scholarly journals Association of income and health-related quality of life in atrial fibrillation

Open Heart ◽  
2019 ◽  
Vol 6 (1) ◽  
pp. e000974 ◽  
Author(s):  
Emily Guhl ◽  
Andrew Althouse ◽  
Michael Sharbaugh ◽  
Alexandra M Pusateri ◽  
Michael Paasche-Orlow ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Atrial Fibrillation ◽  
Daily Activity ◽  
Short Form ◽  
Health Related Quality ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

ObjectiveHealth-related quality of life (HRQoL) is a patient-centred benchmark promoted by clinical guidelines in atrial fibrillation (AF). Income is associated with health outcomes, but how income effects HRQoL in AF has limited investigation.MethodsWe enrolled a convenience cohort with AF receiving care at a regional healthcare system and assessed demographics, medical history, AF treatment, income, education and health literacy. We defined income as a categorical variable (<$20 000; $20 000–$49 999; $50 000–$99 999; >$100 000). We used two complementary HRQoL measures: (1) the atrial fibrillation effect on quality of life (AFEQT), measuring composite and domain scores (daily activity, symptoms, treatment concerns, treatment satisfaction; range 0–100); (2) the 12-item Short Form Survey (SF-12), measuring general HRQoL with physical and mental health domains (range 0–100). We related income to HRQoL and adjusted for relevant covariates.ResultsIn 295 individuals with AF (age 71±10, 40% women), we observed significant differences in HRQoL by income. Higher mean composite AFEQT scores were observed for higher income groups: participants with income <$20 000 had the lowest HRQoL (n=35, 68.2±21.4), and those with income >$100 000 had the highest HRQoL (n=64, 81.9±17.0; p=0.04). We also observed a significant difference by income in the AFEQT daily activity domain (p=0.02). Lower income was also associated with lower HRQoL in the mental health composite score of the SF-12 (59.7±21.5, income <$20 000 vs 79.3±16.3, income >$100 000; p<0.01).ConclusionWe determined that income was associated with HRQoL in a cohort with prevalent AF. Given the marked differences, we consider income as essential for understanding patient-centred outcomes in AF.

scholarly journals Physical Health Versus Mental Health in Haemodialysis Patient: Assessment of Health-Related Quality of Life- A Single Centre Experience

2022 ◽  
Vol 21 (1) ◽  
pp. 90-95
Author(s):  
Md Abdul Qader ◽  
AKM Abu Mottaleb ◽  
Naznin Akter Shetu ◽  
Raonokosh Salehin Khan ◽  
Tanjima Ahad Nisha ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Kidney Disease ◽  
Physical Health ◽  
Short Form ◽  
Health Related Quality ◽  
Single Centre ◽  
Related Quality ◽  
Health Related

Objectives: Assessment of health related quality of life (HRQOL) is an essential part of evaluation of end stage renal disease (ESRD) as we have conducted this study on haemodialysis patients to see the HRQOL and to asses and compare the parameters which influence physical and mental health. Materials and Methods: This was a single centre study on haemodialysis patients using Short Form 36 (SF-36) of Kidney Disease Quality of Life (KDQOL). All the eight domains of HRQOL were assessed individually as well as summary scores for mental health (MCS Mental composite summary) and physical health (PCS Physical composite summary) were also evaluated. The questionnaire was completed by patient themselves and the clinical data was extracted from the medical records with prior consent from the patient. Results and discussion: The study participants showed a female predominance of 66% with a lower PCS and MCS scores among female participants in comparison to their male counterparts. Overall summary scores showed a lower PCS (38.71±8.15) than MCS (42.79±11.6) which reflects better mental health than physical health in the study population. A multiple regression analysis showed, the presence of residual renal function (β= -0.421, p= 0.02), duration of dialysis (β= 0.405, p= 0.03) and haemoglobin less than 12g/dL (β= 0.379, p= 0.02) were significant predictors of MCS. Conclusion: HRQOL in haemodialysis patients are influenced by socio-demographic as well as clinical parameters. In our population, kidney disease affects physical health more than mental health and the reasons are multifactorial. Bangladesh Journal of Medical Science Vol. 21(1) 2022 Page : 90-95

Health-Related Quality of Life and Caregiver Burden among Peritoneal Dialysis Patients and Their Family Caregivers in Japan

