Physical Frailty is Correlated with Worse Quality of Life in Older Adults with Hypertension

Abstract Background Hypertension is one of the commonest chronic cardiovascular diseases in older adults. Frailty and hypertension often coexist in older people, but few studies have explored frailty in older hypertensive adults. We aimed to explore the correlation of frailty with quality of life in older hypertensive adults. Method: We enrolled 291 patients with hypertension aged ≥60 years. Ambulatory blood pressure monitor was performed. Physical frailty was assessed by Fried phenotype. Quality of life was assessed by SF-36. Results Forty-eight (16.5%) patients were frail. Compared with non-frail older hypertensive patients, frail patients were older, had lower education levels, a higher rate of living alone, and a longer duration of hypertension. Moreover, they had lower diastolic blood pressure (DBP) and mean arterial pressure (MAP), and higher pulse pressure, more chronic diseases, a higher proportion of calcium channel blockers (CCBs) usage, and worse quality of life. Frailty scores were positively correlated with pulse pressure, and negatively correlated with DBP and MAP. The SF-36 score was negatively correlated with frailty scores and positively correlated with grip strength and walking speed. After adjusting for age, the SF-36 score was negatively correlated with frailty and positively correlated with walking speed. Frailty, when adjusted for age, duration of hypertension, DBP and comorbidity, had a significant effect on the SF-36 score. Conclusion Frailty was associated with worse quality of life of older adults with hypertension. Frailty prevention and intervention may help improve the quality of life of older hypertensive adults. Keywords: frailty, older adults, hypertension, quality of life

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Comparison of hypertensive outcomes after the implementation of self-management program for older adults with uncontrolled hypertension in Krabi, Thailand: a quasi-experimental study

Journal of Health Research ◽

10.1108/jhr-12-2020-0626 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Saowaluck Sukpattanasrikul ◽

Supreeda Monkong ◽

Sirirat Leelacharas ◽

Orapitchaya Krairit ◽

Chukiat Viwatwongkasem

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

Older Adults ◽

Self Care ◽

Self Management ◽

Uncontrolled Hypertension ◽

Control Group ◽

Content Type ◽

Care Behavior

PurposeThis study aims to examine the effects of a self-management program (SMP) on self-care behavior, blood pressure and quality of life among older adults with uncontrolled hypertension.Design/methodology/approachA quasi-experimental design with repeated measures was conducted in two primary care units in Krabi, Thailand. One hundred and fifty-six older adults with uncontrolled hypertension were selected based on the inclusion criteria and divided into experimental and control groups with 78 participants in each. The experimental group received the SMP, including the intervention related to the self-management process (from the 1st to 4th weeks) and a follow-up phase (from the 5th to 16th weeks). The control group received standard care. The outcomes were measured over time, including self-care behavior (baseline, 4th and 16th weeks), blood pressure (baseline, 4th, 8th, 12th and 16th weeks) and quality of life (baseline and 16th week).FindingsThe generalized estimating equations showed that the SMP, compared with the control group, statistically significantly improved self-care behavior (p < 0.001), decreased blood pressure (p < 0.001) and improved quality of life (p < 0.001) at the 16th week.Originality/valueThe SMP improved the self-care behavior, decreased blood pressure and improved the quality of life among older adults with uncontrolled hypertension. Registered nurses could administer this program for long-term benefits and help reduce the burden on primary care services.

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The type 2 diabetes-specific dementia risk score (DSDRS) is associated with frailty, cognitive and functional status amongst Mexican community-dwelling older adults

BMC Geriatrics ◽

10.1186/s12877-020-01776-5 ◽

2020 ◽

Vol 20 (1) ◽

Author(s):

Omar Yaxmehen Bello-Chavolla ◽

Carlos Alberto Aguilar-Salinas ◽

José Alberto Avila-Funes

Keyword(s):

