Physical activity and quality of life in older adults: Influence of health status and self-efficacy Authors
Cite this article as: McAuley, E., Konopack, J.F., Motl, R.W. et al. ann. behav. med. (2006) 31: 99. doi:10.1207/s15324796abm3101_14 Abstract Background: Physical activity has been positively linked to quality of life (QOL) in older adults. Measures of health status and global well-being represent common methods of assessing QOL outcomes, yet little has been done to determine the nature of the relationship of these outcomes with physical activity. Purpose: We examined the roles played by physical activity, health status, and self-efficacy in global QOL (satisfaction with life) in a sample of older Black and White women. Method: Participants (N = 249, M age = 68.12 years) completed multiple indicators of physical activity, self-efficacy, health status, and QOL at baseline of a 24-month prospective trial. Structural equation modeling examined the fit of 3 models of the physical activity and QOL relationship. Results: Analyses indicated that relationships between physical activity and QOL, self-efficacy and QOL were all indirect. Specifically, physical activity influenced self-efficacy and QOL through physical and mental health status, which in turn influenced global QOL. Conclusions: Our findings support a social cognitives model of physical activity’s relationship with QOL. Subsequent tests of hypothesized relationships across time are recommended.
Funding for this study was provided by the National Institute on Aging (Grant AG 20118). We extend our sincere appreciation to April Bell for all of her efforts on this project.
Keysor JJ: Does late-life physical activity or exercise prevent or minimize disablement? A critical review of the scientific evidence.
American Journal of Preventive Medicine
Miller ME, Rejeski WJ, Reboussin BA, et al.: Physical activity, functional limitations, and disability in older adults.
Journal of the American Geriatrics Society
Ware JE: The status of health assessment 1994.
Annual Review of Public Health
Diener E, Emmons R, Larsen R, et al.: The Satisfaction With Life Scale.
Journal of Personality Assessment
Stewart AL, King AC: Evaluating the efficacy of physical activity for influencing quality of life outcomes in older adults.
Annals of Behavioral Medicine. 1991, 13:108–116.
McAuley E, Elavsky S: Physical activity, aging, and quality of life: Implications for measurement. In Zhu W, Chodzko-Zajko W (eds),
Measurement Issues in Aging and Physical Activity. Champaign, IL: Human Kinetics, 2006.
McAuley E, Konopack JF, Motl RW, Rosengren K, Morris KS:Measuring disability and function in older women: Psychometric properties of the late-life function and disability instrument.
Journals of Gerontology Series A: Biological Sciences and Medical Sciences. 2005, 60:901–909.
Washburn RA, Smith KW, Jette AM, Janney CA: The Physical Activity Scale for the Elderly (PASE):Development and evaluation.
Journal of Clinical Epidemiology
Stewart AL, Mills KM, King AC, et al.: Champs Physical Activity Questionnaire for Older Adults: Outcomes for interventions.
Medicine & Science in Sports & Exercise. 2001, 33:1126–1141.
McAuley E: Self-efficacy and the maintenance of exercise participation in older adults.
Journal of Behavioral Medicine
McAuley E, Courneya K, Lettunich J: Effects of acute and long-term exercise on self-efficacy responses in sedentary, middle-aged males and females.
Haley SM, Jette AM, Coster WJ, et al.: Late life function and disability instrument: II. Development and evaluation of the function component.
Journals of Gerontology Series A: Biological Sciences & Medical Sciences. 2002, 57:M217-M222.
Ware JE, Kosinski M, Keller SD: A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity.
Ware J, Kosinski M, Keller SD:
The SF-36 Physical and Mental Health Summary Scales: A User’s Manual. Boston: Health Institute, New England Medical Center, 1994.
Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress.
Journal of Health and Social Behavior
Muthén LK, Muthén BO:
Mplus. Los Angeles: Author.
Anderson JC, Gerbing DW: Structural equation modeling in practice: A review and recommended two-step approach.
Hu L, Bentler PM: Cutoff criteria for fit indices in covariance structure analysis: Conventional versus new alternatives.
Structural Equation Modeling
Self-Efficacy: The Exercise of Control. New York: Freeman, 1997.
McAuley E, Katula J: Physical activity interventions in the elderly: Influence on physical health and psychological function.
Annual Review of Gerontology and Geriatrics. 1998, 18:111–154.
Rejeski WJ, Mihalko SL: Physical activity and quality of life in older adults.
Journals of Gerontology. 2001, 56A:23–35.
Seeman T, Chen XG: Risk and protective factors for physical functioning in older adults with and without chronic conditions: Macarthur studies of successful aging.
Journals of Gerontology Series B: Psychological Sciences & Social Sciences. 2002, 57:S135-S144.
Seeman TE, Unger JB, McAvay G, et al.: Self-efficacy beliefs and perceived declines in functional ability: Macarthur studies of successful aging.
Journal of Gerontology: Psychological Sciences. 1999, 54B:214–222. Copyright information
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