2003 ◽  
Vol 23 (2_suppl) ◽  
pp. 200-205 ◽  
Author(s):  
Setsuko Shimoyama ◽  
Orie Hirakawa ◽  
Keiko Yahiro ◽  
Toshimi Mizumachi ◽  
Andrea Schreiner ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Peritoneal Dialysis ◽  
Family Caregivers ◽  
Caregiver Burden ◽  
Short Form ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related

Objective Recent studies have found that patients with chronic renal failure suffer from depression and other symptoms of decreased mental health. However, little is know about caregiver burden and mental health among patients’ families. In the present study, we examined the relationship in Japan between peritoneal dialysis (PD) patients and caregivers with regard to health-related quality of life (HRQOL) and caregiver burden. Method In March of 2002, we recruited 60 subjects—26 patients on continuous ambulatory peritoneal dialysis (CAPD), and 34 caregivers—from a PD patient support group in southern Japan. We used the Kidney Disease Quality of Life Short Form (KDQOL-SF) and the Medical Outcomes Study Short Form 36 (SF-36) to measure HRQOL. We used the Zarit Burden Interview (ZBI) to measure caregiver burden. Data was also collected on each patient's duration of illness, treatment modality, age, sex, and medical history. All data were collected by mail surveys. Results Mean age of the PD patients was 48.2; mean age of the caregivers was 46.6. Mean caregiver burden on the ZBI was 14.1, which is considerably lower than that reported among caregivers for patients with dementia or stroke. Caregivers and patients both rated their general health and vitality among the lowest of the eight dimensions on the KDQOL-SF. In addition, patients scored lower than a normative population in all dimensions and significantly lower than caregivers in the dimensions of role physical functioning, role emotional functioning, and social functioning. Compared to national normative data for their age group, caregivers scored substantially lower in general health, vitality, and mental health. Conclusions Patients on CAPD are at risk for social role dysfunction, and their caregivers are at risk for decreased mental health. Further research is needed to identify interventions that can improve the HRQOL of CAPD patients and their family caregivers.

scholarly journals Urinary incontinence in the puerperium and its impact on the health-related quality of life

2012 ◽  
Vol 20 (2) ◽  
pp. 346-353 ◽  
Author(s):  
Lígia da Silva Leroy ◽  
Maria Helena Baena de Moraes Lopes
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Short Form ◽  
Control Group ◽  
Case Group ◽  
Health Related Quality ◽  
Sf 36 ◽  
Related Quality ◽  
Health Related

This case-control study evaluated whether UI in the puerperium compromises the health-related quality of life (HRQoL) and if so, in which aspects. The study included 344 women (77 case group and 267 control group) up to 90 days postpartum, who were attended the Obstetrics Outpatient Clinic of a public teaching hospital, for the postpartum follow up consultation. A socio-demographic and clinical data questionnaire formulated and validated for the study, the International Consultation on Incontinence Questionnaire - Short-Form (ICIQ-SF), the King's Health Questionnaire (KHQ) and the Medical Outcomes Study 36 - Item Short Form Health Survey (SF-36), were applied. The mean score of the ICIQ-SF was 13.9 (SD: 3.7). The case group presented high mean scores in the domains Impact of the Incontinence, Emotions, Daily Activity Limitations and Physical Limitations, of the KHQ. The groups differed significantly in the domains Physical Aspects, Pain, General Health Status, Vitality, Social Aspects and Mental Health of the SF-36. It is concluded that UI significantly affects the physical and mental health of puerperae.

scholarly journals Effects of Linear and Non-periodized Combined Training on Health-related Quality of Life of Adults With Obesity: a Randomized Clinical Trial

2021 ◽  
Author(s):  
Willen Remon Tozetto ◽  
Larissa dos Santos Leonel ◽  
Tiago Turnes ◽  
Giovani Firpo Del Duca
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Clinical Trial ◽  
Controlled Clinical Trial ◽  
Health Related Quality ◽  
Combined Training ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

