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

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.

Individual and country-level factors associated with self-reported and accelerometer-based physical activity in old age: a cross-national analysis of European countries

“…The positive association between quality of life and both self-reported physical activity and accelerometer-based intensity distribution is consistent with previous studies, even though these studies have focused on health-related quality of life (Anokye et al 2012 ; Sansano-Nadal et al 2021 ). The CASP-questionnaire used in the present study differs from typical health-related quality of life questionnaires by focusing on the satisfaction of basic psychological needs (control, autonomy, self-realization, and pleasure) instead of components of health-related functioning (Hyde et al 2003 ).…”

New Strategies to Improve the Quality of Life for Normal Aging versus Pathological Aging

“…The tools are correlated with the well-being of life given by the individual’s ability to be or do things that are important in life. The questionnaire includes questions about affection, friendship, security, satisfaction, or independence [ 18 , 28 , 29 ]. Moreover, in this sense, other instruments, such as SUS, MSEQ, LQS, LSS, SRSE, or MRSE have been defined, correlated with the satisfaction of the quality of life with certainty and a good mobility of evolution [ 11 , 14 , 18 , 30 ].…”

“…Effective interventions to increase the quality of life and well-being of older adults are appreciated through the following tools: CEA, CCA, CCWBA, ICER, VIF, and COPM. Therefore, the development of various support programs for the delay of early aging, as well as the promotion of rehabilitation activities for the elderly with neurodegenerative diseases, will reduce maintenance costs and will make recovery for aging pathology more efficient [ 12 , 15 , 29 , 34 , 35 ]. For example, Canadian public health care systems are constantly concerned with reducing maintenance costs and increasing the effectiveness of senior rehabilitation by promoting the most sustained physical training at home, in order to reduce the pressure on public health services systems [ 15 ].…”

“…The physical effort was of a mixed aerobic and anaerobic type, starting from physical exercises to maintain balance and a steady gait to the stimulation of muscular strength by using the elastic band dynamometer, bike ergometer or actigraph accelerometer. Socio-economic tools, such a: ICECAP-O, ICEpop, CEA, CCA, and CCWBA, that monitor physical activity, have demonstrated an effective economic model that has reduced additional costs and assessed health status for older adults by highlighting its improvement through the recommended physical program, administered with adequate frequency and intensity [ 18 , 29 ]. Implementation of the program PACE-IT (physical and cognitive exercises intervention) and DT-FPT (dual task functional power workout) demonstrated a decreasing trend in falls and improving balance and gait, and enhancing power and velocity of contraction for hands muscles.…”

“…For instance, in two articles, the positive intervention for SITLESS study, regarding combating sedentary lifestyle, and promoting a healthy lifestyle, with the intervention of the live physical activity protocol with recommended exercise schemes that maintain the physical condition and well-being of the body were discussed. At the same time, an economic model of long-term health promotion for the elderly has been developed, which will combat sedentary lifestyles, and will implement learning programs for physical and cognitive rehabilitation, both for the institutionalized and for those assisted at home [ 18 , 29 ]. For protocol Locomotive Syndrome risk test, which was a support for care of the elderly, the exercises training, consisted of two steps while maintaining balance at different weights, monitored by GLFS with 25 items for questionnaire; the advantages were for the delay of motor functions deficiencies and ability skills, especially for the lower extremity [ 23 ].…”