Relationship between physical activity and health-related quality of life in elderly people: a cross section study

Walid Kamal, Gopal Nambi


Objectives: This study aimed to investigate the relationship between physical activitylevel and health related quality of life in elderly people.

Design: Between January and April 2017, a cross-sectional study of 114 elderly people (73 males and 41 females) conducted this study. Their mean age was (71±5.24) and the mean body mass index (BMI) was (29±3.31).The participating elderly were classified according to walking duration into two groups, low level of physical activity (walking duration <150min/week) and high level of physical activity (walking duration >300min/week).The health-related quality of life (HRQoL) was measured using  the Euro Qol-5dimensions-3 levels scale questionnaire (EQ-5D-3L). Statistical analysis was used to determine the relation between the physical activity and HRQoL scores in elderly people.

Results:The measures showed statistically significant differences between high and low physical activity groups (p<0.05). The group of high physical activity showed higher HRQoL scores more than the group of low physical activity in the all five dimensions. The low level group showed high predominance of the chronic disease.

Conclusions: High level of physical activity has a beneficial effect on all dimensions of the HRQoL in elderly people. Effort and awareness should be dedicated to encouraging the active lifestyle among different population especially elderly people


Elderly, Physical Activity, HRQoL, EuroQol.

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World Health Organization. Good health adds life to years. global brief for world health day 2012. Geneva: WHO Document Production Services; 2012.

Spanish National Health Statistics. INEbase: Resident population by date, sex and age. Main series since 1971. Accessed 3 Aug 2016.

Khanna D, Tsevat J. Health-related quality of life-an introduction. Am J Manag Care. 2007;13 (Suppl 9):S218–23.

Patrick DL, Eriksson C. Health status and health policy: Quality of life in health care evaluation and resource allocation. New York: Oxford University Press; 1993.

Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL. Conceptual model of health-related quality of life. J Nurs Scholarsh. 2005;37(4):336–42.

Bakas T, McLennon SM, Carpenter JS, Buelow JM, Otte JL, Hanna KM, et al. Systematic review of health-related quality of life models. Health Qual Life Outcomes. 2012;10:134.

Vagetti GC, Barbosa Filho VC, Moreira NB, Oliveira V, Mazzardo O, Campos Wd. Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012. Rev Bras Psiquiatr. 2014;36(1):76-88.

Coons SJ, Rao S, Keininger DL, Hays RD. A comparative review of generic quality-of-life instruments. Pharmeconom. 2000;17(1):13-35.

Pattanaphesaj J, Thavorncharoensap M. Measurement properties of the EQ-5D-5L compared to EQ-5D-3L in the Thai diabetes patients. Health Qual Life Outcomes. 2015;13:14.

Halaweh H, Willen C, Grimby-Ekman A, Svantesson U. Physical activity and health-related quality of life among community dwelling elderly. J Clin Med Res 2015;7(11):845-52.

Ortlieb S, Gorzelniak L, Nowak D, Strobl R, Grill E, Thorand B, et al. Associations between Multiple Accelerometry-Assessed Physical Activity Parameters and Selected Health Outcomes in Elderly People-Results from the KORA-Age Study. PLoS One. 2014;9(11):e111206.

Svantesson U, Jones J, Wolbert K, Alricsson M. Impact of physical activity on the self-perceived quality of life in non-frail older adults. J Clin Med Res. 2015;7(8):585- 93.

Balboa-Castillo T, Leon-Munoz LM, Graciani A, Rodriguez- Artalejo F, Guallar-Castillon P. Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community- dwelling older adults. Health Qual Life Outcomes. 2011;9(1):47.

Van Oostrom SH, Smit HA, Wendel-Vos GC, Visser M, Verschuren WM, Picavet HS. Adopting an active lifestyle during adulthood and health-related quality of life: the Doetinchem Cohort Study. Am J Public Health. 2012;102(11):e62-8.

Choi M, Prieto-Merino D, Dale C, Nuesch E, Amuzu A, Bowling A, et al. Effect of changes in moderate or vigorous physical activity on changes in health related quality of life of elderly British women over seven years. Qual Life Res. 2013;22(8):2011-20.

Machon M, Larranga I, Dorronsoro M, Vrotsou K, Vergara I. Health-related quality of life and associated factors in functionally independent older people. BMC Geriatrics. 2017; 17(1):19.

Haywood KL, Garratt AM, Fitzpatrick R. Quality of life in older people: a structured review of self-assessed health instruments. Expert Rev Pharmacoecon Outcomes Res. 2006;6(2):181–94.

Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol Group. Ann Med. 2001;33(5):337–43.

Aburuz S, Bulatova N, Twalbeh M, Gazawi M. The validity and reliability of the Arabic version of the EQ-5D: a study from Jordan. Ann Saudi Med. 2009;29(4):304-8.

Azpiazu GM, Cruz JA, VillagrasaFerrer JR, AbanadesHerranz JC, Garcia MN, Valero de Bernabe FA. Factores asociados a mal estado de salud percibido o a mala calidad de vida en personas mayores de 65 años. Rev Esp Salud Publica. 2002;76(6):683–99.

Sun W, Aodeng S, Tanimoto Y, Watanabe M, Han J, Wang B, et al. Quality of life (QOL) of the community-dwelling elderly and associated factors: a population-based study in urban areas of China. Arch Gerontol Geriatr. 2015;60(2):311–6.

Frandin K, Grimby G, Mellstrom D, Svanborg A. Walking habits and health-related factors in a 70-year-old population. Gerontology. 1991;37(5):281-8.

Atalay OT, Cavlak U. The impact of unsupervised regular walking on health: A sample of Turkish middle-aged and older adults. European Review of Aging and Physical Activity. 2012;9(1):71-9.

Holland R, Smith RD, Harvey I, Swift L, Lenaghan E. Assessing quality of life in the elderly: a direct comparison of the EQ-5D and AQoL. Health Econ. 2004;13(8):793- 805.

Beitz R, Doren M. Physical activity and postmenopausal health. J Br Menopause Soc. 2004;10(2):70-4.

Global Recommendations on Physical Activity for Health. Geneva, 2010.

Tak E, Kuiper R, Chorus A, Hopman-Rock M. Prevention of onset and progression of basic ADL disability by physical activity in community dwelling older adults: a meta-analysis. Ageing Res Rev. 2013;12(1):329-38.

Acree LS, Longfors J, Fjeldstad AS, Fjeldstad C, Schank B, Nickel KJ, et al. Physical activity is related to quality of life in older adults. Health Qual Life Outcomes. 2006;4:37.

Strawbridge WJ, Deleger S, Roberts RE, Kaplan GA. Physical activity reduces the risk of subsequent depression for older adults. Am J Epidemiol. 2002;156(4):328-34.



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