TY - JOUR PY - 2022// TI - 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 JO - International journal of environmental research and public health A1 - Nascimento, Marcelo de Maio A1 - Gouveia, Élvio Rúbio A1 - Gouveia, Bruna R. A1 - Marques, Adilson A1 - França, Cíntia A1 - Freitas, Duarte L. A1 - Campos, Pedro A1 - Ihle, Andreas SP - e14135 EP - e14135 VL - 19 IS - 21 N2 - 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.
Language: en
LA - en SN - 1661-7827 UR - http://dx.doi.org/10.3390/ijerph192114135 ID - ref1 ER -