Evidence map›Paper›PMID 28662897›Full record

Trial reportGeneral hospital psychiatry2017

Effects of a randomized exercise trial on physical activity, psychological distress and quality of life in older adults.

Elizabeth A Awick, Diane K Ehlers, Susan Aguiñaga, Ana M Daugherty, Arthur F Kramer, Edward McAuley

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in General hospital psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 87 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
87citing papers in PubMed, 9 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

87 citing papers in PubMed, 9 syntheses or guidelines pooled it.

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  7. Effects of vibration training on quality of life in older adults: a preliminary systematic review and meta-analysis.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
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  15. Metabolic Syndrome and Psychological Effects of Exercise in Hemodialysis Patients.International journal of environmental research and public health · 2021
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27 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Elizabeth A Awick906 S Goodwin Avenue, University of Illinois at Urbana-Champaign, Urbana, IL 61802, USA. Electronic address: awick1@illinois.edu.
Diane K Ehlers906 S Goodwin Avenue, University of Illinois at Urbana-Champaign, Urbana, IL 61802, USA.
Susan Aguiñaga906 S Goodwin Avenue, University of Illinois at Urbana-Champaign, Urbana, IL 61802, USA.
Ana M DaughertyBeckman Institute, University of Illinois, 405 N. Mathews Ave., Urbana, IL, USA.
Arthur F Kramer360 Huntington Avenue, Northeastern University, Boston, MA 02115, USA; Beckman Institute, University of Illinois, 405 N. Mathews Ave., Urbana, IL, USA.
Edward McAuley906 S Goodwin Avenue, University of Illinois at Urbana-Champaign, Urbana, IL 61802, USA.

Funding

Influence of Fitness on Brain and CognitionR37AG025667 · NIA · UNIVERSITY OF ILLINOIS URBANA-CHAMPAIGN · PI KRAMER, ARTHUR F. · 2005 to 2014
$5.1M
Influence of Fitness and Cognitive Training on Brain and CognitionR01AG025667 · NIA · UNIVERSITY OF ILLINOIS AT URBANA-CHAMPAIGN · PI MCAULEY, EDWARD · 2015 to 2015
$497k
NIA NIH HHS R01 AG025667NIA NIH HHS R37 AG025667
6 · The paper itself

Abstract

objectiveEvidence suggests improvements in positive psychological health indices (e.g., self-esteem) may explain the relationship between physical activity and quality of life (QoL) in older adults. Less is known about the role of reductions in negative psychological health indices (e.g., depression). The present study examined the effects of changes in moderate-to-vigorous physical activity (MVPA) and psychological distress on change in QoL in older adults enrolled in an exercise program.

methodsOlder adults (N=247, Mage=65.68±4.59) participated in a six-month randomized exercise trial. Participants wore accelerometers and completed questionnaires to measure MVPA, psychological health, and QoL at baseline and post-intervention. Psychological distress was modeled as a latent factor comprised of anxiety, depression, sleep dysfunction, and stress. Structural models were used to examine the effects of changes in MVPA and distress on change in QoL.

resultsIncreases in MVPA predicted reductions in distress from baseline to post-intervention (B=-0.10, p=0.05). In turn, reductions in distress predicted increases in QoL (B=-0.51, p=0.001). The indirect effect of MVPA on QoL through distress was also significant (p=0.05; 90% CI=0.005, 0.125).

conclusionsFindings extend previous research on the mediators of the MVPA-QoL relationship in older adults, suggesting reductions in negative psychological health outcomes may also mediate this pathway.

Indexed as

Outcome Assessment, Health CareQuality of LifeAgedAgingAnxietyDepressionExerciseExercise TherapyFemaleHumansMaleMiddle AgedSleep Wake DisordersStress, PsychologicalOlder adultsPhysical activityPsychological distressQuality of life

Identifiers

PMID28662897
PMCPMC5681423

What OpenQuestion holds

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Registered trials

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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.