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Saija Karinkanta, Ritva Nupponen, Ari Heinonen, Matti Pasanen, Harri Sievänen, Kirsti Uusi-Rasi, Mikael Fogelholm and Pekka Kannus

This randomized, controlled trial evaluated the effects of exercise on health-related quality of life (HRQoL) and fear of falling (FoF) among 149 home-dwelling older women. The 12-mo exercise program was intended to reduce the risk of falls and fractures. HRQoL was assessed by the RAND-36 Survey, and FoF, with a visual analog scale, at baseline, 12 mo, and 24 mo. On all RAND-36 scales, the scores indicated better health and well-being. The exercise had hardly any effect on HRQoL; only the general health score improved slightly compared with controls at 12 mo (p = .019), but this gain was lost at 24 mo. FoF decreased in both groups during the intervention with no between-groups difference at 12 or 24 mo. In conclusion, despite beneficial physiological changes, the exercise intervention showed rather limited effects on HRQoL and FoF among relatively high-functioning older women. This modest result may be partly because of insufficient responsiveness of the assessment instruments used.

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Arnaud Dechamps, Chérifa Onifade, Arnaud Decamps and Isabelle Bourdel-Marchasson

No previous studies have explored the effects of mind–body approaches on health-related quality of life (HRQoL) in the frail elderly. Cognition and action are an inseparable whole during functioning. Thus, a new intervention-based approach using familiarity-based movements and a nonjudgmental approach of “cognition-action” was proposed and was tested with Tai Chi on HRQoL in frail institutionalized elderly. Fifty-two participants (58% women) age 65–94 took part in a 24-wk Tai Chi (TC) intervention 4 days/wk or a cognition-action (CA) exercise program of 30 min twice a week. Changes in Mini Mental State score, physical (PCS) and mental component (MCS) summaries (SF12); Falls Efficacy Scale (FES); and exercise self-efficacy were explored. PCS improved from 33.6 ± 6.7 to 51 ± 4.8 in the TC group and from 30.6 ± 9.9 to 45.1 ± 10.2 in the CA group (p < .001). MCS of SF-12 (p < .001), FES (p < .001), and exercise self-efficacy (p < .01) were enhanced significantly in both groups. Adapted CA programs and Tai Chi were both efficient in improving HRQoL of frail elderly.

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Rochelle Eime, Jack Harvey and Warren Payne

Background:

To examine the dose-response relationship between health related quality of life (HRQoL) and life satisfaction (outcomes) and duration of recreational physical activity (exposure). Further, to explore whether these relationships depend on type of physical activity (PA).

Methods:

793 Australian rural-living women self-reported on duration of recreational PA; HRQoL via SF-36 Mental Component Summary (MCS) and Physical Component Summary (PCS); and a life satisfaction scale. ANOVAs and ANCOVAs investigated differences in outcomes (MCS, PCS, and life satisfaction) between tertiles of exposure to recreational PA, and types of PA (club sport, gymnasium, walking), with adjustment for potential confounders.

Results:

A significant positive dose-response relationship was found between PCS and level of PA. Furthermore, this relationship depended on type of PA, with club-sport participants recording higher PCS than non-club-sport participants in all but the highest tertile of exposure. Life satisfaction and MCS were not significantly related to level of PA.

Conclusion:

Physical health was positively associated with level of recreational PA, with club sport participation contributing greater benefits at low to moderate exposures than participation in gymnasium or walking activities.

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Hosam Alzahrani, Sonia W.M. Cheng, Debra Shirley, Martin Mackey and Emmanuel Stamatakis

, depression, anxiety, and job dissatisfaction, 4 , 6 , 7 which may lead to deterioration of health-related quality of life (HRQoL). 8 – 10 Health-related quality of life is a useful indicator for the impact of back pain, as it encompasses multiple aspects of an individual’s life relating to their health

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Ashley N. Marshall, Alison R. Snyder Valier, Aubrey Yanda and Kenneth C. Lam

, there has been an increased interest in understanding how these injuries impact patient outcomes, such as health-related quality of life (HRQOL). This recent attention on HRQOL, particularly in sport rehabilitation, 20 coincides with associated efforts related to clinical outcomes assessment, patient

