scholarly journals Associations between health-related quality of life and physical function in older adults with or at risk of mobility disability after discharge from the hospital

2021 ◽  
Author(s):  
Sylvia Sunde ◽  
Karin Hesseberg ◽  
Dawn A. Skelton ◽  
Anette Hylen Ranhoff ◽  
Are Hugo Pripp ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
At Risk ◽  
Physical Function ◽  
Health Related Quality ◽  
Mobility Disability ◽  
Related Quality ◽  
Health Related ◽  
Physical Hrqol

Abstract Purpose To optimise the treatment for older adults after hospitalisation, thorough health status information is needed. Therefore, we aimed to investigate the associations between health-related quality of life (HRQOL) and physical function in older adults with or at risk of mobility disability after hospital discharge. Methods This cross-sectional study recruited 89 home-dwelling older people while inpatients within medical wards at a general hospital in Oslo, Norway. HRQOL [the Medical Outcome Study 36-Item Short-Form Health Survey (SF-36)] and physical function [the Short Physical Performance Battery (SPPB)] were measured a median of 49 [interquartile range (IQR) 26–116] days after discharge. Simple linear regression analyses were conducted, and multivariable regression models were fitted. Results The mean age of the patients was 78.3 years; 43 (48.9 %) were females. Multivariable regressions showed positive associations between SPPB and the physical subscales {physical functioning [B (95% CI) 4.51 (2.35–6.68)], role physical [B (95% CI) 5.21 (2.75–7.67)], bodily pain [B (95% CI) 3.40 (0.73–6.10)] and general health [B (95% CI) 3.12 (1.13–5.12)]}. Univariable regressions showed no significant associations between SPPB and the mental subscales {vitality [B (95% CI) 1.54 (− 0.10–3.18)], social functioning [B (95% CI) 2.34 (− 0.28–4.96)], role emotional [B (95% CI) 1.28 (− 0.96–3.52)] and mental health [B (95% CI) 1.00 (− 0.37–2.36)]}. Conclusion The results reinforce that physical function and physical HRQOL are strongly linked, and interventions improving physical function might improve physical HRQOL. However, this hypothesis would have to be tested in a randomised controlled trial. Trial registration ClinicalTrials.gov. Registered 19 September 2016 (NCT02905383).

scholarly journals Health-Related Quality of Life in Older Adults at Risk for Disability

2007 ◽  
Vol 33 (3) ◽  
pp. 214-218 ◽  
Author(s):  
Erik J. Groessl ◽  
Robert M. Kaplan ◽  
W. Jack Rejeski ◽  
Jeffrey A. Katula ◽  
Abby C. King ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
At Risk ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Risk For Disability

scholarly journals MALNOURISHED OLDER ADULTS ADMITTED TO REHABILITATION IN RURAL NEW SOUTH WALES REMAIN MALNOURISHED THROUGHOUT REHABILITATION AND ONCE DISCHARGED BACK TO THE COMMUNITY: A PROSPECTIVE COHORT STUDY

2015 ◽  
pp. 1-7
Author(s):  
S. Marshall ◽  
A. Young ◽  
J. Bauer ◽  
E. Isenring
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Function ◽  
Health Related Quality ◽  
Post Discharge ◽  
South Wales ◽  
Related Quality ◽  
Health Related ◽  
Rural Rehabilitation

Objectives: Understanding the nutritional journey that older adults make from rehabilitation to home will help to target nutrition screening and intervention programs. This study aimed to determine the nutritional status, physical function and health-related quality of life amongst malnourished older adults admitted to two rural rehabilitation units and 12 weeks post-discharge to the community. Design: Observational prospective cohort study, conducted August 2013 to February 2014. Setting: Rehabilitation units in rural New South Wales, Australia. Participants: Thirty community-dwelling, malnourished older adult inpatients (mean age 79.5±7.1 years, 57% female). Intervention: Observation of usual care: basic nutrition services typical to rural rehabilitation units. Measurements: Outcome assessments were measured at rehabilitation admission, discharge and 12 weeks post-discharge, with nutrition status via the Scored Patient-Generated Subjective Global Assessment as the primary outcome measure. Secondary outcome measures included physical function (Modified Barthel Index) and health-related quality of life (Assessment of Quality of Life-6D). Results: At admission, half of the rehabilitation patients were moderately malnourished and half were severely malnourished, with the cohort becoming and remaining moderately malnourished on discharge and 12 weeks post-discharge. Only four patients (24%) were well-nourished 12 weeks post-discharge. Following discharge, there was a trend showing decline in physical function. No improvement was found in health-related quality of life following discharge. Conclusion: Malnourished older adults admitted to rural rehabilitation units with basic nutrition care are likely to be discharged with moderate malnutrition, and remain moderately malnourished in the community for at least 12 weeks. Physical function and health-related quality of life remain poor in this population. Collaboration between health services and within the multidisciplinary team is essential to identify and treat malnourished older adults, and novel approaches for inpatient and post-discharge nutrition support is needed.

scholarly journals Impact of age in health-related quality of life in older adults with cancer

