scholarly journals Interactions of Comorbidity and Five Simple Environmental Unhealthy Habits concerning Physical and Mental Quality of Life in the Clinical Setting

Author(s):  
Diego Martínez-Urbistondo ◽  
Rafael Suarez del Suarez del Villar ◽  
Omar Ramos-Lopez ◽  
María Agud Fernández ◽  
Ramón Costa Segovia ◽  
...  

The objective of this study was to examine the interactions between comorbidity and five lifestyle single habits concerning different subscales of quality of life (QoL). For the study, 302 patients were consecutively recruited at the internal medicine department of a tertiary teaching hospital. Lifestyle habits, comorbidities and QoL were recorded according to validated questionnaires. Five single unhealthy habits, such as tobacco consumption, dietary intake of ultra-processed pastries, raw nuts or carbonated drinks, sleep time and physical activity patterns were selected according to previously published data. The main outcomes of the study were the scores of the eight subscales of the SF-36 QoL survey. The aggregate of unhealthy habits showed statistically significant association to every category in the SF-36 questionnaire, both in the univariate and the multivariate analysis when adjusting by age, sex and comorbidity. An interaction was found between comorbidity and unhealthy habits in both physical and mental summaries of SF-36. In conclusion, the lifestyle assessment according to five unhealthy habits is associated with a worse QoL. The interaction between comorbidity and unhealthy habits is especially clear in diseased patients due to the interplay between illness and lifestyle in the prediction of QoL.

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 480
Author(s):  
Lia Stepan ◽  
Lucy Huang ◽  
Julie Huynh ◽  
Phillip Xie ◽  
Charmaine M. Woods ◽  
...  

Objectives: The objective of this study was to assess the T-14 outcomes of the BizactTM device for tonsillectomy in a pediatric population. Methods: A case series chart review was undertaken at a public tertiary teaching hospital and private otolaryngology practice, with data collected from pediatric patients who underwent a BizactTM tonsillectomy between July 2016 and October 2019 for any indication, whose parents consented to completing the T-14 questionnaire providing a parental perspective of the child’s quality of life. Primary outcomes were T-14 scores recorded preoperatively and 6 weeks post-operatively. Secondary outcome measures were postoperative complications, including hemorrhage and readmission. Results: 146 patients were identified. There was a significant improvement in T-14 scores from a median of 24 (Interquartile range (IQR) 18–33) prior to surgery to 2 (IQR 0–4) at 6 weeks postoperatively (p < 0.001). The post-tonsillectomy hemorrhage rate was 6.1% (9/146 participants). Conclusions: Pediatric BizactTM tonsillectomy is effective in treating common indications for pediatric tonsillectomy, reflected by improved parent-reported health-related quality of life T-14 scores postoperatively.


2020 ◽  
Vol 33 (7) ◽  
pp. 901-913
Author(s):  
Rim Ben Abdelaziz ◽  
Amel Ben Chehida ◽  
Henda Kachouri ◽  
Sana Ben Messaoud ◽  
Maherzia Ferchichi ◽  
...  

AbstractObjectivesWe investigated the quality of life (QOL) in parents of children with late treated phenylketonuria (PKU) and its associated factors.MethodsWe conducted a cross sectional study in the reference center of inherited metabolic disease in Tunisia. We used the Tunisian version of the 36-item short-form health survey questionnaire (SF-36). We compared variables in the groups with and without impaired QOL and the SF-36 scores between subgroups of parents and children and between our sample and the Tunisian general population based on published data. We looked for associations between SF-36 scores and quantitative variables. Linear regression and logistic binary regression were used for multivariate analysis.ResultsSixty-five parents from 42 families participated. QOL was impaired in 61% of them. The mean SF-36 score was 55.3 ± 25.07. The physical component sub-score was higher than that reported in the Tunisian general population (63.66 ± 27.77 vs. 50.11 ± 8.53; p<0.001). The mental component sub-score was comparable to that reported in the Tunisian general population (46.99 ± 25.94 vs. 47.96 ± 9.82; p=0.830). Gender (mothers) (p=0.008), low monthly income (p = 0.027), low education (p=0.011), and autism in PKU children (p = 0.001) were associated with impaired QOL.ConclusionsWe identified at risk parents for altered quality of life among parents of PKU children. Our findings were used to develop a psychological and social support strategy for at-risk parents and to promote the implementation of newborn screening of this treatable disease in our low-income country.


