Document Detail


Baseline comorbidity associated with the short-term effects of exercise intervention on quality of life in the Japanese older population: an observational study.
MedLine Citation:
PMID:  20801253     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Tamari K. Baseline comorbidity associated with the short-term effects of exercise intervention on quality of life in the Japanese older population: an observational study. OBJECTIVE: To investigate predictors of responses to a class-based exercise program in terms of health-related quality of life (HRQOL). DESIGN: A 3-month prospective cohort study. SETTING: General community. PARTICIPANTS: A sample of community-dwelling Japanese volunteers (N=137; aged > or =65y) initially was included in the study. More than three fourths (76.6%) completed the follow-up examination. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: Eight domains of the Medical Outcomes Study 36-Item Short-Form Health Survey, version 2, were used as main outcome measures. Candidate predictors included demographic variables, medical history of chronic diseases, and results of a set of physical performance tests at the baseline examination. Logistic regression models were used to detect predictors. RESULTS: Bodily pain, vitality, social functioning, and mental health domains improved after the intervention (P<.01 vs baseline). The absence of diabetes mellitus showed an association with a good response in the identified domains, with an adjusted odds ratio (OR) of 2.88 (confidence interval [CI], .90-9.25). More than 20% of participants had negative changes in the physical functioning, physical role, general health, and emotional role domains at follow-up. The presence of osteoarthritis significantly predicted a poor response in these domains, with an adjusted OR of 6.75 (CI, 1.58-28.83). CONCLUSIONS: Three months of class-based exercise is effective in alleviating bodily pain and the mental components of HRQOL; however, the effect of exercise on the physical domains of HRQOL may be limited. The presence of osteoarthritis may moderate the effects of exercise on HRQOL physical components.
Authors:
Kotaro Tamari
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Publication Detail:
Type:  Clinical Trial; Journal Article    
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  91     ISSN:  1532-821X     ISO Abbreviation:  Arch Phys Med Rehabil     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-08-30     Completed Date:  2010-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1363-9     Citation Subset:  AIM; IM    
Affiliation:
Dept of Physical Therapy, Kibi International University, Okayama, Japan. ktamari@kiui.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living
Chronic Disease / epidemiology,  rehabilitation*
Comorbidity
Diabetes Mellitus / epidemiology,  rehabilitation
Effect Modifiers (Epidemiology)
Exercise*
Female
Health Promotion / methods*
Health Status*
Humans
Japan / epidemiology
Logistic Models
Male
Osteoarthritis / epidemiology,  rehabilitation
Pain / epidemiology,  rehabilitation
Prospective Studies
Quality of Life*
Resistance Training

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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