scholarly journals IMPACT OF DIABETIC NEUROPATHY ON QUALITY OF LIFE AND POSTURAL BALANCE IN BRAZILIAN OLDER ADULTS

2020 ◽  
Vol 28 (6) ◽  
pp. 275-279
Author(s):  
RITA DE CÁSSIA ERNANDES ◽  
GUILHERME CARLOS BRECH ◽  
NATÁLIA MARIANA SILVA LUNA ◽  
ARMANDO BEGA ◽  
DANIELLE SERRA GUIMARÃES ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Diabetic Neuropathy ◽  
Postural Balance ◽  
Death And Dying ◽  
Control Group ◽  
Cross Sectional ◽  
Functional Balance ◽  
The Impact

ABSTRACT Objective: To analyze the impact of the Peripheral Diabetic Neuropathy (PDN) on the postural and functional balance and quality of life of Brazilian older adults. Methods: A cross-sectional study. Sixty older men and women (60-79 years) were divided into three groups: control, DM without and with PDN. The following parameters were evaluated: anthropometry; quality of life; postural balance (BESTest); functional balance in force plate (NeuroCom Balance). Results: PDN group presented significant differences compared with the other groups, with the worst performance in quality of life than DM2 without PDN in: sensory functioning (p = 0.030); past and future (p = 0.036); death and dying (p = 0.035). Postural balance deficit in the total score (p = 0.025) and biomedical constraints section (p = 0.043) of the BESTest, compared with DM2 without PDN (p = 0.007). In the functional balance (Neurocom), PDN group presented a worse performance in the time spent on the left side (p = 0.030) than the control group. During step up over test, the control group performed the task faster than the group with PDN (p = 0.004). Conclusion: This study showed that neuropaths presented worse physical performance and postural balance deficits, sensorial limitations, affecting the daily tasks and, as a consequence, decreasing the quality of life in Brazilian older adults. Level of Evidence II, Cross-sectional observational study.

scholarly journals Association between living arrangement and quality of life for older adults in the community

2021 ◽  
Vol 29 ◽  
Author(s):  
Alisson Fernandes Bolina ◽  
Mayssa da Conceição Araújo ◽  
Vanderlei José Haas ◽  
Darlene Mara dos Santos Tavares
Keyword(s):  
Quality Of Life ◽  
Social Support ◽  
Older Adults ◽  
Living Arrangement ◽  
Death And Dying ◽  
Multiple Linear Regression Model ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference

Objective: to compare the sociodemographic and economic characteristics of the older adults in the community according to the living arrangement and to verify the association between the type of living arrangement and the quality of life scores. Method: a cross-sectional epidemiological study conducted with 796 older adults in the community. To assess quality of life (dependent variable), network and social support (adjustment variable), validated and applied chi-square tests, descriptive statistical analysis, multiple comparison analysis (ANOVA) and multiple linear regression model (p<0.05) were used. Results: the older adults who lived only with their spouses had better quality of life scores in all domains and facets, except in the death and dying domain, which did not show any significant difference. The lowest scores for quality of life were identified in the groups with the presence of children and, exceptionally, in the domain of social relationships and, in the facets death and dying and intimacy, those who lived alone had worse assessments. In the adjusted model, there was an association between the type of living arrangement and the different domains and facets of quality of life. Conclusion: living arrangement was associated with quality of life scores for older adults in the community, even after adjusting for the gender, age, number of morbidities, and social support variables.

scholarly journals Differences in Multi-Faceted Lifestyles in Response to the COVID-19 Pandemic and Their Association with Depression and Quality of Life of Older Adults in South Korea: A Cross-Sectional Study

Nutrients ◽  
2021 ◽  
Vol 13 (11) ◽  
pp. 4124
Author(s):  
Kang-Hyun Park ◽  
Ah-Ram Kim ◽  
Min-Ah Yang ◽  
Ji-Hyuk Park
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
South Korea ◽  
Negative Impact ◽  
World Health ◽  
Cross Sectional ◽  
Significant Difference ◽  
The World ◽  
The Impact

