Pathways between physical activity and quality of life in adults with multiple sclerosis.
Abstract
OBJECTIVE: This prospective study examined symptoms of depression, fatigue, pain, self-efficacy, and social support as possible intermediaries in the pathway between changes in physical activity and quality of life (QOL) across a 6-month period in persons with multiple sclerosis (MS). DESIGN AND MAIN OUTCOME MEASURES: Adults with a definite diagnosis of MS wore an accelerometer for 7 days and then completed a battery of questionnaires at baseline (n = 292) and 6-months follow-up (n = 276). The data were analyzed using panel analysis and covariance modeling in Mplus 3.0. RESULTS: The initial analysis indicated that change in physical activity was associated with a statistically significant and small residual change in QOL (beta = .07). The subsequent analysis indicated that change in physical activity was associated with residual changes in fatigue (gamma = -.17), pain (gamma = -.13), social support (gamma = .07), and self-efficacy (gamma = .11), and, in turn, changes in fatigue (beta = -.13), pain (beta = -.09), social support (beta = .18), and self-efficacy (beta = .10) were associated with a residual change in QOL. CONCLUSION: The observed pattern of relationships supports the possibility that physical activity is indirectly associated with improved QOL through pathways that include fatigue, pain, social support, and self-efficacy in individuals with MS.
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Such insights may carry significant weight when assessing drug efficacy; that is, the ability of the therapy to improve patients' ability to perform everyday activities, which may be indirectly related to quality of life.
“Such insights may carry significant weight when assessing drug efficacy; that is, the ability of the therapy to improve patients' ability to perform everyday activities, which may be indirectly related to quality of life.72, 73”
From Evaluation of smartphone‐based testing to generate exploratory outcome measures in a phase 1 Parkinson's disease clinical trial (2018) · cites this paper as [72]
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Pilutti, L. A. (2012)
- Authors
- Motl, R. W., & McAuley, E.
- Affiliations
- University of Illinois Urbana-Champaign (US)
- Venue
- Health Psychology
- Published
- 2009-11
- Volume
- 28
- Issue
- 6
- Pages
- 682-689
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- OpenAlex
- W2090866605
- Cited by
- 106
- References
- 53
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 1 · 2023: 5 · 2022: 4 · 2021: 6 · 2020: 4 · 2019: 5 · 2018: 6 · 2017: 5 · 2016: 6 · 2015: 6 · 2014: 11 · 2013: 6 · 2012: 13
- FWCI
- 8.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Neurological Disorders and Stroke (NS054050)
- Topics
- Health Sciences › Medicine › Pathology and Forensic Medicine › Multiple Sclerosis Research Studies
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Oncology › Cancer survivorship and care
- Keywords
- multiple sclerosis, physical activity, quality of life, fatigue, pain, social support, self-efficacy, depression, mediation, accelerometer-measured activity, adults
- MeSH terms
- Adult, Aged, Female, Humans, Male, Middle Aged, Multiple Sclerosis, Quality of Life, Surveys and Questionnaires, Social Support, Exercise, Monitoring, Ambulatory, Self Efficacy, Young Adult
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