Quality of life and its association with individual and park characteristics among elderly qi gong practitioners in Malaysia 10.55131/jphd/2022/200120
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Abstract
As life expectancy increases, the Quality of life (QOL) among the elderly becomes an essential topic. This study aimed to determine the QOL and its associating individual and environmental factors among elderly qi gong practitioners in Malaysia. This study utilized a cross-sectional design and a self-administered questionnaire, Google Forms, to measure QOL and its associating factors among elderly respondents from a qi gong association. The EQ-5D questionnaire, IPAQ-M and questions adapted from previously published journal articles were used to collect data from respondents. Data were analyzed using SPSS version 22.0, employing multiple linear regression analysis to determine the significance of the independent variables measured against the QOL among this elderly group. The overall QOL for this group was 0.86±0.10, and this elderly group had a higher QOL when compared to other elderly populations. The multiple linear regression model showed that QOL was positively influenced by moderate physical activity level, with standardised b= 0.33, 95% CI 0.04,0.09, p<0.001 and overall park quality score, with standardised b=0.18, 95% CI 0.001,0.005, p=0.001. On the contrary, QOL was negatively influenced by comorbidity with the standardised b=0.26, 95% CI 0.03,0.07, p>0.001. There is a need to promote senior citizen societies to increase awareness of healthier lifestyles. Senior citizen societies can provide quality care, information, and structured activities for the elderly improving QOL.
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References
Department of Statistics Malaysia. Department of Statistics Malaysia Official Portal [Internet]. 2020 [cited 2020 Nov 28]. Available from: https://www.dosm.gov.my/v1/index.php
Chung CF, Pazim KH, Mansur K. Ageing Population: Policies and Programmes for Older People in Malaysia. Asian Journal of Research in Education and Social Sciences. 2020 Jul 31;2(2):92–6.
Department of Statistics Malaysia. Population and demographics: Ageing August [Internet]. 2017. Available from: https://www.dosm.gov.my/v1/uploads/files/6_Newsletter/Ageing.pdf
World Health Organization. Ageing and health [Internet]. Ageing and Health. 2018 [cited 2020 Dec 14]. Available from: https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
World Health Organization. Ageing: Healthy ageing and functional ability [Internet]. 2020 [cited 2020 Nov 21]. Available from: https://www.who.int/westernpacific/news/q-a-detail/ageing-healthy-ageing-and-functional-ability
World Health Organization. WHO | WHOQOL: Measuring Quality of Life [Internet]. WHO. 2012 [cited 2020 Oct 17]. Available from: https://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/index1.html
World Health Organization. NCDs | Physical activity [Internet]. World Health Organization. World Health Organization; 2020 [cited 2020 Nov 28]. Available from: http://www.who.int/ncds/prevention/physical-activity/introduction/en/
Song Y, Li J, István B, Xuan R, Wei S, Zhong G, et al. Current Evidence on Traditional Chinese Exercises for Quality of Life in Patients With Essential Hypertension: A Systematic Review and Meta-Analysis. Front Cardiovasc Med [Internet]. 2021 [cited 2021 Aug 12];0. Available from: https://www.frontiersin.org/articles/10.3389/fcvm.2020.627518/full
Gouw VXH, Jiang Y, Seah B, He H, Hong J, Wang W. Effectiveness of internal Qigong on quality of life, depressive symptoms and self-efficacy among community-dwelling older adults with chronic disease: A systematic review and meta-analysis. International Journal of Nursing Studies. 2019 Nov 1;99:103378.
Qi D, Wong NML, Shao R, Man ISC, Wong CHY, Yuen LP, et al. Qigong exercise enhances cognitive functions in the elderly via an interleukin-6-hippocampus pathway: A randomized active-controlled trial. Brain, Behavior, and Immunity. 2021 Jul 1;95:381–90.
Levy-Storms L, Chen L, Loukaitou-Sideris A. Older Adults’ Needs and Preferences for Open Space and Physical Activity In and Near Parks: A Systematic Review. Journal of Aging and Physical Activity. 2017 Dec 18;26:1–45.
Zhang R, Wulff H, Duan Y, Wagner P. Associations between the physical environment and park-based physical activity: A systematic review. Journal of Sport and Health Science. 2019 Sep;8(5):412–21.
Chen C, Luo W, Li H, Zhang D, Kang N, Yang X, et al. Impact of Perception of Green Space for Health Promotion on Willingness to Use Parks and Actual Use among Young Urban Residents. International Journal of Environmental Research and Public Health. 2020 Jan;17(15):5560.