Quality Of Life ◽

Type 2 Diabetes ◽

Older Adults ◽

Community Dwelling ◽

Related Factors ◽

Dementia Risk ◽

Sf 36 ◽

Community Dwelling Older Adults

Abstract Background The type 2 diabetes (T2D) specific dementia-risk score (DSDRS) was developed to evaluate dementia risk in older adults with T2D. T2D-related factors have been shown increase the risk of age-related conditions, which might also increase dementia risk. Here, we investigate the associations of DSDRS with frailty, disability, quality of life (QoL) and cognition in community-dwelling older adults with T2D. Methods We included 257 community-dwelling older adults with T2D to evaluate the association between DSDRS and Mini-mental state examination (MMSE), Isaac’s set-test (IST), clock drawing test (CDT), quality of life (SF-36), risk of malnutrition (Mini-Nutritional Assessment or MNA), as well as frailty, Katz’ and Lawton-Brody scores. We also assessed the phenotype and correlates of high-estimated dementia risk by assessing individuals with DSDRS >75th age-specific percentiles. Results Mean age of participants was 78.0 ± 6.2 years. DSDRS showed a significant correlation with MMSE test, IST, CDT, SF-36, MNA, Lawton-Brody and Katz scores, and an increasing number of frailty components. DSDRS was higher among frail, pre-frail, and subjects with limited ADL and IADL (p < 0.001). Participants with DSDRS >75th age-specific percentiles had lower education, MMSE, IST, SF-36, MNA, Katz, Lawton-Brody, and higher frailty scores. High-estimated 10-year dementia risk was associated with ADL and IADL disability, frailty and risk of malnutrition. When assessing individual components of DSDRS, T2D-related microvascular complications were associated to all outcome measures. Conclusion The DSDRS is associated with frailty, disability, malnutrition and lower cognitive performance. These findings support that T2D-related factors have significant burden on functional status, QoL, disability and dementia risk.

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Health-related Quality of Life in Retired Older People in Tehran City

Journal of Applied Gerontology ◽

10.1177/0733464810382413 ◽

2010 ◽

Vol 31 (2) ◽

pp. 155-172 ◽

Cited By ~ 3

Author(s):

Roshanak Vameghi ◽

Zahra Niksirat ◽

Nikta Hatamizadeh ◽

Anoshiravan Kazemnejad

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Social Issue ◽

Intervention Studies ◽

Population Aging ◽

Health Related Quality ◽

Sf 36 ◽

Related Quality ◽

Health Related

Population aging has become an important social issue worldwide and the biggest challenge is improving older people’s quality of life. We aimed to determine the quality of life (QOL) of retired older adults in Tehran using the SF-36. About 321 men and 146 women, aged 60 to 69 (62%) and 70 or older (38%), participated. In the older group, the total QOL score was lower than in the younger group, but the older group scored higher in the mental domain. Education had a significant relationship with the mental domain of QOL, as did gender with the physical and mental domains. The income sufficiency state was significantly related to both domains of QOL. The findings can be useful in designing intervention studies that could eventually lead to application of strategies to promote QOL in retired older adults in Iran and other countries with similar sociocultural and economic backgrounds.

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Health-Related Quality of Life in Older Coastal Residents After Multiple Disasters

Disaster Medicine and Public Health Preparedness ◽

10.1017/dmp.2016.177 ◽

2016 ◽

Vol 11 (1) ◽

pp. 90-96 ◽

Cited By ~ 8

Author(s):

Katie E. Cherry ◽

Laura Sampson ◽

Sandro Galea ◽

Loren D. Marks ◽

Kayla H. Baudoin ◽

...

Keyword(s):

