scholarly journals Association between physical, psychological and social frailty and health-related quality of life among older people

2019 ◽  
Vol 29 (5) ◽  
pp. 936-942 ◽  
Author(s):  
Xuxi Zhang ◽  
Siok Swan Tan ◽  
Carmen Betsy Franse ◽  
Tamara Alhambra-Borrás ◽  
Estrella Durá-Ferrandis ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older People ◽  
Health Centers ◽  
Full Model ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

Abstract Background Studies on the association between frailty and health-related quality of life (HRQoL) are scarce and show contradictory results. This study aimed to evaluate the association between physical, psychological and social frailty and HRQoL among community-dwelling older people. Methods A cross-sectional study was performed with baseline data collected in 2015 from the Urban Health Centers Europe (UHCE) project in five European countries, the United Kingdom, Greece, Croatia, The Netherlands and Spain. A total of 2325 participants were included in the baseline measurements of the Urban Health Centers Europe project; 2167 participants (mean age = 79.7; SD=5.6) were included in the analyses after excluding participants with missing data. The Tilburg Frailty Indicator measured overall frailty as well as physical, psychological and social frailty. The 12-Item Short-Form Health Survey was used to measured physical and mental HRQoL. Results Regarding physical HRQoL, a large difference (d=1.29) between physically and not physically frail participants was observed. Regarding mental HRQoL, a large difference (d=1.20) between psychologically and not psychologically frail participants was observed. In the full model with all three domains of frailty and the covariates to explain physical HRQoL, physical (P <0.001) and social frailty (P <0.001) remained significant. In the full model to explain mental HRQoL, all three domains of frailty remained significant (P <0.001). Conclusion Physical frailty had the strongest association with physical HRQoL, and psychological frailty had the strongest association with mental HRQoL. The associations between social frailty and both physical and mental HRQoL remain significant when controlling for physical and psychological frailty.

scholarly journals Regular exercise and the trajectory of health-related quality of life among Taiwanese adults: a cohort study analysis 2006–2014

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Huan-Cheng Chang ◽  
Jersey Liang ◽  
Hui-Chuan Hsu ◽  
Sung-Kai Lin ◽  
Ting-Huan Chang ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Community Dwelling ◽  
Living Alone ◽  
Regular Exercise ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

Abstract Background Physical activity is related to health-related quality of life, but little evidence from multiple waves of panel data in Asian countries area available. This study aims to explore the impacts of different degree of regular exercise on the trajectories of physical and mental dimensions of health-related quality of life (HRQOL) for community-dwelling Taiwanese adults during 2006–2014. Methods Data were derived from the “Landseed Integrated Outreaching Neighborhood Screening (LIONS)” study, with 6182 adults enrolled at the baseline and subsequently followed up to three times till 2014. Linear mixed-effects modeling approach was employed to evaluate the growth curve models of HRQOL (with 16,281 observations) by linear & quadratic time effects, regular exercise (5-level moderate-intensity physical activity), and major influential factors of HRQOL. Results Regular exercise showed significantly positive dose-response effects on physical HRQOL (β =1.27~2.54), and regular exercise of 150 min or more showed positive effects on mental HRQOL (β = 1.55~2.03). Besides, irregular exercise could also improve both physical and mental HRQOL (β = 1.27 & β = 0.87). However, such effects were not significant over time (at time slope) on HRQOL. In addition, physical and mental HRQOL improved across time (β = 1.01 and 1.49, respectively), but the time quadratic effect would significantly offset a little bit on physical dimension (β = − 0.22). Moreover, being female, increasing age, living alone, or poorer health status were related to lower physical HRQOL; and being younger, living alone, or poorer health status were associated with lower mental HRQOL. Conclusions The positive dose-response relationship between regular exercise and HRQOL or its domains was demonstrated for community-dwelling Taiwanese adults. Thus, a regular exercise habit (better ≧150 min per week) is advised for community-based healthcare professionals and the government to incorporate into health promotion strategies and plans.

scholarly journals Health-related quality of life in men and women who experienced cardiovascular diseases: Tehran Lipid and Glucose Study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sara Jalali-Farahani ◽  
Parisa Amiri ◽  
Hanieh Fakhredin ◽  
Kiana Torshizi ◽  
Leila Cheraghi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Diseases ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
The Mean ◽  
Physical Hrqol