Abstract Background: Health-related quality of life (HRQoL) is impaired by obesity and can be improved by combined training, even the effects of training periodization on HRQoL are not clear. The study aimed to compare combined training with the non-periodized and the linear periodization on HRQoL of obese adults. Methods: This is a blinded, controlled clinical trial involving adults with obesity (BMI ≥ 30 kg/m²), randomized into control (CG), non-periodized (NG) and linear periodization (PG) group. Three times a week for 16 weeks, NG and PG performed combined training for 60 minutes. The NG performed aerobic exercises between 50-59% of the reserve heart rate (HRres) and strength at 10-12 maximum repetitions (MR). The PG started with 40-49% of HRres and 12-14 MRs and progressively increased the intensity (50-59% and 10-12 MRs; 60-69% and 8-10 MRs) with total volume equalized with NG. HRQoL was investigated through the SF-36 questionnaire, according to its components and domains. In statistics, Generalized Estimation Equations and mean differences (∆) were used. Results: Of the 69 participants (23 in each group), 36 completed the intervention (CG=13, NG=9 and PG=14). A significant difference was observed in time of physical function, with superiority in training groups (CG:∆=1.2 vs NG and PG, respectively: ∆=10.0). The mental component and mental health domain showed a significant difference for NG (∆=30.2 and ∆=23.1, respectively). Conclusion: The combined training was able to bring benefits to the physical functioning of adults with obesity and, specifically, the non-periodized training improved mental health indicators effectively.Clinical Trial Registry: RBR-3c7rt3 Date of Registration: 07/02/2018

scholarly journals Comparison of the health-related quality of life of end stage kidney disease patients on hemodialysis and non-hemodialysis management in Uganda

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Peace Bagasha ◽  
Elizabeth Namukwaya ◽  
Mhoira Leng ◽  
Robert Kalyesubula ◽  
Edrisa Mutebi ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Kidney Disease ◽  
Short Form ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
End Stage ◽  
Management Groups

Abstract Background Health-related quality of life is recognized as a key outcome in chronic disease management, including kidney disease. With no national healthcare coverage for hemodialysis, Ugandan patients struggle to pay for their care, driving families and communities into poverty. Studies in developed countries show that patients on hemodialysis may prioritize quality of life over survival time, but there is a dearth of information on this in developing countries. We therefore measured the quality of life (QOL) and associated factors in end stage renal disease (ESRD) patients in a major tertiary care hospital in Uganda. Methods Baseline QOL measurement in a longitudinal cohort study was undertaken using the Kidney Disease Quality of Life Short Form Ver 1.3. Patients were recruited from the adult nephrology unit if aged > 18 years with an estimated glomerular filtration rate ≤ 15mls/min/1,73m2. Clinical, demographic and micro-financial information was collected to determine factors associated with QOL scores. Results Three hundred sixty-four patients (364) were recruited, of whom 124 were on hemodialysis (HD) and 240 on non-hemodialysis (non-HD) management. Overall, 94.3% of participants scored less than 50 (maximum 100). Mean QOL scores were low across all three principal domains: physical health (HD: 33.14, non-HD: 34.23), mental health (HD: 38.01, non-HD: 38.02), and kidney disease (HD: 35.16, non-HD: 34.00). No statistically significant difference was found between the overall quality of life scores of the two management groups. Breadwinner status (p < 0.001), source of income (p0.026) and hemodialysis management type (p0.032) were the only factors significantly associated with QOL scores, and this was observed in the physical health and kidney disease principal domains only. No factors were significantly associated with scores for the mental health principal domain and/or overall QOL score. Conclusion The quality of life of Ugandan patients with ESRD has been found to be lower across all three domains of the Kidney Disease Quality of Life Short Form than reported anywhere in the world, with no difference observed between the non-HD and HD management groups. Interventions targeting all domains of QOL are needed among patients with ESRD in Uganda and, potentially, in other resource limited settings.

scholarly journals Health related quality of life of diabetic patients visited in Koshi Zonal Hospital, Biratnanar

2015 ◽  
Vol 4 (3) ◽  
pp. 13-16 ◽  
Author(s):  
R K Mehta ◽  
S Subedi ◽  
S Bohora
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Physical Health ◽  
Short Form ◽  
Diabetic Patients ◽  
Health Related Quality ◽  
Physical And Mental Health ◽  
Related Quality ◽  
Health Related

Globally, diabetes is ranked as the 4th leading cause of death in terms of disease and places a huge strain on public health funding. Quality of life (QOL) is an important and understudied topic in the diabetes. Most studies reports that quality of life among people with diabetes is worse than QOL in general population. Thus, this study is aimed to assess health related quality of life of diabetic patients. We conducted a hospital- based non experimental prospective study. Total 50 diabetic patients were enrolled in this study by using purposive sampling technique. Short-Form 36 questionnaire was used to assess the QOL of diabetic patients. Among 50 respondents, 27 were female and 23 were male. In physical health, 56% respondents had obtained score above 50, 2% respondents had obtained score 50 and 42% respondents had obtained score below 50.Similarly, in mental health, 56% respondents had obtained score above 50 and 44% respondents had obtained score below50. This result indicates that majority of respondents (56%) had better QOL. It concludes that majority (56%) of respondents had better QOL in both physical and mental health and in physical health 2% had average QOL and 42% had poor QOL and in mental health 44% had poor QOL. So, the family, physician, nurses and policy makers can use this finding to identify and implement appropriate interventions for better management and ultimately improving QOL of diabetic patients.DOI: http://dx.doi.org/10.3126/jcmc.v4i3.11933Journal of Chitwan Medical College 2014; 4(3): 13-16 

