Shoulder pain has most impact on poor quality of life among various types of musculoskeletal pain in middle-aged and elderly people: Yakumo study

Objectives. To compare the severity of LUTS among middle aged and elderly Nigerian men and determine the influence of LUTS severity on QoL.Methods. This cross-sectional study was conducted among new patients presenting with LUTS attending Urology clinic between 2011 and 2015. Assessment of symptoms was based on IPSS and bother score completed by the eligible subjects on the same day of their clinic visits.Results. Four hundred patients were studied comprising 229 middle aged and 171 elderly men. Interquartile range (IQR) of IPSS scores for men <65 years and those ≥65 years was 14.0 (16.0) and 19 (15.0), respectively (p<0.001). Mild LUTS was significantly associated with best, good, and poor quality of life while moderate LUTS was associated with poor QoL. Severe LUTS was significantly associated with all the categories of QoL (Best-Worst). Among the cohort of subjects with poor QoL, elderly patients had a significantly higher median IPSS score (p<0.05).Conclusions. There is no level of severity of LUTS in which patients’ QoL is not impaired although mild symptomatology may be associated with better QoL and severe symptomatology with poor QoL. Careful attention to QoL may help identify patients who require early and prompt treatment irrespective of the IPSS.

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Characteristics and Trends of Chronic Pain Among Chinese Middle Aged and Elderly People in the Past Decades: Based on China Health and Retirement Longitudinal Study

10.21203/rs.3.rs-36026/v1 ◽

2020 ◽

Author(s):

Yao Wang ◽

Erdan Luo ◽

Ying Bian

Keyword(s):

Quality Of Life ◽

Chronic Pain ◽

Longitudinal Study ◽

Elderly People ◽

Middle Age ◽

Middle Aged ◽

Factors Affecting ◽

The Past ◽

Pain Patients

Abstract Background: As one of the most common symptoms perplexing aged people, an understanding about chronic pain is needed with the aging of population in China. This study aimed to figure out the characteristics and trends of chronic pain among Chinese middle aged and elderly people in the past decades. Methods: The nationwide survey data of China Health and Retirement Longitudinal Study from 2008 to 2015 were analyzed to describe the characteristics of chronic pain, including its prevalence, intensity and location, pain patients’ quality of life, treatment, and recognitions on pain. Chi-square test and t test were used to compare chronic pain in different years and among participants in different demographic groups. Binary logistic regression was applied to explore factors affecting chronic pain. Result: A total of 62481 middle aged and elderly participants were investigated on chronic pain in 2008, 2011, 2012, 2013 and 2015, and 30.13% of them suffered from chronic pain. The factors affecting chronic pain included age, gender,education, living area, disability, chronic disease, occupation, and food expenditure. Chronic pain located mostly in waist, accounting 13.60% of body pain, followed by legs and knees. Patients with mild, moderate, and severe pain accounted 37.38%, 29.70% and 32.92%, respectively. Pain patients slept 5.86 (±2.05) hours one night in average, which was significantly shorter than overall participants. There were 75.20% of pain patients suffered from depression, which was significantly more than that among overall participants. From 2013 to 2015, the proportion of pain patients receiving no treatment decreased from 39.35% to 26.80%, and the prevalence of taking traditional Chinese medicine, western medicine, acupuncture, and professional massage therapy all increased. Patients’ recognition on pain became diversified by time. Conclusion: There were 30.13% of Chinese middle age and elderly people suffering from chronic pain, which were more likely to happen in female, rural, and chronic diseases patients. Chronic pain interfered significantly on patients’ quality of life, and mainly located in waist, legs, and knees. In recent years, more patients received treatment to relieve pain, which might indicate a gradual awareness of chronic pain among middle age and elderly in China.

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Poor quality of life and health in young to middle aged Bosnian female war refugees

Public Health ◽

10.1038/sj.ph.1900411 ◽

1998 ◽

Vol 112 (1) ◽

pp. 21-26 ◽

Cited By ~ 4

Author(s):

J Sundquist ◽

A Behmen-Vincevic ◽

S-E Johansson

Keyword(s):

Quality Of Life ◽

Poor Quality ◽

Middle Aged

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Сomparative Assessment of the Quality of Life of Dental Patients into the Modern Epidemiological Situation

Ukraïnsʹkij žurnal medicini bìologìï ta sportu ◽

10.26693/jmbs06.02.163 ◽

2021 ◽

Vol 6 (2) ◽

pp. 163-168

Author(s):

L. I. Dubovaia ◽

◽

T. D. Bublii

Keyword(s):

Quality Of Life ◽

Elderly People ◽

Oral Hygiene ◽

Life Quality ◽

Dental Status ◽

Middle Aged ◽

Aged People ◽

Dmf Index ◽

Epidemiological Situation

The COVID-19 pandemic impacted the psychological wellbeing of populations worldwide. The purpose of the study. In this research, we assess changes on the dental status and the main indicators of life quality of dentist’s patients. Material and methods. Two groups of patients of three different ages were compared in the study. The 1st group was examined in 2015 and consisted of 175 patients, the 2nd group was examined in 2020. DMF index, hygienic index by J.C. Greene, J.R. Vermillion (ОНI-S, 1964), PMA index were determined. The data obtained were compared with each other. The questionnaire "Quality of life of psychosomatic patients" was applied. Three components: somatic, psychological and social were assessed. A score from 0 to 25 points corresponds to a low indicator, 44 to 86 points is an average one, 97 to 144 points is a high score. Results and discussion. At the first stage of the study, we assessed the dental status of patients before and after the pandemic. It should be noted that the morbidity structure has not changed significantly over the past 5 years. DMF index increased from 9.63±0.31 to 11.6±0.32 (p <0.05), the level of oral hygiene decreased - 2.55±0.16 versus 2.87±0.10 (p <0.05). We revealed an increase in the number of patients presented for dental care with high rates of caries intensity and decreased oral hygiene. A comparative analysis of the clinical indicators of patients showed that the COVID-19 epidemic, acting as a psychotraumatic factor, significantly reduced their quality of life in all respects. The overall assessment of life quality decreased by 18% in the observation period, P <0.05. The overall life quality value was characterized as high in 2015, but, unfortunately, this indicator corresponded to the average values. A similar trend was noted for all life quality components. The most significant decrease in life quality was noted for the somatic component, which decreased by 22% in 2020. The results of the study showed that the unfavorable epidemiological situation did not have a significant effect on young people, however, as for the elderly people, the pandemic reduced their satisfaction with life by 32%. People of middle age were the most resistant to the influence of the epidemiological situation. They had the average value of life quality indicators in 2020, but they did not differ significantly from the indicators of 2015. The psychological component of life quality evenly decreased in middle-aged and elderly people. This indicator of middle-aged people decreased by 20% and by 35% in older people. In the course of our study, it was found that the dynamics of a decrease in the social component of life quality directly depends on age. The changes are more noticeable with age. So, this indicator changed by 10%, for middle-aged people - by 17%, in the older age category - by 32%. Conclusion. The COVID-19 coronavirus pandemic has dramatically changed the lives of people around the world, including in Ukraine, negatively affecting life quality. Interventions to increase the economic security of the population will have far-reaching consequences in terms of improved mental health, and should be continued throughout the pandemic

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