Background: The World Health Organization declared COVID-19 a global pandemic on 11 March 2020, due to the number of newly reported confirmed cases and the rapid increase in deaths. Therefore, countries around the world limited their population to policies such as “social distancing” or “staying at home” to prevent the spread of the virus. The purpose of this study was to evaluate differences in lifestyle pre and post the outbreak COVID-19 among older adults in South Korea and to identify the impact of lifestyle differences on depression and quality of life. Methods: An online single questionnaire covering sociodemographic data, lifestyle details, depression status, and quality of life level was distributed using mailing lists and social media. To assess lifestyles differences in older people pre and post the outbreak of COVID-19 pandemic, the online single questionnaire was used post COVID-19 pandemic. Based on the participants’ memories, they responded lifestyles at two time points (pre and post COVID-19 pandemic). Results: The results showed that there was a significant decrease in physical activity and activity participation during the pandemic. In terms of nutrition, there was no statistically significant change pre and post the outbreak COVID-19, except for the intake of protein, fat, and vitamins. Additionally, the results showed that the resulting lifestyle differences seem to have had a negative impact on depression and quality of life among older adults in South Korea. Conclusion: There was a significant difference the lifestyle patterns among the participants in South Korea between the current period and pre COVID-19 pandemic. Additionally, it is observed that these differenced lifestyles were associated with depression and quality of life among the participants. Our findings may help to develop public health programs that support healthy lifestyles in pandemic conditions.

scholarly journals Functional capacity and quality of life of hospitalized octogenarians

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 43-48 ◽  
Author(s):  
Michelle Cardoso Billett ◽  
Cássia Regina Vancini Campanharo ◽  
Maria Carolina Barbosa Teixeira Lopes ◽  
Ruth Ester Assayag Batista ◽  
Angélica Gonçalves Silva Belasco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Functional Capacity ◽  
Death And Dying ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Decline ◽  
Partial Dependence ◽  
Quality Of Life Instruments

ABSTRACT Objective: To evaluate the ability to perform activities of daily living (ADL) and to correlate functional capacity with quality of life (QoL) of hospitalized octogenarians. Method: A cross-sectional study with 128 patients using the quality of life instruments WHOQOL-OLD and WHOQOL-BREF and the Katz Scale. Results: The majority of patients was fully dependent; patients with higher schooling had less independence; older adults with partial dependence and independence had higher scores in perceived QoL; in the domains of autonomy, past, present and future activities; and better overall QoL than those with full dependence. Partially dependent patients had higher scores in the death and dying domain than independent patients. Conclusion: Older adults’ QoL is associated with the maintenance of autonomy and functional capacity. Older adults experience a health decline during the hospitalization process, due to the limitation in performing their ADL and lack of encouragement by the health team.

Attitudes to ageing and quality of life in young and old older adults: an international cross-sectional analysis

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Sarah Long ◽  
Kenneth Laidlaw ◽  
Angus Lorimer ◽  
Nuno Ferreira
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Oldest Old ◽  
Age Groups ◽  
Cross Sectional ◽  
Content Type ◽  
Positive Attitudes ◽  
Physical Health Problems ◽  
The Impact

Purpose Although quality of life and attitudes to ageing have been explored in the context of mental and physical health problems in older adults, the interplay between these variables has received little attention. The purpose of this study is to explore how attitudes to ageing relate to and predict quality of life in an international sample of older people those of age 57 to 79 (youngest-old) and those over 80 years old (oldest-old). Design/methodology/approach A large international sample (n = 4,616) of participants recruited from 20 different countries completed a set of measures assessing several demographic variables, attitudes to ageing, older adult specific quality of life, general quality of life and depression. Findings Correlational and regression analysis showed that more positive attitudes to ageing were associated with and predicted better quality of life in older adults beyond demographic and depression variables. Those in the oldest-old group had significantly more negative attitudes to ageing and a poorer quality of life. However, positive attitudes to ageing remained a significant predictor of better quality of life in both the youngest-old and oldest-old age groups. Originality/value Attitudes to ageing play an important part in quality of life in older adults; however, the impact of these attitudes might be different according to age group. These results suggest that attitudes to ageing could be a possible clinical target in interventions aiming at improving quality of life in older adults.

scholarly journals Multidimensional geriatric evaluation in acromegaly: a comparative cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Irene Gagliardi ◽  
Sabrina Chiloiro ◽  
Maria Vallillo ◽  
Marta Bondanelli ◽  
Stefano Volpato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Negative Impact ◽  
Female Gender ◽  
Bone Diseases ◽  
Psychological Status ◽  
Control Group ◽  
Cross Sectional ◽  
Geriatric Evaluation

