Health-related quality of life of institutionalized older adults: Influence of physical, nutritional and self-perceived health status

Background: Health-related quality of life (HRQoL) is multidimensional and is composed of, at a minimum, self-perceived health status, physical functioning, and psychological well-being. HRQoL measures reflect the extent of disability and dysfunction associated with a chronic disease such as cancer. The objective of this study is to examine factors associated with HRQoL among cancer survivors.Methods: Data from the 2009 Behavioral Risk Factor Surveillance System survey was used to examine factors associated with HRQoL among participants who reported having ever been diagnosed with cancer. Four questions associated with HRQoL included self-perceived health status, number of bad physical health days, and number of bad mental health days per month. Least square regression and logistic regression models, adjusted for confounding variables, were used for an ordinal and dichotomous [5 (bad) vs. 1–4 (excellent, very good, good, fair)] scale of HRQoL, respectively.Results: Fifty nine thousand one hundred seventy three participants reported having ever been diagnosed with cancer. Adjusted mean self-perceived health status (5-point scale) among survivors of thyroid, colon, lung, cervical, breast, prostate, and ovarian cancer was 3.83 (0.05), 4.02 (0.04), 4.36 (0.06), 3.77 (0.03), 3.88 (0.03), 3.78 (0.04), and 3.96 (0.05), respectively. After adjusting for confounders, a positive dose-response effect was observed between income range and all three HRQoL measures across all seven cancer sites. Income was consistently and inversely associated with a higher chance for reporting poorer HRQoL [OR: 0.64, 95% CI: 0.57–0.71], [OR: 0.63, 95% CI: 0.48–0.82], [OR: 0.67, 95% CI: 0.56–0.80], [OR: 0.69, 95% CI: 0.56–0.86], [OR: 0.55, 95% CI: 0.49–0.62], [OR:0.55, 95% CI: 0.44–0.69], [OR: 0.75, 95% CI: 0.62–0.91] among those with thyroid, colon, lung, cervical, breast, prostate, and ovarian cancer, respectively.Discussion: This study found that income range was associated with HRQoL among cancer survivors. It is plausible that financial resources may lessen the overall burden of cancer survivors, which could improve health-related quality of life among cancer survivors.

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47 Dual Tasking in Older Women: Physical Activity or Else?

Age and Ageing ◽

10.1093/ageing/afz164.47 ◽

2019 ◽

Vol 48 (Supplement_4) ◽

pp. iv9-iv12

Author(s):

Jennifer Muhaidat ◽

Emad Al-Yahya ◽

Maha Mohammad ◽

Dania Qutishat ◽

Rasha Okasheh ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Older Adults ◽

Older Women ◽

Stride Length ◽

Perceived Health ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Abstract Background The interplay between gender, Physical Activity (PA) and Dual Task (DT) gait in older adults is unclear. This study aimed to address DT gait based on gender and PA level in older adults. Methods Gait measures were collected using an Inertial Measurement Unit (IMU) during the 10-meter and Timed Up and Go (TUG) tests in single and DT conditions. Global Physical Activity Questionnaire (GPAQ) was used to measure PA. A total of 120 community-dwelling older adults (81 women and 39 men) took part. Participants were divided according to gender and PA level into four groups (women achieving (WA = 31), women not achieving (WN = 50), men Achieving (MA = 29) and men not achieving (MN = 10)). The achievement of PA was determined by total Metabolic Equivalent (MET) – Minute/week ≥ 600. Cognition, health-related quality of life, falls history and health status was measured. Results Women had poorer performance in time, gait velocity and stride length regardless of PA level. The cognitive condition had the greatest effect on gait parameters in all groups, except for stride length which decreased more under the motor condition. Women who did not achieve the PA guidelines had poorer perceived health-related quality of life than men who achieved and did not achieve the guidelines. Conclusions The findings suggest that women, regardless of PA level, experience greater deterioration under ST and DT conditions in 10-meter walk and TUG tests in terms of time and gait measures such as velocity and stride length. This interplay cannot be explained by PA alone since it could be reflective of poorer perceived health and frailty in older women. These findings are considered of importance when planning DT and PA interventions that aim to increase PA levels and promote function in older women.

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IMMIGRATION, RESILIENCE, AND ORAL-HEALTH-RELATED QUALITY OF LIFE AMONG CHINESE AMERICAN OLDER ADULTS IN HAWAII

Innovation in Aging ◽

10.1093/geroni/igz038.2188 ◽

2019 ◽

Vol 3 (Supplement_1) ◽

pp. S590-S590

Author(s):

Bei Wu ◽

Yaolin Pei ◽

Wei Zhang

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Status ◽

Oral Health ◽

Health Related Quality ◽

Immigrant Status ◽

Foreign Born ◽

Related Quality ◽

Health Related

Abstract Very few studies have compared oral health status between the US-born and foreign-born immigrant older adults. Using data collected among 430 Chinese older adults age 55+ residing in Hawai’i, we examined the association between immigrant status and oral health related quality of life (OHQoL) and the moderating role of resilience in linking the association. Controlling for some key covariates, our study results show that US-born Chinese immigrant older adults had better OHQoL than their foreign born counterparts. Factors such as higher level of education (graduate degree or higher), better self-reported health status and no significant tooth loss were related to better OHQoL. The association between immigrant status and OHQoL was moderated by resilience. Specially, resilience was positively and significantly associated with OHQoL among U.S.-born older adults but not among the foreign-born ones. Our findings indicate the importance of immigration and resilience in shaping oral health outcomes among older Chinese Americans.

