Preventive health services and physical activity improve health-related quality of life in Mexican older adults

Salud Publica Mex. Mar-Apr 2019;61(2):106-115. doi: 10.21149/9400.

Abstract

Objective: To evaluate the combined use of IMSS preventive health services (PHS) and the practice of physical activity (PA) in order to determine their association with the perceived health-related quality of life (HRQoL) of older adults.

Materials and methods: A survey-based cross-sectional study was conducted at nine primary health care units (PHCUs) in Mexico City. The 36-Item Short-Form Health Survey evaluated the HRQoL, while PA and PHS use were assessed through self-report. Linear regression analyses were performed to determine the relationship between these three variables.

Results: Of the 1 085 older adults who participated in the study, 36.8% used PHS, and 23.3% reported that they engage in PA. After controlling for possible effects due to sociodemographic and health differences, we found that participants who were physically active and used PHS reported better perceived HRQoL scores.

Conclusions: The combined use of preventive practices such as the use of PHS and the practice of PA can help improve the perceived HRQoL of older adults.

Objetivo: Determinar la asociación del uso combinado de servicios de salud preventiva (SSP) y la práctica de la actividad física (AF) sobre la calidad de vida relacionada con la salud (CVRS) de los adultos mayores en México.

Material y métodos: Estudio transversal en unidades de atención primaria. La percepción de CVRS fue evaluada a través del instrumento SF-36; el nivel de AF, y el uso de SSP, a través de auto-reporte. Se realizaron análisis de regresión lineal para determinar la relación entre estas tres variables.

Resultados: De los 1 085 adultos mayores que participaron en el estudio, 36.8% usaron SSP y 23.3% informaron practicar AF. Los adultos mayores físicamente activos y que usaban SSP re- portaron una mejor puntuación de CVRS percibida, ajustando por variables de salud y sociodemográficas.

Conclusiones: Prácticas preventivas como la actividad física en conjunto con el uso de servicios preventivos pueden ser útiles para mejorar la percepción de CVRS de los adultos mayores.

Keywords: Mexico; health-related quality of life; older adults; physical activity; preventive health services.

Publication types

  • Evaluation Study
  • Multicenter Study

MeSH terms

  • Age Distribution
  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Exercise*
  • Female
  • Health Status*
  • Humans
  • Male
  • Mexico
  • Middle Aged
  • Preventive Health Services / statistics & numerical data*
  • Quality of Life*
  • Regression Analysis
  • Sex Distribution
  • Sex Factors
  • Socioeconomic Factors