scholarly journals Health behavior and health-related quality of life in patients with a high risk of cardiovascular disease

2018 ◽  
Vol 57 (1) ◽  
pp. 39-46
Author(s):  
Davorina Petek ◽  
Marija Petek-Ster ◽  
Ksenija Tusek-Bunc

Abstract Background Health-related quality of life (HRQoL) is measuring a patient’s experience of his health status and represents an outcome of medical interventions. Existing data proves that a healthy lifestyle is positively associated with HRQoL in all age groups. Patients with a high risk for cardiovascular disease typically led an unhealthy lifestyle combined with risk diseases. We aimed to analyse these characteristics and their reflection in HRQoL. Methods A cross-sectional study in 36 family practices, stratified by location and size. Each practice invited 30 high-risk patients from the register. Data were obtained from medical records and patient questionnaire. The EQ-5D questionnaire and the VAS scale were used for measuring the patient’s HRQoL as an independent variable. Results 871 patients (80.6% response rate) were included in the analysis. 60.0% had 3-4 uncontrolled risk factors for CVD. The average VAS scale was 63.2 (SD 19.4). The correlation of EQ-5D was found in the number of visits in the practice (r=-0.31, p<0.001), the socioeconomic status (r=-0.25, p=0.001), age (r=-0.27, p=0.001) and healthy diet (r=0.20, p=0.006). In a multivariate model, only physical activity among lifestyle characteristics was an independent predictor of HRQoL (p=0.001, t=3.3), along with the frequency of visits (p<0.001, t=-5.3) and age (p=0.025, t=-2.2). Conclusion This study has been performed on a specific group of patients, not being “really sick”, but having less optimal lifestyle in many cases. Encouragement to improve or keep healthy lifestyle, especially physical activity, is important, not only to lower the risk for CVD, but also to improve HRQoL.

2018 ◽  
Vol 57 (1) ◽  
Author(s):  
Davorina Petek ◽  
Marija Petek-Ster ◽  
Ksenija Tusek-Bunc

AbstractBackgroundHealth-related quality of life (HRQoL) is measuring a patient’s experience of his health status and represents an outcome of medical interventions. Existing data proves that a healthy lifestyle is positively associated with HRQoL in all age groups. Patients with a high risk for cardiovascular disease typically led an unhealthy lifestyle combined with risk diseases. We aimed to analyse these characteristics and their reflection in HRQoL.MethodsA cross-sectional study in 36 family practices, stratified by location and size. Each practice invited 30 high-risk patients from the register. Data were obtained from medical records and patient questionnaire. The EQ-5D questionnaire and the VAS scale were used for measuring the patient’s HRQoL as an independent variable.Results871 patients (80.6% response rate) were included in the analysis. 60.0% had 3-4 uncontrolled risk factors for CVD. The average VAS scale was 63.2 (SD 19.4). The correlation of EQ-5D was found in the number of visits in the practice (r=-0.31, p<0.001), the socioeconomic status (r=-0.25, p=0.001), age (r=-0.27, p=0.001) and healthy diet (r=0.20, p=0.006). In a multivariate model, only physical activity among lifestyle characteristics was an independent predictor of HRQoL (p=0.001, t=3.3), along with the frequency of visits (p<0.001, t=-5.3) and age (p=0.025, t=-2.2).ConclusionThis study has been performed on a specific group of patients, not being “really sick”, but having less optimal lifestyle in many cases. Encouragement to improve or keep healthy lifestyle, especially physical activity, is important, not only to lower the risk for CVD, but also to improve HRQoL.


2009 ◽  
Vol 31 (10) ◽  
pp. 799-805 ◽  
Author(s):  
Arja Häkkinen ◽  
Anna Kukka ◽  
Tanja Onatsu ◽  
Salme Järvenpää ◽  
Ari Heinonen ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e047933
Author(s):  
Fatima Nari ◽  
Wonjeong Jeong ◽  
Bich Na Jang ◽  
Hyeon Ji Lee ◽  
Eun-Cheol Park

ObjectivesWe aimed to determine the influence of changes in the aggregate score of healthy lifestyle factors on health-related quality of life (HRQOL) and overall quality of life (QOL) in the Korean older adult population.DesignThis study used a longitudinal design.Setting and participantsData on 9474 participants aged 45 years or older were extracted from the Korean Longitudinal Study on Aging for the period 2006–2016. A composite score of four lifestyle factors (smoking, drinking, physical activity and body mass index) was calculated, and biennial changes in aggregate score were computed.Primary and secondary outcome measuresThe primary outcomes were HRQOL and QOL.ResultsGeneralised estimating equation analysis results showed that those with healthy lifestyle score changes from ‘Low–High’ (β =−0.987, p=0.002; β =−1.288, p<0.0001), ‘High–Low’ (β =−1.281, p<0.0001; β =−1.952, p<0.0001) and ‘Low–Low’ (β =−1.552, p<0.0001; β =−2.398, p<0.0001) groups were more likely to be have lower HRQOL and QOL estimates than those in ‘High–High’ group. Female gender, older age and depression had a more negative impact on HRQOL, while male gender and younger age had a more negative impact on QOL, especially in the Low–Low group. The relationship between changes in scores and HRQOL and QOL varied across different elements of healthy lifestyle scores. Changes in physical activity, drinking and smoking status were significantly associated with lower HRQOL and QOL.ConclusionThe findings suggest an association between a low healthy lifestyle score and poor quality of life, in both general and health-related aspects. Strategies targeting the Korean ageing demographic to promote a healthier lifestyle should be encouraged.


PLoS ONE ◽  
2019 ◽  
Vol 14 (12) ◽  
pp. e0226613 ◽  
Author(s):  
Ellen Eimhjellen Blom ◽  
Eivind Aadland ◽  
Guri Kaurstad Skrove ◽  
Ane Kristiansen Solbraa ◽  
Line Merethe Oldervoll

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