg/m2 and men BMI ranged from 19.8 kg/m2 to 45.8 kg/m2
A recent study that aimed to assess the association of device-measured PA levels of different intensities in women with fibromyalgia found that all PA intensity levels were positively associated with Health-related quality of life (HRQoL) [42]

Summary

Introduction

Human movement behaviours such as physical activity (PA) and sedentary behaviour (SB) have a significant impact on health and quality of life (QoL) in older adults [1,2]. Health-related quality of life (HRQoL) in the older adult population is gaining the attention of researchers and policy makers since life expectancy worldwide, especially in European countries, is increasing. More active and less sedentary older adults have shown better self-rated health in several studies [11,12]. Based on these findings, another recent study has suggested that higher levels of PA—and a better perception of HRQoL—were significantly associated with successful ageing measured with the Successful Ageing Scale for older adults [13]. Scientific literature on the older adult population is limited [21,22], and even more scarce using device-based measures of PA and SB in large samples [23]

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Discussion

Conclusion