scholarly journals Factors Influencing Health-Related Quality of Life of People who Eat Alone

2021 ◽  
Author(s):  
Eunmi Lee ◽  
Kuem Sun Han ◽  
Jeonghyun Cho ◽  
Taeyoun Kim
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Private Insurance ◽  
Perceived Health ◽  
Health Examination ◽  
Care Needs ◽  
Andersen Model ◽  
Health Related ◽  
Activity Restrictions

Abstract Background: The Andersen model was utilized to identify differences in the predictors of quality of life (QOL) between people who eat alone and those who do not. Methods: Data of 5,432 adults who responded to a question about having company for meals from the 2016 KNHANES were analyzed. Using the Andersen model, the parameters were classified into predisposing factors, enabling factors, need factors, and health behaviors; differences in the influences of each parameter category on QOL, depending on company during meals, were analyzed using logistic regression. Results: Individuals who ate alone included higher percentages of older women living alone, people with no medical aid or private insurance membership, low education and income, more chronic diseases, poorer perceived health, activity restrictions and unmet health care needs, and smoking and drinking, and lower health examination rates. Differences in the predictors of each domain of health-related QOL (HRQOL) were analyzed according to the absence of company during meals. Perceived health status was a predictor of all domains of HRQOL regardless of eating alone or not; age, activity restrictions, sex, and number of chronic diseases predicted two to four domains of QOL. Factors predicting QOL only among individuals who ate alone were sex (mobility, self-care, and usual activities), number of chronic diseases and health examination (pain/discomfort), and private insurance membership (anxiety/depression). Conclusion: The results verify the potential of using the Andersen model for measuring HRQOL. These findings highlight the need for tailored welfare services, social policies, and programs for people who eat without company.

scholarly journals Factors Affecting Health-Related Quality of Life in Multimorbidity

Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 334
Author(s):  
Eunmi Lee ◽  
Sunkyung Cha ◽  
Geun Myun Kim
Keyword(s):  
Quality Of Life ◽  
Health Behaviors ◽  
Private Insurance ◽  
Subjective Health ◽  
Health Related Quality ◽  
Medical Needs ◽  
Related Quality ◽  
Health Related ◽  
Unmet Medical Needs

We investigated the effect of predisposing, enabling, need factors, and health behaviors on health-related quality of life (HRQoL) of patients with multimorbidity according to Andersen’s model. This study is a secondary analysis of population-based cross-sectional surveys. Data from 328 patients with multimorbidity (≥3 co-occurring chronic diseases) from the 6th/7th Korea National Health and Nutrition Examination Surveys were analyzed using logistic regression. Patients ≥65 years, without private insurance, with poor subjective health, unmet medical needs, and/or limited activity were more likely to experience mobility problems. Self-care problems were more likely among those without private insurance and/or with limited activity. Patients lacking living security, with poor subjective health, limited activity, and/or who smoked were more likely to experience problems performing usual activities. Pain/discomfort was more likely among females, Medicaid beneficiaries, and patients with limited activity and/or with poor subjective health. Patients with poor subjective health, limited activity, and/or unmet medical needs were more likely to experience anxiety/depression. The investigation of HRQoL in multimorbidity should consider predisposing, enabling, need factors, and health behaviors. Interventions addressing movement restrictions and personalized care based on HRQoL domains should be prioritized.

scholarly journals The impact of multimorbidity patterns on health-related quality of life in the general population: results of the Belgian Health Interview Survey

2021 ◽  
Author(s):  
Lisa Van Wilder ◽  
Brecht Devleesschauwer ◽  
Els Clays ◽  
Stefanie De Buyser ◽  
Johan Van der Heyden ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Chronic Diseases ◽  
Disease Burden ◽  
Health Related Quality ◽  
Health Interview Survey ◽  
Related Quality ◽  
Health Related ◽  
Interview Survey ◽  
The Impact

Abstract Background Chronic diseases and multimorbidity are a major cause of disease burden—for patients, caregivers, and society. Little is known however about potential interaction effects between specific disease combinations. Besides an additive effect, the presence of multiple conditions could also act synergistically or antagonistically regarding the impact on patients’ health-related quality of life (HRQoL). The aim was to estimate the impact of coexisting chronic diseases on HRQoL of the adult general Belgian population. Methods The Belgian Health Interview Survey 2018 provided data on self-reported chronic conditions and HRQoL (EQ-5D-5L) for a nationally representative sample. Linear mixed models were used to analyze two-way and three-way interactions of disease combinations on HRQoL. Results Multimorbidity had a prevalence of 46.7% (≥ 2 conditions) and 29.7% (≥ 3 conditions). HRQoL decreased considerably with the presence of multiple chronic diseases. 14 out of 41 dyad combinations and 5 out of 13 triad combinations showed significant interactions, with a dominant presence of negative/synergistic effects. Positive/antagonistic effects were found in more subjective chronic diseases such as depression and chronic fatigue. Conditions appearing the most frequently in significant disease pair interactions were dorsopathies, respiratory diseases, and arthropathies. Conclusions Diverse multimorbidity patterns, both dyads and triads, were synergistically or antagonistically associated with lower HRQoL. Tackling the burden of multimorbidity is needed, especially because most disease combinations affect each other synergistically, resulting in a greater reduction in HRQoL. Further knowledge about those multimorbidity patterns with a greater impact on HRQoL is needed to better understand disease burden beyond mortality and morbidity data.

