{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,9]],"date-time":"2025-12-09T11:39:08Z","timestamp":1765280348225,"version":"build-2065373602"},"reference-count":74,"publisher":"MDPI AG","issue":"21","license":[{"start":{"date-parts":[[2022,10,29]],"date-time":"2022-10-29T00:00:00Z","timestamp":1667001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Swiss National Science Foundation","award":["51NF40-185901","10001C_189407","UIDB\/50009\/2020"],"award-info":[{"award-number":["51NF40-185901","10001C_189407","UIDB\/50009\/2020"]}]},{"name":"Portuguese national funding agency for science, research, and technology (FCT)","award":["51NF40-185901","10001C_189407","UIDB\/50009\/2020"],"award-info":[{"award-number":["51NF40-185901","10001C_189407","UIDB\/50009\/2020"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The present study aimed to examine whether gait speed (GS), body balance (BB), and falls mediated the relationship between physical activity (PA) and health-related quality of life (HRQoL) in community-dwelling older adults. This is a cross-sectional study that included 305 men and 314 women (69.5 \u00b1 5.6 years), residing in the Autonomous Region of Madeira, Portugal. HRQoL and PA were assessed using the SF-36 and Baecke Questionnaires, respectively. While BB was obtained by the Fullerton Advance Balance (FAB) scale, GS by the 50-foot (15 m) walk test, and the frequency of falls was obtained by self-report. According to the analyses, when GS and BB were placed concomitantly as mediators, the direct effect revealed by the model revealed a non-significant relationship between PA and falls. Thus, in the context of falls, GS and BB partially mediated the association between PA and HRQoL in approximately 29.7%, 56%, and 49.2%, respectively. The total HRQoL model explained a variance of 36.4%. The results can help to understand the role that GS, BB, and falls play in the relationship between PA and HRQoL of the vulnerable older adult population.<\/jats:p>","DOI":"10.3390\/ijerph192114135","type":"journal-article","created":{"date-parts":[[2022,10,30]],"date-time":"2022-10-30T04:57:34Z","timestamp":1667105854000},"page":"14135","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Exploring Mediation Effects of Gait Speed, Body Balance, and Falls in the Relationship between Physical Activity and Health-Related Quality of Life in Vulnerable Older Adults"],"prefix":"10.3390","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3577-3439","authenticated-orcid":false,"given":"Marcelo de Maio","family":"Nascimento","sequence":"first","affiliation":[{"name":"Department of Physical Education, Federal University of Vale do S\u00e3o Francisco, Petrolina 56304-917, Brazil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0927-692X","authenticated-orcid":false,"given":"\u00c9lvio R\u00fabio","family":"Gouveia","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal"},{"name":"LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal"},{"name":"Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland"}]},{"given":"Bruna R.","family":"Gouveia","sequence":"additional","affiliation":[{"name":"LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal"},{"name":"Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland"},{"name":"Regional Directorate of Health, Secretary of Health of the Autonomous Region of Madeira, 9004-515 Funchal, Portugal"},{"name":"Saint Joseph of Cluny Higher School of Nursing, 9050-535 Funchal, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9850-7771","authenticated-orcid":false,"given":"Adilson","family":"Marques","sequence":"additional","affiliation":[{"name":"CIPER, Faculty of Human Kinetics, University of Lisbon, 1495-751 Lisbon, Portugal"},{"name":"ISAMB, Faculty of Medicine, University of Lisbon, 1649-020 Lisbon, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8364-6832","authenticated-orcid":false,"given":"C\u00edntia","family":"Fran\u00e7a","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal"},{"name":"LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal"}]},{"given":"Duarte L.","family":"Freitas","sequence":"additional","affiliation":[{"name":"Department of Physical Education and Sport, University of Madeira, 9020-105 Funchal, Portugal"},{"name":"Centre of Research, Education, Innovation and Intervention in Sport (CIFI2D), Faculty