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Danielle M. Thiel, Fatima Al Sayah, Jeff Vallance, Steven T. Johnson and Jeffrey A. Johnson

Background:

The objective was to investigate the longitudinal relationship between physical activity and health-related quality of life (HRQL) in adults with type 2 diabetes.

Methods:

Data were from a prospective cohort of adults with type 2 diabetes. Weekly moderate-to-vigorous physical activity (MVPA) was reported using the Godin Leisure-Time Physical Activity Questionnaire, and HRQL was reported using the SF-12 and 5-level EQ-5D. Participants were categorized based on current weekly MVPA recommendations. Multivariable linear regression was used to explore associations between MVPA and HRQL, and multinomial logistic regression was used to assess the direction of change in HRQL after 1 year.

Results:

Mean age of participants (N = 1948) was 64.5 ± 10.8 years and 45% were female. Participants reported a mean of 84.1 ± 172.4 min of MVPA/week, and 21% (n = 416) met weekly MVPA recommendations. MVPA was associated with differences in the physical functioning (b = 5.42; P < .001), general health (b = 2.45; P = .037), and vitality (b = 2.83; P = .016) SF-12 dimensions. Participants who met recommendations were less likely to report a decline (vs. no change) in EQ-5D index score (OR = 0.75; 95% CI [0.57, 0.99]), and SF-12 physical component summary (OR = 0.67; 95% CI [0.50, 0.90]), compared with participants not meeting recommendations.

Conclusions:

Participants who met weekly MVPA recommendations reported better physical functioning and were more likely to maintain their physical and overall HRQL over time.

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Johanna M. Hoch, Megan N. Houston, Shelby E. Baez and Matthew C. Hoch

ACLR rehabilitation algorithms to address all of the patient’s needs and concerns that impact the patient after they have been cleared to RTS. Health-related quality of life (HRQL) is comprised of multiple domains including: physical, social, and psychological. 11 Generic patient-reported outcomes

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David Feeny, Rochelle Garner, Julie Bernier, Amanda Thompson, Bentson H. McFarland, Nathalie Huguet, Mark S. Kaplan, Nancy A. Ross and Chris M. Blanchard

Background:

The objective of this study was to assess the associations among body mass index (BMI), leisure time physical activity (LTPA) and health-related quality of life (HRQL) trajectories among adults.

Methods:

Self-reported data were drawn from the Canadian National Population Health Survey, with respondents being interviewed every 2 years between 1996–97 and 2006–07. Using growth curve modeling, HRQL trajectories for individuals aged 18 and over were associated with measures of BMI and LTPA. Growth models were constructed separately for males and females.

Results:

Findings suggested that, for males, BMI categories had little impact on baseline HRQL, and no impact on the rate of change in HRQL. Among women, higher BMI categories were associated with significantly lower baseline HRQL. However, BMI had no impact on the rate of change of HRQL. Conversely, for both men and women and regardless of BMI category, LTPA had significant impacts on baseline HRQL, as well as the rate of change in HRQL. Individuals who were inactive or sedentary had much steeper declines in HRQL as they aged, as compared with individuals who were active in their leisure time.

Conclusions:

The results underscore the importance of LTPA in shaping trajectories of HRQL.

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Robert H. Wood, Rafael Reyes-Alvarez, Brian Maraj, Kristi L. Metoyer and Michael A. Welsch

It has been suggested that physical and cognitive functions are associated with health-related quality of life (HRQL). Previous work examining the relationship between physical ability and HRQL is equivocal, and information about cognitive function in relation to HRQL is largely restricted to people with cognitive impairments. We investigated the relationships of physical ability and cognitive performance to HRQL in 44 older adults (72-93 years). The results suggest significant relationships between the endurance item of the AAHPERD test and the physical mobility and pain components of HRQL and between AAHPERD agility scores and the physical mobility component of HRQL. Visual simple-reaction time and the backward digit-span memory test were found to be related to physical mobility. The subject-performed-tasks memory test was related to the social component of HRQL. These data support the use of the AAHPERD test for characterizing physical ability of older adults as it relates to HRQL and identify specific cognitive support measures that reflect the relationship between cognition and HRQL in older adults.