Abstract Background Improvement in acromegaly management increased disease survival and prevalence. Evidence regarding acromegaly in older adults are sparse. We aim to explore acromegaly impact on aging process quality. Methods Multicenter case-control study conducted on 42 older adults (≥ 65 years) acromegaly patients (ACRO) compared to an age- and gender-matched control group (CTR). Each participant underwent a multidimensional geriatric evaluation. Results Mean age in both groups was 73 ± 6 years and female gender was most represented (69%). All comorbidities were more frequent in ACRO than CTR. Thirteen ACRO were in remission and 29 had active disease controlled by medical therapy except for one patient. ACRO showed worse physical performance and mobility skills worsening with age as compared to CTR. ACRO performed poorly in functional status assessment, and age negatively correlated with instrumental and basic daily activities execution. Cognitive evaluation scores were significantly lower in ACRO vs. CTR, worsening with age. No difference was found concerning nutritional and psychological status. Musculoskeletal and bone diseases were more frequent in ACRO than in CTR (52% vs. 12%; 64% vs. 10%; P < 0.05) and independently associated with geriatric outcomes in ACRO. ACRO reported a less satisfactory quality of life concerning physical activity and pain, general health, vitality, social activities. Conclusions Our study demonstrates increased frailty of older acromegaly patients as compared to non-acromegaly patients with a consequent negative impact on their quality of life. Therefore, it seems advisable to include physical, functional, cognitive, nutritional, and psychological status assessments in routine clinical practice. Further studies are needed to identify the most appropriate geriatric tools.

scholarly journals Multidimensional Geriatric Evaluation in Acromegaly: A Comparative Cross-Sectional Study

2021 ◽  
Author(s):  
Irene Gagliardi ◽  
Sabrina Chiloiro ◽  
Maria Vallillo ◽  
Marta Bondanelli ◽  
Stefano Volpato ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Negative Impact ◽  
Female Gender ◽  
Bone Diseases ◽  
Psychological Status ◽  
Control Group ◽  
Cross Sectional ◽  
Geriatric Evaluation

Abstract Background: Improvement in acromegaly management increased disease survival and prevalence. Evidence regarding acromegaly in older adults are sparse. We aim to explore acromegaly impact on aging process quality.Methods: Multicenter case-control study conducted on 42 older adults (≥ 65 years) acromegaly patients (ACRO) compared to an age- and gender-matched control group (CTR). Each participant underwent a multidimensional geriatric evaluation.Results: Mean age in both groups was 73 ± 6 years and female gender was most represented (69%). 13 ACRO were in remission and 29 had active disease controlled by medical therapy except for one patient. ACRO showed worse physical performance and mobility skills worsening with age as compared to CTR. ACRO performed poorly in functional status assessment, and age negatively correlated with instrumental and basic daily activities execution. Cognitive evaluation was significantly impaired in ACRO vs. CTR, worsening with age. No difference was found concerning nutritional and psychological status. Musculoskeletal and bone diseases were more frequent in ACRO than in CTR (52% vs. 12%; 64% vs. 10%; P< 0.05) and independently associated with geriatric outcomes in ACRO. ACRO reported a less satisfactory quality of life concerning physical activity and pain, general health, vitality, social activities.Conclusions: Our study demonstrates increased frailty of older acromegaly patients as compared to non-acromegaly patients with a consequent negative impact on their quality of life. Therefore, it seems advisable to include physical, functional, cognitive, nutritional, and psychological status assessments in routine clinical practice. Further studies are needed to identify the most appropriate geriatric tools.

scholarly journals Implicações da depressão na qualidade de vida do idoso: estudo seccional

2022 ◽  
Vol 21 (1) ◽  
pp. 433-472
Author(s):  
Edison Vitório de Souza Júnior ◽  
Diego Pires Cruz ◽  
Cristiane dos Santos Silva ◽  
Randson Souza Rosa ◽  
Bianca de Moura Peloso-Carvalho ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Death And Dying ◽  
Geriatric Depression Scale ◽  
Depression Scale ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Calidad De Vida