scholarly journals HEALTH-RELATED QUALITY OF LIFE (HRQOL) IN OLDER ADULT SUBJECTS WITH KNEE OSTEOARTHRITIS PAIN

2021 ◽  
Vol 9 (5) ◽  
pp. 952-959
Author(s):  
Nimitha K.J ◽  
◽  
Bhupendra Singh ◽  
Radhey Shyam Gangwar ◽  
RN Srivastava ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Knee Osteoarthritis ◽  
Older Adult ◽  
Short Form ◽  
Health Related Quality ◽  
Osteoarthritis Pain ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

Aim of the study: The study aims to find the health-related quality of life (HRQoL) in older adult subjects with knee osteoarthritis pain. Material and methods: A cross-sectional, telephonic study was done on knee osteoarthritis subjects above 50 years of age. Socio-demographic scales and details,(ShalliBavoria, et al., 2020) i.e., WOMAC (Western Ontario and McMaster Universities Osteoarthritis Index), SF-12 (Short Form survey), PHQ-9 (Patient Health Questionnaire) et al were applied( Soo-Hyun Park and Byeong-Hun Kang., 2020). Information was retrospectively compiled and a semi-structured proforma was selected to gather the clinical variables. Results: Results were identified by domains of Health related quality of life.Results showed that there is significant difference in general health related quality of life based on the KL grading of KOA.(P=0.02,P=0.04)Study concluded that general HRQoL worsens with higher grading of KOA.The results showed that there was a substantial discrepancy witnessed between males and females where females encountered more pain.As stiffness increases HRQoL decreases. More severity of pain was observed in depressed people.(Roger B. Fillingim, et al., 2020) Conclusion: Daily challenges and actions, of which some may be unusual to sufferers in a pastoral setting in India, underlie sedentary and effective strategies to Osteoarthritis and its control. The study concluded that a significant difference in pain and general quality of life-based on the KL grading of KOA (P=0.02, P=0.04) was observed.(Hye-Young Shim, etal, 2018) It was also found that there is a considerable difference in pain based on the duration of ]knee osteoarthritis (P=0.05).( Aliasghar A. Kiadalir, et al., 2017).

scholarly journals Health-Related Quality of Life Among Individuals with Visual Conditions Requiring Eyecare During COVID-19 Lockdown.

2020 ◽  
Author(s):  
Khader A. Almhdawi ◽  
Munsif F. Alsalem ◽  
Donia Obeidat ◽  
Laith T. Al-Khateeb ◽  
Mohammad N. Al Aqarbah ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Short Form ◽  
Service Planning ◽  
Health Related Quality ◽  
Cross Sectional Survey ◽  
Related Quality ◽  
Health Related

Abstract Background: Individuals with chronic vision diseases need regular ophthalmic follow-up. However, access to non-urgent ophthalmic services was limited in areas of strict lockdown during SARS-COV-2 (COVID-19) pandemic. This article aimed to o assess Health-Related Quality of Life (HRQoL) and its predictors in individuals with chronic vision conditions during COVID-19 lockdown. Methods: A cross-sectional, survey-based study targeted Jordanians adults with variety of chronic vision conditions require regular ophthalmic follow-up. Outcome measures included HRQoL measured by 12-item Short Form health survey (SF-12), mental health symptoms measured by Depression Anxiety Stress Scale (DASS 21), vision ability measured by the National Eye Institute Visual Functioning Questionnaire (VFQ-25) General Vision and Role Limitation subscales. Data were analyzed descriptively and using a multiple variable linear regression to identify HRQoL predictors. Results: A total of 201 participants completed the study with a mean age of 52.09 (±15.41) years and SF-12 mean score of 57.90 (±18.15). Level of HRQoL was significantly and negatively predicted by VFQ-25 Role Limitation subscale, presence of diabetes, the need of ophthalmic follow-up during lockdown, and stress. The regression model explained 47.1% of the variance in HRQoL (r2=0.471, F=35.57, P<0.001).Conclusions: Jordanian individuals with chronic vision conditions requiring non-urgent ophthalmic follow-up demonstrated a relatively low level of HRQoL during COVID-19 lockdown. Participants also showed adverse impact on mental health and reported low accessibility to ophthalmic care. Access to non-urgent ophthalmic care in individuals with chronic vision diseases should be carefully considered by healthcare administrations and policymakers for optimal service planning during pandemics and crises.

