College of Health and Human Development, California State University, Northridge, CA 91330, USA.
College of Humanities and Arts, Korea National University of Transportation, Chungju-si 27469, Korea.
Int J Environ Res Public Health. 2019 Jul 31;16(15):2736. doi: 10.3390/ijerph16152736.
: 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. : 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. : Significant differences between elders with disabilities and those without disabilities were seen in terms of physical activity levels ( < 0.01), stress, and depression ( < 0.001), and in all five domains measuring the quality of life ( < 0.05). The ANCOVA revealed significant differences in motor ability ( < 0.01) and pain/discomfort ( < 0.05) relating to the quality of life among the elders with activity-limiting disability depending on the medical category. : 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.
本研究旨在分析无活动受限残疾的老年人和有活动受限残疾的老年人之间在身体活动、心理健康和生活质量方面的差异，并按医疗类别进行分层。
共有 1504 名 65-80 岁的老年人参加了 2016 年韩国国家健康和营养调查，他们被分为两组，303 名残疾老年人在调查中表示他们有活动受限的残疾，1201 名无残疾老年人。问卷反映了美国运动医学学院（ACSM）制定的一项衡量老年人身体活动的调查标准。使用患者健康问卷-9（PHQ-9）和欧洲五维健康量表（EQ-5D）分别衡量参与者的心理健康和生活质量。在确认正态分布后，对数据进行了协方差分析（ANCOVA），调整了年龄、性别、婚姻状况、名义基本生计、受助状况和个人收入等因素。
在身体活动水平（<0.01）、压力和抑郁（<0.001）以及衡量生活质量的所有五个领域（<0.05）方面，残疾老年人与无残疾老年人之间存在显著差异。ANCOVA 显示，有活动受限残疾的老年人的运动能力（<0.01）和疼痛/不适（<0.05）与生活质量相关的差异与医疗类别有关。
结果可以提供根据活动受限残疾状况和医疗类别评估身体活动、心理健康和生活质量程度的基本数据。研究结果表明，残疾老年人在身体活动、心理健康和生活质量方面面临更大的风险。残疾老年人的生活质量也因医疗类别而异。我们的研究结果表明，对残疾老年人的研究应考虑这些结果的影响。
