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Differential exercise effects on quality of life and health-related quality of life in older adults: a randomized controlled trial.

Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation
February 1, 2015
Elizabeth A Awick et al. (9 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether aerobic walking improves health-related quality of life (HRQOL) and global quality of life (QOL) in low-active older adults compared to a non-aerobic intervention.

Results Summary

Walking significantly improved mental health status and global QOL compared to the non-aerobic group, with differential patterns of change observed across individuals (no change, declines, or improvements). The effects were not linear over time.

Population

Low-active older adults (n = 179)

Effective Dosage

Not specified

Duration

12 months

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
12-month aerobic walking group
increase
the mental aspect of HRQOL
Low-active, older adults
-
appears to enhance
#1
12-month aerobic walking group
increase
global QOL
Low-active, older adults
-
appears to enhance
#2
12-month aerobic walking group
increase
mental health status
Low-active, older adults
-
favoring
#3
strengthening and flexibility group
neutral
the mental aspect of HRQOL
Low-active, older adults
-
compared to
#4
strengthening and flexibility group
neutral
global QOL
Low-active, older adults
-
compared to
#5
two exercise intervention arms
no change
QOL
three classes of individuals
-
no change
#6
two exercise intervention arms
decrease
QOL
three classes of individuals
-
declines
#7
two exercise intervention arms
increase
QOL
three classes of individuals
-
improvements
#8
two exercise intervention arms
no change
HRQOL
three classes of individuals
-
no change
#9
two exercise intervention arms
decrease
HRQOL
three classes of individuals
-
declines
#10
two exercise intervention arms
increase
HRQOL
three classes of individuals
-
improvements
#11
Abstract

PURPOSE: Maintaining quality of life (QOL) and physical and mental health status are important outcomes throughout the aging process. Although cross-sectional studies suggest a relationship between global QOL and physical activity, it is unclear whether such a relationship exists as a function of exercise training. METHODS: We examined the effects of two exercise intervention arms on health-related quality of life (HRQOL) and global QOL. Low-active, older adults (n = 179) were randomly assigned to either a 12-month aerobic walking group or a strengthening and flexibility group. HRQOL and QOL were measured at baseline, 6, and 12 months. RESULTS: There was a significant group by time effect on QOL [F(2,176) = 3.11, p = 0.047, η (2) = 0.03]. There was also a significant overall group by time effect for HRQOL [F(4,174) = 2.46, p = 0.047, η (2) = 0.05], which was explained by the significant group by time interaction for mental health status (p = 0.041, η (2) = 0.02) favoring the walking condition. Further analyses using latent class analysis revealed three classes of individuals with differential patterns of change in QOL and HRQOL across time. These classes reflected no change, declines, and improvements in these constructs across time. CONCLUSIONS: Walking appears to enhance the mental aspect of HRQOL and global QOL when compared to a non-aerobic intervention. Additionally, the patterns of change in QOL and HRQOL were not linear over time. Our findings are in contrast to previous reports that these outcomes change a little or not at all in randomized trials.

Medical Subject Headings (MeSH)
AdultAgedCross-Sectional StudiesExerciseFemaleHealth StatusHumansMaleMiddle AgedQuality of LifeSurveys and QuestionnairesWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations35
Citations/Year3.5
Relative Citation Ratio1.98
NIH Percentile74.2%
Research Impact Scores
APT Score0.75
Weight Score1.88
Normalized Score0.67
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