THE EFFECT OF PHYSICAL HEALTH AND FUNCTIONAL STATUS ON COGNITIVE FUNCTIONS IN WOMEN AGED 55-64 YEARS OLD

Когнитивные нарушения являются одной из частых причин снижения качества жизни пожилых людей. Целью исследования была оценка взаимосвязи когнитивных функций, функционального статуса и состояния физического здоровья у женщин 55 64 лет. В исследование были включены 250 женщин 55 64 лет (средний возраст 59,3±2,9 года). Проанализированы социальнодемографические и экономические факторы, функциональный и когнитивный статусы, изучены наличие и распространённость гериатрических синдромов и их ассоциация с социальными, демографическими и экономическими характеристиками, факторами риска развития хронических неинфекционных заболеваний. Полученные данные выявили комплекс факторов, независимо ассоциированных с недементными (лёгкими и умеренными) когнитивными нарушениями: уровень образования, низкий доход пациентов, наличие сахарного диабета, СКФ, диаметр позвоночной артерии. При этом протекторным фактором являлся уровень образования. Cognitive impairment is one of the most common causes of reduced quality of life in older people. The aim of the study to evaluate impact of functional status, physical health and cognitive functions in women aged 55 64 years old. The study included 250 women aged 55-64 years (mean age 59,3±2,9 years). Socio-demographic and economic factors, functional and cognitive status were analyzed, the presence and prevalence of geriatric syndromes and their association with social, demographic and economic characteristics, risk factors for the development of chronic non-communicable diseases were studied. The prevalence of cognitive impairments was independently associated with education level, low income of patients, diabetes mellitus, glomerular filtration rate, and vertebral artery diameter. In this case, the level of education was a protective factor.

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Health-Related Quality of Life in Patients with Ankylosing Spondylitis: Relationship with Disease-Related Variables

Current Rheumatology Reviews ◽

10.2174/1573397115666191018162606 ◽

2020 ◽

Vol 16 (4) ◽

pp. 311-318 ◽

Cited By ~ 5

Author(s):

Gehan Elolemy ◽

Ahmed Aboughanima ◽

Sahar Ganeb ◽

Haytham Elziat

Keyword(s):

Quality Of Life ◽

Ankylosing Spondylitis ◽

Physical Health ◽

Disease Activity ◽

Functional Status ◽

Spinal Mobility ◽

Peripheral Arthritis ◽

Radiographic Severity ◽

Sf 36

Background: Ankylosing spondylitis (AS) is a chronic progressive inflammatory disease leading to functional limitations and subsequently impaired quality of life (QoL). Despite the fact that QoL was recognized as a significant perception, it was excluded from the core domains (defined by the Assessment of Spondyloarthritis International Society), because of ambiguity of measurement choice. Aim: To assess QoL in patients with AS using a generic; Short Form-36 (SF-36) and a diseasespecific; Ankylosing Spondylitis quality of life (ASQoL) instruments and to explore its relationship to the clinical characteristics, disease activity, functional status, and radiographic severity. Methods: A total of 47 AS patients who fulfilled modified New York criteria were included. Disease activity, functional status, spinal mobility, and radiographic severity were assessed by Bath AS Disease Activity Index (BASDAI), Bath AS Functional Index (BASFI), Bath AS Metrology Index (BASMI) and Bath AS Radiology Index (BASRI) respectively. SF-36 and ASQoL instruments evaluated Qol. Results: Physical health was more affected especially in patients with peripheral arthritis by SF-36 (p=0.008) and ASQoL (p=0.022) scores. Both SF-36 total and ASQoL scores correlated significantly with BASDAI (r = -0.329, p = 0.024 and r = 0.420, p = 0.003), BASFI (r = -0.399, p = 0.005 and r = 0.513, p=0.001) and BASMI (r = -0.382, p = 0.008 and r = 0.482, p= 0.001) respectively. Conclusion: QoL was impaired in AS patients with highest impact on physical health especially in association with peripheral arthritis. SF-36 and ASQol have a comparable achievement in the evaluation of QoL in AS patients and both physical function and spinal mobility were identified as predictors of poor QoL.

