Ageing, Health-Related Quality of Life and Physical Activity – Evidence Based on the EQ-5D-5L

Lara N. Ferreira, Sandra Pais, Kateryna Ilchuk, Margarida Santos

Research output: Contribution to journalArticlepeer-review


As a result of increasingly senior populations worldwide, healthy ageing is becoming an important factor that can help reduce the burden of disease and disability and related healthcare costs. Previous research has shown that physical activity (PA) is crucial for healthier ageing and a better quality of life. This study sought to measure the PA and health-related quality of life (HRQoL) of people 55 years old or more. A sample of 202 senior adults completed a survey that comprised the EQ-5D-5L and other items assessing PA and activities of daily living (ADL) performance. Descriptive statistical analyses were carried out to characterise the sample and define its HRQoL. Non-parametric tests were used to compare the respondents’ HRQoL according to sociodemographic variables and PA and ADL performance. The level of agreement between HRQoL and ADL scores was assessed using Spearman’s rho. Sample subgroups were compared according to their age (i.e. nearly senior and senior) and sport and leisure time activities. Results show that HRQoL is lower for respondents with at least one diagnosed disease. Senior adults who take part in sport and leisure activities overall have a higher HRQoL, which is also impacted by the presence of at least one diagnosed disease and individuals’ natural age-related issues. The results show the importance of preventing disease by helping senior adults engage in some level of PA given its impact on HRQoL. This research also confirmed that the EQ-5D-5L is a valid tool for measuring senior people’s HRQoL.

Original languageEnglish
JournalAgeing International
Early online date2021
Publication statusPublished - Aug 2021


  • Activities of daily living
  • Ageing
  • EQ-5D-5L
  • Health-related quality of life
  • Healthy ageing
  • Physical activity
  • Senior


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