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Differences in the Levels of Physical Activity, Mental Health, and Quality of Life of Elderly Koreans with Activity-Limiting Disabilities.

ABSTRACT: Purpose: This study aimed to analyze the differences in physical activity, mental health, and quality of life between the elderly without activity-limiting disabilities and in elderly with activity-limiting disabilities, stratified by medical category. Methods: A total of 1504 elders aged 65-80 who responded to the 2016 Korea National Health and Nutrition Examination Survey were the participants in this study. They were divided into two groups, 303 elders with disabilities who responded to the survey saying they have active limiting disabilities, and 1201 elders without disabilities. The questionnaire reflected the criteria of a survey developed by the American College of Sports Medicine (ACSM) to measure the physical activity of elders. Patient Health Questionnaire-9 (PHQ-9) and EuroQol-5 Dimension (EQ-5D) were used to measure participants' mental health and quality of life, respectively. Analysis of covariance (ANCOVA) adjusted for age, sex, marital status, notional basic livelihood, recipient status, and personal income was conducted for data analysis after the normal distribution was confirmed. Results: Significant differences between elders with disabilities and those without disabilities were seen in terms of physical activity levels (p < 0.01), stress, and depression (p < 0.001), and in all five domains measuring the quality of life (p < 0.05). The ANCOVA revealed significant differences in motor ability (p < 0.01) and pain/discomfort (p < 0.05) relating to the quality of life among the elders with activity-limiting disability depending on the medical category. Conclusions: The results could provide basic data regarding the degree of physical activity, mental health, and quality of life according to activity-limitation disability status and medical category. From the findings, elders with disabilities are clearly more exposed to risk in the areas of physical activity, mental health, and quality of life. Differences in quality of life among elderly with disabilities were also seen based on medical category. Our findings suggest that research into elders with disabilities should consider the implications of these results.

SUBMITTER: Lee K

PROVIDER: S-EPMC6696124 | biostudies-other | 2019 Jul

REPOSITORIES: biostudies-other

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Differences in the Levels of Physical Activity, Mental Health, and Quality of Life of Elderly Koreans with Activity-Limiting Disabilities.

Lee Kyujin K So Wi-Young WY

International journal of environmental research and public health 20190731 15

<i>Purpose</i>: This study aimed to analyze the differences in physical activity, mental health, and quality of life between the elderly without activity-limiting disabilities and in elderly with activity-limiting disabilities, stratified by medical category. <i>Methods</i>: A total of 1504 elders aged 65-80 who responded to the 2016 Korea National Health and Nutrition Examination Survey were the participants in this study. They were divided into two groups, 303 elders with disabilities who resp ...[more]

PMID: 31370296

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Project description:BackgroundChildren and adolescents with intellectual disabilities (IDs) tend to have lower levels of physical activity and poorer mental health than their typically developing peers. Studies on the effects of physical activity on the mental health of children with IDs using the Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM) framework are scarce.MethodsA systematic literature review using six databases (CINAHL, Eric, PsycINFO, PubMed, SPORTDiscus, and Web of Science) was conducted from January 2000 to September 2021. Studies reporting at least one physical activity intervention and mental health outcome in children and adolescents with IDs aged between 5 and 17 years were included in the meta-analysis. Preferred Reporting Items for Systematic Review and Meta-Analysis guideline, Comprehensive Meta-Analysis, and the RE-AIM framework were utilized.ResultsA total of 15 studies that met the inclusion criteria were included in the meta-analysis. The effects of physical activity on mental health in children and adolescents with IDs were significant and large (Hedges' g = 0.897, p < 0.01), with medium effects on psychological health (Hedges' g = 0.542, p < 0.01) and large effects on cognitive function (Hedges' g = 1.236, p < 0.01). Randomized controlled trial (RCT) design and intervention components (> 120 minutes per week, therapeutic, and aerobic exercise) demonstrated the strongest effects. Moreover, study background (publication year, study location, and sample size), participant characteristics (age and sex), and Maintenance (RE-AIM framework) moderated the effects of physical activity on mental health. Based on the RE-AIM framework, there were higher proportions in the dimensions of Reach and Effectiveness than Adoption, Implementation, and Maintenance.ConclusionsPhysical activity appears to have positive effects on mental health, including psychological health and cognitive function, in children and adolescents with IDs. Physical activity interventions using the RE-AIM framework are recommended to assess short- and long-term impacts and translate scientific evidence into practice.Trial registrationThe protocol for this meta-analysis was registered with PROSPERO ( CRD42021256543 ).

Project description:IntroductionSurveillance of physical activity at the population level increases the knowledge on levels and trends of physical activity, which may support public health initiatives to promote physical activity. Physical activity assessed by accelerometry is challenged by varying data processing procedures, which influences the outcome. We aimed to describe the levels and prevalence estimates of physical activity, and to examine how triaxial and uniaxial accelerometry data influences these estimates, in a large population-based cohort of Norwegian adults.MethodsThis cross-sectional study included 5918 women and men aged 40-84 years who participated in the seventh wave of the Tromsø Study (2015-16). The participants wore an ActiGraph wGT3X-BT accelerometer attached to the hip for 24 hours per day over seven consecutive days. Accelerometry variables were expressed as volume (counts·minute-1 and steps·day-1) and as minutes per day in sedentary, light physical activity and moderate and vigorous physical activity (MVPA).ResultsFrom triaxial accelerometry data, 22% (95% confidence interval (CI): 21-23%) of the participants fulfilled the current global recommendations for physical activity (≥150 minutes of MVPA per week in ≥10-minute bouts), while 70% (95% CI: 69-71%) accumulated ≥150 minutes of non-bouted MVPA per week. When analysing uniaxial data, 18% fulfilled the current recommendations (i.e. 20% difference compared with triaxial data), and 55% (95% CI: 53-56%) accumulated ≥150 minutes of non-bouted MVPA per week. We observed approximately 100 less minutes of sedentary time and 90 minutes more of light physical activity from triaxial data compared with uniaxial data (p<0.001).ConclusionThe prevalence estimates of sufficiently active adults and elderly are more than three times higher (22% vs. 70%) when comparing triaxial bouted and non-bouted MVPA. Physical activity estimates are highly dependent on accelerometry data processing criteria and on different definitions of physical activity recommendations, which may influence prevalence estimates and tracking of physical activity patterns over time.

Dataset Information

Differences in the Levels of Physical Activity, Mental Health, and Quality of Life of Elderly Koreans with Activity-Limiting Disabilities.

Publications

Differences in the Levels of Physical Activity, Mental Health, and Quality of Life of Elderly Koreans with Activity-Limiting Disabilities.

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