Retos ◽  
2020 ◽  
pp. 112-119 ◽  
Author(s):  
Eliseo Garcia Canto ◽  
Andres Rosa Guillamon ◽  
Laura Nieto López

  El consumo habitual de tabaco y alcohol entre los adolescentes, así como el sedentarismo constituyen un problema de salud pública y una epidemia pediátrica. La calidad de vida es un indicador del estado general de salud autopercibido. El objetivo fue analizar la relación entre actividad física, consumo de tabaco, alcohol y calidad de vida mediante una metodología observacional, seleccionando de manera aleatoria 1037 adolescentes españoles de 14-17 años de edad (15.52 ± 1.11 años). Los instrumentos empleados fueron el International Physical Activity Questionaire (actividad física), el Youth Risk Behavior Surveillance (tabaco), el Cuestionario sobre hábitos de consumo de alcohol en adolescentes (alcohol) y el Cuestionario de Salud SF-36 (calidad de vida). Se exploraron las relaciones bi-variantes mediante tablas de contingencia, seguido de un análisis de regresión logística binaria. Los resultados sugieren que la actividad física (p < .001) es la variable que mejor predice la calidad de vida percibida por los varones siendo también relevante el consumo de tabaco (p < .05). En las mujeres, tanto el consumo de tabaco (p < .001) como el consumo de alcohol (p < .001), se muestran como las variables que mejor predicen la calidad de vida percibida, siendo en menor medida relevante la asociación entre actividad física y calidad de vida (p < .05). La promoción de la calidad de vida relacionada con la salud depende de la creación de ambientes educacionales integrales donde la actividad física forme parte de un estilo de vida saludable.  Abstract. Habitual tobacco and alcohol use among adolescents, as well as sedentary lifestyle, are a public health problem and a pediatric epidemic. Quality of life is an indicator of overall self-perceived health status. The objective was to analyze the relationship between physical activity, tobacco consumption, alcohol and quality of life using an observational methodology, randomly selecting 1037 Spanish adolescents aged 14-17 years old (15.52 ± 1.11 years old). Instruments used were the International Physical Activity Questionnaire (physical activity), the Youth Risk Behavior Surveillance (tobacco), the Questionnaire on alcohol consumption habits in adolescents (alcohol), and the Health Questionnaire SF-36 (quality of life). Bi-variant relationships were explored using contingency tables, followed by binary logistic regression analysis. Results suggest that physical activity (p <.001) is the variable that best predicts quality of life perceived by boys, tobacco use being also relevant (p <.05). In girls, both tobacco consumption (p <.001) and alcohol consumption (p <.001) are shown as the variables that best predict their perceived quality of life, but the association between physical activity and quality of life is less relevant (p <.05). The promotion of health-related quality of life depends on the creation of comprehensive educational environments where physical activity is part of a healthy lifestyle.


2016 ◽  
Vol 6 (1) ◽  
pp. 20-25
Author(s):  
Jung-Won Kim ◽  
Youn Seon Choi ◽  
Jung-Eun Kim ◽  
E Yeon-Kim ◽  
Seon-Mee Kim ◽  
...  

2004 ◽  
Vol 171 (4S) ◽  
pp. 15-16
Author(s):  
Tatsuaki Yoneda ◽  
Shin Imai ◽  
Shinji Urakami ◽  
Hirofumi Kishi ◽  
Kazushi Shigeno ◽  
...  

