Effects of Functional Decline on Quality of Life among the Japanese Elderly

2000 ◽  
Vol 50 (4) ◽  
pp. 319-328 ◽  
Author(s):  
Tatsuto Asakawa ◽  
Wataru Koyano ◽  
Takatoshi Ando ◽  
Hiroshi Shibata
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Health Status ◽  
Statistical Tests ◽  
Functional Decline ◽  
Functional Health ◽  
Repeated Measure ◽  
Functional Health Status ◽  
Japanese Elderly

The effects of functional decline upon social networks, life satisfaction, and depression were observed and statistically tested in a longitudinal prospective design. Subjects were 692 Japanese elderly, aged sixty-five years or older, with high functional capacity at baseline. During a two-year period of follow-up, 12.3 percent of the subjects experienced functional decline. Repeated-measure analyses of covariance with statistical tests for simple main effects revealed that changes in the criterion variables significantly differed along with changes in functional health status when the effects of age, gender, and socioeconomic status were controlled. The subjects who experienced functional decline showed a larger decrease in the number of relatives, friends, and neighbors having frequent contacts, a larger decline in life satisfaction, and a larger increase in depression than those without functional decline. The results seem to confirm further the importance of functional health status as a prerequisite for higher quality of life in old age.

scholarly journals HEALTH-RELATED QUALITY OF LIFE AND FUNCTIONAL HEALTH STATUS QUESTIONNAIRES IN OROPHARYNGEAL DYSPHAGIA

2016 ◽  
pp. 1-7
Author(s):  
P. Orlandoni ◽  
N. Jukic Peladic
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Oropharyngeal Dysphagia ◽  
Functional Health ◽  
Functional Health Status ◽  
Health Related Quality ◽  
Self Assessment ◽  
Related Quality ◽  
Health Related

Background: Oropharyngeal dysphagia negatively affects the quality of life of patients. It may lead to malnutrition, dehydration, aspiration pneumonia and death, especially in older people. Dysphagia and its level of severity have to be assessed accurately and in a timely fashion, because only early intervention can prevent the onset of complications. There are numerous self-administered questionnaires to monitor both the severity of dysphagia and the effectiveness of therapeutic approaches. The objective of this article is to conduct a literature review and to illustrate the characteristics of various self-assessment questionnaires for oropharyngeal dysphagia. Methods: A search of observational studies of adult populations with dysphagia, published from 1990 to June 2014, was performed in the electronic database Pubmed. Results: A total of 23 self-assessment questionnaires, on Health-related Quality of Life and Functional Health status, were identified. Fourteen questionnaires were excluded from the analysis for the following reasons: the questionnaire was written in a language other than English or Italian (n=3); the questionnaire was specific for caregivers (n=1); the questionnaires were not specific for oropharyngeal dysphagia (n=10). Nine questionnaires, validated in adult populations, were examined. Only two self-assessment questionnaires on quality of life - DHI (Dysphagia Handicap Index) and SWAL-QOL (Swallowing Quality Of Life) - were correctly validated; other questionnaires had methodological errors. Conclusions: A specific self-assessment questionnaire for older adults was not found. Almost all of the currently available questionnaires need to be improved methodologically. Furthermore, new questionnaires specifically for older people should be developed.

Agreement Among Three Instruments for Measuring Functional Health Status and Quality of Life in Pediatric Orthopaedics

2007 ◽  
Vol 27 (2) ◽  
pp. 233-240 ◽  
Author(s):  
Tishya A. L. Wren ◽  
Minya Sheng ◽  
Reiko Hara ◽  
Norman Y. Otsuka ◽  
Richard E. Bowen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Functional Health ◽  
Functional Health Status ◽  
Pediatric Orthopaedics

Does functional health status predict health-related quality of life in children after Fontan operation?

2015 ◽  
Vol 26 (3) ◽  
pp. 459-468 ◽  
Author(s):  
Karolijn Dulfer ◽  
Sjoerd S. M. Bossers ◽  
Elisabeth M. W. J. Utens ◽  
Nienke Duppen ◽  
Irene M. Kuipers ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Status ◽  
Medical History ◽  
Functional Health ◽  
Functional Health Status ◽  
Health Related Quality ◽  
Medical Status ◽  
Related Quality ◽  
Health Related

