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Relationship Between Strength, Function, and Quality of Life in Older Adults With Chronic Lung Disease: IS THERE AN INFLUENCE OF GENDER?

Benton, Melissa J. PhD, RN; Alexander, Jeffrey L. PhD; Holland, James D. MSN

Journal of Cardiopulmonary Rehabilitation & Prevention:
doi: 10.1097/HCR.0000000000000041
Pulmonary Rehabilitation
Abstract

PURPOSE: Chronic lung disease results in impaired quality of life (QOL) linked to loss of muscular strength and functional ability. Inequalities in strength and function may place women at greater risk than men. This study evaluated the influence of gender on the relationship between muscular strength, functional ability, and QOL.

METHODS: Older adults (N = 40) referred to a pulmonary rehabilitation program completed assessment of upper body and lower body strength, functional ability, and QOL. To compensate for gender differences, strength was normalized for body mass.

RESULTS: Strength was greater in men than in women (P < .001). No gender differences were observed for function. Men perceived better QOL related to physical function (score: 39.3 ± 3.3 vs 27.1 ± 2.1, P < .01) and social function (score: 58.0 ± 5.8 vs 41.6 ± 4.0, P < .05). In men, strength was related directly to QOL through physical function (r = 0.53, P < .05) and social function (r = 0.52, P < .05), and functional ability had no relationship to QOL. In women, strength was related to functional ability (r = 0.57, P < .05), and functional ability was directly related to QOL through physical function (r = 0.46, P < .05), and social function (r = 0.59, P < .01).

CONCLUSIONS: Functional ability mediates the relationship between strength and QOL in women, while in men strength is directly related to QOL. These gender-specific pathways to QOL may be of importance to clinicians planning interventions for older adults with chronic lung disease.

In Brief

Among older adults with chronic lung disease, gender modifies the relationship between muscular strength, functional ability, and quality of life (QOL). In women, function mediates the relationship between strength and QOL, while in men, strength is directly related to QOL and there is no intervening influence of function.

Author Information

Beth-El College of Nursing & Health Sciences, University of Colorado, Colorado Springs (Dr Benton); Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, Arizona (Dr Alexander); and College of Nursing, Valdosta State University, Valdosta, Georgia (Mr Holland).

Correspondence: Melissa J. Benton, PhD, RN, FACSM, Beth-El College of Nursing & Health Sciences, University of Colorado, Colorado Springs, 1420 Austin Bluffs Parkway, Colorado Springs, CO 80918 (mbenton@uccs.edu).

The authors declare no conflicts of interest.

© 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins