ArticlePloS one2015
Relationship of the perceived social and physical environment with mental health-related quality of life in middle-aged and older adults: mediating effects of physical activity.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
34 citing papers in PubMed, 1 synthesis or guideline pooled it, 127 citations in OpenAlex.
- Domain-specific physical activity and mental health: an updated systematic review and multilevel meta-analysis in a combined sample of 3.3 million people.British journal of sports medicine · 2026Pooled it
- Trial
- The Effects of an Integrated Exercise Intervention on the Attenuation of Frailty in Elderly Nursing Homes: A Cluster Randomized Controlled Trial.The journal of nutrition, health & agingTrial
- Linking Older Adults' Psychosocial Well-Being With Objective and Perceived Environments in Slovenia.HERD · 2025Article
- A study about the impact of indoor air pollution on cognitive function among middle-aged and older adult people in India.Archives of public health = Archives belges de sante publique · 2024Article
- The role of physical activity in the relationship between exposure to community violence and mental health: A systematic review.Preventive medicine reports · 2023Review
- Conceptualisation and Measurement of Social Cohesion within the Sport and Physical Activity Context: A Scoping Review.Sports (Basel, Switzerland) · 2023Article
- Association of Public Sports Space Perception with Health-Related Quality of Life in Middle-Aged and Older Adults-Evidence from a Survey in Shandong, China.Behavioral sciences (Basel, Switzerland) · 2023Article
- Perceived neighborhood environment walkability and health-related quality of life among predominantly Black and Latino adults in New York City.BMC public health · 2023Article
- Examining physical activity and quality of life in adults with autism spectrum disorder and intellectual disability.Journal of intellectual disabilities : JOID · 2022Article
- The Use of Urban Parks by Older Adults in the Context of Perceived Security.International journal of environmental research and public health · 2022Article
- Neighborhood Makes or Breaks Active Ageing? Findings from Cross-Sectional Path Analysis.International journal of environmental research and public health · 2022Article
- A Survey of Basic Daily Living Assistance in Dependency Units during the Morning First Period at Nursing Homes with a Healthcare Dysfunction.Nursing reports (Pavia, Italy) · 2022Article
- Neighbourhood walkability and mental health in older adults: A cross-sectional analysis from EpiFloripa Aging Study.Frontiers in aging · 2022Article
- Association of Vital Exhaustion with Risk Factors for Cardiovascular Diseases, Quality of Life and Lifestyle in 41-44-Year-Old Muscovite Men.International journal of environmental research and public health · 2021Article
- Associations of Social Cohesion and Socioeconomic Status with Health Behaviours among Middle-Aged and Older Chinese People.International journal of environmental research and public health · 2021Article
- Sports activities of 60 above Hungarian elderly-explaining and predicting impact of exercise on health.BMC public health · 2021Article
- Latent Variables Quantifying Neighborhood Characteristics and Their Associations with Poor Mental Health.International journal of environmental research and public health · 2021Article
- Perceived built environment, health-related quality of life and health care utilization.PloS one · 2021Article
- Article
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMental health conditions are among the leading non-fatal diseases in middle-aged and older adults in Australia. Proximal and distal social environmental factors and physical environmental factors have been associated with mental health, but the underlying mechanisms explaining these associations remain unclear. The study objective was to examine the contribution of different types of physical activity in mediating the relationship of social and physical environmental factors with mental health-related quality of life in middle-aged and older adults.
methodsBaseline data from the Wellbeing, Eating and Exercise for a Long Life (WELL) study were used. WELL is a prospective cohort study, conducted in Victoria, Australia. Baseline data collection took place in 2010. In total, 3,965 middle-aged and older adults (55-65 years, 47.4% males) completed the SF-36 Health Survey, the International Physical Activity Questionnaire, and a questionnaire on socio-demographic, social and physical environmental attributes. Mediation analyses were conducted using the MacKinnon product-of-coefficients test.
resultsPersonal safety, the neighbourhood physical activity environment, social support for physical activity from family or friends, and neighbourhood social cohesion were positively associated with mental health-related quality of life. Active transportation and leisure-time physical activity mediated 32.9% of the association between social support for physical activity from family or friends and mental health-related quality of life. These physical activity behaviours also mediated 11.0%, 3.4% and 2.3% respectively, of the relationship between the neighbourhood physical activity environment, personal safety and neighbourhood social cohesion and mental health-related quality of life.
conclusionsIf these results are replicated in future longitudinal studies, tailored interventions to improve mental health-related quality of life in middle-aged and older adults should use a combined strategy, focusing on increasing physical activity as well as social and physical environmental attributes.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.