Quality Of Life In Physical Domains Research Articles

Assessing the Quality of Life of Parents of Children With Disabilities Using WHOQoL BREF During COVID-19 Pandemic.

Background: Caring for a child with disabilities is a challenging journey, as the parents must meet greater demands when compared with the parents of children without disabilities. Looking after a child with disablities requires additional financial, social, emotional, and physical resources. Coronavirus 2019 (COVID-19) pandemic has made this even more challenging and impacted the quality of life of parents of children with disabilities.Methods: The study was an analytical cross-sectional design with two comparison groups: parents of children with developmental disabilities and parents of children without disabilities. The Urdu version of the WHO Quality of Life Measure Abbreviated version (WHOQOL-BREF) was used to measure the quality of life (QoL) among parents. Sociodemographic data were also obtained from the parents.Results: Parents of children with disabilities had lower overall scores when different domains of QoL were considered (physical health, psychological health, social relationships, and environment) using WHOQoL-BREF. Statistically significant differences were observed in the physical and environmental domains of parental QoL.

Sleep Quality And Quality Of Life Among Brazilian Civil Police Officers

Policing is an intense and stressful profession since police officers (PO) deal with different types of crimes and job-related situations that often are life-threatening. Studies have shown that policing routine may negatively impact the PO's sleep and quality of life, making those two aspects important indicators to be better understood among PO. PURPOSE: To investigate sleep quality (SQ) and quality of life (QoL) among Brazilian Civil Police Officers, and its associations. METHODS: We evaluated 55 PO (50.9% men) with a mean age of 28.1 ± 5.7 yrs, BMI of 25.8 ± 3.8 kg/m2, VO2max of 34.1 ± 7.3 ml•(kg•min)-1. We assessed SQ and QoL by validated self-report questionnaires. Participants completed the Pittsburgh Sleep Quality Index (PSQI), and the World Health Organization Quality of Life (WHOQOL) questionnaires. SQ was categorized as poor (PSQI score ≥ 5) or good (PSQI score < 5). The 26-item WHOQOL questionnaire assesses QoL in four domains: physical, psychological, social, and environmental. We compared QoL between poor and good sleepers using the Mann-Whitney test (p ≤ 0.05). Data are presented as median and extremes (min-max). RESULTS: 16 (29,1%) PO were classified as good sleepers. The QoL was 71.4 (25.0-96.4) in the physical domain, 70.8 (29.2-100.0) in the psychological, 75.0 (41.7-100.0) in the social and 65.6 (15.6-93.8) in the environmental one. Those with good SQ showed higher physical domain of QoL [76.8 (64.3-96.4)] as compared to the poor sleepers [67.9 (25.0-96.4)] (p = 0.001 - Figure 1). CONCLUSION: This sample of civil PO showed a high proportion of poor sleepers and median QoL that could be considered relatively impaired (≤75% of the maximum). Also, better scores of SQ were associated with higher scores in the QoL physical domain. Our findings highlight the importance to assess and promote SQ and QoL among those public safety professionals.

Quality of Life and Its Associations with Religiosity and Religious Coping among Outpatients with Psychosis in Singapore.

This cross-sectional study investigated the relationship of religiosity, the use of positive and negative religious coping methods, and quality of life (QOL) among 364 outpatients with psychosis in Singapore. Positive religious coping was significantly associated with better scores on physical (β = 0.51, p = 0.02) and psychological (β = 0.64, p = 0.01) QOL domains in the regression model. Negative religious coping was related to worse QOL in all four domains: physical (β = −0.44, p = 0.03), psychological (β = −0.76, p < 0.01), social (β = −0.54, p = 0.03), and environment (β = −0.65, p < 0.01). Increased participation in organizational religious activities was positively associated with higher QOL for psychological (β = 2.47, p < 0.01), social relationships (β = 2.66, p = 0.01), and environment (β = 2.09, p = 0.01) domains. Interestingly, those with no religious affiliation were found with higher scores in the QOL domain for social relationships (β = 4.59, p = 0.02). Religious coping plays an important role for the QOL of outpatients with psychosis. Greater awareness of the importance of religion in this population may improve cultural competence in treatment. Individuals with psychosis may benefit from greater community support and collaboration between clinical and religious community-based organizations to improve social integration and QOL.

