Background: Older adults as a diverse group of individuals with various sociocultural backgrounds but there are many functioning and well-being are influenced by the acquisition of age-related changes and risk factors, they need more preventive care and a high level of promotion and wellness. This study aimed to assess activities of daily living and its effect on quality of life among older adults. Design: A descriptive-analytical design. Sampling: A purposive sample consisted of 327 Older adults people aged (60-80 years) were included in the study. Setting: the study was conducted at geriatric out-patient clinics of Alshahid Ahmed Shawke hospital of older adults in Eldemerdash hospital affiliated to Ain Shams University hospital in Cairo. Tools of data collection involved First tool - and Interviewing questionnaire sheet: which composed of the following parts: Part I: Socio-demographic data of older adults, Part II: health needs and health problems of older adults. Second tool: - Activities of daily living checklist. Third tool: - Quality of life domains among older adults. Results: The study findings revealed that there was high significant positive correlation between health need and total Quality of life l. There was high significant positive correlation between daily living activities and tot Quality of life al. Conclusion: The study concluded that difficulty in daily living activities has a significant negative association with health and quality of life among older population (> 60 years). Recommendation: Future research should be focused on developing programs of physical activities to promote ADL of older adults in communities.