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Oliveira NGN, Bolina AF, Haas VJ, Tavares DMDS. Exploring the effect of the structural model of active aging on the self-assessment of quality of life among older people: A cross-sectional and analytical study. SAO PAULO MED J 2024; 142:e2022609. [PMID: 38477732 DOI: 10.1590/1516-3180.2022.0609.r1.230523] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Accepted: 05/23/2023] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND Although studies have examined the relationship between variables associated with active aging and quality of life (QoL), no studies have been identified to have investigated the effect of a structural model of active aging on QoL in a representative sample of older people in the community. OBJECTIVE To measure the domains and facets of QoL in older people and identify the effect of the structural model of active aging on the self-assessment of QoL. DESIGN AND SETTING This cross-sectional analytical study included 957 older people living in urban areas. Data were collected from households using validated instruments between March and June 2018. Descriptive, confirmatory factor, and structural equation modeling analyses were performed. RESULTS Most older people self-rated their QoL as good (58.7%), and the highest mean scores were for the social relationships domain (70.12 ± 15.4) and the death and dying facet (75.43 ± 26.7). In contrast, the lowest mean scores were for the physical domains (64.41 ± 17.1) and social participation (67.20 ± 16.2) facets. It was found that active aging explained 50% of the variation in self-assessed QoL and directly and positively affected this outcome (λ = 0.70; P < 0.001). CONCLUSION Active aging had a direct and positive effect on the self-assessment of QoL, indicating that the more individuals actively aged, the better the self-assessment of QoL.
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Affiliation(s)
- Nayara Gomes Nunes Oliveira
- PhD. Nurse, specialist in older people health, Hospital de Clínicas, Universidade Federal de Uberlândia (UFU), Uberlândia (MG), Brazil
| | | | - Vanderlei José Haas
- PhD. Physicist and Professor, Postgraduate Program in Health Care, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil
| | - Darlene Mara Dos Santos Tavares
- PhD. Nurse and Associate Professor, Department of Nursing Education and Community Health, Nursing Graduate Program, Universidade Federal do Triângulo Mineiro (UFTM), Uberaba (MG), Brazil
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Ferreira LK, Filgueiras Meireles JF, de Oliveira Gomes GA, Caputo Ferreira ME. Development and Psychometric Evaluation of a Lifestyle Evaluation Instrument for Older Adults. Percept Mot Skills 2023; 130:1901-1923. [PMID: 37286477 DOI: 10.1177/00315125231182173] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Brazil is experiencing an accelerated period of population aging, with important implications for individuals, families, and the society at large. Lifestyles for the elderly can have both positive and negative health effects and are characterized by behaviors that individuals constantly reproduce in day-to-day life. However, few assessment instruments are aimed at evaluating lifestyles, and this has hampered research development. Thus, our aim in this study was to develop and evaluate the psychometric qualities of a new instrument to assess older adults' lifestyles. We developed this single scale to assess the lifestyles of older men and women using the sequential mixed method. Individuals over 60 years old of both sexes participated in this study of several phases. In Phase 1, we produced a 96-item single scale instrument, based on a literature review, previous scales, and qualitative research. In Phase 2, we verified the scale's content validity with help from 12 experts and 20 members of a target audience, aged between 60-84 years, deleting some items and reworking others. In Phase 3, we analyzed the psychometric qualities of the new scale in a sample of 700 older adults, aged 60 and above, from the five regions of Brazil, using both exploratory and confirmatory factor analysis. Our completed "Older Adult Lifestyle Scale" (OALS) is composed of 19 items divided into four subscales. The OALS has shown good psychometric qualities for Brazilian older adults over 60 years of age, and we can now recommend its use in this population.
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Brito Sosa G, Iraizoz Barrios AM, García Mir V, Santos Luna JA, León García GDLÁ, Jaramillo Simbaña RM. [Factors associated with the perception of discrimination: ageism and quality of life of the geriatric population from a bioethical approach]. REVISTA DE LA FACULTAD DE CIENCIAS MÉDICAS 2023; 80:221-238. [PMID: 37773343 PMCID: PMC10594976 DOI: 10.31053/1853.0605.v80.n3.38107] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2022] [Accepted: 06/08/2023] [Indexed: 10/01/2023] Open
Abstract
Introduction There are a set of conditions that directly affect the quality of life of older adults, causing marginalization and discrimination of this age group. Objective Determining the factors that affect the perception of discrimination and quality of life of older adults in the province of El Oro, Ecuador. Methods Observational, descriptive, qualitative-phenomenological, cross-sectional, cross-sectional study in older adults aged 65 years, between September 2019 and November 2020. The sample consisted of 399 older adults. The questionnaire "Biopsychosocial assessment of older adults from a bioethical approach" was used. The following variables were measured: discrimination and self-perception of quality of life. Multiple correspondence analysis was used to examine the association between discrimination, quality of life and the variables under study. Results 61.7% of the respondents considered that discrimination exists, with ageism predominating. The variable most related to the perception of discrimination of the MAs was the treatment in health care, and the family environment. The quality of life in a significant percentage was unsatisfactory due to: their family environment, poor social integration and dissatisfaction with their health. Conclusions The quality of life of older adults was unsatisfactory in almost half of the respondents, influenced by the relationship with the family, social integration, and health status. The older adults reported that there is discrimination and ageism in the treatment perceived in the health services and the family environment, in violation of the principles of bioethics.