Abstract Background Cardiovascular diseases (CVDs) are among the most common causes of death worldwide, including in Iran. Considering the adverse effects of CVDs on physical and psychosocial health; this study aims to investigate the association between experience of CVDs and health-related quality of life (HRQoL) in adult participants of the Tehran Lipid and Glucose Study (TLGS). Methods The participants of this cross-sectional study were 7009 adults (≥ 20 years) who participated in the TLGS during 2014–2017. Demographic information and HRQoL data was collected through validated questionnaires by trained interviewers. HRQoL was assessed by the Iranian version of the SF-12 questionnaire. Data was analyzed using the SPSS software. Results The mean age of participants was 46.8 ± 14.6 years and 46.1% of them were men. A total of 9.0% of men and 4.4% of women had CVDs. In men, the mean physical HRQoL summary score was significantly lower in those with CVDs compared to those without CVDs (46.6 ± 0.8 vs. 48.5 ± 0.7, p > 0.001). In women, the mean mental HRQoL summary scores was significantly lower in those with CVDs compared to those without CVDs (42.8 ± 1.0 vs. 45.2 ± 0.5, p = 0.009). In adjusted models, men with CVDs were more likely to report poor physical HRQoL compared to men without CVDs (OR(95%CI): 1.93(1.32–2.84), p = 0.001); whereas for women, the chance of reporting poor mental HRQoL was 68% higher in those with CVDs than those without CVDs (OR(95%CI): 1.68(1.11–2.54), p = 0.015). Conclusion The findings of the current study indicate poorer HRQoL in those who experienced CVDs compared to their healthy counterparts with a sex specific pattern. While for men, CVDs were associated with more significant impairment in the physical dimension of HRQoL, women experienced a similar impairment in the mental dimension of HRQoL.

scholarly journals Assessment of health related quality of life of asthma patients in a tertiary care teaching hospital

2019 ◽  
Vol 6 (2) ◽  
pp. 654
Author(s):  
Shrishailgouda S. Patil ◽  
Archana Oggu ◽  
Shravan Jayachandran ◽  
Neha Patil ◽  
H. Doddayya
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Hrqol Questionnaire ◽  
Asthma Patients ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
The Mean ◽  
Physical Hrqol

Background: The present study is planned to assess the health related quality of life (HRQoL) in asthma patients by using HRQoL questionnaire (SF-36 v2).Methods: A prospective observational study was conducted for a period of 6 months (September 2017 to February 2018) in Navodaya Medical College Hospital and Research Centre, Raichur on a total of 108 patients of either sex suffering from persistent asthma. The HRQoL of asthma patients was measured by face-to-face interview using HRQoL questionnaire (SF-36v2).Results: Female patients were found to be more affected with asthma compared to male patients and the prevalence of asthma is found to be more in the middle aged and elderly patients compared to adults. The important triggering factors for the asthma were found to be exposure to dust, smoking, alcohol and cooking fuel. The mean physical component summary (PCS) scores is 47.46 (±15.56) and the mean mental component summary (MCS) scores is 66.73 (±13.59). The findings of our study reveals that the physical HRQoL is more affected compared to mental HRQoL as revealed by PCS and MCS scores.Conclusions: The findings of our study conclusively suggest that the physical HRQoL is more affected than mental HRQoL in asthma patients and also the need to improve the quality of life in these patients by appropriate patient education regarding the triggering factors of asthma, preventive measures and the medication adherence.

scholarly journals School Absenteeism, Health-Related Quality of Life [HRQOL] and Happiness among Young Adults Aged 16–26 Years

2019 ◽  
Vol 16 (18) ◽  
pp. 3321 ◽  
Author(s):  
van den Toren ◽  
van Grieken ◽  
Mulder ◽  
Vanneste ◽  
Lugtenberg ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
School Absenteeism ◽  
Health Related Quality ◽  
The Past ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

This study examines the association between school absenteeism, health-related quality of life (HRQOL) and happiness among young adults aged 16–26 years attending vocational education. Cross-sectional data from a survey among 676 young adults were analyzed. School absenteeism was measured by the self-reported number of sick days in the past eight weeks and hours of truancy in the past four weeks. HRQOL was measured by the 12-item Short Form Health Survey; physical and mental component summary scores were calculated. General happiness was assessed on a scale of 0–10, higher scores indicating greater happiness. Linear regression analyses were performed. The study population had a mean age of 18.5 years (SD 2.2); 26.1% were boys. Young adults with ≥5 sick days or ≥6 h of truancy reported lower mental HRQOL compared to young adults without sickness absence or truancy (p < 0.05). Young adults with 1–4 and ≥5 sick days reported lower physical HRQOL compared to young adults who had not reported to be sick (p < 0.05). Young adults with 1–5 h and ≥6 h of truancy reported higher physical HRQOL compared to young adults who were not truant (p < 0.05). No associations were observed between school absence and happiness. Lower self-reported mental HRQOL was observed among young adults with more school absenteeism due to sickness or truancy. Sickness absence was additionally associated with lower physical HRQOL.

