ArticleThe journals of gerontology. Series A, Biological sciences and medical sciences2018
Midlife Predictors of Health-Related Quality of Life in Older Women.
Article in The journals of gerontology. Series A, Biological sciences and medical sciences, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Association between loneliness and social isolation and health outcomes among cancer survivors and non-cancer controls.Frontiers in aging · 2026Article
- Social Mobility and Health-Related Quality of Life Trajectory Classes Among Older Women and Men.Journal of aging and health · 2025Article
- The Role of Sexual Function in Quality of Life Among Midlife and Older Women: The Study of Women's Health Across the Nation.Journal of women's health (2002) · 2024Article
- Observational
- Physical and Behavioral Factors Associated With Improvement in Physical Health and Function Among US Women During Midlife.JAMA network open · 2023Article
- Article
- Urinary Incontinence and Sleep Quality in Older Women with Type 2 Diabetes: A Cross-Sectional Study.International journal of environmental research and public health · 2022Article
- Self-efficacy and positive thinking as predictors of health-related quality of life in women with stress urinary incontinence.BMC women's health · 2022Article
- Factors Associated with Health-Related Quality of Life among Older Adults in Rural South Korea Based on Ecological Model.International journal of environmental research and public health · 2022Article
- Factors Associated With 10-Year Declines in Physical Health and Function Among Women During Midlife.JAMA network open · 2022Article
- Patient-Provider Discussions About Urinary Incontinence Among Older Women.The journals of gerontology. Series A, Biological sciences and medical sciences · 2021Observational
- The role of cardiorespiratory fitness on quality of life in midlife women.Menopause (New York, N.Y.) · 2021Article
- Racial differences in lifestyle, demographic, and health factors associated with quality of life (QoL) in midlife women.Women's midlife health · 2021Article
- Health-related quality of life among breast cancer survivors and noncancer controls over 10 years: Pink SWAN.Cancer · 2020Article
- Factors associated with health-related quality of life in a working population in Singapore.Epidemiology and health · 2020Article
- Economic Stressors, Alcohol Use, and Health-Related Quality of Life in Middle-aged Adults.Journal of applied developmental psychologyArticle
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4 authors.
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Abstract
Background: Midlife represents an important time to evaluate health status and health behaviors that may affect health-related quality of life (HRQL) in later years. This study examines change in women's HRQL over 11 years from ages 47-59 to 57-69 and identifies midlife characteristics that predict HRQL at older ages. Methods: Physical (PCS) and mental component summaries (MCS) of the SF-36 were used to assess HRQL from 2002 to 2013 in 2,614 women from the Study of Women's Health Across the Nation (SWAN), a multiethnic/racial cohort study. We used locally weighted scatterplot smoothing (LOESS) models to obtain unadjusted predicted mean trajectories of PCS and MCS as a function of age. Results: LOESS predicted PCS declined from 51.6 to 47.1, whereas MCS increased from 49.2 to 53.1. In multivariable models, controlling for baseline PCS, higher baseline physical activity (p = .002) and increase in physical activity from baseline (p < .0001) predicted better PCS. Time since baseline (ie, aging; p < .001), higher baseline body mass index (p < .0001), increased body mass index over time (p < .0001), smoking (p < .05), two or more medical conditions (p < .0001), sleep problems (p < .0001), and urinary incontinence (p < .0001) were related to lower PCS. Early (p = .004) and late postmenopause (p = .001; vs. premenopause) and aging (p = .05) predicted higher MCS. Predictors of lower MCS were less than very good health (p < .0001), sleep problems (p < .0001), stressful life events (p < .0001), higher perceived stress (p < .0001), and higher trait anxiety (p = .004). Race/ethnicity was related to MCS, but not PCS. Conclusions: Several potentially modifiable midlife factors, such as improved sleep hygiene, physical activity, and body mass index, might improve HRQL for older women.
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