of Sport, University of Porto, 4200-450 Porto, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7706-5038","authenticated-orcid":false,"given":"Pedro","family":"Campos","sequence":"additional","affiliation":[{"name":"LARSYS, Interactive Technologies Institute, 9020-105 Funchal, Portugal"},{"name":"Department of Informatics Engineering and Interactive Media Design, University of Madeira, 9020-105 Funchal, Portugal"}]},{"given":"Andreas","family":"Ihle","sequence":"additional","affiliation":[{"name":"Center for the Interdisciplinary Study of Gerontology and Vulnerability, University of Geneva, 1205 Geneva, Switzerland"},{"name":"Department of Psychology, University of Geneva, 1205 Geneva, Switzerland"},{"name":"Swiss National Centre of Competence in Research LIVES\u2014Overcoming Vulnerability: Life Course Perspectives, 1015 Lausanne, Switzerland"}]}],"member":"1968","published-online":{"date-parts":[[2022,10,29]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1134\/S2079057019020048","article-title":"Quality of Life and Physical Activity among Elderly and Old People","volume":"9","author":"Bashkireva","year":"2019","journal-title":"Adv. Gerontol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1590\/1516-4446-2012-0895","article-title":"Association between physical activity and quality of life in the elderly: A systematic review, 2000\u20132012","volume":"36","author":"Vagetti","year":"2014","journal-title":"Rev. Bras. Psiquiatr."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"28","DOI":"10.1136\/bjsm.2008.053736","article-title":"Physical activity and maintaining physical function in older adults","volume":"43","author":"Manini","year":"2008","journal-title":"Br. J. Sports Med."},{"key":"ref_4","unstructured":"WHO-World Health Organization (2020). WHO Guidelines on Physical Activity and Sedentary Behaviour, WHO."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.exger.2019.02.003","article-title":"Objective physical activity and physical performance in middle-aged and older adults","volume":"119","author":"Spartano","year":"2019","journal-title":"Exp. Gerontol."},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"101266","DOI":"10.1016\/j.arr.2021.101266","article-title":"The association of objectively measured physical activity and sedentary behavior with skeletal muscle strength and muscle power in older adults: A systematic review and meta-analysis","volume":"67","author":"Ramsey","year":"2021","journal-title":"Ageing Res. Rev."},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Garcia Meneguci, C.A., Meneguci, J., Sasaki, J.E., Tribess, S., and J\u00fanior, J.S.V. (2021). Physical activity, sedentary behavior and functionality in older adults: A cross-sectional path analysis. PLoS ONE, 16.","DOI":"10.1371\/journal.pone.0246275"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"653","DOI":"10.1123\/japa.2016-0201","article-title":"Effect of Different Types of Physical Activity on Activities of Daily Living in Older Adults: Systematic Review and Meta-Analysis","volume":"25","author":"Roberts","year":"2017","journal-title":"J. Aging Phys. Act."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"47","DOI":"10.1186\/1477-7525-9-47","article-title":"Longitudinal association of physical activity and sedentary behavior during leisure time with health-related quality of life in community-dwelling older adults","volume":"9","author":"Graciani","year":"2011","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"645","DOI":"10.1007\/s40273-016-0389-9","article-title":"Health, Health-Related Quality of Life, and Quality of Life: What is the Difference?","volume":"34","author":"Karimi","year":"2016","journal-title":"Pharmacoeconomics"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1111\/opn.12089","article-title":"Quality of life in old age\u2014A concept analysis","volume":"11","author":"Boggatz","year":"2016","journal-title":"Int. J. Older People Nurs."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"2011","DOI":"10.1007\/s11136-012-0332-2","article-title":"Effect of changes in moderate or vigorous physical activity on changes in health-related quality of life of elderly British women over seven years","volume":"22","author":"Choi","year":"2013","journal-title":"Qual. Life Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1016\/j.arr.2017.06.003","article-title":"Physical activity and healthy ageing: A systematic review and meta-analysis of longitudinal cohort studies","volume":"38","author":"Daskalopoulou","year":"2017","journal-title":"Ageing Res. Rev."