Author(s):  
A. Babirad

Cerebrovascular diseases are a problem of the world today, and according to the forecast, the problem of the near future arises. The main risk factors for the development of ischemic disorders of the cerebral circulation include oblique and aging, arterial hypertension, smoking, diabetes mellitus and heart disease. An effective strategy for the prevention of cerebrovascular events is based on the implementation of large-scale risk control measures, including the use of antiagregant and anticoagulant therapy, invasive interventions such as atheromectomy, angioplasty and stenting. In this connection, the efforts of neurologists, cardiologists, angiosurgery, endocrinologists and other specialists are the basis for achieving an acceptable clinical outcome. A review of the SF-36 method for assessing the quality of life in patients with the effects of transient ischemic stroke is presented. The assessment of quality of life is recognized in world medical practice and research, an indicator that is also used to assess the quality of the health system and in general sociological research.


2020 ◽  
pp. 33-38
Author(s):  
E. Yu. Gan ◽  
L. P. Evstigneeva

Purpose of the study. Assessing the association between the life quality of patients with Sjogren’s Disease and ongoing therapy with various disease-modifying antirheumatic drugs.Material and methods. The study was conducted on the basis of the regional rheumatology center of the consultative diagnostic clinic of the Sverdlovsk Regional Clinical Hospital No. 1. This work is based on the results of a simultaneous study of 74 patients with primary Sjogren’s Disease (SD), distributed in three comparison groups receiving various disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine. The diagnosis of SD was carried out according to European-American criteria AECGC (2002) [18]. In order to analyze the quality of life of patients with SD, the 36-Item Short Form Health Survey (SF‑36) was used. Statistical data processing was carried out using Statistica 7.0 program.Results. Assessment of the quality of life of patients with SD, which is an integrative criterion of human health and well-being, revealed the absence of statistically significant differences (p > 0.05) on eight scales and two health components of the SF‑36 questionnaire in the analyzed groups that differ in the treatment of disease-modifying antirheumatic drugs chlorambucil, methotrexate and hydroxychloroquine.Conclusions. The obtained data indicate an equivalent quality of life in SD patients treated with different disease-modifying antirheumatic drugs methotrexate, chlorambucil and hydroxychloroquine, and therefore hydroxychloroquine can be considered as an alternative basic therapy in patients with SD with certain limitations and contraindications methotrexate and chlorambucil.


Author(s):  
Eldhose Varghese ◽  
Irrin Poulose ◽  
Chaitanya Sagar G ◽  
Jennifer Ann Jose ◽  
Mintu Mathew Ms

Tuberculosis (TB) is potentially airborne severe infectious disease which requires long term treatment. It considerably affects the physical and mental health quality of the patient’s life. Appropriate patient counselling with the help of Patient Information Leaflet will help to improve the patient’s quality of life and overall treatment outcome. To enhance the health related quality of life in pulmonary tuberculosis patients by providing patient counselling with the aid of patient information leaflet. An interventional study was carried out for six months in 80 patients diagnosed with pulmonary tuberculosis from the OP & IP of Tuberculosis and Chest Department of a medical college hospital. The HRQoL was assessed using the SF-36 questionnaire. Appropriate patient counselling was provided with the help of Patient Information Leaflet. In our study, a total of 80 patients were enrolled, out of which 49[61%] were Out-patients, and 31[39%] were In-patients. All the 8 sub domains of the SF-36 survey show statistical significance with improvement in 2nd Visit (after counselling) when compared with the baseline visit. The demographic variables like smoking, low socioeconomic status, allergies, family history show statistically significant association with overall HRQoL. The HRQOL of the pulmonary tuberculosis patients were initially low before the start of Anti-TB therapy, after providing proper patient counselling using patient information leaflet the HRQoL scores were found to be increased on the subsequent re-visits, which implies the need of proper patient counselling and follow-up in PTB for the better quality of life.


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