Cargando…
Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity
OBJECTIVES: The purpose of this study is to explore the mediating effect of physical disability as well as the role of physical activity (PA) as a moderator in the relationship between physical frailty and health-related quality of life (HRQoL) among rural older adults in China. DESIGN: Cross-sectio...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BMJ Publishing Group
2021
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799141/ https://www.ncbi.nlm.nih.gov/pubmed/33419914 http://dx.doi.org/10.1136/bmjopen-2020-042496 |
_version_ | 1783635103009734656 |
---|---|
author | Hao, Wenting Li, Jie Fu, Peipei Zhao, Dan Jing, Zhengyue Wang, Yi Yu, Caiting Yuan, Yemin Zhou, Chengchao |
author_facet | Hao, Wenting Li, Jie Fu, Peipei Zhao, Dan Jing, Zhengyue Wang, Yi Yu, Caiting Yuan, Yemin Zhou, Chengchao |
author_sort | Hao, Wenting |
collection | PubMed |
description | OBJECTIVES: The purpose of this study is to explore the mediating effect of physical disability as well as the role of physical activity (PA) as a moderator in the relationship between physical frailty and health-related quality of life (HRQoL) among rural older adults in China. DESIGN: Cross-sectional analysis. SETTING: Rural households in Shandong of China (Rushan, Qufu, Laolin). PARTICIPANTS AND METHODS: A survey was conducted among 3243 rural older adults. The data were collected using questionnaires measuring physical frailty, physical disability, HRQoL and PA. Bootstrap analyses were employed to explore the mediating effect of physical disability and also the moderating role of PA on physical frailty and HRQoL. RESULTS: After controlling for age and education, physical disability partially mediated the effect of physical frailty on HRQoL (indirect effect=−0.143, 95% CI −0.175 to –0.113), with the mediating effect accounting for 33.71% of the total effect. PA moderated the relationship between physical frailty and physical disability as well as the relationship between physical disability and HRQoL. Specifically, the interaction term between physical frailty and PA significantly predicted physical disability (β=−0.120, t=−7.058, p<0.001), and the interaction term between physical disability and PA also had a significant predictive effect on HRQoL (β=0.115, t=6.104, p<0.001). CONCLUSIONS: PA appears to moderate the indirect effect of physical disability on the association between physical frailty and HRQoL. This study provides support for potential mechanisms in the association between physical frailty and HRQoL. Encouraging rural older adults to increase PA appropriately might improve HRQoL for older adults with physical frailty and physical disability problems. |
format | Online Article Text |
id | pubmed-7799141 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | BMJ Publishing Group |
record_format | MEDLINE/PubMed |
spelling | pubmed-77991412021-01-21 Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity Hao, Wenting Li, Jie Fu, Peipei Zhao, Dan Jing, Zhengyue Wang, Yi Yu, Caiting Yuan, Yemin Zhou, Chengchao BMJ Open Public Health OBJECTIVES: The purpose of this study is to explore the mediating effect of physical disability as well as the role of physical activity (PA) as a moderator in the relationship between physical frailty and health-related quality of life (HRQoL) among rural older adults in China. DESIGN: Cross-sectional analysis. SETTING: Rural households in Shandong of China (Rushan, Qufu, Laolin). PARTICIPANTS AND METHODS: A survey was conducted among 3243 rural older adults. The data were collected using questionnaires measuring physical frailty, physical disability, HRQoL and PA. Bootstrap analyses were employed to explore the mediating effect of physical disability and also the moderating role of PA on physical frailty and HRQoL. RESULTS: After controlling for age and education, physical disability partially mediated the effect of physical frailty on HRQoL (indirect effect=−0.143, 95% CI −0.175 to –0.113), with the mediating effect accounting for 33.71% of the total effect. PA moderated the relationship between physical frailty and physical disability as well as the relationship between physical disability and HRQoL. Specifically, the interaction term between physical frailty and PA significantly predicted physical disability (β=−0.120, t=−7.058, p<0.001), and the interaction term between physical disability and PA also had a significant predictive effect on HRQoL (β=0.115, t=6.104, p<0.001). CONCLUSIONS: PA appears to moderate the indirect effect of physical disability on the association between physical frailty and HRQoL. This study provides support for potential mechanisms in the association between physical frailty and HRQoL. Encouraging rural older adults to increase PA appropriately might improve HRQoL for older adults with physical frailty and physical disability problems. BMJ Publishing Group 2021-01-08 /pmc/articles/PMC7799141/ /pubmed/33419914 http://dx.doi.org/10.1136/bmjopen-2020-042496 Text en © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ http://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/. |
spellingShingle | Public Health Hao, Wenting Li, Jie Fu, Peipei Zhao, Dan Jing, Zhengyue Wang, Yi Yu, Caiting Yuan, Yemin Zhou, Chengchao Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
title | Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
title_full | Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
title_fullStr | Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
title_full_unstemmed | Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
title_short | Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
title_sort | physical frailty and health-related quality of life among chinese rural older adults: a moderated mediation analysis of physical disability and physical activity |
topic | Public Health |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7799141/ https://www.ncbi.nlm.nih.gov/pubmed/33419914 http://dx.doi.org/10.1136/bmjopen-2020-042496 |
work_keys_str_mv | AT haowenting physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT lijie physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT fupeipei physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT zhaodan physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT jingzhengyue physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT wangyi physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT yucaiting physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT yuanyemin physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity AT zhouchengchao physicalfrailtyandhealthrelatedqualityoflifeamongchineseruralolderadultsamoderatedmediationanalysisofphysicaldisabilityandphysicalactivity |