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Chen MJ, Ko PS, Lee MC, Su SL, Yu S. Gender difference in appendicular muscle strength: determinant of the quality of life in the older Taiwanese. Aging (Albany NY) 2022; 14:7517-7526. [PMID: 36126195 PMCID: PMC9550263 DOI: 10.18632/aging.204297] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/20/2022] [Accepted: 09/01/2022] [Indexed: 11/25/2022]
Abstract
Background: The loss of skeletal muscle mass by aging determines the health status and the quality of life (QoL). Objective: To examine the relationships between appendicular muscle strength and the QoL of elderly adults in gender difference. Methods: This was a cross-sectional study, in which 690 subjects who participated in older adults health examination in the health management center of Tri-Service General Hospital from 2018 to 2021. A structured questionnaire was used to collect basic demographic data. The 12-Item Short Form Survey (SF-12) was used to evaluate the QoL of subjects. Their grip strength and gait speed were measured, and Dual-energy X-ray absorptiometry was used to measure muscle mass and other body composition data. Multivariate regression analysis was used to examine the relationships between upper and lower limb muscle strength and the QoL of older adults. Results: In men, legs muscle mass percentage (LegsMM%) (β = 3.67; 95% CI: 0.64–6.69; p = 0.018) and gait speed (β = 6.09; 95% CI: 3.88–8.30; p < 0.001) were positively associated with physical component summary (PCS) scores, and gait speed (β = 4.63; 95% CI: 2.66–6.60; p < 0.001) was also related to an improvement mental component summary (MCS) scores. In women, arms muscle mass percentage (ArmsMM%) (β = 6.50; 95% CI: 2.34–10.66; p = 0.002) and grip strength (β = 10.54; 95% CI: 6.27–14.81; p < 0.001) had the greatest effect on improving PCS scores, whereas grip strength (β = 7.58; 95% CI 4.00–11.17; p < 0.001) was also found to help improve MCS scores. Conclusions: Men should focus on lower limb training, whereas females should focus on upper limb training to effectively improve their QoL. Appropriate exercise interventions should be designed for different genders for the promotion of the healthy aging policy.
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Affiliation(s)
- Mei-Jung Chen
- School of Nursing, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan.,Department of Nursing, Tri-Service General Hospital Songshan Branch, Taipei 105309, Taiwan
| | - Pi-Shao Ko
- School of Public Health, National Defense Medical Center, Taipei 114201, Taiwan
| | - Meng-Chang Lee
- School of Public Health, National Defense Medical Center, Taipei 114201, Taiwan
| | - Sui-Lung Su
- School of Public Health, National Defense Medical Center, Taipei 114201, Taiwan
| | - Shu Yu
- School of Nursing, National Yang Ming Chiao Tung University, Taipei 112304, Taiwan
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Leitão L, Venturini GRO, Junior RP, Monteiro ER, Telles LG, Araújo G, Novaes J, Tavares C, Marques-Neto S, Mazini M. Impact of Different Resistance Training Protocols on Balance, Quality of Life and Physical Activity Level of Older Women. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11765. [PMID: 36142038 PMCID: PMC9517151 DOI: 10.3390/ijerph191811765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 09/08/2022] [Accepted: 09/15/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Physical activity (PA) and physical fitness are key factors for quality of life (QoL) for older women. The aging process promotes the decrease in some capacities such as strength, which affect the activities of daily life. This loss of strength leads to a reduction in balance and an increased risk of falls as well as a sedentary lifestyle. Resistance Training (RT) is an effective method to improve balance and strength but different RT protocols can promote different responses. Power training has a higher impact on the performance of activities of daily life. Therefore, our study aimed to analyze if different RT protocols promote individual responses in balance, QoL and PA levels of older women and which are more effective for the older women. METHODS Ninety-four older women were divided into four RT groups (relative strength endurance training, SET; Traditional strength training, TRT; absolute strength training, AST; power training, PWT) and one control group (CG). Each RT group performed a specific protocol for 16 weeks. At baseline and after 8 and 16 weeks, we assessed balance through the Berg balance scale; PA levels with a modified Baecke questionnaire and QoL with World Health Organization Quality of Life-BREF (WHOQOL-BREF) and World Health Organization Quality of Life-OLD module (WHOQOL-OLD). RESULTS Balance improved after 16 weeks (baseline vs. 16 weeks; p < 0.05) without differences between all RT groups. PWT (2.82%) and TRT (3.48%) improved balance in the first 8 weeks (baseline vs. 8 weeks; p < 0.05). PA levels increased in PWT, TRT and AST after 16 weeks (baseline vs. 16 weeks; p < 0.05). CONCLUSION All RT protocols improved PA levels and QoL after 16 weeks of training. For the improvement of balance, QoL and PA, older women can be subjected to PWT, AST and SET, and not be restricted to TRT.