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Physical and Social Demographic Factors Affecting Utilization of Pit Latrine in Tigania East, Meru County, Kenya

Journal of Scientific Research and Reports ◽

10.9734/jsrr/2020/v26i830302 ◽

2020 ◽

pp. 122-132

Author(s):

Sylvia M. Nkatha ◽

Eric M. Muchiri ◽

Patrick Kubai ◽

Jane Rutto

Keyword(s):

Low Income ◽

Protective Factor ◽

Demographic Factors ◽

Water Sources ◽

Low Income Countries ◽

Cross Sectional Survey ◽

Open Defecation ◽

Cross Sectional ◽

Pit Latrine ◽

Social Demographic

Introduction: Globally, poor sanitation is the cause of childhood diseases. Annually, more than 19,500 people die from diarrhea of which 17,100 are children. Diarrhea, which accounts for 16% of deaths among the children below 5 years, is highly linked to open defecation (OD). Poor excreta disposal remains a major challenge to improved sanitation and hygiene in many communities of Kenya and therefore they continue to practice open defecation. Construction and utilization of a latrine at home is a protective factor for communicable diseases. About 52% of the population practice proper utilization of latrine in low-income countries. Improper utilization of latrines leads to the contamination of the water sources. Availability of a pit latrine does not guarantee utilization because other factors like functionality and distance influence its use. Furthermore, the availability and use of the latrine depends on maintenance practices of the latrines and cleanliness as well as the quality of housing and household compound. Aims: To analyze the physical and social demographic factors influencing the utilization of pit latrines in Tigania East Sub-County, Meru County, Kenya. Study Design: The study was a descriptive cross-sectional survey. Place and Duration of Study: The study was carried out in Tigania East Sub-County, Meru County, Kenya shown in Fig. 3. Household survey was carried out between June 2018 and December 2019. Methodology: This was a descriptive cross-sectional survey involving 369 respondents selected by systematic random sampling from different households across the sub-county was utilized. Data collection was done using a structured questionnaire administered in English and a spot observation checklist. All data generated was entered, validated and analyzed using SPSS using SPSS Software Version 23. Descriptive analysis was done during the calculation of measures of central tendency and proportions. Regression analysis was used in the determination of any association between the socio-demographic factors and the utilization of latrines. Results: Ownership, location and functionality of the pit latrine were positively associated with utilization (OR=2.127, OR=1.53, OR=4.36, P=.00). Households that owned pit latrines were 2 times likely to utilize the pit latrines than those without a pit latrine. Moreover, household size, gender, and employment were positively related to utilization (R=0.502, P=.00). High construction costs challenges were 7 times linked to open defecation practices. Households with less than 6 members were 2.35 times more likely to utilize the pit latrine compared to those with 7-12 members (OR=2.35, X²=13.573, P=.00). Conclusion: Interventions should target households with more than 7 members. A call for partnerships between government and donors to improve household income, water sources, and sanitation practices in Tigania East Sub-County is necessary. A call for funding projects related to pour-flush pit latrines and wet technologies to enhance utilization.

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RESEARCH OF THE ECONOMIC FACTORS IMPACT ON THE AUTOMOBILIZATION LEVEL

Municipal economy of cities ◽

10.33042/2522-1809-2020-6-159-161-168 ◽

2020 ◽

Vol 6 (159) ◽

pp. 161-168

Author(s):

N. Semchenko

Keyword(s):

