Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability

Erik J. Groessl*, Robert M. Kaplan, W. Jack Rejeski, Jeffrey A. Katula, Nancy W. Glynn, Abby C. King, Stephen D. Anton, Michael Walkup, Ching Ju Lu, Kieran Reid, Bonnie Spring, Marco Pahor

*Corresponding author for this work

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Introduction: Older adults are a rapidly growing segment of the U.S. population. Mobility problems that lead to further disability can be addressed through physical activity interventions. Quality of life outcome results are reported from a large trial of physical activity for sedentary older adults at risk for mobility disability. Methods: Data were from the Lifestyle Interventions and Independence for Elders study. This multisite RCT compared physical activity to health education among 1,635 randomly assigned sedentary older adults at risk for mobility disability in 2010–2011. Measures included demographics; comorbidity; a timed 400-meter walk; the Short Physical Performance Battery; and the Quality of Well-Being Scale (0–1.0 scale). Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017. Results: The sample had an overall mean Quality of Well-Being score of 0.613. Both groups declined in quality of life over time, but assignment to the physical activity intervention resulted in a slower decline in health-related quality of life scores (p=0.03). Intervention attendance was associated with higher health-related quality of life for both groups. Baseline characteristics including younger age, fewer comorbid conditions, non-white ethnicity, and faster 400-meter walk times were also associated with higher health-related quality of life over time. Conclusions: Declining mobility measured by physical performance is associated with lower quality of life in sedentary older adults. Physical activity interventions can slow the decline in quality of life, and targeting specific subgroups may enhance the effects of such interventions.

Original languageEnglish (US)
Pages (from-to)141-146
Number of pages6
JournalAmerican Journal of Preventive Medicine
Volume56
Issue number1
DOIs
StatePublished - Jan 1 2019

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Quality of Life
Health Education
Life Style
Comorbidity
Linear Models
Demography
Population

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Groessl, Erik J. ; Kaplan, Robert M. ; Rejeski, W. Jack ; Katula, Jeffrey A. ; Glynn, Nancy W. ; King, Abby C. ; Anton, Stephen D. ; Walkup, Michael ; Lu, Ching Ju ; Reid, Kieran ; Spring, Bonnie ; Pahor, Marco. / Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability. In: American Journal of Preventive Medicine. 2019 ; Vol. 56, No. 1. pp. 141-146.
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title = "Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability",
abstract = "Introduction: Older adults are a rapidly growing segment of the U.S. population. Mobility problems that lead to further disability can be addressed through physical activity interventions. Quality of life outcome results are reported from a large trial of physical activity for sedentary older adults at risk for mobility disability. Methods: Data were from the Lifestyle Interventions and Independence for Elders study. This multisite RCT compared physical activity to health education among 1,635 randomly assigned sedentary older adults at risk for mobility disability in 2010–2011. Measures included demographics; comorbidity; a timed 400-meter walk; the Short Physical Performance Battery; and the Quality of Well-Being Scale (0–1.0 scale). Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017. Results: The sample had an overall mean Quality of Well-Being score of 0.613. Both groups declined in quality of life over time, but assignment to the physical activity intervention resulted in a slower decline in health-related quality of life scores (p=0.03). Intervention attendance was associated with higher health-related quality of life for both groups. Baseline characteristics including younger age, fewer comorbid conditions, non-white ethnicity, and faster 400-meter walk times were also associated with higher health-related quality of life over time. Conclusions: Declining mobility measured by physical performance is associated with lower quality of life in sedentary older adults. Physical activity interventions can slow the decline in quality of life, and targeting specific subgroups may enhance the effects of such interventions.",
author = "Groessl, {Erik J.} and Kaplan, {Robert M.} and Rejeski, {W. Jack} and Katula, {Jeffrey A.} and Glynn, {Nancy W.} and King, {Abby C.} and Anton, {Stephen D.} and Michael Walkup and Lu, {Ching Ju} and Kieran Reid and Bonnie Spring and Marco Pahor",
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Groessl, EJ, Kaplan, RM, Rejeski, WJ, Katula, JA, Glynn, NW, King, AC, Anton, SD, Walkup, M, Lu, CJ, Reid, K, Spring, B & Pahor, M 2019, 'Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability', American Journal of Preventive Medicine, vol. 56, no. 1, pp. 141-146. https://doi.org/10.1016/j.amepre.2018.09.006

Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability. / Groessl, Erik J.; Kaplan, Robert M.; Rejeski, W. Jack; Katula, Jeffrey A.; Glynn, Nancy W.; King, Abby C.; Anton, Stephen D.; Walkup, Michael; Lu, Ching Ju; Reid, Kieran; Spring, Bonnie; Pahor, Marco.

In: American Journal of Preventive Medicine, Vol. 56, No. 1, 01.01.2019, p. 141-146.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Physical Activity and Performance Impact Long-term Quality of Life in Older Adults at Risk for Major Mobility Disability

AU - Groessl, Erik J.

AU - Kaplan, Robert M.

AU - Rejeski, W. Jack

AU - Katula, Jeffrey A.

AU - Glynn, Nancy W.

AU - King, Abby C.

AU - Anton, Stephen D.

AU - Walkup, Michael

AU - Lu, Ching Ju

AU - Reid, Kieran

AU - Spring, Bonnie

AU - Pahor, Marco

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Introduction: Older adults are a rapidly growing segment of the U.S. population. Mobility problems that lead to further disability can be addressed through physical activity interventions. Quality of life outcome results are reported from a large trial of physical activity for sedentary older adults at risk for mobility disability. Methods: Data were from the Lifestyle Interventions and Independence for Elders study. This multisite RCT compared physical activity to health education among 1,635 randomly assigned sedentary older adults at risk for mobility disability in 2010–2011. Measures included demographics; comorbidity; a timed 400-meter walk; the Short Physical Performance Battery; and the Quality of Well-Being Scale (0–1.0 scale). Baseline and long-term follow-up (2.6 years) health-related quality of life data were collected as a secondary outcome. Multivariate linear regression modeling was used to examine covariates of health-related quality of life over time in 2017. Results: The sample had an overall mean Quality of Well-Being score of 0.613. Both groups declined in quality of life over time, but assignment to the physical activity intervention resulted in a slower decline in health-related quality of life scores (p=0.03). Intervention attendance was associated with higher health-related quality of life for both groups. Baseline characteristics including younger age, fewer comorbid conditions, non-white ethnicity, and faster 400-meter walk times were also associated with higher health-related quality of life over time. Conclusions: Declining mobility measured by physical performance is associated with lower quality of life in sedentary older adults. Physical activity interventions can slow the decline in quality of life, and targeting specific subgroups may enhance the effects of such interventions.

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