Department of Family Medicine, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan (R.O.C.).
School of Medicine, Taipei Medical University, Taipei City, Taiwan (R.O.C.).
Aging Clin Exp Res. 2021 Apr;33(4):901-908. doi: 10.1007/s40520-020-01597-x. Epub 2020 May 27.
Physical activity can improve health-related quality of life (HRQoL) in older adults. However, the differential effects of gender on quality of life are unclear.
To determine the association between physical activity and HRQoL in men and women.
This was a cross-sectional study conducted from March to August 2011. Community-dwelling older people aged 65 years or older were eligible. Physical activity in kcal per week was measured with the International Physical Activity Questionnaire (IPAQ)-Taiwan version. HRQoL was measured with the 36-Item Short Form Survey (SF-36) questionnaire. Cognitive function and depression were assessed using the Mini-Mental State Examination (MMSE) and Patient Health Questionnaire-9 (PHQ-9). The relationship between physical activity and HRQoL in men and women was investigated by a multiple linear regression model.
A total of 188 older people (M: 50.5%) participated in this study. The mean ages of men and women were 71.9 ± 5.3 and 77.1 ± 6.4 years, respectively (p < 0.001). Older women had higher physical activity levels than men (4786.1 ± 1065.6 vs 4422.2 ± 1114.3 kcal/week, p = 0.023). After adjusting for covariates, multiple linear regression analysis showed that older men with higher physical activity levels had better scores on both the physical component summary (PCS) (p = 0.031) and mental component summary (MCS) (p = 0.007) than men with lower levels. Furthermore, older men with higher moderate-vigorous physical activity levels had better scores on the PCS than older men with lower activity levels, and older men with higher walking physical activity levels had better scores on the MCS than older men with lower activity levels.
In this study, older women were more physically active than older men. However, older men (but not older women) with higher physical activity had better HRQoL. The association between physical activity and HRQoL differed between men and women.
身体活动可改善老年人的健康相关生活质量（HRQoL）。然而，性别对生活质量的影响尚不清楚。
确定身体活动与男性和女性 HRQoL 之间的关联。
这是一项 2011 年 3 月至 8 月进行的横断面研究。符合条件的是年龄在 65 岁或以上的社区居住的老年人。每周的身体活动量以国际体力活动问卷（IPAQ）-台湾版进行测量。使用 36 项简短健康调查问卷（SF-36）评估 HRQoL。认知功能和抑郁情况使用简易精神状态检查（MMSE）和患者健康问卷-9（PHQ-9）进行评估。使用多元线性回归模型探讨男性和女性身体活动与 HRQoL 之间的关系。
共有 188 名老年人（M：50.5%）参加了这项研究。男性和女性的平均年龄分别为 71.9±5.3 岁和 77.1±6.4 岁（p<0.001）。老年女性的身体活动水平高于男性（4786.1±1065.6 与 4422.2±1114.3 千卡/周，p=0.023）。在调整了协变量后，多元线性回归分析表明，身体活动水平较高的老年男性在生理成分综合评分（PCS）（p=0.031）和心理成分综合评分（MCS）（p=0.007）上的得分均优于身体活动水平较低的男性。此外，与活动水平较低的男性相比，身体活动水平较高的中老年男性在 PCS 上的得分更好，而与活动水平较低的男性相比，身体活动水平较高的中老年男性在 MCS 上的得分更好。
在这项研究中，老年女性比老年男性更活跃。然而，身体活动水平较高的老年男性（而不是老年女性）具有更好的 HRQoL。身体活动与 HRQoL 之间的关系在男性和女性之间存在差异。