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"541","DOI":"10.1097\/HCO.0000000000000437","article-title":"Health benefits of physical activity: A systematic review of current systematic reviews","volume":"32","author":"Warburton","year":"2017","journal-title":"Curr. Opin. Cardiol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/j.amepre.2007.04.031","article-title":"Health-Related Quality of Life in Older Adults at Risk for Disability","volume":"33","author":"Groessl","year":"2007","journal-title":"Am. J. Prev. Med."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.archger.2018.10.009","article-title":"Balance and mobility relationships in older adults: A representative population-based cross-sectional study in Madeira, Portugal","volume":"80","author":"Gouveia","year":"2019","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1002\/jcsm.12444","article-title":"Gait speed as a mediator of the effect of sarcopenia on dependency in activities of daily living","volume":"10","author":"Izquierdo","year":"2019","journal-title":"J. cachexia Sarcopenia Muscle"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1093\/geronb\/gbv027","article-title":"Intraindividual reaction time variability, falls, and gait in old age: A systematic review","volume":"71","author":"Graveson","year":"2016","journal-title":"J. Gerontol.-Ser. B Psychol. Sci. Soc. Sci."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"73","DOI":"10.1519\/JPT.0000000000000171","article-title":"(Clive) Gait Speed and Dynamic Stability Decline Accelerates Only in Late Life: A Cross-sectional Study in Community-Dwelling Older Adults","volume":"42","author":"Lee","year":"2019","journal-title":"J. Geriatr. Phys. Ther."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"734","DOI":"10.1056\/NEJMcp1903252","article-title":"Prevention of Falls in Community-Dwelling Older Adults","volume":"382","author":"Ganz","year":"2020","journal-title":"N. Engl. J. Med."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"693","DOI":"10.1111\/jgs.15304","article-title":"Medical Costs of Fatal and Nonfatal Falls in Older Adults","volume":"66","author":"Florence","year":"2018","journal-title":"J. Am. Geriatr. Soc."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/j.ijge.2016.05.009","article-title":"Factors Associated with Multiple Falls Among Elderly Patients Admitted to Emergency Department","volume":"11","author":"Ak","year":"2017","journal-title":"Int. J. Gerontol."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1093\/ageing\/afw129","article-title":"Prevalence and risk factors for falls in older men and women: The English Longitudinal Study of Ageing","volume":"45","author":"Gale","year":"2016","journal-title":"Age Ageing"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"1076","DOI":"10.36290\/vnl.2018.154","article-title":"Falls: A significant cause of morbidity and mortality in elderly people","volume":"64","author":"Berka","year":"2018","journal-title":"Vnitr. Lek."},{"key":"ref_25","doi-asserted-by":"crossref","unstructured":"Bjerk, M., Brovold, T., Skelton, D.A., and Bergland, A. (2017). A falls prevention programme to improve quality of life, physical function and falls efficacy in older people receiving home help services: Study protocol for a randomised controlled trial. BMC Health Serv. Res., 17.","DOI":"10.1186\/s12913-017-2516-5"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.archger.2017.08.008","article-title":"The elderly and falls: Factors associated with quality of life A cross-sectional study using large-scale national data in Korea","volume":"73","author":"Noh","year":"2017","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_27","doi-asserted-by":"crossref","unstructured":"Taraldsen, K., Helbostad, J.L., Follestad, T., Bergh, S., Selb\u00e6k, G., and Saltvedt, I. (2021). Gait, physical function, and physical activity in three groups of home-dwelling older adults with different severity of cognitive impairment\u2014A cross-sectional study. BMC Geriatr., 21.","DOI":"10.1186\/s12877-021-02598-9"},{"key":"ref_28","doi-asserted-by":"crossref","unstructured":"Yatsugi, H., Chen, T., Chen, S., Liu, X., and Kishimoto, H. (2021). The Associations between Objectively Measured Physical Activity and Physical Function in Community-Dwelling Older Japanese Men and Women. Int. J. Environ. Res. Public Health, 19.","DOI":"10.3390\/ijerph19010369"},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1016\/S1836-9553(12)70105-4","article-title":"Physical activity improves strength, balance and endurance in adults aged 40\u201365 years: A systematic review","volume":"58","author":"Ferreira","year":"2012","journal-title":"J. Physiother."