Assessment of quality of life and its determinants among the elderly residing in a rural area of Faridabad

Introduction: Population aging as a result of demographic transition has brought into focus issues pertaining to health status of elderly. We aimed to assess different domains of quality of life (QoL) and its determinants among the elderly population of a rural area of Faridabad. Material &amp; Methods: A community-based cross-sectional study was carried out among 300 elderly people aged 60 years and above from October 2018 to January 2019 in village Pali of Faridabad, Haryana. The World Health Organization QOL-BREF scale was used for the assessment of QoL. Results: The study included 44% males with a mean age of 67.1 ± 7 years. The mean QOL score was highest in psychological domain (63.26 ± 18.48), followed by environmental domain (62.64 ± 16.23), physical domain (60.58 ± 19.24), and lowest in social domain (59.33 ± 17.81). Conclusion: Physical domain of QoL was significantly better in nondiseased elderly, while social domain was not significantly affected by morbidities or health-seeking behavior. Overall, QoL was fair to good. Determinants of good QoL included social as well as economic characteristics such as higher education, sex, and the absence of chronic disorders.

Relationship between motivation for physical exercise and women's quality of life

Objective: To identify motivational factors for the practice of physical exercises and their relationship with the quality of life (QoL)of women. Methods: A cross-sectional study, conducted with 48 women practicing exercise in gyms aged between 19 and 59 years and with a mean age of 39.4 ± 11.7 years. Exercise Motivations Inventory (EMI-2) and WHOQOL-Bref were used as instruments. The data were analyzed using the Kolmogorov–Smirnov tests, homogeneity of Levene's variances, independent t-test, and Pearson's correlation (p &lt; 0.05). Results: Older women are more motivated to exercise for health rehabilitation. The youngest had a higher score in the physical domain of quality of life. There was a significant, positive, and weak correlation of the physical domain with weight control (r = 0.24), appearance (r = 0.33), a weak and negative correlation of the physical domain with health rehabilitation (r = -0,33), a positive and weak correlation of the social domain with physical conditioning (r = 0.23), and a positive and weak correlation of the general QoL score with weight control (r = 0.23). Conclusion: The main motivational factor for the practice of physical exercise was preventing diseases, especially in the group of older women. Younger women had a better perception of the physical QoL domain, and correlations between some domains of QoL and motivation were observed.

Depressive Symptoms, Anxiety, and Quality of Life in Hemodialysis Patients and Their Caregivers: A Dyadic Analysis1

AbstractThe current study aimed to examine the effect of depressive and anxiety symptoms on physical and psychological quality of life (QOL) in end‐stage renal disease patient‐family caregiver dyads using the Actor‐Partner Interdependence Model. This was a descriptive cross‐sectional study. Dyads' (N = 120) symptoms of anxiety and depression and QOL were assessed via the Hospital Anxiety and Depression Scale and the World Health Organization (WHO)QOL‐BREF, respectively. The depression scores were higher (worse) in patients than in caregivers (8.74 ± 5.23 vs. 6.9 ± 3.9, t[df 119] = 3.339, p = .001). Patients had lower (worse) scores on the physical domain of QOL than the caregivers (47.37 ± 22.9 vs. 64.1 ± 17.49, t[df 119] = −7.165, p &lt; .001). Anxiety and depressive symptoms exhibited actor effects on the physical and psychological QOL of the dyad. Only depressive symptoms in caregivers exhibited a partner effect on the psychological domain of QOL in patients (β = −.745, p &lt; .05). In conclusion, anxiety and depressive symptoms in both patients and caretakers are equally crucial in end‐stage renal disease management.

Predictors of Quality of Life Improvement with Escitalopram and Adjunctive Aripiprazole in Patients with Major Depressive Disorder: A CAN-BIND Study Report.

Non-response to first-line treatment for major depressive disorder (MDD) is common; for such individuals, quality of life (QoL) impairments can be severe. Identifying predictors of QoL changes may support the management of cases with persistent depressive symptoms despite adequate initial pharmacological/psychological treatment. The present study aimed to explore predictors of domain-specific QoL improvement following adjunctive aripiprazole treatment for inadequate response to initial antidepressant therapy. We evaluated secondary QoL outcomes from a CAN-BIND (Canadian Biomarker Integration Network in Depression) study in patients with MDD who did not respond to an initial 8 weeks of escitalopram and received a further 8 weeks of adjunctive aripiprazole (n = 96). Physical, psychological, social, and environmental QoL domains were assessed using the World Health Organization QoL Scale Brief Version (WHOQOL-BREF). Clinician-rated depressive symptoms were assessed using the Montgomery-Åsberg Depression Rating Scale (MADRS). Functioning was measured with the Sheehan Disability Scale (SDS). Satisfaction with medication was assessed with a single item from the Quality of Life Enjoyment and Satisfaction Questionnaire Short Form (Q-LES-Q-SF). Exploratory t-tests were used to describe domain score changes. A hierarchical linear regression was used to explore demographic, clinical, and treatment-related predictors of improvement. Across domains, QoL improved with adjunctive aripiprazole treatment. Satisfaction with medication and MADRS and SDS scores similarly improved. Symptom reduction was a predictor for positive change to physical and psychological QoL; functioning improvements were predictive of increases to all QoL domains. Satisfaction with medication predicted improvements to physical and psychological domains, whereas number of medication trials was a predictor of worsening QoL in the physical domain. The final model explained the most variance in psychological (68%) and physical (67%) QoL. Less variance was explained for environmental (43%) and social QoL (33%), highlighting a need for further exploration of predictors in these domains. Strategies such as functional remediation may have potential to support QoL for individuals with persistent depressive symptoms. ClinicalTrials.gov identifier: NCT016557.

Factors Differentiating Rural and Urban Population in Determining Anxiety and Depression in Patients with Chronic Cardiovascular Disease: A Pilot Study.

The aim of this cross-sectional study was to analyze selected variables differentiating rural from urban populations, as well as identify potentially increased levels of depression and anxiety in patients with chronic cardiovascular disease. The study was carried out in 193 patients. The study used the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS), the Health Behavior Inventory Questionnaire (HBI), the WHOQOL-BREF Quality of Life Questionnaire, and the Hospital Anxiety and Depression Scale–Modified Version (HADS-M). Spearman’s rank correlation coefficient test and logistic regression were used for analyses. In rural patients, we observed a relationship between anxiety and age (1/OR = 1.04; 95% CI: 0.91–0.99), the assessment of satisfied needs (1/OR = 293.86; 95% CI: 0.00001–0.56), and quality of life (QoL) in physical (OR = 1.56; 95% CI: 1.11–2.33), social (1/OR = 1.53; 95% CI: 0.04–0.94), and environmental domains (OR = 1.67; 95% CI: 1.06–3.00), as well as between depression and QoL in physical (1/OR = 1.39; 95% CI: 0.50–0.97) and psychological (OR = 1.37; 95% CI: 1.01–1.93) domains. In city patients, we observed a relationship between the drug and Qol in the physical (1/OR = 1.25; 95% CI: 0.62–0.98) and psychological (OR = 1.49; 95% CI: 1.13) domains. Younger patients living in a rural area with a lower assessment of met needs, a higher level of QoL in physical and environmental domains, and a lower social domain, as well as patients living in a city with a lower QoL in the physical domain and a higher psychological domain, have a greater chance of developing anxiety and depressive disorders.

QUALITY OF LIFE AMONG OSTOMATES ATTENDING AT A CANCER HOSPITAL, CHITWAN, NEPAL

Background: Stoma is a global public health problem. Stoma can be tem­porary or permanent and creates multiple difficulties in terms of quality of life (QoL). So the QoL of ostomates needs to be regularly assessed. The objective of the study was to find out the Quality of life among ostomates attending outpatient clinics at a Cancer Hospital, Chitwan. &#x0D; Methods: A descriptive cross sectional study was conducted among 138 ostomates. Consecutive sampling technique was used by face to face in­terview method using standard tool “City of Hope Quality of Life Question­naire for a patients with an ostomy”. Data were analyzed by using descrip­tive and inferential statistics. &#x0D; Results: The mean QoL of the respondents was 5.03±0.75. More than half (52.9%) of the respondents had lower QoL. Statistical significant associa­tion was found between QoL of the respondents and recent involvement in occupation (p&lt;0.001), duration of having stoma (p=0.049) and stoma related complications (p=0.014). There is a positive correlation between overall QoL of the respondents and QoL in physical domain (r=0.632, p&lt;0.001), psychological domain (r=0.723, p&lt;0.001), social domain (ρ =0.809, p&lt;0.001) and spiritual domain (r=0.581, p=0.001) respectively. &#x0D; Conclusions: It is concluded that more than half of respondents had low­er QoL. Here, stoma affects all domains of QoL of ostomates. Qualitative study explores all aspect of life more effectively. Counseling must be di­rected to continue job, adjustment to changed life style and prevention of complication.

