Department of Didactics of Musical, Plastic and Corporal, Faculty of Education Sciences, University of Granada, 18071 Granada, Spain.
Research Group on Community Nutrition and Oxidative Stress, University of the Balearic Islands-IUNICS, 07122 Palma de Mallorca, Spain.
Nutrients. 2022 Apr 25;14(9):1798. doi: 10.3390/nu14091798.
Research assessing the relationship between functional fitness (FF) and health-related quality of life (HRQoL) is still scarce. The objective of this research is to assess the association between FF and HRQoL in older adults with metabolic syndrome (MetS) from Balearic Islands (Spain). The design is a cross-sectional, descriptive, and comparative study involving 209 participants (42.2% women). The sociodemographic data and medical history of the participants were collected. Physical activity was evaluated using the Spanish version of the Rapid Assessment of Physical Activity Questionnaire. Anthropometrics and blood pressure were measured. Glucose, total cholesterol, high-density lipoprotein cholesterol, and triglyceride plasma levels were measured. A battery of functional fitness tests was applied. HRQoL was measured with the Spanish version of the SF-36 questionnaire. Adherence to the Mediterranean dietary pattern was assessed. In older subjects with MetS, a higher FF score and, within it, endurance, lower body strength, one-leg balance, and agility are positively associated with lower physical function (p < 0.001; d = 0.56), better general health (p = 0.019; d = 0.35), and better summary physical component of HRQoL (p < 0.001; d = 0.57). The FF score and HRQoL physical component are both positively associated with high levels of physical activity (ORadj = 10.3, IC 4.19−28.2, p < 0.001; ORadj = 3.25, IC 1.44−7.72, p < 0.005). Older adults with MetS should consider practicing physical activity above the general recommendations to improve their functional fitness and health status and quality of life.
评估功能性体能（FF）与健康相关生活质量（HRQoL）之间关系的研究仍然较少。本研究的目的是评估巴利阿里群岛（西班牙）代谢综合征（MetS）老年人中 FF 与 HRQoL 之间的关联。设计为横断面、描述性和比较研究，涉及 209 名参与者（42.2%为女性）。收集了参与者的社会人口统计学数据和病史。使用西班牙版快速评估体力活动问卷评估体力活动。测量了人体测量学和血压。测量了血糖、总胆固醇、高密度脂蛋白胆固醇和甘油三酯血浆水平。应用了一系列功能性体能测试。使用 SF-36 问卷的西班牙语版本测量了 HRQoL。评估了对地中海饮食模式的依从性。在患有 MetS 的老年受试者中，较高的 FF 评分，以及其中的耐力、下肢力量、单腿平衡和敏捷性，与较低的身体功能（p<0.001；d=0.56）、更好的一般健康（p=0.019；d=0.35）和更好的 HRQoL 总体身体成分（p<0.001；d=0.57）呈正相关。FF 评分和 HRQoL 身体成分均与高水平的体力活动呈正相关（ORadj=10.3，IC 4.19-28.2，p<0.001；ORadj=3.25，IC 1.44-7.72，p<0.005）。患有 MetS 的老年人应考虑进行高于一般建议的体力活动，以改善他们的功能性体能和健康状况以及生活质量。
