Assessment of physical health status and quality of life among Saudi older adults

IntroductionObsessive-compulsive disorder (OCD) is a mental health condition associated with severe impairment in a variety of quality of life domains, an increased physical health burden, and a higher risk of general medical conditions and mortality compared with the general population. While there is a large amount of literature on psychological quality of life, a systematic review of perceived physical health in OCD is lacking. A quantitative summary might suggest that policy makers also focus the evaluation on perceived physical health and develop new strategies also aimed at this outcome. The current paper presents a protocol for the first systematic review and meta-analysis aimed at summarising perceived physical health in OCD by specifically examining perceived physical health status, bodily pain and role limitations due to physical problems in patients with OCD compared with controls. The review will also investigate potential demographic and clinical moderators of perceived physical health status (age, gender, OCD severity, publication date, methodological quality).Methods and analysisA systematic review and meta-analysis will be conducted according to PRISMA guidelines. Studies will be included if using a clinical group with a current primary diagnosis of OCD established by international standardised criteria, if measuring perceived physical health status, and if using screened or community participants as controls. No publication date or language restriction will be applied. An online systematic search of electronic databases (Scopus, PubMed, PsycINFO, EMBASE, Cochrane Library), and examination of conference proceedings and theses/dissertations will be conducted by independent reviewers. Risk of bias will be assessed through the Newcastle-Ottawa Scale.Ethics and disseminationThe current review does not require ethics approval. The results will be disseminated through publications in peer-reviewed journals.PROSPERO registration number2018 CRD42018106194.

Download Full-text

PHYSICAL HEALTH STATUS OF PEOPLE AGED 60 YEARS AND OVER AT NURSING CLUBS IN DISTRICT 10, HO CHI MINH CITY

Tạp chí Y học Cộng đồng ◽

10.52163/vjcm.v62i6.188 ◽

2021 ◽

Vol 62 (6) ◽

Author(s):

Nguyen Manh Tri ◽

Le Thi Tuong Van ◽

Luong Thai Vinh ◽

Vo Thi Ngoc Ha ◽

Nguyen Thi Phuong ◽

...

Keyword(s):

Quality Of Life ◽

Health Care ◽

Health Status ◽

Physical Health ◽

The Elderly ◽

Ho Chi Minh City ◽

Average Score ◽

Physical Health Status ◽

Internal Factors

Background: The age of support and endurance against external and internal factors and agents is greatly less so that the need for health care including physical and mental training to improve the quality of life is essential especially the physical health of the elderly. Target:. Determination of physical health scores and associations of people aged 60 years and older at nursing clubs in District 10, Ho Chi Minh City, in 2019. Methods and materials: Descriptive cross-section study. People aged 60 years and over who have been training at nursing clubs living in District 10, Ho Chi Minh City were surveyed from September 2018 to October 2019. Results: The study showed an average score of 63.3 in ±17.3 points. In particular, physical activity: 61.0±23.1; physical limitations: 57.2±26.1; pain sensation: 68.2±22,2; general health: 59.6±14.9. Considering the relationship, as the age group increases, the mean score of the elderly's quality of life decreases statistically significantly in four áreas (p<0,05). Women have a statistically significantly higher mean score on quality of life than men (p<0,05). Conclusions: The results of the study are important information that informs the physical health status of elderly people aged 60 years and older, and suggests recommendations in improving the quality of physical health care of the elderly.

Download Full-text

Health behaviours and mental and physical health status in older adults with a history of homelessness: a cross-sectional population-based study in England

BMJ Open ◽

10.1136/bmjopen-2018-028003 ◽

2019 ◽

Vol 9 (6) ◽

pp. e028003

Author(s):

Lee Smith ◽

Nicola Veronese ◽

Guillermo Felipe López-Sánchez ◽

Eloise Moller ◽

James Johnstone ◽

...

Keyword(s):