},{"key":"ref_30","doi-asserted-by":"crossref","unstructured":"de Maio Nascimento, M., Gouveia, B.R., Gouveia, \u00c9.R., Campos, P., Marques, A., and Ihle, A. (2022). Muscle Strength and Balance as Mediators in the Association between Physical Activity and Health-Related Quality of Life in Community-Dwelling Older Adults. J. Clin. Med., 11.","DOI":"10.3390\/jcm11164857"},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1093\/gerona\/56.suppl_2.23","article-title":"Physical Activity and Quality of Life in Older Adults","volume":"56","author":"Rejeski","year":"2001","journal-title":"J. Gerontol. Ser. A Biol. Sci. Med. Sci."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Papalia, G.F., Papalia, R., Diaz Balzani, L.A., Torre, G., Zampogna, B., Vasta, S., Fossati, C., Alifano, A.M., and Denaro, V. (2020). The Effects of Physical Exercise on Balance and Prevention of Falls in Older People: A Systematic Review and Meta-Analysis. J. Clin. Med., 9.","DOI":"10.3390\/jcm9082595"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"1749","DOI":"10.1136\/bjsports-2016-096547","article-title":"Exercise to prevent falls in older adults: An updated systematic review and meta-analysis","volume":"51","author":"Sherrington","year":"2017","journal-title":"Br. J. Sports Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"e124","DOI":"10.1097\/JNR.0000000000000402","article-title":"A Study of Physical Activity, Frailty, and Health-Related Quality of Life Among Community-Dwelling Older Adults in Taiwan","volume":"28","author":"Li","year":"2020","journal-title":"J. Nurs. Res."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1186\/s12955-015-0299-0","article-title":"Mobility predicts change in older adults\u2019 health-related quality of life: Evidence from a Vancouver falls prevention prospective cohort study","volume":"13","author":"Davis","year":"2015","journal-title":"Health Qual. Life Outcomes"},{"key":"ref_36","unstructured":"American College of Sports Medicine (2018). ACSM\u2019s Guidelines for Exercise Testing and Prescription, Lippincott Williams Wilkins. [10th ed.]."},{"key":"ref_37","doi-asserted-by":"crossref","unstructured":"Marfell-Jones, M., Stewart, A., and Olds, T. (2006). Kinanthropometry IX, Routledge.","DOI":"10.4324\/9780203970157"},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"974","DOI":"10.1249\/00005768-199108000-00015","article-title":"A physical activity questionnaire for the elderly","volume":"23","author":"Voorrips","year":"1991","journal-title":"Med. Sci. Sport. Exerc."},{"key":"ref_39","unstructured":"Rose, D.J. (2003). A Comprehensive Balance and Mobility Training Program, Human Kinetics."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"2309","DOI":"10.1016\/j.apmr.2008.05.020","article-title":"Predicting Which Older Adults Will or Will Not Fall Using the Fullerton Advanced Balance Scale","volume":"89","author":"Hernandez","year":"2008","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1097\/00005650-199206000-00002","article-title":"The MOS 36-ltem Short-Form Health Survey (SF-36)","volume":"30","author":"Ware","year":"1992","journal-title":"Med. Care"},{"key":"ref_42","unstructured":"Hayes, A.F. (2018). Introduction to Mediation, Moderation, and Conditional Process Analysis: A Regression-Basead Approach, Guilford Press. [2nd ed.]."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"234","DOI":"10.1016\/j.sbspro.2013.12.027","article-title":"A Study on Multiple Linear Regression Analysis","volume":"106","year":"2013","journal-title":"Procedia -Soc. Behav. Sci."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1080\/00273170701341316","article-title":"Addressing Moderated Mediation Hypotheses: Theory, Methods, and Prescriptions","volume":"42","author":"Preacher","year":"2007","journal-title":"Multivar. Behav. Res."