Life satisfaction in community-dwelling older adults and direct and indirect associations with physical activity, functionality and overall health: a pathway analysis.

IF 1.1 4区医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

Ciencia & saude coletiva Pub Date : 2025-03-01 Epub Date: 2023-10-22 DOI:10.1590/1413-81232025303.07922023

Daniel Vicentini de Oliveira, Yara Lucy Fidelix, Priscila Ester de Lima Cruz, José Roberto Andrade do Nascimento Júnior, Lenamar Fiorese

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Abstract

This study aimed to analyze whether physical activity, functionality, health variables and psychological factors are associated with life satisfaction of 654 older adults users of basic health units in the city of Maringá, Brazil. The WHODAS 2.0, International Physical Activity Questionnaire, Geriatric Depression Scale, Life Satisfaction Scale, Geriatric Anxiety Inventory, Self-Esteem Scale, Life Purpose Scale, Perceived Stress Scale and Mini Nutritional Assessment were used. Path analysis was used. Self-esteem was the main factor related to satisfaction with life. Stress and depression indicators negatively influenced life satisfaction. Level of physical activity and life purpose were indirectly related to life satisfaction. Anxiety was the main factor linked to stress and indicative of depression, which in turn seems to negatively impact life satisfaction. It is concluded that satisfaction with life was directly related to self-esteem, nutritional status, stress and indicative of depression. Self-esteem was the main factor related to satisfaction with life.

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本研究旨在分析巴西马林加市基层医疗机构的 654 名老年人的体育活动、功能、健康变量和心理因素是否与生活满意度相关。研究使用了 WHODAS 2.0、国际体育活动问卷、老年抑郁量表、生活满意度量表、老年焦虑量表、自尊量表、生活目的量表、感知压力量表和迷你营养评估。使用了路径分析。自尊是与生活满意度相关的主要因素。压力和抑郁指标对生活满意度有负面影响。体育锻炼水平和生活目的与生活满意度间接相关。焦虑是与压力和抑郁相关的主要因素，而压力和抑郁似乎又会对生活满意度产生负面影响。结论是，生活满意度与自尊、营养状况、压力和抑郁直接相关。自尊是与生活满意度相关的主要因素。

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来源期刊

Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

3.60

自引率

11.80%

发文量

533

审稿时长

12 weeks

期刊介绍： Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.