scholarly journals Health-related Quality of Life in Men and Women who Experienced Cardiovascular Diseases: Tehran Lipid and Glucose Study

2020 ◽  
Author(s):  
Sara Jalali-Farahani ◽  
Parisa Amiri ◽  
Hanieh Fakhredin ◽  
Kiana Torshizi ◽  
Leila Cheraghi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cardiovascular Diseases ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
The Mean ◽  
Physical Hrqol

Abstract Background: Cardiovascular diseases (CVDs) are among the most common causes of death worldwide, including in Iran. Considering the adverse effects of CVDs on physical and psychosocial health; this study aims to investigate the association between CVDs incidence and health-related quality of life (HRQoL) in adult participants of the Tehran Lipid and Glucose Study (TLGS). Methods: The participants of this cross-sectional study were 7009 adults (≥20 years) who participated in the TLGS during 2014-2017. Demographic information and HRQoL data was collected through validated questionnaires by trained interviewers. HRQoL was assessed by the Iranian version of the SF-12 questionnaire. Data was analyzed using SPSS software.Results: The mean age of participants was 46.8±14.6 years and 46.1% of them were men. A total of 9.0% of men and 4.4% of women had CVDs. In men, the mean physical HRQoL summary score was significantly lower in those with CVDs compared to those without CVDs (46.6±0.8 vs. 48.5±0.7, p >0.001). In women, the mean mental HRQoL summary scores was significantly lower in those with CVDs compared to those without CVDs (42.8±1.0 vs. 45.2±0.5, p =0.009). In adjusted models, men with CVDs were more likely to report poor physical HRQoL compared to men without CVDs (OR(95%CI): 1.93(1.32-2.84), p=0.001); whereas for women, the chance of reporting poor mental HRQoL was 68% higher in those with CVDs than those without CVDs (OR(95%CI): 1.68(1.11-2.54), p =0.015). Conclusion: The findings of the current study indicate poorer HRQoL in those who experienced CVDs compared to their healthy counterparts with a sex specific pattern. While for men, CVDs were associated with greater impairment in the physical dimension of HRQoL, women experienced a similar impairment in the mental dimension of HRQoL.

Illness appraisals and health-related quality of life in adolescents and young adults with allergies and asthma

2013 ◽  
Vol 25 (1) ◽  
pp. 31-38 ◽  
Author(s):  
Stephanie E. Hullmann ◽  
Angelica R. Eddington ◽  
Elizabeth S. Molzon ◽  
Larry L. Mullins
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Illness Intrusiveness ◽  
Illness Uncertainty ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Allergies And Asthma ◽  
Physical Hrqol

Abstract The current study sought to: 1) assess differences in levels of physical and mental health-related quality of life (HRQOL), illness uncertainty, and intrusiveness in adolescents and young adults (AYAs) with allergies and asthma, as well as 2) examine the effect of illness appraisals on HRQOL. Participants were undergraduate students with self-reported allergies (n=74) and asthma (n=74) who completed the Mishel Uncertainty in Illness Scale (MUIS), the Illness Intrusiveness Scale (IIS), and the SF-36 Health Survey Questionnaire. Paired t-tests indicated that AYAs with allergies reported higher levels of illness uncertainty and poorer mental HRQOL than AYAs with asthma; the groups did not differ on reported levels of illness intrusiveness or physical HRQOL. Hierarchical regressions were conducted to examine the relationship between illness appraisals and HRQOL. Results revealed that poorer mental HRQOL was associated with higher illness uncertainty in AYAs with allergies and higher illness intrusiveness in AYAs with asthma. Poorer physical HRQOL was associated with higher illness uncertainty in AYAs with asthma and higher illness intrusiveness in AYAs with allergies and asthma. The current examination suggests that illness appraisals may be differentially related to HRQOL in AYAs with allergies compared to those with asthma.

scholarly journals Factors Associated with Health-Related Quality of Life Among Older People with Multiple Sclerosis

2014 ◽  
Vol 16 (1) ◽  
pp. 10-19 ◽  
Author(s):  
Marijean Buhse ◽  
Wendy M. Banker ◽  
Lynn M. Clement
Keyword(s):  
Quality Of Life ◽  
Multiple Sclerosis ◽  
Physical Disability ◽  
Health Related Quality ◽  
Neurologic Impairment ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

