The DOI matches its Crossref record; 46 of the 46 references it cites were found in a registry or an index.
Physical Activity, Sleep and Quality of Life in Older Adults: Influence of Physical, Mental and Social Well-being
Open accessAbstract
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.
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“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]
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Citations
Cites
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MethodInfluentialThe Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research
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“Consistent with the conceptualization of global QoL as a distal outcome of health behaviors, HRQoL improvements were, in turn, associated with improvements in global QoL (Diener et al., 1985; Rejeski & Mihalko, 2001).”
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Physical Activity in the United States Measured by Accelerometer
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“For data reduction, the following criteria were applied to the raw data recorded by each monitor: wear time validation criterion of ≥10 hours of wear time per day for at least 3 days and an interruption period of 60 minutes (Troiano et al., 2008).”
MethodSocial support as a moderator of life stress
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BackgroundEcological momentary assessment
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New well-being measures: Short scales to assess flourishing and positive and negative feelings
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“The Flourishing Scale is a brief 8-item summary measure of the respondent’s self-perceived success in important areas such as relationships, self-esteem, purpose, and optimism (Diener et al., 2010).”
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Background
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Cited by
Sorted by citations
Wang, X., Lei, S., Le, S., Yang, Y., Zhang, B., Yao, W., Gao, Z., & Cheng, S. (2020) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph17155575 · Cited by 187
“proposed that a novel sleep and QoL model is useful to design new health interventions by targeting PA to promote sleep quality, which, in turn, influences the QoL [14].”
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Sella, E., Miola, L., Toffalini, E., & Borella, E. (2021) · Health Psychology Review · doi:10.1080/17437199.2021.1974309 · Cited by 107
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Liu, R., Menhas, R., & Saqib, Z. A. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1349880 · Cited by 89
Metadata
- 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.
- ORCID
- Venue
- Behavioral Sleep Medicine
- Publisher
- Informa UK Limited
- Published
- 2019-11-12
- Volume
- 18
- Issue
- 6
- Pages
- 797-808
- ISSN
- 1540-2002 (ISSN-L)
- 1540-2010
- PMC
- PMC7324024
- 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
- green
- europepmc.org
- 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 › Public Health, Environmental and Occupational Health › 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
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