Quality Of Life ◽

Life Satisfaction ◽

Health Status ◽

Physical Health ◽

Health Behaviours ◽

Physical Health Status ◽

Cross Sectional ◽

Self Rated Health ◽

Mental And Physical Health

ObjectivesThis study compared (1) levels of engagement in lifestyle risk behaviours and (2) mental and physical health status in individuals who have previously been homeless to those of individuals who have not.DesignCross-sectional.ParticipantsData were from participants (n=6931) of the English Longitudinal Study of Ageing.MeasuresParticipants reported whether they had ever been homeless. We used regression models to analyse associations between homelessness and (1) cigarette smoking, daily alcohol consumption and physical inactivity, adjusting for sociodemographic covariates (age, sex, ethnicity, highest level of education, marital status and household non-pension wealth) and (2) self-rated health, limiting long-standing illness, depressive symptoms, life satisfaction, quality of life and loneliness, adjusting for sociodemographics and health behaviours.Results104 participants (1.5%) reported having been homeless. Individuals who had been homeless were significantly more likely to be physically inactive (OR 1.62, 95% CI 1.44 to 2.52), report fair/bad/very bad self-rated health (OR 1.75, 95% CI 1.07 to 2.86), have a limiting long-standing illness (OR 2.66, 95% CI 1.65 to 4.30) and be depressed (OR 3.06, 95% CI 1.85 to 5.05) and scored lower on measures of life satisfaction (17.34 vs 19.96, p<0.001) and quality of life (39.02 vs 41.21, p=0.013). Rates of smoking (20.2% vs 15.4%, p=0.436), daily drinking (27.6% vs 22.8%, p=0.385) and loneliness (27.1% vs 21.0%, p=0.080) were also elevated.ConclusionsThose who were once homeless have poorer mental and physical health outcomes and are more likely to be physically inactive. Interventions to improve their health and quality of life are required.

Download Full-text

Quality of Life Assessment of Hypertensive Patients in a Tertiary Care Teaching Hospital in Jaipur

Journal of Drug Delivery and Therapeutics ◽

10.22270/jddt.v10i3.4074 ◽

2020 ◽

Vol 10 (3) ◽

pp. 73-75

Author(s):

Kushagra Sharma ◽

Nikhil Mishra ◽

Ranjeet Kumar

Keyword(s):

Quality Of Life ◽

Health Status ◽

Physical Health ◽

Teaching Hospital ◽

Tertiary Care ◽

Physical Health Status ◽

Hypertensive Patients ◽

Poor Physical Health ◽

Excellent Health

Background: Hypertension is the well-known risk factor for mortality and morbidity. About 7.1 million population worldwide dies each year due to cause of hypertension. It directly effects persons quality of life. Methods: Total number of 128 Hypertension diagnosed Patient’s data were collected under this study who were admitted to the General Medicine wards of tertiary care teaching hospital. WHO BREF questionnaires were given and filled forms by patients were collected. Result: In physical health 42 Patients are with excellent health, 81 Patients are fall under the moderate health and 5 Patients are with poor physical health status. In psychological assessment 36 Patients are with excellent health 83 Patients are fall under the moderate health and 9 Patients are with poor physical health status. In Social relation, 15 Patients are with excellent health, 98 Patients are fall under the moderate health, and 15 Patients are with poor physical health status. In environmental assessment, 57 Patients are with excellent health, 41 Patients are fall under the moderate health and 31 Patients are with poor physical health status. Conclusion: This study has shown overall moderate QOL with mean 3.25 and SD 0.63 among hypertensive patients according all four domains. Physical activities and marital status were important independent factors affecting both domains in QOL. Older age was associated with lower QOL in physical health. Presence of co-morbidity in hypertension patients are an important health issue influencing their satisfaction in physical health. Interventions targeted towards improving QOL of disadvantage patients are needed in the setting. Keywords- Mental Health Assessment, WHO BREF, Quality of Life, Hypertension.

Download Full-text

Health status and quality of life among older adults in rural Tanzania

Global Health Action ◽

10.3402/gha.v3i0.2142 ◽

2010 ◽

Vol 3 (1) ◽

pp. 2142 ◽

Cited By ~ 27

Author(s):

MathewA. Mwanyangala ◽

Charles Mayombana ◽

Honorathy Urassa ◽

Jensen Charles ◽

Chrizostom Mahutanga ◽

...

Keyword(s):

Quality Of Life ◽

Older Adults ◽

Health Status ◽

Rural Tanzania

Download Full-text

Stressors Arising in Highly Valued Roles, Meaning in Life, and the Physical Health Status of Older Adults

The Journals of Gerontology Series B ◽

10.1093/geronb/59.5.s287 ◽

2004 ◽

Vol 59 (5) ◽

pp. S287-S297 ◽

Cited By ~ 152

Author(s):

N. Krause

Keyword(s):

Older Adults ◽

Health Status ◽

Physical Health ◽

Meaning In Life ◽

Physical Health Status

Download Full-text

Associations Between Heart Rate Variability Measured With a Wrist-Worn Sensor and Older Adults’ Physical Function: Observational Study

JMIR mhealth and uhealth ◽

10.2196/13757 ◽

2019 ◽

Vol 7 (10) ◽

pp. e13757 ◽

Cited By ~ 3

Author(s):

Sarah Anne Graham ◽

Dilip V Jeste ◽

Ellen E Lee ◽

Tsung-Chin Wu ◽

Xin Tu ◽

...