scholarly journals Effects of Linear and Non-periodized Combined Training on Health-related Quality of Life of Adults With Obesity: a Randomized Clinical Trial

2021 ◽  
Author(s):  
Willen Remon Tozetto ◽  
Larissa dos Santos Leonel ◽  
Tiago Turnes ◽  
Giovani Firpo Del Duca
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Clinical Trial ◽  
Health Indicators ◽  
Health Related Quality ◽  
Combined Training ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

Abstract Background: Health-related quality of life (HRQoL) is impaired by obesity and can be improved by combined training, even the effects of training periodization on HRQoL are not clear. The study aimed to compare combined training with the non-periodized and the linear periodization on HRQoL of obese adults.Methods: This is a blinded, controlled clinical trial involving adults with obesity (BMI ≥ 30 kg/m²), randomized into control (CG), non-periodized (NG) and linear periodization (PG) group. Three times a week for 16 weeks, NG and PG performed combined training for 60 minutes. The NG performed aerobic exercises between 50-59% of the reserve heart rate (HRres) and strength at 10-12 maximum repetitions (MR). The PG started with 40-49% of HRres and 12-14 MRs and progressively increased the intensity (50-59% and 10-12 MRs; 60-69% and 8-10 MRs) with total volume equalized with NG. HRQoL was investigated through the SF-36 questionnaire, according to its components and domains. In statistics, Generalized Estimation Equations and mean differences (∆) were used.Results: Of the 69 participants (23 in each group), 36 completed the intervention (CG=13, NG=9 and PG=14). A significant difference was observed in time of physical function, with superiority in training groups (CG:∆=1.2 vs NG and PG, respectively: ∆=10.0). The mental component and mental health domain showed a significant difference for NG (∆=30.2 and ∆=23.1, respectively).Conclusion: The combined training was able to bring benefits to the physical functioning of adults with obesity and, specifically, the non-periodized training improved mental health indicators effectively.Name of the registry: Effects of different types of Aerobic Exercise and Weight Training protocols combined on adult health indicators with Obesity.Trial registration number: RBR-3c7rt3Date of registration: 07/02/2018URL of trial registry record: https://ensaiosclinicos.gov.br/rg/RBR-3c7rt3

scholarly journals Effect of a Worksite Walking Competition on Health-Related Quality of Life Among University Employees

2015 ◽  
Vol 12 (3) ◽  
Author(s):  
Breanna Orozco ◽  
Lisa Leininger ◽  
Kendra Contente
Keyword(s):  
Quality Of Life ◽  
Health Promotion ◽  
Short Form ◽  
Control Group ◽  
Health Related Quality ◽  
University Employees ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

Worksite health promotion programs (WHPPs) aim to improve the health and wellness of employees in an effort to improve health related quality of life (HRQOL). The effect of exercise on improving HRQOL is well documented among clinical populations. However, few studies have examined the effect of WHPPs on HRQOL. The purpose of this study was to investigate the effect of a six-week “Workplace Walk-Off Competition” (WWC) on HRQOL among university employees. One hundred and nine university employees were included in this study (WWC group: n=47, Control group: n=62). All study participants completed the Short Form 12 Question, Version 2 (SF-12v2), a HRQOL questionnaire, before and after the WWC. The SF-12v2 questionnaire determines HRQOL based on two components and reports scores for a physical component summary (PCS) score and a mental component summary (MCS) score. A two-way repeated measures ANOVA was performed on PCS and MCS scores, followed by dependent t-tests for each group. There was no significant difference in PCS or MCS scores between the groups. Further, there were no statistically significant changes in PCS or MCS scores (p>.05) among either group, following the six-week WWC. Although much research deems WHPPs effective for improving many health indicators, this short-term program was not effective in improving PCS and MCS components of HRQOL. KEYWORDS: Quality of Life, Health Promotion, Walking Competition, University Employees

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