scholarly journals Associations between fitness levels and self-perceived health-related quality of life in community - dwelling for a group of older females

2020 ◽  
Vol 20 (S1) ◽  
Author(s):  
Ferenc Ihász ◽  
Nikolett Schulteisz ◽  
Kevin J. Finn ◽  
Krisztina Szabó ◽  
Judit Gangl ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Perceived Health ◽  
Community Dwelling ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Fitness Levels

scholarly journals Cross-cultural validation of the “DISABKIDS” questionnaire for quality of life among Colombian children with chronic diseases

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Nadia Carolina Reina-Gamba ◽  
Miguel Richart-Martinez ◽  
Julio Cabrero-García
Keyword(s):  
Quality Of Life ◽  
Children And Adolescents ◽  
Chronic Diseases ◽  
Cross Cultural ◽  
Health Related Quality ◽  
Validation Process ◽  
Related Quality ◽  
Health Related ◽  
Cultural Validation

ABSTRACT Objective: to describe the cross-cultural validation process of the “DISABKIDS” questionnaire in Colombia, for both the children and adolescents’ version and the parents’ version, an instrument intended to measure the health-related quality of life of Colombian children and adolescents with chronic diseases. Method: the cross-cultural validation process was conducted according to an international consensual systematic methodology, called standardized linguistic validation, to ensure linguistic equivalence with the original questionnaire. Results: the pretest’s cognitive interviews revealed a need to adjust the questionnaire, which consisted of asking for “health condition” rather than only asking for “condition”. Due to the cultural context, the word “condition” used in the original version, when translated to Spanish, refers to socioeconomic conditions rather than health conditions. For this reason, 11 items in the children’s version and eight items in the parents’ version were adjusted. Conclusions: the Colombian version of DISABKIDS-37 to measure health-related quality of life among children and adolescents with chronic diseases in both the children’s and parents’ versions is equivalent to the original version and is appropriate for use in Colombia. Future studies can assess the questionnaire’s psychometric properties.

scholarly journals Obesity and low levels of physical activity are associated with a decreased health-related quality of life in postmenopausal women: a Wroclaw pilot study

2021 ◽  
Vol 15 (SUPPLEMENT 2) ◽  
pp. 1-8
Author(s):  
Joanna Lewandowska ◽  
Mateusz Tomaczak ◽  
Iwona Wilk ◽  
Felicja Lwow
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Waist Circumference ◽  
Postmenopausal Women ◽  
Chronic Diseases ◽  
Short Form ◽  
Increased Risk ◽  
Health Related ◽  
Low Levels

Background: Menopause is associated with numerous somatic dysfunctions, an increased risk of chronic diseases, and complications in the mental and social components of health that lower the quality of life (QoL). Obesity and related comorbidities affect over 60% of postmenopausal women in Poland. A significant role for systematic physical activity (PA) in the prevention of dysfunctions and chronic diseases, including obesity and mental disorders, has been observed previously. A low level of PA is observed across the Polish population, especially in postmenopausal women. Aim of the study: To examine QoL in postmenopausal women participating in a community health promotion program as it relates to obesity and levels of PA. Material and methods: The study sample consisted of 76 postmenopausal women (aged 65.75±5.14 years) participating in the Active Wrocław 55+ program. Before starting the program, anthropometric measurements were taken, and QoL and PA were assessed using the 36-Item Short Form Health Survey (SF-36) and the International Physical Activity Questionnaire-Short Form (IPAQ-SF), respectively. Results: Most women had a PA level above 600 MET -min/week (78.95%), and were overweight or obese (86.84%). A waist circumference over 80 cm, indicating an increased risk for metabolic syndrome, was observed in 85.89% of the participants. BMI and waist circumference negatively correlated with the level of PA (p=0.001 and p=0.017, respectively). Women exhibiting low levels of PA and higher BMIs showed a significantly lower QoL compared to those with higher PA and lower BMIs, particularly with regard to the physical domains of QoL. Conclusions: Obesity and a low level of PA are associated with a significant decline in the health-related QoL (especially in the PF and PCS domains) of postmenopausal women an urban setting.

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