Background: This study was conducted to determine which factors (clinical and demographic) are associated with mental and physical health-related quality of life (HRQOL) among people with multiple sclerosis (MS) aged 60 years and older. Methods: Data were collected at four MS centers on Long Island, New York, from a total of 211 patients. Three surveys were administered that collected demographic information and included validated questionnaires measuring quality of life (QOL), cognition, depression, and disability. Multivariate linear regression analyses examined the relationship between patient demographics and scores on standardized scales measuring mental and physical HRQOL (Multiple Sclerosis Quality of Life–54). Variables included in the regression models were selected on the basis of the Andersen Healthcare Utilization model. This framework encompasses the multiple influences on health status, including predisposing characteristics, enabling resources, need, and health behavior. Results: We found that mental HRQOL was negatively associated with having a high school education or less, risk of neurologic impairment, physical disability, and depression. No variables were positively associated with mental HRQOL. Physical HRQOL was negatively associated with risk of neurologic impairment, physical disability, depression, and the comorbidity of thyroid disease. However, patient employment and, surprisingly, being widowed were positively associated with physical HRQOL. These findings are consistent with those of similar studies among younger patients in which lower HRQOL was associated with increased disability, depression, risk of neurologic impairment, and lower levels of education. Conclusions: The findings that patient employment and being widowed were associated with better physical HRQOL suggest that older patients have the ability to adapt and adjust to the challenges of MS over time. Clinicians should regularly screen for HRQOL in older patients with MS.

scholarly journals Neurocognitive impairment and health-related quality of life among people living with Human Immunodeficiency Virus (HIV)

PLoS ONE ◽  
2021 ◽  
Vol 16 (4) ◽  
pp. e0248802
Author(s):  
Philip S. Amara ◽  
Zaeema Naveed ◽  
Christopher S. Wichman ◽  
Howard S. Fox ◽  
Lorena Baccaglini
Keyword(s):  
Quality Of Life ◽  
Neurocognitive Impairment ◽  
Health Related Quality ◽  
Negatively Associated ◽  
Adjusted Analysis ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

The association between HIV-associated neurocognitive impairment (NCI) and health-related quality of life (HRQoL) is not well known. We investigated this association among the CNS (Central Nervous System) HIV Antiretroviral Therapy Effects Research (CHARTER) study participants. We performed factor analysis to distinguish physical and mental HRQoL, followed by general linear models. We analyzed 1,340 HIV participants, including 35.6% with NCI, 77.2% males, 70.5% unemployed, and 42.2% with depression. Impaired participants had lower (worse) mental and physical HRQoL mean scores compared to unimpaired participants. NCI was negatively associated with mental HRQoL in crude (mean difference: -4.38; 95% CI: -6.70 to -2.06) and adjusted analysis (-2.56, -4.83 to -0.30). NCI was also negatively associated with physical HRQoL in unadjusted analysis (-4.62, -7.45 to -1.78), though the association weakened in the adjusted analysis (-2.20, -4.81 to 0.40). The association between NCI and HRQoL was confounded mainly by employment and was partially mediated by depression. These findings suggest that future strategies aimed at improving HRQoL among HIV-infected patients with NCI might benefit from concurrent management of depression.

scholarly journals Health-Related Quality of Life and Related Factors among Primary Caregivers of Children with Disabilities in Shanghai, China: A Cross-Sectional Study

2020 ◽  
Vol 17 (24) ◽  
pp. 9299
Author(s):  
Cong Xia ◽  
Mei Sun ◽  
Xinying Li ◽  
Chenhao Lu ◽  
Xiu Gao ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Children With Disabilities ◽  
Short Form ◽  
Health Related Quality ◽  
Related Factors ◽  
Related Quality ◽  
Health Related ◽  
Mental Hrqol ◽  
Physical Hrqol

Health-related quality of life (HRQOL) of caregivers of children with disabilities (CWD) is important for both children’s rehabilitation and caregivers’ life, but the corresponding attention is far from enough in mainland China. Thus, we investigated the HRQOL of 170 caregivers and related factors in Shanghai. The 12-item Short Form Health Survey (SF-12) was used to measure HRQOL. The potential factors were collected, including child characteristics, caregiver characteristics, and environmental factors. Univariate analysis and multiple linear regression were performed to identify the key factors that could be intervened. Compared with the general population, caregivers of CWD had a slightly higher score on the physical component summary (PCS, 52.57 ± 8.41), but the score of mental component summary (MCS, 31.58 ± 7.72) was extremely low. Caregiver’s illness condition, family size, and household income were significant factors of physical HRQOL. Caregivers with illness and caregivers living in an extended family were associated with higher mental HRQOL. Whereas these two factors had opposite effects on physical HRQOL. This finding indicated poor mental HRQOL among caregivers of CWD in Shanghai and thus requiring urgent attention and intervention. Improving physical fitness, maintaining family integration, and providing financial support should be considered when developing intervention for this population.

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