scholarly journals Quality of life: The Quality of life of older Pakistanis with Mild Dementia

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Saima Eman

Since dementia is a progressive terminal clinical syndrome with no cure, the life of persons with dementia (PwD) can be adversely affected. Due to limited access to healthcare and lack of awareness in Pakistan, a majority of older adults do not get screened for dementia. The objective of the current study was to examine the problems and the Quality of Life (QoL) of underprivileged older adults with undiagnosed mild dementia in the Pakistani context. Using purposive sampling and case study design, 3 participants with apparent symptoms (verified by 8 researchers) of dementia from a low-income group in Lahore, Pakistan were observed and interviewed. Thematic analysis revealed sense of loss and alienation as one of the dominant themes. Implications are discussed.

Author(s):  
Catharina Thiel Sandholdt ◽  
Jason Cunningham ◽  
Rudi G.J. Westendorp ◽  
Maria Kristiansen

National healthcare systems need to adjust services and operations to accommodate the needs of complex, aging populations living with multimorbidity and polypharmacy. This paper suggests the use of a human-centred design as a method to engage older adults and key professionals in innovation processes aiming to design person-centred healthcare services and improve quality of life in older adults. We outline three innovation phases and highlight how such processes can create engagement and new insights on how life experiences of older adult’s shape preferences, beliefs, and habits. It is important to incorporate these insights into the design of successful strategies for ensuring age-friendly healthcare services. Our viewpoint is contextualised through a small-scale case study focusing on polypharmacy in older adults. From this case study, we extracted three challenges to producing co-designed health research: recruitment, time and resources, and funding. We discuss how to address these challenges. We argue for the involvement of older adults and professional stakeholders at an early stage in the design process to align expectations and to increase the likelihood of successful implementation of healthcare innovations that improve the quality of life for older adults.


2018 ◽  
Vol 26 ◽  
pp. e21473
Author(s):  
Álvaro Da Silva Santos ◽  
Joilson Meneguci ◽  
Lúcia Marina Scatena ◽  
Marta Regina Farinelli ◽  
Mariana Campos de Sousa ◽  
...  

Objetivo: identificar o perfil sociodemográfico e de saúde de idosos dos municípios numa regional de Minas Gerais. Método: estudo transversal de base populacional, realizado em 24 cidades com 3430 idosos, entre 2012 e 2013. Aplicou-se: Miniexame do Estado Mental, instrumento de perfil sociodemográfico, Miniavaliação Nutricional, WHOQOL-BREF e WHOQOL-OLD. Para a análise se usou SPSS versão 20.0. Resultados: sexo feminino (61,5%), 60 a 69 anos (52,6%), sem escolarização/analfabeto ou fundamental incompleto (83,5%), recebendo até um salário mínimo (39,7%), aposentados (80,7%) média de 3,17 (dp=1,92) doenças por idoso, uso em média de 2,47 medicamentos (dp=1,37), risco para desnutrição (29,1%), excesso de peso (62,9%), etilismo (15,7%), tabagismo (15%), sedentarismo (43,1%), qualidade de vida com menores escores no domínio meio ambiente (62,0/dp=13,2) e, na faceta autonomia (66,8/dp=16,4). Conclusão: sexo feminino, baixa renda, média de três doenças por pessoa, excesso de peso, sedentarismo e qualidade de vida com menores escores no domínio meio ambiente e faceta autonomia caracterizam a população pesquisada.ABSTRACTObjective: to identify the sociodemographic and health profile of older adults in municipalities of the Uberaba Health Region in Minas Gerais, Brazil. Method: in this cross-sectional, population-based study, the Mini-Mental State Examination, a demographic and health profile instrument, the Mini Nutritional Assessment, WHOQOL-BREF and WHOQOL-OLD were applied to 3430 older adults in 24 cities, between 2012 and 2013. Data were analyzed using SPSS version 20.0. Results: female (61.5%), 60 to 69 years old (52.6%), no schooling or incomplete basic schooling (83.5%), income of one minimum wage or less (39.7%), pensioners (80.7%), mean 3.17 illnesses (SD = 1.92), use of 2.47 medicines (DP = 1.37), at risk for malnutrition (29.1%), overweight (62.9%), alcohol use (15.7%), smoking (15%), sedentary (43.1%), and with lowest quality of life scores in the environment domain (62.0%; DP = 13.2) and autonomy facet (66.8%; DP = 16.4). Conclusion: the study population was characteristically female, low-income, overweight, sedentary, had three diseases, and lowest quality of life scores in the environment domain and autonomy facet.RESUMEN Objetivo: identificar el perfil sociodemográfico y de salud de ancianos de las ciudades en una Regional de Salud de Minas Gerais, Brasil. Método: estudio transversal de base poblacional, realizado en 24 ciudades junto a 3430 ancianos, entre 2012 y 2013. Se aplicó: mini-examen del estado mental, instrumento del perfil del sociodemográfico, mini-evaluación nutricional, WHOQOL-BREF y WHOQOL-OLD. Para el análisis se utilizó SPSS versión 20.0. Resultados: sexo femenino (61,5%), 60 a 69 años (52,6%), sin escolarización/analfabeto o secundario incompleto (83,5%), recibiendo hasta un salario mínimo (39,7%), jubilados (80,7%), promedio de 3,17 (dp=1,92) enfermedades por anciano, uso de 2,47 remedios (dp=1,37) en promedio, riesgo para la desnutrición (29,1%), exceso de peso (62,9%), alcoholismo (15,7%), tabaquismo (15%), sedentarismo (43,1%), calidad de la vida con menores puntuaciones en el dominio medio ambiente (62,0/dp=13,2) y, en el área autonomía (66,8/dp=16,4). Conclusión: sexo femenino, bajos ingresos, promedio de tres enfermedades por persona, exceso de peso, sedentarismo y calidad de la vida, con menores puntuaciones en el dominio medio ambiente y el área autonomía, caracterizan la población encuestada.