The association between hope and quality of life in haemodialysis patients.

Hope is important for patients with end-stage renal disease receiving haemodialysis (HD) and hope is associated with quality of life (QoL). Studies examining hope among the HD population are limited and, as far as the authors know, have not been undertaken in Jordan. To examine levels of hope and QoL and to examine the association between hope and QoL in HD patients in Jordan. A cross-sectional design was used. A convenience sample of 202 patients from six different dialysis centres was recruited. The World Health Organization QOL-BREF and the Herth Hope Index were used. Moderate levels of hope (M=32.3±4.1) were reported. Respondents reported low mean scores for the physical domain of QoL (M=48.3±21.1) but not for the psychological and social relationship domains. Higher hope scores were associated with better QoL. The findings suggest a positive relationship between the level of hope and QoL in people receiving HD. Encouraging hope while caring for HD patients in clinical settings may improve their QoL. Understanding the relationship between hope and QoL may help healthcare providers to improve the quality of care for patients and their families.

Income Inequality in Quality of Life among Rural Communities in Malaysia: A Case for Immediate Policy Consideration.

Quality of life (QOL) is a proxy of health and social well-being. Hence, it is vital to assess QOL as it informs the strategies of policymakers to enhance the living conditions in communities. Rural areas in emerging economies are underserved in terms of modern facilities and technologies, which impact QOL. To address this, this study investigated whether income played a role in the QOL of rural residents within emerging economies using a large survey of Malaysian adults above 18 years old. The study extracted data from a sample of 18,607 respondents of a health and demographic surveillance system survey. A generalized linear model was used to estimate the impact of three income groups, the bottom 40%, middle 40% and top 20%, on perceived QOL, controlling for sociodemographic, chronic disease co-morbidities and mental health status. Results of the study showed a statistically significant association between income and the physical, psychological, social and environmental QOL domains. Using the bottom 40% as a reference category, the middle 40% and top 20% income groups showed a significant and positive association across the four domains of QOL. Hence, intervention programs are necessary to escalate the income levels of rural communities, especially the bottom 40%, to uplift perceived QOL among rural residents.

Impact of malnutrition on health-related quality of life in patients on maintenance hemodialysis.

Malnutrition is considered as one of the most important risk factors that adversely affect the quality of life (QOL) in maintenance hemodialysis (MHD) patients. Many clinically useful nutrition assessment techniques are now available, but the usefulness of such techniques in predicting QOL in MHD patients had not been sufficiently tested. The aim of this study was to explore the relation between different nutritional assessment methods, and QOL and identify nutritional parameter that can best predict physical and mental domains of QOL in MHD patients. This cross-sectional study involved 84 MHD patients. Nutritional status was assessed by using International Society of Renal Nutrition and Metabolism criteria for diagnosis of protein-energy wasting (PEW), malnutrition inflammation score (MIS), subjective global assessment (SGA), anthropometric measurements, bioelectrical impedance analysis, and biochemical tests. Quality of life was evaluated by using the Kidney Disease Quality of Life (36 KDQOL-36). Only mental health composite component of QOL (MHC) showed statistically significant differences between PEW and non-PEW groups. MHC was correlated with serum albumin, MIS, and SGA. Physical health composite component (PHC) was correlated with age, hemodialysis duration, socioeconomic status, comorbidity, educational level, serum creatinine and ferritin, MIS, and SGA. On multiple linear regression analysis, MIS was found to be the most significant predictor of PHC while none of the nutritional parameters can predict MHC. Malnutrition is not uncommon problem in MHD patients that is associated with poor QOL. There are multiple factors associated with PHC and only malnutrition afflicts MHC in those patients.