Low Income ◽

Road Safety ◽

Life Quality ◽

Well Being ◽

Low Income Countries ◽

Economic Factors ◽

Road Accidents ◽

Risk Of Death ◽

Predicted Values

Mortality from road accidents continues to rise, amounting to 1.35 million deaths per year. It is emphasized that today injuries as a result of road accidents are the main cause of children death and young people aged 5-29 years and the three main causes of person’s death aged 5 to 44 years. Studies of road safety various aspects in different countries have shown that the world has long and steadily formed a global problem of irregular road accidents. First of all, the inverse dependence of the emergency risk on the material well-being of countries is clearly visible. The risk of death as a result of road accidents in low-income countries is three times higher than in high-income countries. The highest rates are in Africa (26.6 cases per 100,000 people) and the lowest in Europe (9.3 cases per 100,000 people). In addition, in recent years, experts are trying to link the actual accident rate in countries with the life quality of their populations. Quality of life as a concept includes not only the material level but also the satisfaction of spiritual needs, health, life expectancy, environmental conditions, moral and psychological climate, emotional comfort, etc., which ultimately determines the transport culture of the population. In this regard, it is of interest to identify links between the results of rating assessments of the people life quality in different countries and the level of these countries road safety typical. To do this, first of all it is necessary to assess the economic factors impact on the motorization level, which is insufficiently studied. The purpose is to determine the dependences of the economic factors impact, namely gross domestic product per capita and average wages, on the motorization level. The data for the study were taken from official statistical sources. The results were processed by methods of mathematical statistics and regression analysis. According to the results of the experiments, regression models were obtained for European countries; Asia and Oceania; The Middle East; Africa; North, Central America and the Caribbean; South America. The comparison of the simulated values and the initial data showed a high degree of correlation. The originality lies in the fact that the regularities of the economic factors influence on the motorization level are investigated, which makes it possible to obtain predicted values in the future. Improving the efficiency and safety of vehicles on the road network is possible based on the use of the motorization level predicted values in research. The obtained research results can be used to determine the feasibility of introducing certain measures to organize traffic.

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Effects of weight training on cognitive functions in elderly with Alzheimer's disease

Dementia & Neuropsychologia ◽

10.1590/s1980-57642012dn06040009 ◽

2012 ◽

Vol 6 (4) ◽

pp. 253-259 ◽

Cited By ~ 10

Author(s):

Thays Martins Vital ◽

Salma S. Soleman Hernández ◽

Renata Valle Pedroso ◽

Camila Vieira Ligo Teixeira ◽

Marcelo Garuffi ◽

...

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Cognitive Functions ◽

Weight Training ◽

Training Group ◽

Cognitive Status ◽

P Value ◽

Clock Drawing Test ◽

Training Protocol

ABSTRACT Deterioration in cognitive functions is characteristic in Alzheimer's disease (AD) and may be associated with decline in daily living activities with consequent reduced quality of life. Objective: To analyze weight training effects on cognitive functions in elderly with AD. Subjects: 34 elderly with AD were allocated into two groups: Training Group (TG) and Social Gathering Group (SGG). Methods: Global cognitive status was determined using the Mini-Mental State Exam. Specific cognitive functions were measured using the Brief Cognitive Battery, Clock Drawing Test and Verbal Fluency Test. The protocols were performed three times a week, one hour per session. The weight training protocol consisted of three sets of 20 repetitions, with two minutes of rest between sets and exercises. The activities proposed for the SGG were not systematized and aimed at promoting social interaction among patients. The statistical analyses were performed with the U Mann Whitney and Wilcoxon tests for group comparisons. All analyses were considered statistically significant at a p-value of 0.05. Results: There were no significant differences associated to the effects of the practice of weight training on cognition in AD patients. Conclusion: In this study, no improvement in cognitive functions was evident in elderly with AD who followed a low intensity resistance exercise protocol. Thus, future studies could evaluate the effect of more intense exercise programs.

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Cognitive status and health-related quality of life for medical students

Research n Practical Medicine Journal ◽

10.17709/2409-2231-2021-8-1-9 ◽

2021 ◽

Vol 8 (1) ◽

pp. 85-96

Author(s):

V. V. Kuznetsov ◽

K. V. Kosilov ◽

E. Yu. Kostina ◽

E. V. Karashchuk ◽

E. K. Fedorishcheva ◽

...