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Affiliation(s)
- Luis Leitão
- Sciences and Technology Department, Superior School of Education, Polytechnic Institute of Setubal, 2910-761 Setúbal, Portugal
- Life Quality Research Centre (CIEQV), 2400-901 Leiria, Portugal
| | - Gabriela R. O. Venturini
- Laboratory of Physical Activity and Health Promotion, State University of Rio de Janeiro (UERJ), Rio de Janeiro 20550-900, Brazil
- Federal Center of Technological Education of Minas Gerais, Leopoldina 36700-000, Brazil
| | - Ricardo Pace Junior
- Graduate Program of Physical Education of Fasar, Santa Rita Faculty, Conselheiro Lafaiete 36400-000, Brazil
| | - Estêvão Rios Monteiro
- Postgraduate Program in Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
- Undergraduate Program in Physical Education, Augusto Motta University Center, Rio de Janeiro 21041-020, Brazil
- Undergraduate Program in Physical Education, IBMR University Center, Rio de Janeiro 22631-002, Brazil
| | - Luiz Guilherme Telles
- Postgraduate Program in Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Gleisson Araújo
- Postgraduate Program in Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Jefferson Novaes
- Postgraduate Program in Physical Education, Federal University of Rio de Janeiro, Rio de Janeiro 21941-901, Brazil
| | - Carlos Tavares
- Graduate Program in Physical Education, Sudamerica Faculty, Cataguases 36774-552, Brazil
| | - Sílvio Marques-Neto
- Physical Activity Sciences Graduate Program, Salgado de Oliveira University (UNIVERSO), Rio de Janeiro 24030-060, Brazil
- Physical Education Graduate School, Estácio de Sá University (UNESA), Rio de Janeiro 20771-004, Brazil
| | - Mauro Mazini
- Graduate Program in Physical Education, Sudamerica Faculty, Cataguases 36774-552, Brazil
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Campa F, Maietta Latessa P, Greco G, Mauro M, Mazzuca P, Spiga F, Toselli S. Effects of Different Resistance Training Frequencies on Body Composition, Cardiometabolic Risk Factors, and Handgrip Strength in Overweight and Obese Women: A Randomized Controlled Trial. J Funct Morphol Kinesiol 2020; 5:jfmk5030051. [PMID: 33467267 PMCID: PMC7739279 DOI: 10.3390/jfmk5030051] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/26/2020] [Revised: 07/14/2020] [Accepted: 07/15/2020] [Indexed: 02/05/2023] Open
Abstract
BACKGROUND Resistance training improves health in obese and overweight people. However, it is not clear what is the optimal weekly resistance training frequency and the most efficacious training protocol on body composition, cardiometabolic risk factors, and handgrip strength (HS). The aim of this study was to determine the effects of a supervised structured 24 week resistance training program on obese and overweight women. METHODS Forty-five women (BMI 37.1 ± 6.3 kg/m2; age 56.5 ± 0.7 years) were randomly assigned to one of two groups: A group with a high weekly training frequency of three times a week (HIGH) and a group that performed it only once a week (LOW). Cardiometabolic risk factors, anthropometric and HS measures were taken before and after the intervention period. RESULTS A significant (p < 0.05) group by time interaction was observed for body weight, body mass index, waist circumference, fat mass, plasma glucose, plasma insulin, homeostatic model assessment, and for dominant and absolute HS. Additionally, only the HIGH group saw increased HS and decreased total cholesterol and LDL-cholesterol after the intervention period (p < 0.05). The observed increase in HS was associated with an improved insulin resistance sensitivity (absolute handgrip strength: r = -0.40, p = 0.007; relative handgrip strength: r = -0.47, p = 0.001) after training, which constitutes an essential element for cardiovascular health. CONCLUSIONS The results suggest that high weekly frequency training give greater benefits for weight loss and cardiometabolic risk factors improvement than a training program with a training session of once a week. Furthermore, the improvement of HS can be achieved with a high weekly frequency training.
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Affiliation(s)
- Francesco Campa
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy; (F.C.); (F.S.); (S.T.)
| | | | - Gianpiero Greco
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Study of Bari, 70121 Bari, Italy;
| | - Mario Mauro
- Department of Basic Medical Sciences, Neuroscience and Sense Organs, University of Study of Bari, 70121 Bari, Italy;
- Correspondence: ; Tel.: +39-3388259249
| | - Paolo Mazzuca
- Unit of Internal Medicine, Diabetes and Metabolic Disease Center, Romagna Health District, 47921 Rimini, Italy;
| | - Federico Spiga
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy; (F.C.); (F.S.); (S.T.)
| | - Stefania Toselli
- Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy; (F.C.); (F.S.); (S.T.)
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