Objective: To analyze the association between depressive symptoms and quality of life in older adults. Method: Cross-sectional study carried out between July and October, in 2020, with 596 older adults who answered three instruments, namely: bio-sociodemographic, Geriatric Depression Scale and WHOQOL-Old. Data were analyzed using Chi-square, Kruskal-Wallis, Spearman correlation and linear regression tests, considering a 95% confidence interval (p<0.05). Results: Depressive symptoms were negatively and statistically significantly associated with all facets of quality of life: sensory abilities (β= -1.922 [CI95%= -2.328 – -1.517]); autonomy (β= -2.410 [CI95%= -2.755 - -2.064]); past, present and future activities (β= -3.534 [CI95%= -3.879 – -3.189]); social participation (β= -3.436 [CI95%= -3.816 – -3.056]); death and dying (β= -2.260 [CI95%= -2.792 – -1.728]) and intimacy (β= -3.547 [CI95%= -3,900 – -3.194]). Conclusion: The presence of depressive symptoms is negatively associated with the quality of life of older adults, thus requiring interventions in this area. Objetivo: Analizar la asociación entre sintomatología depresiva y calidad de vida de adultos mayores.Método: Estudio transversal realizado entre julio y octubre de 2020 con 596 personas mayores que respondieron a tres instrumentos: biosociodemográfico, Escala de Depresión Geriátrica y WHOQOL-Old. Los datos se analizaron mediante pruebas de Chi-cuadrado, Kruskal-Wallis, correlación de Spearman y regresión lineal, considerando un intervalo de confianza del 95% (p<0,05).Resultados: La sintomatología depresiva se asoció de forma negativa y estadísticamente significativa con todas las facetas de la calidad de vida: habilidades sensoriales (β= -1,922 [IC95%= -2,328 – -1,517]); autonomía (β= -2,410 [IC95%= -2,755 – -2,064]); actividades pasadas, presentes y futuras (β= -3,534 [IC95%= -3,879 – -3,189]); participación social (β= -3,436 [IC95%= -3,816 – -3,056]); muerte y morir (β= -2,260 [IC95%= -2,792 – -1,728]) e intimidad (β= -3,547 [IC95%= -3,900 – -3,194]).Conclusión: La presencia de sintomatologías depresivas se asocia negativamente con la calidad de vida de las personas mayores, por lo que requiere intervenciones en este ámbito. Objetivo: Analisar a associação entre ecesitando ía ecesitan e qualidade de vida de idosos. Método: Estudo seccional realizado entre julho e outubro de 2020 com 596 idosos que responderam três instrumentos: biosociodemográfico, Escala de Depressão Geriátrica e WHOQOL-Old. Os dados foram analisados com os testes de Qui-quadrado, Kruskal-Wallis, correlação de Spearman e regressão linear, considerando um intervalo de confiança de 95% (p<0,05). Resultados: A sintomatologia depressiva se associou de forma negativa e estatisticamente significante com todas as facetas da qualidade de vida: habilidades sensoriais (β= -1,922 [IC95%= -2,328 – -1,517]); autonomia (β= -2,410 [IC95%= -2,755 – -2,064]); atividades passadas, presentes e futuras (β= -3,534 [IC95%= -3,879 – -3,189]); participação social (β= -3,436 [IC95%= -3,816 – -3,056]); morte e morrer (β= -2,260 [IC95%= -2,792 – -1,728]) e intimidade (β= -3,547 [IC95%= -3,900 – -3,194]). Conclusão: : A presença de sintomatologias depressivas está associada negativamente à qualidade de vida dos idosos, necessitando, portanto, de intervenções nessa área.

scholarly journals Influence of juvenile idiopathic arthritis on the quality of life of young adults in the transition period to adult rheumatologic care

2017 ◽  
Vol 2 (4) ◽  
pp. e020478
Author(s):  
Marta Dzhus
Keyword(s):  
Quality Of Life ◽  
Young Adults ◽  
Juvenile Idiopathic Arthritis ◽  
Transition Period ◽  
Disease Onset ◽  
Cross Sectional Study ◽  
Control Group ◽  
Cross Sectional ◽  
The Impact

Background Young adults with juvenile idiopathic arthritis (JIA) often have an active disease with significant functional impairment in adulthood that can affect their physical and mental functions Aim To determine the impact of JIA on quality of life (QoL) in young adults with JIA during the transition healthcare Materials and methods The cross-sectional study of 89 young adults aged 16 to 22 years with a history of JIA regardless of the presence or absence of active inflammation at the time of the survey was performed in the Oleksandrivsky Central Clinical Hospital in Kyiv, Ukraine in the period between April 2015 and February 2017. 25 age- and sex-matched controls (without rheumatic disease) were included. There was performed an evaluation of the age at disease onset, duration, JIA activity, received therapy and quality of life Results Out of 89, 37 (41,6%) patients were considered to be in remission. Juvenile idiopathic arthritis had a large impact on the physical scales of quality of life. Patients with JIA had worse (p <0.001) physical health in comparison with the control group. The pain was the most important factor affecting the quality of life in cases of juvenile idiopathic arthritis. The indices responsible for the physical (p<0.001), role (borderline significance, p=0.04) functioning, and intensity of pain (p<0.001) were decreased, compared with the control group. However, the indicators responsible for psychological function in patients with JIA did not differ from the control group. The correlation analysis revealed significant negative association between disability severity (HAQ) and physical function (r=-0,56, p<0.001), role function (r=-0,33, p<0.001), pain intensity (r=-0,60, p<0.001), general health (r=-0,40, p=0.01), vital activity (r=-0,46, p<0.001), social function (r=-0,48, p<0.001), mental health (r=-0,42, p<0.001) Conclusion In our transitional cohort of patients at the era of biological therapies, juvenile idiopathic arthritis had a larger effect on the physical than mental SF-36 subscale. The pain was the main factor influencing the quality of life

Fear of memory decline predicts lower quality of life and increased memory failures in older adults: Preliminary findings from a novel fear-avoidance of memory decline scale.