Keyword(s):

Quality Of Life ◽

Medical Students ◽

Physical Health ◽

Cognitive Functions ◽

The State ◽

Self Assessment ◽

Related Quality ◽

Medical University ◽

Senior Students

Purpose of the study. To study the comparative state and variability of cognitive capabilities, the degree of their correlation with the subjective and objective state of health among students of a medical university. Materials and methods. The study was carried out during the year from 01.12.2018 to 01.12.2019 at the Far Eastern Federal University and the Pacific State Medical University. The sample size is 394 respondents. The response rate is 91.9%. The state of co‑cognitive functions was determined according to the Montreal scale for assessing cognitive functions (IOC‑test; MoCA, Montreal Cognitive Assessment). For the self‑assessment of the quality of life, the “Brief form of self‑assessment of the quality of life related to health MOS SF‑36” (MOS SF – Medical Outcomes Study‑Short Form) was used. To collect information on social, economic, physiological, behavioral status, a specialized questionnaire Pozdeeva (2008) and standard medical documentation were used. Results. The total indicator of the assessment of cognitive functions in students was 26.1 points, in senior students it was slightly higher (26.8/25.5, p≥0.05). It was found that in the learning process, students significantly increase the level of executive functions (3.1/3.8, p≤0.05), attention, concentration and working memory (4.2/4.8, p≤0.05). The final assessment of physical health among primary students was 69 points, for senior students – 72 points. The indicator of mental health among students of the initial period of study was estimated at 52 points, among graduates – at 62 points (p≤0.05). The composite indicator of the quality of life associated with health was equal to 60 points for 1–3 year students, 67 points for 4–6 year students, (p≤0.05). The students of both age cohorts had a high incidence of chronic somatic pathology, the comorbidity index was 0.6, however, the number of visits to the doctor among senior students was significantly lower, in junior years (3.2/2.1, p≤0.05). The total indicator of the students' cognitive function was most strongly associated with physical activity (r=0.85, p≤0.05) and the state of physical health (r=0.73, p≤0.05). Conclusions. Cognitive functions in medical students correspond to normal values. The activity of executive functions, attention, concentration and working memory significantly improves in the process of studying at a medical university. Medical students value their health‑related quality of life highly, but most of them have chronic medical conditions. Senior students assess their psychological status more highly by optimizing the emotional component. The total indicator of the cognitive function of students is interrelated with the frequency of physical activity, the state of physical health, quality of nutrition, self‑assessment of mental health and psychological comfort.

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Spirituality correlates positively with higher quality of life and negatively with depression in a sample of low income brazilian cancer patients

Journal of Clinical Oncology ◽

10.1200/jco.2006.24.18_suppl.18534 ◽

2006 ◽

Vol 24 (18_suppl) ◽

pp. 18534-18534

Author(s):

A. Del Giglio ◽

E. Ramos ◽

C. G. Bensi ◽

G. Centofanti ◽

S. Frankfurt ◽

...

Keyword(s):

