Regular exercise and the trajectory of health-related quality of life among Taiwanese adults: A cohort study analysis 2006-2014

Huan Cheng Chang, Jersey Liang, Hui Chuan Hsu, Sung Kai Lin, Ting Huan Chang, Shu Hui Liu

Research output: Contribution to journalArticle

Abstract

Background: Physical activity is related to health-related quality of life, but little evidence from multiple waves of panel data in Asian countries area available. This study aims to explore the impacts of different degree of regular exercise on the trajectories of physical and mental dimensions of health-related quality of life (HRQOL) for community-dwelling Taiwanese adults during 2006-2014. Methods: Data were derived from the "Landseed Integrated Outreaching Neighborhood Screening (LIONS)" study, with 6182 adults enrolled at the baseline and subsequently followed up to three times till 2014. Linear mixed-effects modeling approach was employed to evaluate the growth curve models of HRQOL (with 16,281 observations) by linear & quadratic time effects, regular exercise (5-level moderate-intensity physical activity), and major influential factors of HRQOL. Results: Regular exercise showed significantly positive dose-response effects on physical HRQOL (β =1.27∼2.54), and regular exercise of 150 min or more showed positive effects on mental HRQOL (β = 1.55∼2.03). Besides, irregular exercise could also improve both physical and mental HRQOL (β = 1.27 & β = 0.87). However, such effects were not significant over time (at time slope) on HRQOL. In addition, physical and mental HRQOL improved across time (β = 1.01 and 1.49, respectively), but the time quadratic effect would significantly offset a little bit on physical dimension (β = - 0.22). Moreover, being female, increasing age, living alone, or poorer health status were related to lower physical HRQOL; and being younger, living alone, or poorer health status were associated with lower mental HRQOL. Conclusions: The positive dose-response relationship between regular exercise and HRQOL or its domains was demonstrated for community-dwelling Taiwanese adults. Thus, a regular exercise habit (better ≥150 min per week) is advised for community-based healthcare professionals and the government to incorporate into health promotion strategies and plans.

Original languageEnglish
Article number1352
JournalBMC Public Health
Volume19
Issue number1
DOIs
Publication statusPublished - Oct 23 2019

Fingerprint

Cohort Studies
Quality of Life
Exercise
Mental Health
Independent Living
Health Status
Community Health Services
Health Promotion
Habits
Growth

Keywords

  • Cohort study
  • Exercise
  • Health-related quality of life
  • Physical activity

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Regular exercise and the trajectory of health-related quality of life among Taiwanese adults : A cohort study analysis 2006-2014. / Chang, Huan Cheng; Liang, Jersey; Hsu, Hui Chuan; Lin, Sung Kai; Chang, Ting Huan; Liu, Shu Hui.

In: BMC Public Health, Vol. 19, No. 1, 1352, 23.10.2019.

Research output: Contribution to journalArticle

Chang, Huan Cheng ; Liang, Jersey ; Hsu, Hui Chuan ; Lin, Sung Kai ; Chang, Ting Huan ; Liu, Shu Hui. / Regular exercise and the trajectory of health-related quality of life among Taiwanese adults : A cohort study analysis 2006-2014. In: BMC Public Health. 2019 ; Vol. 19, No. 1.
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AU - Chang, Ting Huan

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AB - Background: Physical activity is related to health-related quality of life, but little evidence from multiple waves of panel data in Asian countries area available. This study aims to explore the impacts of different degree of regular exercise on the trajectories of physical and mental dimensions of health-related quality of life (HRQOL) for community-dwelling Taiwanese adults during 2006-2014. Methods: Data were derived from the "Landseed Integrated Outreaching Neighborhood Screening (LIONS)" study, with 6182 adults enrolled at the baseline and subsequently followed up to three times till 2014. Linear mixed-effects modeling approach was employed to evaluate the growth curve models of HRQOL (with 16,281 observations) by linear & quadratic time effects, regular exercise (5-level moderate-intensity physical activity), and major influential factors of HRQOL. Results: Regular exercise showed significantly positive dose-response effects on physical HRQOL (β =1.27∼2.54), and regular exercise of 150 min or more showed positive effects on mental HRQOL (β = 1.55∼2.03). Besides, irregular exercise could also improve both physical and mental HRQOL (β = 1.27 & β = 0.87). However, such effects were not significant over time (at time slope) on HRQOL. In addition, physical and mental HRQOL improved across time (β = 1.01 and 1.49, respectively), but the time quadratic effect would significantly offset a little bit on physical dimension (β = - 0.22). Moreover, being female, increasing age, living alone, or poorer health status were related to lower physical HRQOL; and being younger, living alone, or poorer health status were associated with lower mental HRQOL. Conclusions: The positive dose-response relationship between regular exercise and HRQOL or its domains was demonstrated for community-dwelling Taiwanese adults. Thus, a regular exercise habit (better ≥150 min per week) is advised for community-based healthcare professionals and the government to incorporate into health promotion strategies and plans.

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