Quality Of Life ◽

Social Support ◽

Older Adults ◽

Social Engagement ◽

Health Related Quality ◽

Sf 36 ◽

Related Quality ◽

Health Related ◽

Coastal Residents

AbstractObjectiveExposure to multiple disasters, both natural and technological, is associated with extreme stress and long-term consequences for older adults that are not well understood. In this article, we address age differences in health-related quality of life in older disaster survivors exposed to the 2005 Hurricanes Katrina and Rita and the 2010 BP Deepwater Horizon oil spill and the role played by social engagement in influencing these differences.MethodsParticipants were noncoastal residents, current coastal residents, and current coastal fishers who were economically affected by the BP oil spill. Social engagement was estimated on the basis of disruptions in charitable work and social support after the 2005 hurricanes relative to a typical year before the storms. Criterion measures were participants’ responses to the SF-36 Health Survey which includes composite indexes of physical (PCS) and mental (MCS) health.ResultsThe results of logistic regressions indicated that age was inversely associated with SF-36 PCS scores. A reduction in perceived social support after Hurricane Katrina was also inversely associated with SF-36 MCS scores.ConclusionsThese results illuminate risk factors that impact well-being among older adults after multiple disasters. Implications of these data for psychological adjustment after multiple disasters are considered. (Disaster Med Public Health Preparedness. 2017;11:90–96)

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The effect of inspiratory muscle training on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults: a randomized controlled trial

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/1981-22562019022.190157 ◽

2019 ◽

Vol 22 (6) ◽

Author(s):

Adriano Florencio Vilaça ◽

Bárbara Cristina de Souza Pedrosa ◽

Thamara Cunha Nascimento Amaral ◽

Maria do Amparo Andrade ◽

Célia Maria Machado Barbosa de Castro ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Muscle Strength ◽

Lower Limb ◽

Inspiratory Muscle ◽

Limb Muscle ◽

Muscle Training ◽

Sf 36 ◽

Lower Limb Strength

Abstract Objective: To evaluate the impact of inspiratory muscle training (IMT) on the quality of life, immune response, inspiratory and lower limb muscle strength of older adults. Method: A randomized clinical trial was conducted with 30 institutionalized older adults. They were allocated into two groups: the IMT group (n=15), which underwent IMT with PowerBreathe Classic, using a load of 60% of maximal inspiratory pressure (MIP). This was performed using a 30 repetition protocol, three times a week, for six weeks. The second group was the control group (n=15) which did not perform any type of therapeutic intervention. In both groups, MIP, lower limb strength by sit-up test, quality of life by the SF-36 questionnaire and C-reactive protein (CRP) were evaluated. Results: The results demonstrated the homogeneity between the groups regarding the demographic and clinical variables. The IMT group showed an increase in the variation of MIP (9.20±7.36 cmH2O) compared to the control (0.93±8.79 cmH2O). Improvement was also observed in the sitting and standing test (p<0.05) (Tukey Test) in the difference between the values before and after the IMT. In terms of quality of life, two of the eight SF-36 domains were influenced by the IMT, namely: functional capacity and limitations due to physical factors. There were no changes in CRP in either group. Conclusion: IMT improved the inspiratory muscle strength, lower limb strength and quality of life of institutionalized older adults. These findings reinforce the contribution of this therapy to reducing the deleterious effects of aging.

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Abstract MP41: Health-related Quality of Life and Risk of Hypertension in the Community: A Prospective Analysis from the Western New York Health Study

Circulation ◽

10.1161/circ.129.suppl_1.mp41 ◽

2014 ◽

Vol 129 (suppl_1) ◽

Author(s):

Saverio Stranges ◽

Lisa Rafalson ◽

Richard Donahue

Keyword(s):