2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 397-397
Author(s):  
Graham Rowles ◽  
Habib Chaudhury ◽  
Daniel R Y Gan

Abstract Since Chaudhury’s seminal work (2008), spatial ethnographies of the everyday lives of people living with dementia(PLWD) have proliferated. From an experiential perspective, geographies of home (Blunt & Varley, 2004) and geographies of dementia may overlap significantly. We conducted a meta-ethnographic synthesis of n=28 articles to identify points of convergence and divergence in these literatures using comparative thematic analysis with NVivo 12. Whereas geographies of home highlight at-homeness (e.g., ontological safety and daily activities), geographies of dementia underscore communal and civic participation (e.g., social relationships). These themes converge around “social identity” which may be an important construct that helps PLWD feel at home. The quality of life of PLWD in the community may be influenced by prior (and present) experiences of at-homeness. These become more pertinent as older adults shelter in place. We discuss the implications of these findings in relation to relational models of personhood-in-community (Swinton, 2020) and community gerontology.


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Meng Zhang ◽  
Wenyan Zhang ◽  
Yu Liu ◽  
Meiliyang Wu ◽  
Jin Zhou ◽  
...  

Background. Effective functional family was beneficial for older adults’ health, which may affect the quality of life (QoL) in hypertension patients. This study aimed to clarify the association between family function, anxiety, and QoL for older adults with hypertension in low-income communities. Methods. A questionnaire survey was conducted on 363 older adults with hypertension in low-income communities in Wuhan from September 2019 to November 2019. The relationships among the variables were examined by Pearson’s correlation analysis. Predictor effects were tested using hierarchical multiple regressions, controlling for demographic characteristics. The structural equation model (SEM) was used to test the mediation effects of anxiety on the pathway from family function to QoL. Results. Family function was negatively correlated with the self-rating anxiety scale (SAS) score and positively correlated with the mental component score (MCS), but had no influence on the physical component score (PCS). Both PCS and MCS were negatively correlated with SAS. Anxiety was the negative predictor of MCS and PCS. Family function was the positive predictor of MCS, but had no influence on PCS. The path model indicated that anxiety significantly mediated the link between family function and QoL (R2 = 32.8%), but only partially. Conclusion. A significant correlation between anxiety, family function, and QoL was found. Anxiety had a partial mediating effect on the relationship between family function and QoL. Further research should focus on increasing the level of family function and reducing the perceived anxiety of older adults with hypertension to improve their QoL level.