Keyword(s):

Older Adults ◽

Heart Rate ◽

Heart Rate Variability ◽

Health Status ◽

Physical Health ◽

Physical Function ◽

Significant Proportion ◽

Physical Health Status ◽

Sf 36 ◽

Composite Scores

Background Heart rate variability (HRV), or variation in beat-to-beat intervals of the heart, is a quantitative measure of autonomic regulation of the cardiovascular system. Low HRV derived from electrocardiogram (ECG) recordings is reported to be related to physical frailty in older adults. Recent advances in wearable technology offer opportunities to more easily integrate monitoring of HRV into regular clinical geriatric health assessments. However, signals obtained from ECG versus wearable photoplethysmography (PPG) devices are different, and a critical first step preceding their widespread use is to determine whether HRV metrics derived from PPG devices also relate to older adults’ physical function. Objective This study aimed to investigate associations between HRV measured with a wrist-worn PPG device, the Empatica E4 sensor, and validated clinical measures of both objective and self-reported physical function in a cohort of older adults living independently within a continuing care senior housing community. Our primary hypothesis was that lower HRV would be associated with lower physical function. In addition, we expected that HRV would explain a significant proportion of variance in measures of physical health status. Methods We evaluated 77 participants from an ongoing study of older adults aged between 65 and 95 years. The assessments encompassed a thorough examination of domains typically included in a geriatric health evaluation. We collected HRV data with the Empatica E4 device and examined bivariate correlations between HRV quantified with the triangular index (HRV TI) and 3 widely used and validated measures of physical functioning—the Short Physical Performance Battery (SPPB), Timed Up and Go (TUG), and Medical Outcomes Study Short Form 36 (SF-36) physical composite scores. We further investigated the additional predictive power of HRV TI on physical health status, as characterized by SF-36 physical composite scores and Cumulative Illness Rating Scale for Geriatrics (CIRS-G) scores, using generalized estimating equation regression analyses with backward elimination. Results We observed significant associations of HRV TI with SPPB (n=52; Spearman ρ=0.41; P=.003), TUG (n=51; ρ=−0.40; P=.004), SF-36 physical composite scores (n=49; ρ=0.37; P=.009), and CIRS-G scores (n=52, ρ=−0.43; P=.001). In addition, the HRV TI explained a significant proportion of variance in SF-36 physical composite scores (R2=0.28 vs 0.11 without HRV) and CIRS-G scores (R2=0.33 vs 0.17 without HRV). Conclusions The HRV TI measured with a relatively novel wrist-worn PPG device was related to both objective (SPPB and TUG) and self-reported (SF-36 physical composite) measures of physical function. In addition, the HRV TI explained additional variance in self-reported physical function and cumulative illness severity beyond traditionally measured aspects of physical health. Future steps include longitudinal tracking of changes in both HRV and physical function, which will add important insights regarding the predictive value of HRV as a biomarker of physical health in older adults.

Download Full-text

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.

Download Full-text

An Assessment of Long-Term Physical and Emotional Quality of Life of Persons Injured on 9/11/2001

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16061054 ◽

2019 ◽

Vol 16 (6) ◽

pp. 1054 ◽

Cited By ~ 3

Author(s):

Robert Brackbill ◽

Howard Alper ◽

Patricia Frazier ◽

Lisa Gargano ◽

Melanie Jacobson ◽

...

Keyword(s):

Quality Of Life ◽

Mental Health ◽

Health Status ◽

Physical Health ◽

Injury Severity ◽

Mental Health Status ◽

Physical And Mental Health ◽

Component Score

Fifteen years after the disaster, the World Trade Center Health Registry (Registry) conducted The Health and Quality of Life Survey (HQoL) assessing physical and mental health status among those who reported sustaining an injury on 11 September 2001 compared with non-injured persons. Summary scores derived from the Short Form-12 served as study outcomes. United States (US) population estimates on the Physical Component Score (PCS-12) and Mental Component Score (MCS-12) were compared with scores from the HQoL and were stratified by Post-traumatic Stress Disorder (PTSD) and injury status. Linear regression models were used to estimate the association between both injury severity and PTSD and PCS-12 and MCS-12 scores. Level of injury severity and PTSD history significantly predicted poorer physical health (mean PCS-12). There was no significant difference between injury severity level and mental health (mean MCS-12). Controlling for other factors, having PTSD symptoms after 9/11 predicted a nearly 10-point difference in mean MCS-12 compared with never having PTSD. Injury severity and PTSD showed additive effects on physical and mental health status. Injury on 9/11 and a PTSD history were each associated with long-term decrements in physical health status. Injury did not predict long-term decrements in one’s mental health status. Although it is unknown whether physical wounds of the injury healed, our results suggest that traumatic injuries appear to have a lasting negative effect on perceived physical functioning.

Download Full-text