Costigan SA, Veitch J, Crawford D, Carver A, Timperio A. A Cross-Sectional Investigation of the Importance of Park Features for Promoting Regular Physical Activity in Parks. International Journal of Environmental Research and Public Health. 2017 Nov;14(11):1335.
Zhai Y, Li D, Wang D, Shi C. Seniors’ Physical Activity in Neighborhood Parks and Park Design Characteristics. Front Public Health [Internet]. 2020 Jul 29 [cited 2020 Nov 22];8. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7403175/
OpenEpi. OpenEpi - Toolkit Shell for Developing New Applications [Internet]. 2013 [cited 2020 Nov 27]. Available from: https://www.openepi.com/SampleSize/SSPropor.htm
Institute for Public Health. Fact Sheet, National Health and Morbidity Survery 2018, Elderly Health (NHMS 2018) [Internet]. Ministry of Health, Malaysia; 2018. Available from: http://iku.moh.gov.my/images/IKU/Document/REPORT/NHMS2018/FactsheetElderlyAged60yearsorMorefinal.pdf
Infinite Qigong. Infinite Qigong® [Internet]. Infinite Qigong®. 2014 [cited 2020 Nov 27]. Available from: https://www.infiniteqigong.com/infinite-qigong
IPAQ Research Committee. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ) [Internet]. 2005. Available from: www.ipaq.ki.se
Chu AHY, Moy FM. Reliability and Validity of the Malay International Physical Activity Questionnaire (IPAQ-M)Among a Malay Population in Malaysia. Asia Pac J Public Health. 2015 Mar 1;27(2):NP2381–9.
Varatharajan S, Chen W-S. Reliability and Validity of EQ-5D in Malaysian Population. Applied Research Quality Life. 2012 Jun;7(2):209–21.
EuroQol. EQ-5D-5L – EQ-5D [Internet]. 2021 [cited 2020 Nov 15]. Available from: https://euroqol.org/eq-5d-instruments/eq-5d-5l-about/
Camargo DM, Ramírez PC, Fermino RC. Individual and Environmental Correlates to Quality of Life in Park Users in Colombia. Int J Environ Res Public Health [Internet]. 2017 Oct [cited 2020 Nov 6];14(10). Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5664751/
Bärebring L, Palmqvist M, Winkvist A, Augustin H. Gender differences in perceived food healthiness and food avoidance in a Swedish population-based survey: a cross sectional study. Nutrition Journal. 2020 Dec 29;19(1):140.
Waldron I, Johnston S. Why do Women Live Longer than Men? Journal of Human Stress. 2010 Jul;2(2):19–30.
National Institutes of Health, Ministry of Health Malaysia. Institute for Public Health - NHMS 2019 [Internet]. NHMS 2019. 2020 [cited 2020 Dec 18]. Available from: http://www.iku.gov.my/nhms-2019
Marten O, Greiner W. EQ-5D-5L reference values for the German general elderly population. Health and Quality of Life Outcomes. 2021 Mar 6;19(1):76.
World Health Organization. Physical activity and adults [Internet]. Physical activity and adults. 2020 [cited 2020 Nov 28]. Available from: https://www.who.int/teams/health-promotion/physical-activity/physical-activity-and-adults
Wong ELY, Xu RH, Cheung AWL. Health-related quality of life in elderly people with hypertension and the estimation of minimally important difference using EQ-5D-5L in Hong Kong SAR, China. Eur J Health Econ. 2020 Aug;21(6):869–79.
Prasad L, Fredrick J, Aruna R. The relationship between physical performance and quality of life and the level of physical activity among the elderly. J Educ Health Promot. 2021 Feb 27;10:68.
Puciato D, Borysiuk Z, Rozpara M. Quality of life and physical activity in an older working-age population. Clin Interv Aging. 2017 Oct 4;12:1627–34.
Fernandez-Alonso L, Muñoz-García D, La Touche R. The level of physical activity affects the health of older adults despite being active. J Exerc Rehabil. 2016 Jun 30;12(3):194–201.
Chen C, Liu GG, Shi QL, Sun Y, Zhang H, Wang MJ, et al. Health-Related Quality of Life and Associated Factors Among Oldest-Old in China. J Nutr Health Aging. 2020 Mar 1;24(3):330–8.
Khalid NS, Baba N, Hamdan H. Improving Quality of Life through Recreational Behaviour in Urban Park. Asian Journal of Quality of Life. 2018 Aug 26;3:80.
Hamdy MSB, Yusuf MBM, Ibrahim RIB. Projection on use of public long-term care facilities for different ethnics of elders in Malaysia. In Pahang, Malaysia; 2018. doi: http://aip.scitation.org/doi/abs/10.1063/1.5041683