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Kenneth C. Lam and Jessica G. Markbreiter

than 21 d of missed sport participation). 4 In addition, previous studies have reported that knee injuries often present with short- and long-term deficits related to pain and loss of function, which can negatively impact health-related quality of life (HRQOL). 5 , 6 Health-related quality of life is

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Richelle M. Williams, Rachel S. Johnson, Alison R. Snyder Valier, R. Curtis Bay and Tamara C. Valovich McLeod

A concussion is managed using a multifaceted assessment approach. 1 , 2 Historically, this approach has focused on symptoms, cognition, balance, and oculomotor function 1 , 2 ; however, there has been a recent shift to include measures of mental health and health-related quality of life (HRQOL). 3

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Rachel R. Kleis, Janet E. Simon, Michael Turner, Luzita I. Vela, Abbey C. Thomas and Phillip A. Gribble

posttraumatic osteoarthritis regardless of a surgical intervention or conservative management. 9 Knee injury/surgery is associated with long-term pain and disability 10 , 25 – 28 and decreased health-related quality of life (HRQoL). HRQoL is a multifaceted outcome that incorporates a patient’s priorities

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Alison R. Snyder Valier, Elizabeth M. Swank, Kenneth C. Lam, Matthew L. Hansen and Tamara C. Valovich McLeod

Context:

Accurate assessment of health-related quality of life (HRQoL) is important for quality patient care. Evaluation of HRQoL typically occurs with patient self-report, but some instruments, such as the Pediatric Quality of Life Inventory (PedsQL), allow for proxy reporting. Limited information exists comparing patient and proxy reports of HRQoL after sport-related injury in adolescent athletes.

Objective:

To compare patient ratings and parent-proxy ratings of HRQoL in adolescent athletes who suffer musculoskeletal injuries requiring orthopedic consultation. The authors hypothesized poor agreement between patient and parent-proxy ratings of HRQoL.

Design:

Cross-sectional study.

Setting:

Orthopedic practice.

Patients:

Thirteen adolescent patients with a sport-related musculoskeletal injury requiring orthopedic consultation and 1 of their parents participated.

Interventions:

During the initial visit to the physician’s office, each patient was asked to complete the PedsQL, and the patient’s parent was asked to complete the parent-proxy version of the PedsQL.

Main Outcome Measurements:

The PedsQL is a pediatric generic outcome measure that consists of a total score and 4 subscale scores: physical, emotional, social, and school functioning. Means and standard deviations were calculated for all scores, and comparisons between patient-self report and parent-proxy ratings of HRQoL were made for the PedsQL total score and subscale scores using Pearson product–moment correlations (r).

Results:

Pearson product–moment correlations showed little to fair insignificant relationships between patient self-report and parent-proxy report of the PedsQL for the total score (r = −.1) and all subscales (range r = .1 to .4).

Conclusions:

Our results suggest a lack of agreement between patient and parent-proxy ratings of HRQoL, with patients rating their HRQoL lower than their parent. Patient perception of HRQoL may be more accurate than proxy report, which supports the use of patient-rated HRQoL in patient evaluation. Assessments of HRQoL made by proxies, even those close to the patient, may not represent patient health status.

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Gregory W. Heath and David W. Brown

Background:

Since overweight (25 ≤ BMI < 30) and obesity (BMI ≥ 30 Kg/m2) are associated with poor health-related quality of life (HRQOL) and regular physical activity is associated with higher levels of HRQOL, the authors examined the relationship between physical activity and HRQOL among overweight and obese adults (age ≥ 18 years) residing in the United States.

Methods:

Using the 2005 BRFSS survey, they examined the independent relationship between recommended physical activity and measures of HRQOL developed by the Centers for Disease Control and Prevention among 283,562 adults age 18 years or older with overweight or obesity. Measures of physical activity, height, weight, and HRQOL were self-reported. Multivariable logistic regression was used to obtain odds ratios and 95% confidence intervals adjusted for age, race/ethnicity, sex, education, smoking status, chronic disease, and body-mass index.

Results:

The proportion of adults with overweight and obesity who attained recommended levels of physical activity had higher levels of HRQOL than physically inactive adults for all age, racial/ethnic, and sex groups. After multi-variable adjustment, overweight and obese adults who met the recommended level of physical activity had higher levels of HRQOL than physically inactive adults across all age strata.

Conclusions:

These results highlight the HRQOL role that physical activity can have among overweight and obese persons despite their excess body weight.