2021 ◽  
Vol 8 ◽  
Author(s):  
Pan Liu ◽  
Yun Li ◽  
Lina Ma

Frailty is an age-related clinical syndrome that may increase the risk of falls, disability, hospitalization, and death in older adults. Delaying the progression of frailty helps improve the quality of life in older adults. Caloric restriction (CR) may extend lifespan and reduce the risk of age-related diseases. However, few studies have explored the relationship between CR and frailty. In this review, we focused on the impact of CR on frailty and aimed to identify potential associated mechanisms. Although CR may help prevent frailty, further studies are required to determine the underlying mechanisms and specific CR regimens suitable for use in humans.


2017 ◽  
Vol 2 (6) ◽  
pp. 247
Author(s):  
Mohd Azren Hassan ◽  
Hazlina Hamdan ◽  
Jamalunlaili Abdullah ◽  
Yusfida Ayu Abddullah

To have a quality of life is the ability to own a house. Housing affordability affects the quality of life concerning household well-being and economic security. The research sets to evaluate the location housing affordability for the low-income group base on housing and transportation expenditures in urban areas. 148 respondents have interviewed and by using an integrated Location Housing Affordability, it had indicated that location does influence housing affordability. The findings showed the urban area for the low-income group is seriously unaffordable. “Location" should be part of affordable housing because it affects housing affordability thus concerning the quality of life.


2021 ◽  
Vol 24 (44) ◽  
pp. 84-97
Author(s):  
Luis Fernando Campos-Sánchez ◽  
Jesus A. Trevino

The purpose of the study is to identify areas that are possibly gentrified or in the process of being gentrified, through a localized typology of two components: youthification and an increase in the quality of life. This typology can be applied in similar investigations. Thisd paper addresses the case study of the Metropolitan Center of the City of Monterrey (CMM), Nuevo León, Mexico. The current urban regeneration plans and the increase of housing density in the CMM have caused a vertical real estate “boom” of apartment buildings and have strengthened the emergence of gentrification in the area, understood here as the decrease in social backwardness (increase in the quality of life) over time, with an increase in young adults (25 to 34 years-old), compared to older adults (60+ years-old). This article suggests a procedure to measure gentrification by overlapping the Index of Social Backwardness (ISB) at the Basic Geostatistical Area (AGEB) level, with a youthification index at the electoral section level between the 2010-2020 period. Both the decline of social backwardness (2010-2020) and youthification (2010-2020), are analytically articulated for successive census years, to generate a localized typology of the gentrification process.


2021 ◽  
Author(s):  
Eun-kyung Kim ◽  
Se-Na Kim ◽  
Yong-Seok Kwon ◽  
Jin-Young Lee ◽  
Young Hee Park

Abstract Background Food insecurity is still a concern not only in low- and middle-income countries but also in high-income countries and it is reported to have a relationship with health outcome such as chronic diseases. This study was conducted to compare diet quality and health-related quality of life in young adults according to their household income and food security. Methods Our population-based sample included 10,224 young adults aged 19–34 y participating in the Korea National Health and Nutrition Examination Survey (KNHANES) 2008–2018. The participants were classified into four groups according to household income and food security: food security & higher-income, food insecurity & higher-income, food security & low-income, and food insecurity & low-income. General characteristics, daily diet, and nutritional quality were compared among the four groups. Results The percentage of participants consuming daily diet with protein, vitamin A, B1, B2, niacin, vitamin C, calcium, phosphorus, and iron less than Estimated Average Requirement increased in the food insecurity & low-income group. In case of most commonly consumed food, ramen and sprite were highly placed in the food insecurity & low-income group while apple and beef ranked relatively high in the food security & higher-income group. Multiple logistic regression analysis showed that odds ratio (OR) (95% confidence interval, CI) of Euro Quality of Life five Dimensions (EQ5D) in the food insecurity & low-income group were 1.55 (1.05–2.29) and 1.33 (1.07–1.64) for mobility and anxiety/depression respectively, compared to the food security & higher-income group after adjusting confounding factors. Conclusions Household food insecurity and low-income had relationships with poor diet quality and poor health-related quality of life in young adults, in particular, mobility and anxiety/depression.


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