ArticleBMJ open2021
Physical frailty and health-related quality of life among Chinese rural older adults: a moderated mediation analysis of physical disability and physical activity.
Article in BMJ open, 2021. 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, 32 citations in OpenAlex.
- Analysis of the prevalence of frailty and its influential factors among the rural elderly from the Yi and Hani ethnic groups in border areas of Yunnan Province.BMC geriatrics · 2026Article
- Frailty, multimorbidity and quality of life in an ageing population in Africa: a cross-sectional, population-based study in rural and urban Rwanda.Family medicine and community health · 2025Article
- Associations between Starting to Exercise in Later Life and Survival among Older Adults: a Nationwide, Community-based, Prospective Cohort Study in China.Sports medicine - open · 2025Article
- A decade of change: Increasing "weekend warrior" behavior and physical activity trends among middle-aged and older adults in China (2011-2020).Preventive medicine reports · 2025Article
- Psychophysiological effects of a supervised home-based resistance band exercise program in pre-frail older patients with type 2 diabetes mellitus: a randomized controlled trial.BMC sports science, medicine & rehabilitation · 2025Article
- Fear of falling as a mediator in the association between social frailty and health-related quality of life in community-dwelling older adults.BMC geriatrics · 2023Article
- Burden of disability in type 2 diabetes mellitus and the moderating effects of physical activity.World journal of clinical cases · 2023Review
- The effect of research on life satisfaction in middle-aged and older adults: physical disability and physical activity as a parallel and serial mediation analysis.BMC geriatrics · 2023Article
- Associations Between Workplace Violence and Mental Health Among Chinese Health Technicians: A Moderated Mediation Analysis of Sleep Quality and Physical Activity.Psychology research and behavior management · 2023Article
- Changes in the health status and health-related quality of life of community-dwelling older adults living alone: one-year follow-up from a cohort study.Frontiers in public health · 2023Article
- Frailty and Quality of Life among Older Adults in Communities: The Mediation Effects of Daily Physical Activity and Healthy Life Self-Efficacy.Geriatrics (Basel, Switzerland) · 2022Article
- Classifying and characterizing the development of self-reported overall quality of life among the Chinese elderly: a twelve-year longitudinal study.BMC public health · 2022Article
- Article
- The effects of health insurance and physical exercise participation on life satisfaction of older people in China-Based on CHNS panel data from 2006 to 2015.Frontiers in public health · 2022Article
- The Role of Mental Adjustment in Mediating Post-Traumatic Stress Disorder Symptoms and Social Support in Chinese Ovarian Cancer Patients: A Cross-Sectional Study.Psychology research and behavior management · 2022Article
- Exploring the Mediating Effects of Cognitive Function, Social Support, Activities of Daily Living and Depression in the Relationship between Age and Frailty among Community-Dwelling Elderly.International journal of environmental research and public health · 2021Article
Corrections and comments
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Authors and funding
9 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe purpose of this study is to explore the mediating effect of physical disability as well as the role of physical activity (PA) as a moderator in the relationship between physical frailty and health-related quality of life (HRQoL) among rural older adults in China.
designCross-sectional analysis.
settingRural households in Shandong of China (Rushan, Qufu, Laolin). PARTICIPANTS AND
methodsA survey was conducted among 3243 rural older adults. The data were collected using questionnaires measuring physical frailty, physical disability, HRQoL and PA. Bootstrap analyses were employed to explore the mediating effect of physical disability and also the moderating role of PA on physical frailty and HRQoL.
resultsAfter controlling for age and education, physical disability partially mediated the effect of physical frailty on HRQoL (indirect effect=-0.143, 95% CI -0.175 to -0.113), with the mediating effect accounting for 33.71% of the total effect. PA moderated the relationship between physical frailty and physical disability as well as the relationship between physical disability and HRQoL. Specifically, the interaction term between physical frailty and PA significantly predicted physical disability (β=-0.120, t=-7.058, p<0.001), and the interaction term between physical disability and PA also had a significant predictive effect on HRQoL (β=0.115, t=6.104, p<0.001).
conclusionsPA appears to moderate the indirect effect of physical disability on the association between physical frailty and HRQoL. This study provides support for potential mechanisms in the association between physical frailty and HRQoL. Encouraging rural older adults to increase PA appropriately might improve HRQoL for older adults with physical frailty and physical disability problems.
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