scholarly journals The Relationship Between Frailty and Depression, Quality of Life, Disability, and Hospitalization Among Community-Dwelling Older Adults

2020 ◽  
Author(s):  
Audai A. Hayajneh ◽  
Hanan Hammouri ◽  
Eman S. Al-Satari ◽  
Debra C. Wallace ◽  
Mohammad Rababa
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Health Outcomes ◽  
Secondary Analysis ◽  
Depression Scale ◽  
Adverse Outcomes ◽  
Community Dwelling ◽  
High Prevalence ◽  
Community Dwelling Older Adults

Abstract Background: Frailty syndrome is characterized by a decline in physiological and psychological reserve that leads to poor health outcomes. Objectives: The current study explored frailty and its impacts on health outcomes among older adults in close-knit Jordanian communities. Methods: A secondary analysis (N=109) of community-dwelling older adults aged 60 years or over was conducted. The Arabic version of the culturally adapted Tilburg Frailty Indicator, the Geriatric Depression Scale, the Montreal Cognitive Assessment, the SF-36 Quality of Life survey, and disability self-reports were used. Results: Despite Jordanian communities being very close-knit, the results indicated a high prevalence of frailty (78%) and depression (38%) and poor outcomes of cognitive dysfunction and low quality of life among the participating older adults. Further, the prevalence of frailty was found to be 4.2 times higher among females than males and 7.2 times higher among single older adults than married older adults. Conclusion: A high prevalence of frailty and its related adverse outcomes was found among older adults in Jordan.

Levels of depressive symptoms may modify the relationship between the WHOQOL-BREF and its determining factors in community-dwelling older adults

2015 ◽  
Vol 28 (4) ◽  
pp. 591-601 ◽  
Author(s):  
Yu-Chen Chang ◽  
Wen-Chen Ouyang ◽  
Mei-Chun Lu ◽  
Jung-Der Wang ◽  
Susan C. Hu
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Depressive Symptoms ◽  
Early Recognition ◽  
Depression Scale ◽  
Community Dwelling ◽  
World Health ◽  
Community Dwelling Older Adults ◽  
Different Levels

ABSTRACTBackground:Depression is closely associated with quality of life (QOL) in older adults. Being elderly and exhibiting mild depressive symptoms may not lead to a depression diagnosis, but these attributes are clinically important. However, the extent to which these factors influence QOL and its determinants in older adults remains unclear.Methods:Questionnaires were administered to people aged 65 years or older at community senior centers in Taiwan to collect socio-demographic information and to assess results from the brief version of the World Health Organization's Quality of Life instrument (WHOQOL-BREF), Modified Barthel Index (MBI), 15-item Geriatric Depression Scale (GDS), and Mini-Mental State Examination (MMSE). Levels of depressive symptoms were classified as no depressive symptoms (NDS), lower level of depressive symptoms (LLDS), and higher level of depressive symptoms (HLDS), corresponding to GDS = 0, 1≦GDS≦5, and GDS>5, respectively. Multiple linear regression analyses were conducted to assess associations between the WHOQOL-BREF and its covariates for different levels of depressive symptoms.Results:A total of 454 older adults participated. The GDS and MBI scores significantly affected the WHOQOL-BREF physical and psychological domain scores in the LLDS group. Gender influenced the WHOQOL-BREF scores in the NDS group, and increased age demonstrated protective effects on the three domains in the HLDS group. Moreover, the association between the WHOQOL-BREF and its covariates varied for different levels of depressive symptoms.Conclusions:Treatment for depressive symptoms is of high priority, and early recognition of and appropriate intervention for mild depressive symptoms may improve community-dwelling older adults’ QOLs.

Frailty and Its Correlates in Cognitively Intact Community-Dwelling Older Adults

2021 ◽  
pp. 1-7
Author(s):  
Audai A. Hayajneh ◽  
Hanan Hammouri ◽  
Mohammad Rababa ◽  
Sami Al-Rawashedeh ◽  
Debra C. Wallace ◽  
...  
Keyword(s):  
Older Adults ◽  
Short Form ◽  
Secondary Analysis ◽  
Depression Scale ◽  
Community Dwelling ◽  
High Rate ◽  
Comorbid Conditions ◽  
High Prevalence ◽  
Cognitively Intact ◽  
Community Dwelling Older Adults

<b><i>Background:</i></b> Frailty syndrome is characterized by a decline in physiological and psychological reserve and may be associated with poor health outcomes. <b><i>Objectives:</i></b> The current study explored frailty and its correlates among cognitively intact community-dwelling older adults. <b><i>Methods:</i></b> A secondary analysis of data collected from 109 community-dwelling older adults who are cognitively intact was conducted for the purpose of this study. The Arabic versions of the culturally adapted Tilburg Frailty Indicator, the Montreal Cognitive Assessment, the Geriatric Depression Scale, and the Short Form-36 Quality of Life (QOL) survey. Multiple linear regression was used to examine the relationships between frailty and depression. <b><i>Results:</i></b> The results indicated a high prevalence of frailty (78%) and depression (38%) among cognitively intact community-dwelling older adults. Frailty was found to be associated with increased age, being single or illiterate, living alone, having a high number of comorbid conditions, having high rate of depression, and having poor QOL. <b><i>Conclusion:</i></b> High prevalence of frailty is associated with high depression scores, a high number of comorbid conditions, and poor QOL among cognitively intact community-dwelling older adults.