2020 ◽  
Author(s):  
Francesca Farina ◽  
Marc Patrick Bennett ◽  
James William Griffith ◽  
Bert Lenaert
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Memory Performance ◽  
Fear Avoidance ◽  
Subjective Memory ◽  
Memory Decline ◽  
General Anxiety ◽  
Quality Of Life Scale ◽  
The Impact

Evidence concerning the impact of fear of memory decline on health-related outcomes is limited. To determine the relationship between fear-avoidance of memory decline, quality of life and subjective memory in older adults using a novel scale to measure fear of memory decline. Sixty-seven older adults (59-81 years) completed a 23-item self-report questionnaire designed to capture experiential, cognitive and behavioral components of fear of memory decline, known as the fear and avoidance of memory decline (FAM) scale. Memory performance was assessed using the Wechsler Memory Scale (WMS-IV) and the Memory Failures Scale (MFS). General anxiety was assessed using the Depression, Anxiety and Stress Scales (DASS) and the Geriatric Anxiety Inventory (GAI). Quality of life was assessed using the Older Person’s Quality of Life scale (OPQOL-35). The FAM scale demonstrated good reliability and validity. Three latent factors were observed including: (1) fear-avoidance, (2) problematic beliefs and (3) resilience. After adjusting for age, education, memory performance and general anxiety, higher fear-avoidance predicted lower quality of life (p=.021) and increased memory failures (p=.022). Increased fear of memory decline predicts lower quality of life and subjective memory failures in healthy older adults. Based on these findings, we propose a preliminary fear-avoidance model that explains the development and maintenance of dementia-related functional disability in terms of psychological processes.

Association between eHealth Literacy and Health-Related Quality of Life among Chinese Older Adults: A Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Shaojie Li ◽  
Yongtian Yin ◽  
Lijun Chen ◽  
Guanghui Cui ◽  
Jiaqin Li ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Mental Component Summary ◽  
Health Related Quality ◽  
Cross Sectional ◽  
Chinese Older Adults ◽  
Ehealth Literacy ◽  
Related Quality ◽  
Health Related

BACKGROUND Older adults’ health literacy levels are crucial to improving health outcomes and health-related quality of life (HRQoL). However, the impact of eHealth literacy on HRQoL in older adults is unclear. OBJECTIVE The aim of this study was to examine the association between eHealth literacy and HRQoL of older adults and provide reference for the development of network intervention measures related to the health quality of life of the older adults. METHODS An anonymous cross-sectional survey was conducted among 1,201 adults aged 60 or older from Jinan, China. The eHealth Literacy Scale and Short-Form Health Survey (SF-12) were used to measure eHealth literacy and HRQoL. We used linear regression to test the adjusted association between eHealth literacy and HRQoL. RESULTS Most participants (88.9%) had inadequate eHealth literacy. Lower eHealth literacy was related to older age ( F=12.618, P<.001), female gender( t=3.303, P<.01), living in rural areas( F=11.356, P<.001), having less education( F=59.084, P<.001), being unmarried, divorced or widowed( t=4.416, P<.001), having a lower family income( F=38.017, P<.001), living with others(χ2=4.319, P<.05), and not having health insurance( F=12.713, P<.001). There were significant differences across physical functioning( t=-4.862, P<.001), role- physical( t=-2.485, P<.05), bodily pain( t=-3.470, P<.01), general health( t=-4.449, P<.001), vitality( t=-3.498, P<.001), role-emotional( t=-2.654, P<.01), mental health( t=-4.150, P<.001), physical component summary( t=-6.350, P<.001) and mental component summary( t=-4.483, P<.001) between adequate eHealth literacy and inadequate eHealth literacy. After controlling for age, gender, and other covariates, adequate eHealth literacy was positively related to physical component summary ( beta=7.6, P<.001) and mental component summary(beta=4.6, P=.001). CONCLUSIONS This study showed that Chinese older adults with higher eHealth literacy were more likely to contribute to higher HRQoL. Thus, Older adults’ eHealth literacy levels need to be taken into account when formulating health education and promotion programs for older adults, especially when the expected outcome is to improve HRQoL.

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