Quality Of Life ◽

Regression Analysis ◽

Multiple Regression Analysis ◽

Cancer Patients ◽

Multiple Regression ◽

Beck Depression Inventory ◽

Low Income ◽

Protective Factor ◽

Small Sample

18534 Background: Brazil has a multicultural mostly poor population with many different kinds of religious affiliations. Since cultural, psychological, spiritual and social factors may influence the quality of life (QOL) of cancer patients, we wanted to evaluate spirituality and its relation to depression and the QOL in a sanple of these patients. Methods: We surveyed 72 adult cancer patients through three questionnaires: a general one, the FACIT-Sp QOL questionnaire, as well as the Beck depression inventory, all of them already validated in Portuguese. From the FACIT-Sp questionnaire we obtained also the general quality of life (FACT-G) score. We evaluated correlations between variables with Chisquare, Fisher and ANOVA tests. Since multiple univariate correlations were assessed in this study, we considered significant only p values equal or bellow 0.005. We employed multiple regression analysis to evaluate if depression and spirituality would independently correlate with QOL. Results: We included 72 patients. The mean age was 52 years, 63.9% were female, 58.3% were married, 20.8% were regularly employed, and 59.7% had studied up to elementary school only. For most patients (66, 2%) their religious faith was the most important factor that helped them to cope with their disease. We found no statistical correlations between the scores of the questionnaire FACIT-Sp and any of the demographic variables. We observed significant correlations between higher scores of spirituality (ANOVA p < 0.001) with the absence of depression. Likewise higher scores of QOL (ANOVA p < 0.001) correlated with lack of depression. By multiple regression analysis both the spirituality dominion of the FACIT-Sp and the Beck depression inventory score correlated independently and significantly with general QOL measured by the FACT-G questionnaire’s score (p = 0.025 and p = 0.004, respectively). Conclusions: Despite the small sample size of our study, it was possible to show that religion is highly regarded by our patients and that it may influence their quality of life independently from depression. Furthermore, spirituality may also be a protective factor against depression. Therefore, physicians respect and encourage their religious practices. No significant financial relationships to disclose.

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Investigating Life Quality of the Department of Computer Education and Instructional Technologies (CEIT) Students in Terms of Various Variables

Journal of Education and Learning ◽

10.5539/jel.v10n4p156 ◽

2021 ◽

Vol 10 (4) ◽

pp. 156

Author(s):

Recep ÖZ

Keyword(s):

Quality Of Life ◽

Physical Health ◽

Social Relations ◽

Low Income ◽

Family Income ◽

Life Quality ◽

Average Score ◽

Medium Level ◽

A Current

The purpose of the study was to analyze the life quality of CEIT (Computer Education and Instructional Technologies) students according to their perception of gender, age, health status and level of income. The data were collected from the students studying at the third and fourth grades in CEIT undergraduate programs of Education Faculties affiliated to two different state universities. Among these students, 129 were third grade and 44 were fourth grade students. 86 of the students were female and 87 were male. While there were 34 students with a current disease, the number of students without a current disease was 139. Students’ perception of family income was at medium and low levels. 123 students who had the perception that their family had a medium level of income and 50 students who had the perception that their family had a low level of income were within the scope of the study. The World Health Organization Quality of Life Scale-Short Form (WHOQL-BREF) was used as the measurement tool. The scale adapted into Turkish included 29 items and five sub-dimensions. In terms of the variable of gender, physical health life quality perception of the students was found to be different in favor of female students. It was determined that the perception of physical health quality of life did not differ between students according to the presence of a current disease and family income. No significant difference was found in psychological life quality perceptions of the students in terms of their gender, current disease and level of income. However, the difference between the scores related to the psychological sub-dimension were found to be significant according to the common effect of gender-health, gender-income and gender-health-income perceptions. The social relations life score average of male students was found to be higher rather than the average score of females, and moreover, average score of the students with low-income perception was found to be higher rather than the average score of students with a perception of medium level of income. The perception of social relations life quality of students with low-income perception and without a current disease was determined to be higher rather than the life quality perceptions of the students with low-income perception. It was determined that the age of CEIT students was not a significant predictor of their perceptions related to physical health, and psychological and environmental life quality. However, the variable of age was specified to be a significant predictor of students’ perception on social relations quality of life.

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Functional recovery after cesarean delivery: a prospective cohort study in rural Rwanda

10.21203/rs.3.rs-885444/v1 ◽

2021 ◽

Author(s):

Anne Niyigena ◽

Saidath Gato ◽

Barnabas Alayande ◽

Elizabeth Miranda ◽

Bethany Hedt-Gauthier ◽

...

