This study examined (1) the association of caregiver engagement in physical activity (PA) with their quality of life (QoL) and (2) the moderating effect of caregiver engagement in PA on the relationship between several caregiving stressors and their QoL, among informal caregivers of older adults.
Methods
Multivariable regression was applied to data from 278 adult caregivers, aged 23–90 years, in Singapore.
Results
Engagement in PA by caregivers was positively associated with psychological, social relationships, and environment domains of their QoL. Caregiver engagement in PA also mitigated the negative association between care-recipient mood impairment and QoL of caregivers in the physical health and social relationships domains.
Discussion
QoL of caregivers may be improved or protected by their regular engagement in PA, especially when their care-recipients have mood impairment. Policymakers and practitioners should encourage caregivers to engage in PA and provide them with the necessary support to do so.
BomJ.BakxP.SchutF.van DoorslaerE. (2019). The impact of informal caregiving for older adults on the health of various types of caregivers: A systematic review. Gerontologist, 59(5), e629–e642. https://doi.org/10.1093/geront/gny137
4.
CairneyJ.KwanM. Y.VeldhuizenS.FaulknerG. E. (2014). Who uses exercise as a coping strategy for stress? Results from a national survey of Canadians. Journal of Physical Activity and Health, 11(5), 908–916. https://doi.org/10.1123/jpah.2012-0107
5.
Caregiving Welfare AssociationC. (2021). Caregiving for seniors: A practical guide (2nd ed.). Caregiving Welfare Association.
6.
ChanA.MalhotraC.MalhotraR.RushA. J.ØstbyeT. (2013). Health impacts of caregiving for older adults with functional limitations:results from the Singapore survey on informal caregiving. Journal of Aging and Health, 25(6), 998–1012. https://doi.org/10.1177/0898264313494801
7.
ChanA.MalhotraR.ManapN. B.TingY. Y.VisariaA.ChengG. H-L.GohV. S. M.TayP. K. C.LeeJ. M. L.MaulodA. (2018). Transitions in health, employment, social engagement and intergenerational transfers in Singapore study (THE SIGNS study) – I: Descriptive statistics and analysis of key aspects of successful ageing. In Centre for ageing research and education (CARE). Duke-NUS Medical School.
8.
ChanA.SaitoY.MatcharD. B.ØstbyeT.MalhotraC.AngS.MaS.MalhotraR. (2019). Cohort profile: Panel on health and ageing of Singaporean elderly (PHASE). International Journal of Epidemiology, 48(6), 1750–1751f. https://doi.org/10.1093/ije/dyz172
ConnV. S.HafdahlA. R.BrownL. M. (2009). Meta-analysis of quality-of-life outcomes from physical activity interventions. Nursing Research, 58(3), 175–183. https://doi.org/10.1097/NNR.0b013e318199b53a
11.
CraikeM. J.ColemanD.MacMahonC. (2010). Direct and buffering effects of physical activity on stress-related depression in mothers of infants. Journal of Sport & Exercise Psychology, 32(1), 23–38. https://doi.org/10.1123/jsep.32.1.23
12.
FarinaN.PageT. E.DaleyS.BrownA.BowlingA.BassetT.LivingstonG.KnappM.MurrayJ.BanerjeeS. (2017). Factors associated with the quality of life of family carers of people with dementia: A systematic review. Alzheimer’s and Dementia, 13(5), 572–581. https://doi.org/10.1016/j.jalz.2016.12.010
GreinerC.TamdeeD.OkamotoN.TamdeeP.IsowaT.BooonchiangW.RyunoH.KitagawaA. (2017). Comparison survey on family caregivers of elderly people in Thailand and Japan. Innovation in Aging, 1(suppl_1), 601–601. https://doi.org/10.1093/geroni/igx004.2104
15.
HazzanA. A.ShannonH.PloegJ.RainaP.OremusM. (2014). Association between caregiver quality of life and the care provided to persons with Alzheimer°Øs disease: Systematic review. Advances in Alzheimer's Disease, 03(01), 10. Article 44096. https://doi.org/10.4236/aad.2014.31006
16.
HeA. J.TangV. F. Y. (2021). Integration of health services for the elderly in Asia: A scoping review of Hong Kong, Singapore, Malaysia, Indonesia. Health Policy, 125(3), 351–362. https://doi.org/10.1016/j.healthpol.2020.12.020
17.
HeW.GoodkindD.KowalP.AlmasarwehI. S.GiangT. L.IslamM. M.LeeS.TeerawichitchainanB.TeyN. P. (2022). Asia aging: Demographic, economic, and health Transitions international population reports P95/22-1 (U. S. C. Bureau, Ed.). U.S. Government Publishing Office.