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Alina Cohen, Joseph Baker and Chris I. Ardern

Background:

Obesity is associated with impairments in health-related quality of life (HRQL), whereas physical activity (PA) is a promoter of HRQL.

Purpose:

The aim of this study was to investigate the interaction between BMI and PA with HRQL in younger and older Canadian adults.

Methods:

Data from the 2012 annual component of the Canadian Community Health Survey (N = 48,041; = 30 years) were used to capture self-reported body mass index (BMI-kg/m2), PA (kcal/kg/day, KKD), and HRQL. Interactions between PA and age on the BMI and HRQL relationship were assessed using general linear models and logistic regression.

Results:

Those younger (younger: μ = 0.79 ± 0.02; older: μ = 0.70 ± 0.02) and more active (active: μ = 0.82 ± 0.02; moderately active: μ = 0.77 ± 0.03; inactive: μ = 0.73 ± 0.01) reported higher HRQL. Older inactive underweight, normal weight, and overweight adults have lower odds of high HRQL.

Conclusion:

PA was associated with higher HRQL in younger adults. In older adults, BMI and PA influenced HRQL.

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Cadeyrn J. Gaskin and Tony Morris

The purpose of this research was to investigate the relationships between physical activity, health-related quality of life (HRQL), and psychosocial functioning (mood states, physical self-efficacy, social support) in adults with cerebral palsy (N = 51). The data was heavily skewed, with many participants reporting that they performed minimal physical activity and experienced low levels of physical function, minimal role limitations, high social functioning, low levels of negative mood states, and high social support. With the exception of the correlations between physical activity and physical functioning (ρ = .45), role limitations—physical (ρ = .32), vigor–activity mood state (ρ = .36), and social support from friends (ρ = –.43), there were typically weak associations between physical activity and the subscales of the HRQL and psychosocial functioning measures. These low associations might be the result of the participants’ psychological adaptations to cerebral palsy during their lives.

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Maria Moussouli, Symeon P. Vlachopoulos, Nikolaos D. Kofotolis, Yannis Theodorakis, Paraskevi Malliou and Eleftherios Kellis

Background:

The study examined the effects of a 4-week intensive isometric and isotonic stabilization exercise program on dimensions of health-related quality of life (HRQL) in women with chronic low back pain (CLBP).

Methods:

A total of 39 women (27–72 years old) provided data in an experimental study with a 9-month follow-up. Random allocation was undertaken for the two treatment groups out of the 3 groups: isometric stabilization (n = 13), isotonic stabilization (n = 13), and a control group (n = 13) that did not participate in any form of exercise. Health-related quality of life measures using the Short-Form 36 Health Survey were assessed before program initiation, immediately after program termination, and 4 times postintervention for a period of 9 months.

Results:

The isometric stabilization group displayed large improvements in bodily pain and vitality for women with CLBP attending a 4-week intensive isometric stabilization exercise program. The effects were retained for a period of 9 months after program termination.

Conclusions:

Isometric stabilization exercises reduce pain and enhance vitality as dimensions of HRQL among women with chronic low back pain with such effects lasting for at least 9 months.

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Johanna M. Hoch, Shelby E. Baez, Robert J. Cramer and Matthew C. Hoch

The assessment of health-related quality of life (HRQL) in physically active patients with a history of musculoskeletal injury is an emerging consideration in the clinical management of this population. Athletes with a history of injury report decreased HRQL compared with athletes without a history

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Cameron J. Powden, Matthew C. Hoch and Johanna M. Hoch

condition on function at the personal and societal levels while examining concepts related to health-related quality of life (HRQL). There is an increased emphasis regarding the collection of patient-based outcomes to facilitate patient-centered care and quantify change in HRQL status from the patient

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Johanna M. Hoch, Cori W. Sinnott, Kendall P. Robinson, William O. Perkins and Jonathan W. Hartman

that post-ACLR participants will have decreased function and health-related quality of life (HRQL) as measured by PROMs and exhibit postural control deficits. Second, we will determine the diagnostic accuracy and cut-off scores of these outcomes in order to discriminate between post-ACLR and healthy