Physical activity, and improvement in health-related quality of life among Australian middle-aged and older adults living with type 2 diabetes mellitus

Article

Beyene, Addisu Shunu, Roba, Hirbo Shore, Ushula, Tolassa Wakayo and Keramat, Syed Afroz. 2025. "Physical activity, and improvement in health-related quality of life among Australian middle-aged and older adults living with type 2 diabetes mellitus." Quality of Life Research. 34 (4), pp. 1027-1043. https://doi.org/10.1007/s11136-024-03865-z
Article Title

Physical activity, and improvement in health-related quality of life among Australian middle-aged and older adults living with type 2 diabetes mellitus

ERA Journal ID13773
Article CategoryArticle
AuthorsBeyene, Addisu Shunu, Roba, Hirbo Shore, Ushula, Tolassa Wakayo and Keramat, Syed Afroz
Journal TitleQuality of Life Research
Journal Citation34 (4), pp. 1027-1043
Number of Pages17
Year2025
PublisherSpringer
Place of PublicationNetherlands
ISSN0962-9343
1573-2649
Digital Object Identifier (DOI)https://doi.org/10.1007/s11136-024-03865-z
Web Address (URL)https://link.springer.com/article/10.1007/s11136-024-03865-z
Abstract

Background
Physical inactivity is a major global public health concern and a recognized risk factor for type 2 diabetes mellitus (T2DM). However, the relationship between physical activity and health-related quality of life (HRQOL) in people with T2DM using longitudinal data remains underexplored. We aim to identify the improvement in HRQOL associated with physical activity in Australian middle-aged and older adults using population-based longitudinal data.

Methods
Data for this study were drawn from waves 9, 13, 17, and 21 of the Household, Income and Labour Dynamics in Australia (HILDA) Survey. We constructed an unbalanced panel consisting of 2,472 person-year observations from 1,270 unique individuals living with T2DM. We used a random effects Generalized Least Squares (GLS) model to examine the relationship between physical activity and HRQOL in people with T2DM.

Results
The regression results showed that physical activity is positively associated with physical component summary (PCS), mental components summary (MCS), and health state utility value (SF-6D). People with T2DM engaging in physical activity less than once or 1 or 2 times per week had a higher mean score for PCS (β = 4.28, 95% CI: 3.38, 5.17), MCS (β = 2.36, 95% CI: 1.38, 3.34), and SF-6D utility value (β = 0.04, 95% CI: 0.03, 0.05) than their counterparts engaged in no physical activity. Similarly, engaging in physical activity three times daily per week had a further elevated mean score for PCS (β = 6.65, 95% CI : 5.72, 7.60), MCS (β = 3.75, 95% CI: 2.71, 4.79), and SF-6D utility value (β = 0.07, 95% CI: 0.06, 0.08).

Conclusion
Our results showed that physical activity is positively associated with improved HRQOL among people with T2DM. Public health initiatives should prioritize health education and community programs to promote physical activity across all demographics to enhance HRQOL in people living with T2DM.

KeywordsAustralia; Health-related quality of life; Physical activity; Type 2 diabetes mellitus
Contains Sensitive ContentDoes not contain sensitive content
ANZSRC Field of Research 20204299. Other health sciences
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Byline AffiliationsUniversity of Newcastle
School of Health and Medical Sciences
Haramaya University, Ethiopia
Deakin University
University of Queensland
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