HoS. C.ChanA.WooJ.ChongP.ShamA. (2009). Impact of caregiving on health and quality of life: A comparative population-based study of caregivers for elderly persons and noncaregivers. The Journals of Gerontology: Series A, 64A(8), 873–879. https://doi.org/10.1093/gerona/glp034
20.
HoshinoJ.TamakoshiK.HoriY.SakakibaraH. (2022). Association between caregivers' health-related quality of life and care recipients' health outcomes. International Journal of Nursing Practice, 28(3), Article e13044. https://doi.org/10.1111/ijn.13044
21.
JohnsonM. M. S.WackerbarthS. B.SchmittF. A. (2001). Revised memory and behavior problems checklist. Clinical Gerontologist, 22(3–4), 87–108. https://doi.org/10.1300/J018v22n03_09
22.
KadariyaS.GautamR.AroA. R. (2019). Physical activity, mental health, and wellbeing among older adults in south and southeast Asia: A scoping review. BioMed Research International, 2019, Article 6752182. https://doi.org/10.1155/2019/6752182
23.
KimS. W.KimJ. M.StewartR.BaeK. L.YangS. J.ShinI. S.ShinH. Y.YoonJ. S. (2006). Correlates of caregiver burden for Korean elders according to cognitive and functional status. Int J Geriatr Psychiatry, 21(9), 853–861. https://doi.org/10.1002/gps.1571
24.
KnightB. G.SayeghP. (2009). Cultural values and caregiving: The updated sociocultural stress and coping model. The Journals of Gerontology: Series B, 65B(1), 5–13. https://doi.org/10.1093/geronb/gbp096
25.
LambertS. D.DuncanL. R.KapellasS.BrusonA. M.MyrandM.Santa MinaD.Culos-ReedN.LambrouA. (2016). A descriptive systematic review of physical activity interventions for caregivers: Effects on caregivers' and care recipients' psychosocial outcomes, physical activity levels, and physical health. Annals of Behavioral Medicine, 50(6), 907–919. https://doi.org/10.1007/s12160-016-9819-3
26.
LarranagaI.MartinU.BacigalupeA.BegiristainJ. M.ValderramaM. J.ArregiB. (2008). [Impact of informal caregiving on caregivers' health and quality of life: Analysis of gender inequalities]. Gaceta Sanitaria, 22(5), 443–450. https://doi.org/10.1157/13126925
27.
Lima-RodríguezJ. S.de Medina-MoragasA. J.Fernández-FernándezM. J.Lima-SerranoM. (2022). Factors associated with quality of life in relatives of adults with serious mental illness: A systematic review. Community Mental Health Journal, 58(7), 1361–1380. https://doi.org/10.1007/s10597-022-00948-4
28.
MalhotraR.BautistaM. A. C.MüllerA. M.AwS.KohG. C. H.ThengY-L.HoskinsS. J.WongC. H.MiaoC.LimW-S.MalhotraC.ChanA. (2018). The aging of a young nation: Population aging in Singapore. The Gerontologist, 59(3), 401–410. https://doi.org/10.1093/geront/gny160
29.
Martínez-GómezD.Guallar-CastillónP.León-MuñozL. M.Rodríguez-ArtalejoF. (2014). Household physical activity and mortality in older adults: A national cohort study in Spain. Preventive Medicine, 61, 14–19. https://doi.org/10.1016/j.ypmed.2014.01.006
30.
MiltonK.BullF. C.BaumanA. (2011). Reliability and validity testing of a single-item physical activity measure. British Journal of Sports Medicine, 45(3), 203–208. https://doi.org/10.1136/bjsm.2009.068395
31.
MiltonK.ClemesS.BullF. (2013). Can a single question provide an accurate measure of physical activity?British Journal of Sports Medicine, 47(1), 44–48. https://doi.org/10.1136/bjsports-2011-090899
32.
MurphyM. H.DonnellyP.BreslinG.ShibliS.NevillA. M. (2013). Does doing housework keep you healthy? The contribution of domestic physical activity to meeting current recommendations for health. BMC Public Health, 13(1), 966. https://doi.org/10.1186/1471-2458-13-966
33.
NgH. Y.GrivaK.LimH. A.TanJ. Y. S.MahendranR. (2016). The burden of filial piety: A qualitative study on caregiving motivations amongst family caregivers of patients with cancer in Singapore. Psychology and Health, 31(11), 1293–1310. https://doi.org/10.1080/08870446.2016.1204450
OrgetaV.Miranda-CastilloC. (2014). Does physical activity reduce burden in carers of people with dementia? A literature review. Int J Geriatr Psychiatry, 29(8), 771–783. https://doi.org/10.1002/gps.4060
36.