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Self-Perceived Health Status and Health-Related Quality of Life of Extremely Low-Birth-Weight Infants by Adolescence

Obstetrical & Gynecological Survey ◽

10.1097/00006254-199703000-00011 ◽

1997 ◽

Vol 52 (3) ◽

pp. 172-173

Author(s):

Saroj Saigal ◽

David Feeny ◽

Peter Rosenbaum ◽

William Furlong ◽

Elizabeth Burrows ◽

...

Keyword(s):

Quality Of Life ◽

Birth Weight ◽

Health Status ◽

Extremely Low Birth Weight ◽

Health Related Quality ◽

Perceived Health Status ◽

Low Birth Weight Infants ◽

Related Quality ◽

Health Related

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Correlates of perceived health related quality of life in obese, overweight and normal weight older adults: an observational study

BMC Public Health ◽

10.1186/1471-2458-14-35 ◽

2014 ◽

Vol 14 (1) ◽

Cited By ~ 27

Author(s):

Cinzia Giuli ◽

Roberta Papa ◽

Roberta Bevilacqua ◽

Elisa Felici ◽

Cristina Gagliardi ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Observational Study ◽

Perceived Health ◽

Normal Weight ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Self-perceived Health Status and Health-Related Quality of Life of Extremely Low-Birth-Weight Infants at Adolescence

JAMA ◽

10.1001/jama.1996.03540060029031 ◽

1996 ◽

Vol 276 (6) ◽

pp. 453 ◽

Cited By ~ 143

Author(s):

Saroj Saigal

Keyword(s):

Quality Of Life ◽

Birth Weight ◽

Health Status ◽

Extremely Low Birth Weight ◽

Health Related Quality ◽

Perceived Health Status ◽

Low Birth Weight Infants ◽

Related Quality ◽

Health Related

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Radiotherapy impact on health-related quality of life in localized prostate cancer: results of an observational, non-interventional, multicenter study in Spain

10.21203/rs.3.rs-208173/v1 ◽

2021 ◽

Author(s):

Almudena Zapatero ◽

Xavier Maldonado Pijoan ◽

Antonio Gómez-Caamaño ◽

José Pardo Masferrer ◽

Víctor Macías Hernández ◽

...

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Clinical Practice ◽

Health Status ◽

Multicenter Study ◽

Health Related Quality ◽

Perceived Health Status ◽

Related Quality ◽

Health Related

Abstract Background: Health-related quality of life (HRQoL) is greatly affected by prostate cancer (PCa) and associated treatments. This study aimed to measure the impact of radiotherapy on HRQoL and to further validate the Spanish version of the 16-item Expanded Prostate Cancer Index Composite (EPIC-16) in routine clinical practice.Methods: An observational, non-interventional, multicenter study was conducted in Spain with localized PCa patients initiating treatment with external beam radiotherapy (EBRT) or brachytherapy (BQT). Changes from baseline in EPIC-16, University of California-Los Angeles Prostate Cancer Index (UCLA-PCI), and patient-perceived health status were longitudinally assessed at end of radiotherapy (V2) and 90 days thereafter (V3). Psychometric evaluations of the Spanish EPIC-16 were conducted.Results: Of 516 patients enrolled, 495 were included in the analysis (EBRT, n = 361; BQT, n = 134). At baseline, mean (standard deviation [SD]) EPIC-16 global scores were 11.9 (7.5) and 10.3 (7.7) for EBRT and BQT patients, respectively; scores increased, i.e., HRQoL worsened, from baseline, by mean (SD) of 6.8 (7.6) at V2 and 2.4 (7.4) at V3 for EBRT and 4.2 (7.6) and 3.9 (8.2) for BQT patients. Changes in Spanish EPIC-16 domains correlated well with urinary, bowel, and sexual UCLA-PCI domains. EPIC-16 showed good internal consistency (Cronbach’s alpha = .84), reliability, and construct validity.Conclusion: EPIC-16 scores worsened after radiotherapy in different HRQoL domains, regardless of patient-perceived health status. UCLA-PCI scores mostly recovered for EBRT patients at V3, while scores for BQT patients did not. The Spanish EPIC-16 questionnaire demonstrated sensitivity, strong discriminative properties and reliability, and validity for use in clinical practice.

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