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The Mediating Role of Physical Activity and Physical Function in the Association between Body Mass Index and Health-Related Quality of Life

A Population-Based Study with Older Adults

Bibliographic Data

ID15466189
AuthorsMarcelo De Maio Nascimento (0000-0002-3577-3439, Universidade Federal do Vale do São Francisco, corresponding author), Élvio Rúbio Gouveia (0000-0003-0927-692X, University of Geneva), Bruna R Gouveia (0000-0001-7706-190X, University of Geneva), Adilson Marques (0000-0001-9850-7771, University of Lisbon), Pedro Campos (0000-0002-2159-4675, Universidade da Madeira), Jesús García-Mayor (0000-0002-7212-1974, Universidad de Murcia), Krzysztof Przednówek (0000-0002-2128-4116, Rzeszów University), Andreas Ihle (0000-0001-9845-5190, University of Geneva)
Year2022
Volume19
Issue21
Pages13718-13718
Publication date2022-10-22
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph192113718
PMID36360598
OpenAlexW4307270922
LanguageEN
Citations received3
References cited21

This study aimed (1) to investigate the association between body mass index (BMI), physical activity (PA), and physical function (PF) with health-related quality of life (HRQoL), and (2) to examine in-depth whether PA and PF mediate the relationship between BMI and HRQoL in older adults. We investigated 802 individuals (mean age 69.8 ± 5.6 years), residents of the Autonomous Region of Madeira, Portugal. Harmol and PA were assessed using the SF-36 and Baecke questionnaires, respectively, and PF by the Senior Fitness Test. The prevalence of overweight was 71.3%, 26.5% for normal weight, and 2.1% for underweight. We verified a small correlation between age and sex with BMI, PA, PF, and medium borderline with HRQoL. After adjusting for covariates (i.e., sex, age, comorbidities), the multivariate regression analysis indicated a 93.1% chance of improvement in HRQoL for low BMI, while PA and PF revealed a chance of increasing HRQoL by 91.8% and 60.0%, respectively. According to the serial mediation pathway, PA and PF partially mediated the association between BMI and HRQoL by 32.3% and 81.5%, respectively. The total variance of the model was 90%. It was concluded that BMI can negatively affect HRQoL. On the other hand, PA and PF are able to increase HRQoL levels during the aging process

Affect (linguistics · Analysis of variance · Body mass index · Mediation · Overweight · Quality of life (healthcare · Underweight · Demography · Health and Wellbeing Research · Medicine · Nutrition and Health in Aging · Physical Activity and Health · Psychology · Gerontology · Internal Medicine

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Unique citing works3
Citations per year1
Citation span2023 - 2024 (2)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 3

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