Association Between Anticholinergic Drug Use and Health-Related Quality of Life in Community-Dwelling Older Adults

Drugs & Aging ◽  
2017 ◽  
Vol 34 (10) ◽  
pp. 785-792 ◽  
Author(s):  
Benoit Cossette ◽  
Maimouna Bagna ◽  
Modou Sene ◽  
Caroline Sirois ◽  
Gabrielle P. Lefebvre ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Drug Use ◽  
Anticholinergic Drug ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Community Dwelling Older Adults

scholarly journals Multiple Linear Regression-Structural Equation Modeling Based Development of the Integrated Model of Perceived Neighborhood Environment and Quality of Life of Community-Dwelling Older Adults: A Cross-Sectional Study in Nanjing, China

2019 ◽  
Vol 16 (24) ◽  
pp. 4933 ◽  
Author(s):  
Fan Zhang ◽  
Dezhi Li
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Structural Equation ◽  
Daily Life ◽  
Community Dwelling ◽  
Neighborhood Environment ◽  
Equation Modeling ◽  
Community Dwelling Older Adults ◽  
Perceived Neighborhood Environment

Due to the poor functioning in daily living activities, community-dwelling older adults spend more time in their neighborhood environment. The perceived neighborhood environment is crucial to their quality of life (QoL). To explore the complex influences of perceived neighborhood environment on QoL, a questionnaire was designed to measure their perception of each factor of neighborhood environment and each domain of QoL. Based on collected data, the reliability test was applied to revise the questionnaire. Multiple linear regression (MLR) and structural equation modeling (SEM) were adopted to hypothesize and test the integrated model for community-dwelling older adults. The results show that community-dwelling older adults’ perceptions of neighbor support, facilities related to physical exercise and recreation, and accessibility to facilities impact their overall QoL with diverse coefficients of 0.437, 0.312, and 0.295, respectively; neighbor support (0.207) on physical health; sidewalk condition (0.134), natural environment (0.260), and facilities related to daily life (0.165) on psychological health; and neighbor support (0.298), facilities related to daily life (0.206), and design-related safety (0.225) on social relationship. This revealed that perceptions of neighborhood environment have diverse impacts on their QoL. This study can provide targeted retrofit strategies for communities to enhance QoL of community-dwelling older adults efficiently.

scholarly journals The Prevalence and Impact on Patient Outcomes of Malnutrition Among Older Adults Presenting at an Irish Emergency Department: A Secondary Analysis of the OPTIMEND Trial

2020 ◽  
Author(s):  
Anne Griffin ◽  
Aoife O´Neill ◽  
Margaret O´Connor ◽  
Damien Ryan ◽  
Audrey Tierney ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Functional Ability ◽  
Hospital Admissions ◽  
Functional Decline ◽  
Secondary Analysis ◽  
Adverse Outcomes ◽  
Nutrition Status

Abstract BackgroundMalnutrition is common among older adults and is associated with adverse outcomes but remains undiagnosed on healthcare admissions. Older adults use emergency departments (EDs) more than any other age group. This study aimed to determine the prevalence and factors associated with malnutrition on admission and with adverse outcomes post-admission among older adults attending an Irish ED. MethodsSecondary analysis of data collected from a randomised trial exploring the impact of a dedicated team of health and social care professionals on the care of older adults in the ED. Nutritional status was determined using the Mini Nutritional Assessment- short form. Patient parameters and outcomes included health related quality of life, functional ability, frailty, hospital admissions, falls history and clinical outcomes at index visit, 30-day and 6-month follow up. Aggregate anonymised participant data linked from baseline to 30-days and 6-month follow-up were used for statistical analysis.ResultsAmong 353 older adults (mean age 79.6 years (SD=7.0); 59.2% (n=209) female) the prevalence of malnutrition was 7.6% (n=27) and ‘risk of malnutrition’ was 28% (n=99). At baseline, those who were malnourished had poorer quality of life scores, functional ability, were more frail, more likely to have been hospitalised or had a fall recently, had longer waiting times and were more likely to be discharged home from the ED than those who had normal nutrition status. At 30-days, those who were malnourished were more likely to have reported another hospital admission, a nursing home admission, reduced quality of life and functional decline than older adults who had normal nutrition status at the baseline ED visit. At 6-months, a reported further decline in functional ability was more likely among those who were malnourished compared to those who had normal nutritional status. ConclusionOver one-third of older adults admitted to an Irish ED are either malnourished or at risk of malnourishment. Malnutrition was associated with a longer stay in the ED, functional decline, poorer quality of life, increased risk of hospital admissions and a greater likelihood of admission to long-term care at 30 days. Trial registration: Protocol registered in ClinicalTrials.gov, ID: NCT03739515, first posted November 13, 2018. https://clinicaltrials.gov/ct2/show/NCT03739515

Sign in / Sign up

Export Citation Format

Share Document