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"86","DOI":"10.2519\/jospt.1996.24.2.86","article-title":"Walking Speed: Reference Values and Correlates for Older Adults","volume":"24","author":"Bohannon","year":"1996","journal-title":"J. Orthop. Sport. Phys. Ther."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1186\/1743-0003-2-21","article-title":"Too much or too little step width variability is associated with a fall history in older persons who walk at or near normal gait speed","volume":"2","author":"Brach","year":"2005","journal-title":"J. Neuroeng. Rehabil."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"658","DOI":"10.1097\/EDE.0b013e3181e89905","article-title":"Risk Factors for Falls in Community-dwelling Older People","volume":"21","author":"Deandrea","year":"2010","journal-title":"Epidemiology"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"152","DOI":"10.1152\/physiol.00029.2016","article-title":"Physical Activity, Aging, and Physiological Function","volume":"32","author":"Harridge","year":"2017","journal-title":"Physiology"},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"516","DOI":"10.1177\/1073858418780971","article-title":"Aging in the Brain: New Roles of Epigenetics in Cognitive Decline","volume":"24","author":"Barter","year":"2018","journal-title":"Neuroscientist"},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"238","DOI":"10.1016\/j.gaitpost.2018.06.116","article-title":"Cognition and mobility show a global association in middle- and late-adulthood: Analyses from the Canadian Longitudinal Study on Aging","volume":"64","author":"Demnitz","year":"2018","journal-title":"Gait Posture"},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"1","DOI":"10.14802\/jmd.16062","article-title":"Functional Neuroanatomy for Posture and Gait Control","volume":"10","author":"Takakusaki","year":"2017","journal-title":"J. Mov. Disord."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"437","DOI":"10.3233\/NRE-130866","article-title":"Anatomy of the vestibular system: A review","volume":"32","author":"Khan","year":"2013","journal-title":"NeuroRehabilitation"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1093\/gerona\/61.1.78","article-title":"Power Training Improves Balance in Healthy Older Adults","volume":"61","author":"Orr","year":"2006","journal-title":"J. Gerontol. Ser. A Biol. Sci. Med. Sci."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"659","DOI":"10.2147\/CIA.S198697","article-title":"The association between cognition and dual-tasking among older adults: The effect of motor function type and cognition task difficulty","volume":"14","author":"Ehsani","year":"2019","journal-title":"Clin. Interv. Aging"},{"key":"ref_55","doi-asserted-by":"crossref","first-page":"31","DOI":"10.22540\/JFSF-05-031","article-title":"Dual-task exercises in older adults: A structured review of current literature","volume":"5","year":"2020","journal-title":"J. Frailty Sarcopenia Falls"},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"467","DOI":"10.1016\/j.neucli.2008.09.001","article-title":"Balance disorders in the elderly","volume":"38","author":"Sturnieks","year":"2008","journal-title":"Neurophysiol. Clin. Neurophysiol."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"97","DOI":"10.2190\/VXN3-N3RT-54JB-X16X","article-title":"Aging and posture control: Changes in sensory organization and muscular coordination","volume":"23","author":"Woollacott","year":"1986","journal-title":"Int. J. Ageing Hum. Dev."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"146","DOI":"10.1590\/bjpt-rbf.2014.0085","article-title":"Balance, gait, functionality and strength: Comparison between elderly fallers and non-fallers","volume":"19","author":"Cebolla","year":"2015","journal-title":"Braz. J. Phys. Ther."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1123\/japa.2016-0040","article-title":"Physical Activity Intervention Effects on Physical Function Among Community-Dwelling Older Adults: A Systematic Review and Meta-Analysis","volume":"25","author":"Chase","year":"2017","journal-title":"J. Aging Phys. Act."