ØstbyeT.MalhotraR.MalhotraC.ArambepolaC.ChanA. (2013). Does support from foreign domestic workers decrease the negative impact of informal caregiving? Results from Singapore survey on informal caregiving. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 68(4), 609–621. https://doi.org/10.1093/geronb/gbt042
37.
PearlinL. I.MullanJ. T.SempleS. J.SkaffM. M. (1990). Caregiving and the stress process: An overview of concepts and their measures. Gerontologist, 30(5), 583–594. https://doi.org/10.1093/geront/30.5.583
38.
PendergrassA.MittelmanM.GraesselE.ÖzbeD.KargN. (2019). Predictors of the personal benefits and positive aspects of informal caregiving. Aging & Mental Health, 23(11), 1533–1538. https://doi.org/10.1080/13607863.2018.1501662
39.
RothD. L.FredmanL.HaleyW. E. (2015). Informal caregiving and its impact on health: A reappraisal from population-based studies. Gerontologist, 55(2), 309–319. https://doi.org/10.1093/geront/gnu177
40.
SaxenaS.Van OmmerenM.TangK. C.ArmstrongT. P. (2005). Mental health benefits of physical activity. Journal of Mental Health, 14(5), 445–451. https://doi.org/10.1080/09638230500270776
41.
SchulzR.SherwoodP. R. (2008). Physical and mental health effects of family caregiving. Journal of Social Work Education, 44(suppl 3), 105–113. https://doi.org/10.5175/JSWE.2008.773247702
42.
SchulzR.TompkinsC. A. (2010). Informal caregivers in the United States: Prevalence, caregiver characteristics, and ability to provide care. In National Research Council (US) Committee on the Role of Human Factors in Home Health Care (Ed.), The role of human factors in home health care. National Academies Press (US).
43.
SmithL. P.NgS. W.PopkinB. M. (2014). No time for the gym? Housework and other non-labor market time use patterns are associated with meeting physical activity recommendations among adults in full-time, sedentary jobs. Social Science & Medicine, 120, 126–134. https://doi.org/10.1016/j.socscimed.2014.09.010
44.
StaceyA. F.GillT. K.PriceK.WarmingtonR.TaylorA. W. (2016). Unpaid informal caregivers in south Australia: Population characteristics, prevalence and age-period-cohort effects 1994–2014. PLOS ONE, 11(9), Article e0161994. https://doi.org/10.1371/journal.pone.0161994
45.
TeriL.TruaxP.LogsdonR.UomotoJ.ZaritS.VitalianoP. P. (1992). Assessment of behavioral problems in dementia: The revised memory and behavior problems checklist. Psychology and Aging, 7(4), 622–631. https://doi.org/10.1037//0882-7974.7.4.622
46.
UebelackerL. A.EatonC. B.WeisbergR.SandsM.WilliamsC.CalhounD.MansonJ. E.DenburgN. L.TaylorT. (2013). Social support and physical activity as moderators of life stress in predicting baseline depression and change in depression over time in the Women’s Health Initiative. Social Psychiatry and Psychiatric Epidemiology, 48(12), 1971–1982. https://doi.org/10.1007/s00127-013-0693-z
47.
WarburtonD. E. R.NicolC. W.BredinS. S. D. (2006). Health benefits of physical activity: The evidence. Canadian Medical Association Journal, 174(6), 801–809. https://doi.org/10.1503/cmaj.051351
WijndaeleK.MattonL.DuvigneaudN.LefevreJ.De BourdeaudhuijI.DuquetW.ThomisM.PhilippaertsR. M. (2007). Association between leisure time physical activity and stress, social support and coping: A cluster-analytical approach. Psychology of Sport and Exercise, 8(4), 425–440. https://doi.org/10.1016/j.psychsport.2006.08.001
52.
World Health Organisation, T. W. G. (1998). Development of the world health organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28(3), 551–558. https://doi.org/10.1017/S0033291798006667
53.
ZhouQ.ChangO.TanA.HuangG.LimZ. H. (2022). Quality of life study on caregivers in Singapore. National Council of Social Service.
54.
ZivinK.WhartonT.RostantO. (2013). The economic, public health, and caregiver burden of late-life depression. Psychiatr Clin North Am, 36(4), 631–649. https://doi.org/10.1016/j.psc.2013.08.008
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