AbstractPurposeIt is important to identify those children with a Fontan circulation who are at risk for impaired health-related quality of life. We aimed to determine the predictive value of functional health status – medical history and present medical status – on both physical and psychosocial domains of health-related quality of life, as reported by patients themselves and their parents.MethodsWe carried out a prospective cross-sectional multi-centre study in Fontan patients aged between 8 and 15, who had undergone staged completion of total cavopulmonary connection according to a current technique before the age of 7 years.Functional health status was assessed as medical history – that is, age at Fontan, type of Fontan, ventricular dominance, and number of cardiac surgical procedures – and present medical status – assessed with magnetic resonance imaging, exercise testing, and rhythm assessment. Health-related quality of life was assessed with The TNO/AZL Child Questionnaire Child Form and Parent Form.ResultsIn multivariate prediction models, several medical history variables, such as more operations post-Fontan completion, lower age at Fontan completion, and dominant right ventricle, and present medical status variables, such as smaller end-diastolic volume, a higher score for ventilatory efficiency, and the presence of sinus node dysfunction, predicted worse outcomes on several parent-reported and self-reported physical as well as psychosocial health-related quality of life domains.ConclusionsMedical history and worse present medical status not only predicted worse physical parent-reported and self-reported health-related quality of life but also worse psychosocial health-related quality of life and subjective cognitive functioning. These findings will help in identifying patients who are at risk for developing impaired health-related quality of life.

scholarly journals Satisfaction with personal and environmental quality of life: a black South African informal settlement perspective

Curationis ◽  
2001 ◽  
Vol 24 (2) ◽  
Author(s):  
MS Westaway ◽  
T Gumede
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Health Status ◽  
South African ◽  
Environmental Quality ◽  
Informal Settlement ◽  
Good Health ◽  
Good Reliability ◽  
Satisfaction Scale

A study was conducted with 487 black adult residents of a South African informal settlement (151 men and 336 women) to ascertain satisfaction with personal and environmental quality of life. It was hypothesised that: (1) health status and life satisfaction were the underlying dimensions of personal quality of life (PQOL); (2) health status and life satisfaction were more strongly associated with PQOL than environmental quality of life (EQOL); and (3) life satisfaction and satisfaction with EQOL were positively related. Seventy per cent of respondents rated their health as good or better. Age, schooling and employment status were significantly related to health, life satisfaction and PQOL. Reliability (internal consistency) coefficients were 0.77 for the 5-item life satisfaction scale and 0.82 for the 12-item EQOL measure. Factor analysis showed that safety and security was the major unmet service need. Health status and life satisfaction explained 38% of the variance in PQOL; health status explained only 4% of the variance in EQOL. Life satisfaction was significantly related to EQOL (r = 0.16, p = 0.01). The results provided support for all three hypotheses. It was concluded that the life satisfaction and EQOL measures had good reliability; there was a definite need for a safety and security programme; and good health was a more important predictor of PQOL than EQOL.

scholarly journals Changes in the Mental Health Status of Frail and Pre-Frail Older Adults Over a 1-year Period

2021 ◽  
Author(s):  
Claudia K. Y. Lai ◽  
Justina Y. W. Liu ◽  
Daphne S. K. Cheung ◽  
Kenny C. W. Chin ◽  
Mimi M. Y. Tse
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Older Adults ◽  
Health Status ◽  
Mental Health Status ◽  
Functional Health ◽  
World Health ◽  
World Health Organization Quality ◽  
Frail Older Adults

Abstract Background This prospective observational study examined changes in the mental health status of frail and pre-frail older adults over a 1-year period, a topic lacking in-depth exploration in the literature. Method Fried Frailty Index was used to differentiate frailty status in participants recruited from community centres and residential care facilities in Hong Kong. Demographic and clinical data were collected using face-to-face interview at baseline and repeated after 12 months. Results Physical functioning, comorbidities, and psychological and environment domains (World Health Organization Quality of Life instrument) impacted the cognitive functioning, depressive symptoms, and sense of loneliness in the sample (N=107). Functional health and vision had a significant impact on cognitive status; depression negatively associated with comorbidity, functional health, and quality of life domains (psychological and environment); loneliness was affected by both age and environment. Conclusion The findings showed that frail and pre-frail older adults have complex needs in relation to their mental health even just over a 1-year period. Intervention programs on frailty that focus on physical aspects will not suffice. Programs for frailty also need to incorporate mental health components to enhance health and wellbeing.

The impact of hereditary multiple exostoses on quality of life, satisfaction, global health status, and pain

2016 ◽  
Vol 137 (2) ◽  
pp. 209-215 ◽  
Author(s):  
Riccardo D’Ambrosi ◽  
Vincenza Ragone ◽  
Camilla Caldarini ◽  
Nicola Serra ◽  
Federico Giuseppe Usuelli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Life Satisfaction ◽  
Health Status ◽  
Global Health ◽  
Global Health Status ◽  
Hereditary Multiple Exostoses ◽  
Multiple Exostoses ◽  
The Impact

scholarly journals 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 ◽  
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.

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