Antunes Ewerton P, Prado Wagner L, Canhin Daniel, Silva Claudiele C M, Gobbo Luis Alberto, Ferrari Gerson, Mota Jorge, Tebar William R, Christofaro Diego G D
School of Technology and Sciences São Paulo State University (Unesp) Presidente Prudente São Paulo Brazil.
California State University San Bernardino San Bernardino California USA.
Health Sci Rep. 2025 Aug 6;8(8):e71153. doi: 10.1002/hsr2.71153. eCollection 2025 Aug.
Lifelong physical activity (PA) engagement has been linked with several health benefits, such as the prevention of cardiovascular diseases. However, longitudinal studies investigating the association of lifelong PA with quality of life (QoL) needs to be more explored in literature.
We analyze the association of lifelong PA engagement with quality of life (QoL) ini = 842 community-dwelling adults (56.5 ± 18.3 years, 61.7% of women). PA engagement during childhood and adolescence was retrospectively assessed considering supervised sports practice outside the school for at least 1 year. Current PA was assessed by Baecke score, and classified as highly active (4th quartile) and less active (1st-3rd quartile). QoL were assessed through by the SF-36, and classified as high (4th quartile) and low (1st-3rd quartile) QoL for each domain. Multiple logistic regression models (adjusted by sex, age, socioeconomic status, and disabling chronic conditions) analyzed the association between lifelong PA engagement with QoL.
Participants who engaged in PA in childhood and those currently classified into the highest quartile of Baecke score were more likely to present high QoL in isolated statistical models. Specific combinations of PA engagement in childhood + adolescence, childhood + adulthood, and adolescence + adulthood were associated with high physical functioning (OR: 3.34; 3.39; and 2.82), vitality (OR: 2.63; 2.08; and 2.40). Clustering life stages of PA engagement showed an incremental association for high physical functioning (2 stages OR: 2.49; 3 stages OR: 5.53), general health status (2 stages OR: 2.09; 3 stages OR: 2.79), and mental health (1 stage OR: 1.42; 3 stages OR: 2.79).
Lifelong PA engagement is positively associated with QoL in adults. Actions for QoL promotion should focus on adherence of PA practice at all life stages, but this specific sample profile limited the generalization of results.
终身参与体育活动（PA）与多种健康益处相关联，如预防心血管疾病。然而，关于终身PA与生活质量（QoL）之间关联的纵向研究在文献中仍有待进一步探索。
我们分析了842名社区居住成年人（56.5±18.3岁，61.7%为女性）中终身PA参与情况与生活质量之间的关联。回顾性评估童年和青少年时期的PA参与情况，考量在校外有至少1年的受监督体育锻炼经历。当前的PA通过贝克量表评分进行评估，并分为高活动水平（第4四分位数）和低活动水平（第1 - 3四分位数）。生活质量通过SF - 36进行评估，每个领域分为高（第4四分位数）和低（第1 - 3四分位数）生活质量。多元逻辑回归模型（根据性别、年龄、社会经济地位和致残性慢性病进行调整）分析终身PA参与情况与生活质量之间的关联。
在单独的统计模型中，童年时期参与PA的参与者以及当前贝克量表评分处于最高四分位数的参与者更有可能具有高生活质量。童年 + 青少年、童年 + 成年以及青少年 + 成年阶段PA参与的特定组合与高身体功能（比值比：3.34；3.39；以及2.82）、活力（比值比：2.63；2.08；以及2.40）相关。PA参与生命阶段的聚类显示，对于高身体功能（2个阶段比值比：2.49；3个阶段比值比：5.53）、总体健康状况（2个阶段比值比：2.09；3个阶段比值比：2.79）和心理健康（1个阶段比值比：1.42；3个阶段比值比：2.79）存在递增关联。
终身PA参与与成年人的生活质量呈正相关。促进生活质量的行动应侧重于在生命各阶段坚持体育锻炼，但此特定样本特征限制了结果的推广。
