Department of Human Movement Sciences, Old Dominion University, Norfolk, VA, USA.
Disabil Rehabil. 2022 Aug;44(16):4361-4367. doi: 10.1080/09638288.2021.1906333. Epub 2021 Apr 8.
The purpose of this study was to examine (a) discrete and integrative associations of physical activity (PA), sitting-time (ST), and sleep duration (SD) with health-related quality of life (HRQoL) among adults with visual impairments (VIs) and (b) the role that comorbidities play in the association between PA, ST, and SD and HRQoL among adults with VIs.
This cross-sectional study utilized an online survey methodology. A sample of 195 adults with VIs were recruited from two VI-related listservs in the U.S. from June to September of 2019, and they completed a battery of self-reported measures.
Meeting SD, PA, and ST guidelines were positive predictors for HRQoL. The number of reported comorbidities was as a significant negative predictor for HRQoL. The number of comorbidities did not moderate the association between meeting movement guidelines and HRQoL. Adjusting for gender and number of comorbidities, analysis of covariance showed that individuals meeting all three guidelines had significantly higher HRQoL than those meeting none or SD guideline alone.
The results demonstrate the discrete and integrative HRQoL-related benefits of meeting three movement behavior guidelines for adults with VIs. The existence of comorbid conditions did not moderate this relationship.Implications for rehabilitationAdults with visual impairments (VIs) tend to report poorer health-related quality of life (HRQoL) than those without VIs.In our sample, participants who met all three of the physical activity (PA), sitting-time, and sleep guidelines had significantly higher HRQoL than those meeting none or the sleep guideline alone.Mechanisms to disseminate movement guidelines and associated benefits are needed to promote guideline adherence to adults with VIs.Rehabilitation professionals should design and implement multi-behavior programs to promote adherence to PA, screen-time, and sleep duration guidelines to enhance HRQoL among adults with VIs, including those experiencing comorbid conditions.
本研究旨在考察（a）身体活动（PA）、久坐时间（ST）和睡眠时间（SD）与视力障碍（VI）成年人的健康相关生活质量（HRQoL）之间的离散和综合关联，以及（b）共存疾病在 PA、ST 和 SD 与 VI 成年人 HRQoL 之间的关联中的作用。
本横断面研究采用在线调查方法。2019 年 6 月至 9 月，从美国两个与 VI 相关的邮件列表中招募了 195 名 VI 成年人，他们完成了一系列自我报告的测量。
满足 SD、PA 和 ST 指南是 HRQoL 的积极预测因素。报告的共存疾病数量是 HRQoL 的显著负预测因素。共存疾病的数量并没有调节符合运动指南与 HRQoL 之间的关系。在调整性别和共存疾病数量后，协方差分析显示，符合所有三项指南的个体的 HRQoL 明显高于不符合任何一项或仅符合 SD 指南的个体。
结果表明，符合视力障碍成年人的三项运动行为指南与离散和综合 HRQoL 相关益处之间存在关联。共存疾病的存在并没有调节这种关系。
视力障碍（VI）成年人往往比没有 VI 的成年人报告更差的健康相关生活质量（HRQoL）。在我们的样本中，符合所有三项身体活动（PA）、久坐时间和睡眠指南的参与者的 HRQoL 明显高于仅符合睡眠指南的参与者。需要传播运动指南和相关益处的机制，以促进 VI 成年人遵守指南。康复专业人员应设计和实施多行为方案，以促进对 PA、久坐时间和睡眠时间指南的遵守，从而提高 VI 成年人，包括患有共存疾病的成年人的 HRQoL。