Financial toxicity, financial well-being, and quality of life among bladder cancer patients.

133 Background: Due to a long course of surveillance, and for some patients, multimodal therapy with chemotherapy and surgery, bladder cancer (BC) can present a financial burden to the household. Yet, there are several terms used to describe this burden such as financial hardship and financial toxicity (FT); and it is unclear whether different measures of financial circumstances are correlated and whether they are associated with quality of life (QOL). The goal of this study was to determine whether FT and financial well-being (FWB) were correlated and to determine whether FT and FWB were similarly associated with QOL among BC patients. Methods: Patients that had BC treatment in the last 2 years were recruited from two NCI designated cancer centers for our study (N = 100). The Comprehensive Score for Financial Toxicity (COST) was used to assess FT, the Consumer Financial Protection Bureau’s (CFPB) FWB measure was used to assess FWB, and a BC-specific Functional Assessment of Cancer Therapy (FACT) questionnaire was used to assess physical, social, emotional, and functional domains of QOL. Bivariate analyses were conducted to determine the association among FT, FWB, and QOL; and separate logistic regression analyses predicting FT and FWB were used to determine the association between FT and FWB and each domain of QOL. Results: Bivariate results showed that FT and FWB were highly negatively correlated (r = -.76; p &lt; .0001); however, only FWB was correlated with the total QOL score (p &lt; .05). FT was correlated with physical (p &lt; .01), emotional (p &lt; .05), and functional (p &lt; .05) QOL; and FWB was correlated with physical (p &lt; .05) and functional (p &lt; .05) QOL. Logistic regression models adjusted for socioeconomic and demographic characteristics showed that those reporting higher physical QOL (OR = 1.18; CI: 1.04-1.35) and higher functional QOL (OR = 1. 15; CI: 1.03-1.28) had higher odds of reporting high FWB. Conclusions: Given the surveillance and treatment processes for BC patients, it is important to better understand their financial circumstances as they are navigating and managing care. Our results suggest that physical and functional QOL is relevant for predicting FWB, but after considering socioeconomic and demographic characteristics, no domain of QOL was a significant predictor of FT among BC patients.

Evaluation of quality of life and mood disorders in caregivers of patients with amyotrophic lateral sclerosis: A single-center cross-sectional study

Background: Caregivers of patients with amyotrophic lateral sclerosis (ALS) may suffer from anxiety, depression, and reduced quality of life (QoL). Our goal was to evaluate the QoL and mood disorders in caregivers and their correlation with the patients' demographic, physical, and mental conditions. Methods: We analyzed data from 39 patients with ALS and their caregivers. Patients completed questionnaires of anxiety assessed by Generalised Anxiety Disorder Assessment (GAD-7), depression using the Beck Depression Inventory-II (BDI-II), and QoL via 40-item Amyotrophic Lateral Sclerosis Assessment Questionnaire (ALSAQ-40). Physical impairment was also measured in the patients using the revised Amyotrophic Lateral Sclerosis Functional Rating Scale (ALSFRS-R). Caregivers were also assessed by BDI-II, GAD-7, and 36-item Short-Form Health Survey questionnaire (SF-36). Results: The prevalence of depression and anxiety in the patients was 82.1% and 71.8%, respectively. Caregivers also had higher rates of anxiety and depression and lower levels of QoL in comparison with the general population (anxiety: 66.7%, depression: 43.6%). Depression and anxiety were considerably associated with worsened QoL in the caregivers. None of the demographic, physical, or mental characteristics of patients with ALS were related to either mood status or QoL of the caregiver population. Conclusion: Caregivers experience higher rates of anxiety and depression and lower QoL in comparison with the general population. The severity of mood disorders is inversely associated with the physical and mental domains of caregivers' QoL. Nonetheless, QoL in the caregivers is not affected by the physical or mental disability of the patients.

