Department of Physiatry and Nursing, Faculty of Health and Sport Science FCSD, University of Zaragoza, 50009 Zaragoza, Spain; GENUD (Growth, Exercise, NUtrition and Development) Research Group, Universidad de Zaragoza, 50009 Zaragoza, Spain; Exercise and Health Spanish Research Network (EXERNET), 50009 Zaragoza, Spain; Biomedical Research Centre Network in Physiopathology of Obesity and Nutrition (CIBERobn), Instituto de Salud Carlos III, 28029 Madrid, Spain.
Exercise and Health Spanish Research Network (EXERNET), 50009 Zaragoza, Spain; ImFINE Research Group, Department of Health and Human Performance, Facultad de Ciencias de la Actividad Física y del Deporte-INEF, Universidad Politécnica de Madrid, 28040 Madrid, Spain.
Exp Gerontol. 2021 Jul 1;149:111301. doi: 10.1016/j.exger.2021.111301. Epub 2021 Mar 15.
A vast amount of research has focused on the effects of physical fitness (PF) on mortality, with little research evaluating the effects of PF on future expected health related quality of life (HRQoL).
To evaluate how current PF influences future HRQoL measured in a prospective 8-year study in older adults.
A total of 617 (157 males) older adults (>65y) participated in the study. PF was assessed with the EXERNET battery in 2008-2009 (baseline) and 2016-2017 (follow-up). HRQoL was assessed using the EQ-5D-3L questionnaire in both evaluations. PF tertiles were developed from baseline PF variables: FIT (highest PF values), REGULAR and UNFIT (lowest PF values) taking into account age and sex. Follow-up HRQoL values were compared to sex and age-specific expected values. Logistic regressions were performed to test differences between PF tertiles regarding future expected quality of life. Linear regressions were developed to test whether baseline PF could predict future HRQoL scores.
The FIT group showed higher probabilities of an improved HRQoL when compared to the UNFIT group. All PF variables seemed to be important at some point of the study except upper extremities flexibility. Aerobic endurance was the variable that showed to be significant for most of the HRQoL predictions.
PF influences future HRQoL in older adults who accordingly should try to remain fit to maintain an increased age-adjusted HRQoL.
大量研究集中在身体状况（PF）对死亡率的影响上，而很少有研究评估 PF 对未来预期健康相关生活质量（HRQoL）的影响。
在一项针对老年人的前瞻性 8 年研究中，评估当前 PF 如何影响未来 HRQoL。
共有 617 名（男性 157 名）老年人（>65 岁）参与了这项研究。PF 使用 EXERNET 电池在 2008-2009 年（基线）和 2016-2017 年（随访）进行评估。在两次评估中，HRQoL 使用 EQ-5D-3L 问卷进行评估。从基线 PF 变量中制定 PF 三分位数：FIT（最高 PF 值）、REGULAR 和 UNFIT（最低 PF 值），同时考虑年龄和性别。将随访 HRQoL 值与性别和年龄特定的预期值进行比较。进行逻辑回归以测试 PF 三分位数之间关于未来预期生活质量的差异。开发线性回归以测试基线 PF 是否可以预测未来 HRQoL 得分。
与 UNFIT 组相比，FIT 组在 HRQoL 改善方面的可能性更高。除了上肢灵活性外，所有 PF 变量在研究的某个阶段似乎都很重要。有氧耐力是对大多数 HRQoL 预测都具有重要意义的变量。
PF 会影响老年人的未来 HRQoL，因此老年人应该努力保持健康，以维持增加的年龄调整 HRQoL。
