Relationships among QOL, ADL, Physical Activity and Self-Rated Health in the Elderly Living at Home

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  • 在宅高齢者のQOL,ADL,運動実施状況および健康度の関連性
  • ザイタク コウレイシャ ノ QOL ADL ウンドウ ジッシ ジョウキョウ オヨビ ケンコウド ノ カンレンセイ

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Abstract

The purpose of this study was to investigate the relationship between Quality of Life (QOL) , activities of daily living (ADL) , physical activity and self-rated health in the elderly.The data were obtained through questionnaire distributed to 842 (362 men, 480 women) old people living at home and multiple indicator model using Covariance Structure Analysis were applied to the data. Main findings were as follows : (1) In both sexes, self-rated health was in significant positive relation to QOL (0.74 for men, 0.62 for women). (2) In both sexes, physical activity and ADL were significant positively related to self-rated health(0.63 and 0.44 for men, 0.67 and 0.35 for women), and the state of disease was in significant negative relation to self-rated health (-0.21 for men, -0.30 for women). (3) In both sexes, physical activity was significantly positively related to ADL (0.43 for men, 0.46 for women) , and age and the state of disease were significantly negatively related to ADL (-0.48 and -0.29 for men, -0.45 and -0.21 for women). (4) Perceived benefits of exercise (0.17 for men, 0.19 for women) , self-efficacy for exercise (0.70 for men, 0.78 for women) and social support from friends (0.15 for men, 0.14 for women) were significantly positively related to physical activity.And, age (-0.22 for men, -0.12 for women) and perceived barriers of exercise (-0.17 for men, -0.09 for women) had significant negative relation to physical activity. The results of the analysis showed that doing physical activity and higher ADL improved self-rated health, and, higher self-rated health in turn improved QOL.These results suggest that maintaining or increasing physical activity positively influences QOL in the elderly.

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