},{"key":"ref_60","doi-asserted-by":"crossref","unstructured":"Cooper, A.J.M., Simmons, R.K., Kuh, D., Brage, S., and Cooper, R. (2015). Physical Activity, Sedentary Time and Physical Capability in Early Old Age: British Birth Cohort Study. PLoS ONE, 10.","DOI":"10.1371\/journal.pone.0126465"},{"key":"ref_61","doi-asserted-by":"crossref","unstructured":"Ihle, A., Gouveia, B.R., Gouveia, \u00c9.R., and Cheval, B. (2021). Physical activity dimensions differentially predict physical and mental components of health-related quality of life: Evidence from a sport for all study Physical Activity Dimensions Differentially Predict Physical and Mental Components of Health. Sustainability, 13.","DOI":"10.3390\/su132313370"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/j.apmr.2011.08.042","article-title":"Effect of Exercise on Physical Function, Daily Living Activities, and Quality of Life in the Frail Older Adults: A Meta-Analysis","volume":"93","author":"Chou","year":"2012","journal-title":"Arch. Phys. Med. Rehabil."},{"key":"ref_63","doi-asserted-by":"crossref","unstructured":"Steckhan, G.M.A., Fleig, L., Schwarzer, R., and Warner, L.M. (2020). Perceived Physical Functioning and Gait Speed as Mediators in the Association Between Fear of Falling and Quality of Life in Old Age. J. Appl. Gerontol., 073346482097918.","DOI":"10.1177\/0733464820979188"},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"104017","DOI":"10.1016\/j.archger.2020.104017","article-title":"Association between Fear of Falling (FOF) and all-cause mortality","volume":"88","author":"Kim","year":"2020","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.archger.2017.08.012","article-title":"The effect of the ProBalance Programme on health-related quality of life of community-dwelling older adults: A randomised controlled trial","volume":"74","author":"Gouveia","year":"2018","journal-title":"Arch. Gerontol. Geriatr."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"S14","DOI":"10.21101\/cejph.a4081","article-title":"Effects of Exergames on Balance, Functional Mobility, and Quality of Life of Geriatrics Versus Home Exercise Programme: Randomized Controlled Study","volume":"23","author":"Karahan","year":"2015","journal-title":"Cent. Eur. J. Public Health"},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"1213","DOI":"10.1007\/s11136-012-0267-7","article-title":"Health-related quality of life in relation to walking habits and fitness: A population-based study of 75-year-olds","volume":"22","author":"Skoog","year":"2013","journal-title":"Qual. Life Res."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"7","DOI":"10.1093\/eurpub\/ckn099","article-title":"Quality of life as an outcome of fall prevention interventions among the aged: A systematic review","volume":"19","author":"Vaapio","year":"2008","journal-title":"Eur. J. Public Health"},{"key":"ref_69","doi-asserted-by":"crossref","unstructured":"Chang, H.-T., Chen, H.-C., and Chou, P. (2016). Factors Associated with Fear of Falling among Community-Dwelling Older Adults in the Shih-Pai Study in Taiwan. PLoS ONE, 11.","DOI":"10.1371\/journal.pone.0150612"},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"623","DOI":"10.1016\/B978-0-444-51892-7.00045-0","article-title":"Balance and gait problems in the elderly","volume":"103","author":"Viswanathan","year":"2012","journal-title":"Handb. Clin. Neurol."},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"701","DOI":"10.2147\/CIA.S197857","article-title":"A systematic review on the influence of fear of falling on quality of life in older people: Is there a role for falls?","volume":"14","author":"Schoene","year":"2019","journal-title":"Clin. Interv. Aging"},{"key":"ref_72","doi-asserted-by":"crossref","first-page":"14","DOI":"10.1016\/j.jamda.2014.06.020","article-title":"Fear of Falling and Gait Variability in Older Adults: A Systematic Review and Meta-Analysis","volume":"16","author":"Ayoubi","year":"2015","journal-title":"J. Am. Med. Dir. Assoc."},{"key":"ref_73","doi-asserted-by":"crossref","first-page":"435","DOI":"10.1093\/ageing\/afp066","article-title":"The influence of fear of falling on gait and balance in older people","volume":"38","author":"Reelick","year":"2009","journal-title":"Age Ageing"},{"key":"ref_74","doi-asserted-by":"crossref","first-page":"79","DOI":"10.1080\/02701367.2000.11082790","article-title":"Assessment of physical activity in older adults","volume":"71","author":"Washburn","year":"2000","journal-title":"Res. Q. Exerc. 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