Short-term outcomes of surgical myocardial revascularization on health-related quality of life: a validation of the Arabic MacNew heart disease questionnaire

BackgroundImpaired quality of life (QOL) is common in coronary heart disease and is the major indications for coronary artery bypass graft (CABG) operations. This study aims to compare the QOL of patients with coronary heart disease before and after CABG surgery.ResultsA translated Arabic version of the Mac-New health-related QOL questionnaire was used to evaluate QOL improvement in 446 patients who benefited from elective CABG at Nasser Institute for Research and Treatment. There was a statistically significant improvement in physical, emotional, social, and global domains of QOL, as evaluated 3 and 6 months after surgery. Follow-up was 90.4% complete. At 3 months, multiple linear regression has shown that male patients (β = 0.48, p ≤ 0.001) and rural residence (β = 0.39, p ≤ 0.001) were significant independent predictors of improvement in physical QOL domain. While hypercholesterolemia (β = −0.20, −0.49, −0.37, −0.46, p ≤ 0.001), hypertension (β = −0.29, −0.39, p ≤ 0.001, β = −0.35, −β = 0.35, p = 0.001), and smoking (β = −0.79, p ≤ 0.001, β = −0.33, p = 0.04, β = −0.69, p ≤ 0.001, β = −0.47, p = 0.005) were significant predictors of worsening in physical, emotional, social, and global domains, respectively. At 6 months, low preoperative ejection fraction (EF) ≤ 40% was the strongest predictor of improvement (β = 0.54, 0.49, 0.44, and 0.52, p ≤ 0.001) in physical, emotional, social, and global domains of QOL, respectively. But, peripheral vascular disease (PVD) (β = −0.53, p = 0.05, β = −0.81, p = 0.005, β = −0.62, p = 0.03, β = −0.76, p = 0.008) and smoking (β = −0.53, p = 0.001, β = −0.42, p = 0.01, β = −0.42, p = 0.01, β = −0.41, p = 0.02) were significant predictors of worsening in physical, emotional, social, and global domains of QOL, respectively.ConclusionsCABG surgery improved in all domains of QOL. Further studies are required to evaluate changes in QOL at longer period intervals.

Quality of life in heart failure patients undergoing hybrid comprehensive telerehabilitation versus usual care - results of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) Randomized Clinical Trial.

IntroductionHybrid comprehensive telerehabilitation (HCTR) consisting of telecare (with psychological telesupport), telerehabilitation and remote monitoring of implantable devices might be an innovative option improving heart failure (HF) patients’ quality of life (QoL) and emotional health. The aim of the study was to investigate the influence of HCTR on various facets of QoL in HF patients in comparison with usual care (UC) alone.Material and methodsThe present analysis formed part of a multicenter, randomized trial that enrolled 850 HF patients (NYHA I–III, LVEF ≤ 40%). Patients were randomized 1 : 1 to HCTR plus UC or UC only. Patients underwent either an HCTR program or UC with observation. The psychological intervention in the HCTR group included supportive psychological counseling via mobile phone. The Medical Outcome Survey Short Form 36 Questionnaire was used to assess QoL. Measurements were made before and after a 9-week intervention (HCTR group)/observation (UC group).ResultsAfter the intervention, the HCTR group showed significant improvement in overall QoL, physical domain (PD) of QoL, and 4 areas of QoL (physical functioning (PhF), role functioning related to physical state (RF), general health (GH), vitality (VI)). A significant positive change in QoL in the UC group was observed only in VI and social functioning. There were also significant differences in QoL after 9-week intervention/observation between the two groups. The results showed greater improvement in HCTR for overall QoL (p = 0.009), PD of QoL (p = 0.0003) and three specific areas of QoL: PhF (p = 0.001), RF (p = 0.003), bodily pain (BP) (p = 0.015).ConclusionsIn comparison to UC, HCTR resulted in improvement in overall QoL, PD of QoL and 3 specific areas of QoL: PhF, RF and BP.

