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ArticleQuality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation2026

Comparing the determinants of health perception and quality of life over time in heart and lung diseases: structural equation modeling.

Owis Eilayyan, Firas Hudaib, Saionara Camara, Carmen-Lucia Curcio, Cristiano Dos Santos Gomes, Fernando Gomez, Ricardo Oliveira Guerra, Mohammad Auais

Abstract readComparative Study
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Article in Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

8 authors.

Owis EilayyanDepartment of Physical Therapy, Faculty of Applied Medicals Sciences, The Hashemite University, Zarqa, Jordan. owis.eilayyan@hu.edu.jo.
Firas HudaibDepartment of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, USA.
Saionara CamaraDepartamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Carmen-Lucia CurcioFacultad de Ciencias para la Salud, Manizales, Universidad de Caldas, Manizales, Colombia.
Cristiano Dos Santos GomesDepartamento de Fisioterapia, University of Pernambuco Campus Petrolina, Pernambuco, Brazil.
Fernando GomezFacultad de Ciencias para la Salud, Manizales, Universidad de Caldas, Manizales, Colombia.
Ricardo Oliveira GuerraDepartamento de Fisioterapia, Universidade Federal do Rio Grande do Norte, Natal, Rio Grande do Norte, Brazil.
Mohammad AuaisDepartment of Rehabilitation Sciences, College of Health Sciences, Qatar University, Doha, Qatar.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo estimate the longitudinal interrelationship between health, personal, and environmental predictors of Quality of life (QOL) and their impact on QOL among older adults with heart or pulmonary diseases.

methodsThis longitudinal study analyzed data from the International Mobility in Aging Study. Structural equation modeling, guided by Wilson and Cleary model, was used to estimate the relationships among baseline factors (depression, clinical and demographic variables), intermediate outcomes at two-year follow-up (self-efficacy, physical function, and health perception), and QOL at four-year follow-up. Multi-group analysis was conducted to assess differences in health predictors between lung and heart diseases.

resultsA total of 479 people were included, with 144 and 335 people reported having pulmonary and heart diseases, respectively. Among people with lung diseases, lower depression, multi-morbidity, and high self-efficacy, health perception, and physical function positively influenced QOL. Among people with heart diseases, lower depression, multi-morbidity, high level of hemoglobin, male gender, non-smoking, high self-efficacy, health perception, and physical function were positively associated with QOL. Heart and pulmonary conditions showed some variations in the strength and significance of these associations; however, multi-group analysis revealed no statistically significant differences between groups.

conclusionQOL in older adults with heart or lung conditions is associated with a number of interrelated factors, including physical function, psychological factors, and health perception. The results highlight the importance of comprehensive assessment using patient-reported outcome measures and support multidisciplinary rehabilitation and self-management approaches that address physical and psychological burden.

Indexed as

Heart DiseasesLung DiseasesQuality of LifeAgedAged, 80 and overDepressionFemaleHealth StatusHumansLatent Class AnalysisLongitudinal StudiesMaleMiddle AgedSelf EfficacyHealth predictorsHeart and pulmonary diseasesOlder adultsQuality of lifeStructural equation modelling

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