Associations between meeting 24-hour movement guidelines and health-related quality of life in older adults: a systematic review and meta-analysis
Abstract
BACKGROUND: Adherence to 24-h movement guidelines that include physical activity (PA), sedentary behaviour (SB), and sleep is linked to improved health outcomes, yet its impact on health-related quality of life (HRQoL) in older adults remains underexplored. OBJECTIVE: This study investigated the relationship between adherence to guidelines for 24-h movement behaviours and HRQoL in older adults. METHODS: A systematic search of four databases was conducted to identify studies published from the date of inception to January 2025. The Appraisal Tool for Cross-Sectional Studies was used to assess the risk of bias among the included studies. Random-effects models were used to conduct a meta-analysis involving the extracted proportions and odds ratios (OR) from each study. The Freeman–Tukey transformation was applied to stabilise the variance of proportional data before meta-analysis, and pooled proportions were back-transformed to their original scale for reporting. Heterogeneity was assessed using the I2 statistic. Publication bias was evaluated using Begg’s test. A sensitivity analysis was conducted, which included changing the random-effects model to a fixed-effects model and adopting a leave-one-out analysis. RESULTS: Twenty-five cross-sectional articles were included, covering a total of 170,670 older adults aged ≥ 60 years. We found that 24.3% (95% confidence interval [CI]: 22.1%–26.5%, p < 0.01) of older adults adhered to at least one movement guideline, among whom 23.0%…
How strong is the evidence?
Evidence Hub reads this as a meta-analysis, done in people. Its evidence level is 1 of 5 (Highest · pooled evidence). Pooled evidence from several studies sits at the top of the evidence pyramid. Reported size: 170,670 participants or records.
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