Quality Of Life ◽

Blood Pressure ◽

New York ◽

Health Status ◽

Health Study ◽

Health Related Quality ◽

Sf 36 ◽

Related Quality ◽

Health Related

Health-related Quality of Life and Risk of Hypertension in the Community: A Prospective Analysis from the Western New York Health Study Background: Measures of quality of life and health status are strong predictors of mortality and morbidity outcomes including cardiovascular disease (CVD). However, prospective epidemiological evidence from population-based studies on the potential impact of these measures on hypertension risk is scant. Objective: We sought to examine the independent role of measures of quality of life and health status on the risk of incident hypertension in a community-based sample from Western New York. Methods: A longitudinal analysis, over 6 years of follow-up, among 946 women and men (mean age 54.3 years) from the community, who were free of hypertension, CVD, and diabetes at the baseline examination, in the Western New York Health Study (WNYHS). Baseline variables included socio-demographics, anthropometrics, blood pressure, biomarker data, major behavioural risk factors, and measures of quality of life and health status, such as the physical and mental health component summaries of the short form-36 questionnaire (SF-36). Incident hypertension was defined as blood pressure > or =140/90 or on antihypertensive medication at the follow-up visit. Results: The cumulative six year incidence of hypertension was 22.6% (214/942). In bivariate analyses, there were several baseline correlates of incident hypertension, including age, BMI, and baseline blood pressure levels in both sexes; whereas cigarette smoking, change in BMI, family history of hypertension, and the SF-36 physical score were all significantly associated with hypertension only among women. After multivariate adjustment, cigarette use at baseline (OR: 2.96, 1.35, 6.51), family history of hypertension (OR: 2.59, 1.52-4.42), BMI change since baseline (OR: 1.18, 1.06-1.31), and the SF-36 physical score (OR: 0.97, 0.94-0.99 for a unit change) were the only significant predictors of hypertension independent of age and baseline blood pressure levels in women. Conclusions: Results from this study suggest that measures of health-related quality of life may represent independent predictors of hypertension risk, at least among women, above and beyond the role of traditional risk factors, such as age, smoking, body weight, and familial predisposition.

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Understanding Older Adults’ Intentions to Use Healthcare Technologies: A Work in Progress

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213601926 ◽

2017 ◽

Vol 61 (1) ◽

pp. 1778-1782 ◽

Cited By ~ 1

Author(s):

Maurita T. Harris ◽

Kenny A. Blocker ◽

Wendy A. Rogers

Keyword(s):

Blood Pressure ◽

Older Adults ◽

Frequency Data ◽

Blood Pressure Monitor ◽

Pressure Monitor ◽

Work In Progress ◽

Coding Scheme ◽

Healthcare Technologies

The purpose of this study is to examine factors that influence older adults’ intentions to use healthcare technologies and how these factors may change based on the complexity of the technology. Older adults between 65-84 years old will be recruited for participation. Participants will complete questionnaires and a semi-structural interview to assess their intentions. The interview will involve the presentation of three different healthcare technologies (blood pressure monitor, electronic pillbox, and a multi-functional healthcare robot) that are at varied levels of complexity. During the presentation of these three healthcare technologies, the participants will be asked follow-up questions to better understand their intentions to use each of the healthcare technologies. A coding scheme will be developed to assess the participants interview responses through frequency data. Findings from the current study will provide insights about how people make initial intentional acceptance decisions and could inform how such technologies are introduced to older adults.

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Health Related Quality of Life and it’s Correlates among Older Adults in Rural Pathanamthitta District, India: a Cross Sectional Study Using SF-36

Ageing International ◽

10.1007/s12126-018-9342-x ◽

2018 ◽

Vol 44 (3) ◽

pp. 271-282

Author(s):

Anna Pius ◽

G. K. Mini ◽

K. R. Thankappan

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Cross Sectional Study ◽

Health Related Quality ◽

Sectional Study ◽

Cross Sectional ◽

Sf 36 ◽

Related Quality ◽

Health Related

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Effect of Continuity of Care on Quality of Life in Older Adults With Chronic Diseases: A Meta-Analysis

Clinical Nursing Research ◽

10.1177/1054773815625467 ◽

2016 ◽

Vol 26 (3) ◽

pp. 266-284 ◽

Cited By ~ 8

Author(s):

Hsiao-Mei Chen ◽

Yi-Hsuan Tu ◽

Ching-Min Chen

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Continuity Of Care ◽

Short Form ◽

Meta Analysis ◽

Elderly Adults ◽

Randomized Controlled ◽

Physical Role ◽

Sf 36

As the population ages, continuity of care (CoC) has increasingly become a particular important issue. Articles published from 1994 to 2014 were identified from electronic databases. Studies with randomized controlled design and elderly adults with chronic illness were included if Short Form-36 (SF-36) was used as an outcome indicator to evaluate the effect of CoC. Seven studies were included for analysis with the sum of 1,394 participants. The results showed that CoC intervention can significantly improve physical function, physical role function, general health, social function, and vitality of QoL for elderly people with chronic disease.

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