The Relationship Between Physical Activity and Quality of Life During the Confinement Induced by COVID-19 Outbreak: A Pilot Study in Tunisia

The present study aimed to determine the relationship between physical activity (PA) and quality of life (QoL) during the confinement caused by the COVID-19 outbreak. A total of 216 participants (men: n = 112, women: n = 114) were included in the present study. They were divided into three groups [i.e., inactive group (IG): less than 600 metabolic equivalent of tasks (METs), n = 131; minimally active group (MAG): from 600 to 2,999 METs, n = 49; and health-enhancing PA group (HEPAG): 3,000 + METs, n = 36] based on their habitual PA level in the period of confinement. WHO Quality of Life Instrument-Short Form (WHOQOL-BREF) and International Physical Activity Questionnaire-BREF (IPAQ-BREF) questionnaires were used to assess QoL and PA intensities. The main findings of the present study showed that MAG and HEPAG have better total PA, physical, psychological, social, and environmental QoL domains scores than IG (all, p < 0.01). Small to large correlations (r ranging from 0.14 to 0.72) were also observed between total PA, total walking activity, total moderate-intensity PA, total vigorous-intensity PA, and QoL domains (all, p < 0.01). PA with light-, moderate-, and vigorous-intensities can be well recommended to decrease the negative psychosocial effect of confinement. However, longitudinal studies are needed to draw causal inferences and underpin more robust and evidence-based and informed recommendations.

Psychological variables and quality of life in women with endometriosis

Background Endometriosis is a common gynecological condition which has been found to have a detrimental impact upon women’s quality of life (QoL). This study investigated the impact of pain self-efficacy, health locus of control (HLOC), coping style and illness uncertainty on QoL in women with endometriosis. Method Two hundred and thirty women completed online questionnaires. Standard multiple regressions assessed the relationship between the psychological predictors and QoL. Results The psychological variables accounted for a statistically significant proportion of the variance (p < .0005) in scores across the four QoL domains. The model accounted for 55, 26, 10 and 32% of the scores in physical, psychological, social and environmental QoL domains, respectively. Pain self-efficacy made the largest unique contribution, followed by illness uncertainty. Conclusions Women’s perception of their ability to manage their pain and how uncertain they felt about their condition, were important factors in QoL, particularly in the physical domain.

Randomized Clinical Trial of Water-Based Aerobic Training in Older Women (WATER Study): Functional Capacity and Quality of Life Outcomes.

The purpose of this study was to investigate the effects of 2 water-based aerobic training programs on functional capacity and quality of life (QoL) of older women. Randomized clinical trial. A total of 41 women (64.3 [3.1]y) were randomized into a continuous (CTG) and an interval (ITG) water-based aerobic training group. Training programs were performed with exercise intensity based on rating of perceived exertion throughout 12 weeks (twice a week). Functional tests with and without dual-task and QoL questionnaire were applied pretraining and posttraining. Per protocol and intention to treat analysis were conducted using generalized estimating equations, with Bonferroni post hoc test (α = .05). The per protocol analysis showed an increase in the 30-second chair stand (6%[12%] vs 18% [13%]), 6-minute walk (4% [7%] vs 2% [8%]), and 5-m habitual gait velocity (6% [11%] vs 4% [7%]) tests after CTG and ITG training groups. In addition, the intention to treat analysis revealed an increase in the 30-second chair stand test (7% [13%] vs 12% [13%]) and physical domain of QoL (8% [26%] vs 14% [22%]) after CTG and ITG training groups, as well as an increase in the gait velocity with verbal task after CTG (6% [11%]). Both water-based aerobic training programs induced similar improvements in the functional capacity and maintained the QoL perception in older women.

Influence of resistance training in quality of life, body composition, and physical performance of community-dwelling elderly women

Background Aging is an irreversible process by which all living humans will pass, and the percentage of older population growth significantly in the last decades. There are an increasing evidence showing that independently older people, with autonomy and physical capacity, has better quality of life in comparison with others without self-sufficiency. Objective: Verify the changes on Quality-of-Life (QoL), body composition and physical performance (PF) of elderly women submitted to resistance training (RT). Methods: 16 elderly women participated in the study, that consisted in 12 weeks of Resistance training. The QoL with SF-36, the blood pressure (BP), hand-grip strength, anthropometry and physical performance to senior, was measured before and after of resistance training. Results: The main findings of this study were that the RT for 12 weeks are able to changes the self-perception of QoL of elderly women, simultaneously with decrease in percent of fat and increase in strength and PF. In addition, a maintenance of BP levels, flexibility and self-perception of pain and global health (QoL domains), were observed after this period. Conclusion: The study suggest that the 12 weeks of RT, twice a week, is able to ameliorate several physical fitness components and QoL domains, in community-dwelling elderly women.