Cited by 125Physical Activity and HealthSleep and related disordersAging, Health, and Disability

Physical Activity, Sleep and Quality of Life in Older Adults: Influence of Physical, Mental and Social Well-being

Open access
Gothe, Neha P., Ehlers, Diane K., Salerno, Elizabeth A., Fanning, Jason, Kramer, Arthur F., McAuley, Edward·2020·Behavioral Sleep Medicine

Abstract

Introduction: Physical activity and sleep quality have been consistently associated with quality of life (QOL) in a number of clinical and non-clinical populations. However, mechanisms underlying this relationship are not well understood. The purpose of this study was to longitudinally test a model examining how changes in physical activity and sleep quality, predict physical, mental and social well-being and global QoL across a 6-month exercise trial in a sample of healthy older adults.Methods: Participants (N = 247, mean age 65.4 ± 4.6) wore an accelerometer to assess objective levels of physical activity and completed measures of sleep, physical and mental well-being, social well-being and QOL at baseline and following a 6-month physical activity intervention. Relationships among model constructs were examined over time using panel analysis within a covariance-modeling framework.Results: The hypothesized model provided a good model-data fit (χ2 = 58.77, df = 41, p = .036); CFI = 0.98; SRMR = 0.05; RMSEA = 0.04). At both time-points, physical activity and sleep quality were significantly correlated. Sleep quality indirectly influenced QOL via physical, mental and social well-being (QOL R2 = .47, p < .001). These relationships were also supported across time at month 6 (QOL R2 = .50, p < .001). Neither physical activity nor sleep quality directly influenced QOL.Conclusion: Our results support a novel sleep and QOL model that may inform the design of health interventions to promote sleep quality, and thereby influencing QOL by targeting physical activity and modifiable mediators of physical, mental and social health. Our findings may have significant implications for older adults as well as clinical populations that report compromised sleep, impaired health related and global QOL.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Integrity signals

Registry

Crossref · 10.1080/15402002.2019.1690493

Cites

46 of 46 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

A few free checks a day · papers already verified open instantly · results are public

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

  • Fear of experiencing another panic attack reinforces hyperarousal, impairing sleep initiation and quality.

    “Fear of experiencing another a ack reinforces hyperarousal, impairing sleep initiation and quality [107].”

    From Pre-Sleep Anxiety: Mechanisms and Therapeutic Approaches in Clinical Practice. (2026) · cites this paper as [107]

    The Discussion (page unavailable) says anxiety may be associated with sleep but explicitly states that the study did not test its role. Searches for panic attacks, fear of another attack, hyperarousal, and sleep initiation found no passage addressing the claimed mechanism. (LLM, conf=0.78)

    Experimental — accuracy not yet measured

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Cites

Flagged first, then by citations

Research works printed but not linked: 1

  1. Muthén LK, & Muthén BO (2007). Mplus User’s Guide. Statistical analysis with latent variables. Version (5th editio, Vol. 3). Los Angeles, CA.

Cited by

Sorted by citations

Authors
Gothe, N. P., Ehlers, D. K., Salerno, E. A., Fanning, J., Kramer, A. F., & McAuley, E.
Affiliations
  • University of Illinois Urbana-Champaign (US)
  • University of Nebraska Medical Center (US)
  • National Institutes of Health (US)
  • Wake Forest University Health Sciences (US)
  • Northeastern University (US)
Corresponding author
Gothe, Neha P.
Venue
Behavioral Sleep Medicine
Published
2019-11-12
Volume
18
Issue
6
Pages
797-808
ISSN
  • 1540-2002 (ISSN-L)
  • 1540-2010
OpenAlex
W2984193469
Cited by
125
References
46
Citations by year
2026: 16 · 2025: 34 · 2024: 26 · 2023: 14 · 2022: 13 · 2021: 14 · 2020: 8
FWCI
6.00
Type
journal article
Language
en
Open access
Locations
  • Behavioral Sleep Medicine (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Institute on Aging (R37 AG025667)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Sleep and related disorders
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Aging, Health, and Disability
Keywords
physical activity, sleep quality, quality of life, older adults, physical well-being, psychological well-being, social well-being, mediation model, accelerometer-measured activity, exercise intervention
MeSH terms
Aged, Female, Humans, Longitudinal Studies, Male, Mental Health, Quality of Life, Sleep, Exercise

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review