2021 ◽  
Vol 15 ◽  
Author(s):  
Coeli Regina Carneiro Ximenes ◽  
Anke Bergmann ◽  
Jurema Telles de Oliveira Lima ◽  
Arlene Santos Cavalcanti ◽  
Murilo Carlos Amorim de Britto ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Function ◽  
Age Groups ◽  
Health Related Quality ◽  
Emotional Function ◽  
Related Quality ◽  
Health Related ◽  
The Impact

OBJECTIVE: To evaluate the impact of age in health-related quality of life (HRQoL) in older adults with cancer. METHODS: This was a cross-sectional study of 608 older adults diagnosed with cancer. Age groups were considered an independent variable. For the analysis of HRQoL, the mean scores of age groups were compared by analysis of variance and the Scheffé comparison test. For measuring the association between age and HRQoL, we used simple and multiple linear regression analyses. RESULTS: Cognitive function showed the highest scores (average 87.94 ± 26.87), while physical function showed the lowest ones (68.04 ± 28.63). The highest symptom score was observed for financial difficulties (34.21 ± 39.06), followed by pain (29.47 ± 33.92) and insomnia (28.51 ± 37.03). After adjustment, we observed a decrease in physical function (p = 0.028) and an improvement in emotional function (p = 0.003) with increasing age. Conclusions: In older patients with cancer, age negatively impacted physical function and positively impacted emotional function.

scholarly journals Elastic Band Power Training Improves Physical Function and Health-Related Quality of Life in Institutionalized Frail Older Adults

2020 ◽  
Vol 11 (4) ◽  
pp. 136-141
Author(s):  
Ricardo Aurélio Carvalho Sampaio ◽  
Priscila Yukari Sewo Sampaio ◽  
Hélio José Coelho-Júnior ◽  
Carolina Mie Kawagosi Onodera ◽  
Eduardo Lusa Cadore ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Function ◽  
Power Training ◽  
Health Related Quality ◽  
Elastic Band ◽  
Band Power ◽  
Related Quality ◽  
Health Related

scholarly journals Continuous Compared to Accumulated Walking-Training on Physical Function and Health-Related Quality of Life in Sedentary Older Persons

2020 ◽  
Vol 17 (17) ◽  
pp. 6060 ◽  
Author(s):  
Pablo Monteagudo ◽  
Ainoa Roldán ◽  
Ana Cordellat ◽  
Mari Carmen Gómez-Cabrera ◽  
Cristina Blasco-Lafarga
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Function ◽  
Continuous Group ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
The Impact ◽  
Training Protocols

The present study aimed to analyze the impact of overground walking interval training (WIT) in a group of sedentary older adults, comparing two different dose-distributions. In this quasi-experimental and longitudinal study, we recruited twenty-three sedentary older adults (71.00 ± 4.10 years) who were assigned to two groups of WIT. The continuous group (CWIT) trained for 60 min/session in the morning, while the accumulated group (AWIT) performed the same duration and intensity of exercise, but it was distributed twice a day (30 min in the morning and 30 more in the afternoon). After 15 weeks of an equal external-load training (3 days/week), Bonferroni post-hoc comparisons revealed significant (p < 0.050) and similar large improvements in both groups in cardiorespiratory fitness and lower limb strength; even larger gains in preferred walking speed and instrumental daily life activity, which was slightly superior for CWIT; and improvements in agility, which were moderate for CWIT and large for AWIT. However, none of the training protocols had an impact on the executive function in the individuals, and only the AWIT group improved health-related quality of life. Although both training protocols induced a general significant improvement in physical function in older adults, our results showed that the accumulative strategy should be recommended when health-related quality of life is the main target, and the continuous strategy should be recommended when weakness may be a threat in the short or medium term.

Prediction of Health Related Quality of Life in Older Adults using Measures of Physical Function

2015 ◽  
Vol 47 ◽  
pp. 335
Author(s):  
Elizabeth K. Bailey ◽  
Stephen P. Bailey ◽  
Hannah McHugh ◽  
John Isenbarger ◽  
Srikant Vallabhajosula
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Physical Function ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

scholarly journals Physical Function and Health-Related Quality of Life in Older Adults With or at Risk of Mobility Disability Post-discharge: 8-Month Follow-Up of a Randomized Controlled Trial

2021 ◽  
pp. 1-7
Author(s):  
Sylvia Sunde ◽  
Karin Hesseberg ◽  
Dawn A. Skelton ◽  
Anette H. Ranhoff ◽  
Are H. Pripp ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Confidence Interval ◽  
Physical Function ◽  
Mean Difference ◽  
Health Related Quality ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

The objective of this study was to evaluate physical function and health-related quality of life 4 months after the cessation of a 4-month exercise intervention in 89 older adults after discharge from hospital. Linear mixed regression models were used to evaluate between-group differences. Data were analyzed according to the intention-to-treat principle. There was no statistically significant between-group difference in the Short Physical Performance Battery (mean difference 0.5 points, 95% confidence interval [−0.6, 1.5], p = .378). There was a statistically significant difference in favor of the intervention group in functional capacity (the 6-min walk test; mean difference 32.9 m, 95% confidence interval [1.5, 64.3], p = .040) and physical health–related quality of life (physical component summary of medical outcome Study 36-Item Short-Form Health Survey; mean difference 5.9 points, 95% confidence interval [2.0, 9.7], p = .003). Interventions aiming to maintain or increase physical function and health-related quality of life should be encouraged in this population.

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