Keyword(s):

Physical Health ◽

Functional Status ◽

Functional Recovery ◽

Low Income ◽

Rural Women ◽

Post Partum ◽

Intraoperative Complications ◽

Physical Health Outcomes ◽

Income Status ◽

Poor Functional Status

Abstract Background Women who deliver via cesarean section (c-section) experience short- and long-term complications that may affect their physical health and their ability to function normally. While physical health outcomes are routinely assessed and monitored, postpartum functional outcomes are not well understood from a patient’s perspective or characterized by clinicians. In Rwanda, 11% of rural women deliver via c-section. This study explores the functional recovery of rural Rwandan women after c-section and assesses factors that predict poor functionality at postoperative day (POD) 30. Methods Data were collected prospectively on POD 3, 11, and 30 from women delivering at Kirehe District Hospital between October 2019 and March 2020. Functionality was measured by self-reported overall health, energy level, mobility, self-care ability, and ability to perform usual activities. We computed composite mean scores with a maximum score of 4.0 and scores ≤ 2.0 reflected poor functionality. We assessed functionality with descriptive statistics and logistic regression. Results Of 617 patients, 54.0%, 25.9%, and 26.8% reported poor functional status at POD3, POD11, and POD30, respectively. At POD30, the most self-reported poor functionality dimensions were poor or very poor overall health (48.1%), and inability to perform usual activities (15.6%). In the adjusted model, women whose surgery lasted 30–45 minutes had higher odds of poor functionality (aOR = 1.85, p = 0.01), as did women who experienced intraoperative complications (aOR = 4.12, p = 0.037). High income patients had incrementally lower significant odds of poor functionality (aOR = 0.62 for every US$100 increase in monthly income, p = 0.04). Conclusion We found a high proportion of poor functionality 30 days post-c-section and while surgery lasting > 30 minutes and experiencing intra-operative complications was associated with poor functionality, a reported higher income status was associated with lower odds of poor functionality. Functional status assessments, monitoring and support should be included in post-partum care for women who delivered via c-section. Effective risk mitigating intervention should be implemented to recover functionality after c-section, particularly among low-income women and those undergoing longer surgical procedures or those with intraoperative complications.

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386: Health Related Quality of Life in Low-Income, Uninsured Men with Prostate Cancer

The Journal of Urology ◽

10.1016/s0022-5347(18)37648-1 ◽

2004 ◽

Vol 171 (4S) ◽

pp. 101-102

Author(s):

Tracey L. Krupski ◽

Arlene Fink ◽

Lorna Kwan ◽

Sarah Connor ◽

Sally L. Maliski ◽

...

Keyword(s):

Quality Of Life ◽

Prostate Cancer ◽

Low Income ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Case Studies in Dementia-Related Anxiety

GeroPsych ◽

10.1024/1662-9647/a000243 ◽

2020 ◽

pp. 1-6

Author(s):

Molly Maxfield ◽

Jennifer R. Roberts ◽

JoAnna Dieker

Keyword(s):

Alzheimer’S Disease ◽

Alzheimer's Disease ◽

Social Withdrawal ◽

Cognitive Status ◽

Generalized Anxiety ◽

Neurocognitive Disorder ◽

High Genetic Risk ◽

Disease Case ◽

Negative Perceptions

Abstract. Two clients seeking neuropsychological assessment reported anxiety about their cognitive status. We review the cases to increase our understanding of factors contributing to dementia-related anxiety. Case 1 met the criteria for mild neurocognitive disorder; the client’s memory was impaired, and she had a high genetic risk for Alzheimer’s disease. The client reported anxiety about negative perceptions of quality of life among individuals diagnosed with Alzheimer’s disease. Case 2 did not meet the criteria for a neurocognitive disorder. Anxiety about this client’s cognitive status appeared attributable to generalized anxiety disorder, given his anxiety about diverse topics. Both clients reported embarrassment about forgetfulness and social withdrawal. Dementia-related anxiety is believed to be relatively common, to exist on a continuum, to have unique social implications, and to stem from various sources, necessitating differing interventions.

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