scholarly journals Comparison of the perception of health-related quality of life between older men and women

2019 ◽  
Vol 18 (2) ◽  
pp. 410-425
Author(s):  
Francisco Javier López Rincón ◽  
Alejandro Morales Jinez ◽  
Alicia Ugarte Esquivel ◽  
Luz Elena Rodríguez Mejía ◽  
José Luis Hernández Torres ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Men ◽  
Health Related Quality ◽  
Men And Women ◽  
Calidad De Vida ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
Older Men And Women

Introducción: La calidad de vida relacionada con la salud se entiende como el efecto funcional y anímico que una enfermedad produce en una persona, incluyendo el tratamiento y cómo este proceso es percibido por la persona, el cual puede estar influido por el género.Objetivo: Determinar la percepción de la calidad de vida relacionada con la salud entre hombre y mujeres adultos mayores en la Comarca Lagunera de Coahuila.Método: Estudio cuantitativo y descriptivo de corte transversal. La muestra estuvo conformada por 100 adultos mayores seleccionados a conveniencia en la escuela de Lic. en Enfermería, U.T. de la Universidad Autónoma de Coahuila y un hospital público de la localidad. Los datos se analizaron en el programa SPSS v22 para Mac, se utilizó estadística descriptiva y la prueba U de Mann-Withney.Resultados: El análisis entre el género y la percepción de calidad de vida relacionada con la salud no observó diferencia significativa (U= 922.00, p=.178); sin embargo, al analizar la calidad de vida por dimensiones, existe diferencia significativa en tres componentes que son movilidad física (U= 812.00, p>.05), dolor (U= 816.00, p>.05) y energía (U= 807.50, p>.05).Conclusiones: En la presente investigación, se puede observar que los hombres y mujeres adultos mayores perciben la calidad de vida relacionada a la salud de una forma muy parecida, sin embargo, se encontró diferencia en algunos componentes que desde el punto de vista de los autores están muy ligados al rol social que cumple una mujer o un hombre adulto mayor.   Introduction: The quality of life related to health is understood as the functional and emotional effect that a disease produces in a person, including treatment and how this process is perceived by the person, which may be influenced by gender.Objective: To determine the perception of quality of life related to health among men and older women in the Comarca Lagunera of Coahuila.Method: Quantitative and descriptive cross-sectional study. The sample was 100 old adults selected at convenience in the Nursing School, U.T. from the Autonomous University of Coahuila and a public hospital in the town. Data were analyzed in the SPSS v22 program for Mac, descriptive statistics and the Mann-Whitney U test were used.Results: The analysis between gender and health-related quality of life perception did not observe a significant difference (U=922.00, p=.178); However, when analyzing the quality of life by dimensions, there is a significant difference in three components that are physical mobility (U= 812.00, p< .05), pain (U= 816.00, p< .05) and energy (U= 807.50, p< .05).Conclusions: In the present investigation, it can be observed that older men and women perceive the quality of life related to health in a very similar way, however, a difference was found in some components that from the point of view of the authors, they are closely linked to the social role played by a woman or an older adult man.

A Population-Based Perspective of Changes in Health-Related Quality of Life After Myocardial Infarction in Older Men and Women

1998 ◽  
Vol 51 (7) ◽  
pp. 609-616 ◽  
Author(s):  
Carlos F. Mendes de Leon ◽  
Harlan M. Krumholz ◽  
Viola Vaccarino ◽  
Christianna S. Williams ◽  
Thomas A. Glass ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Myocardial Infarction ◽  
Older Men ◽  
Population Based ◽  
Health Related Quality ◽  
Men And Women ◽  
Related Quality ◽  
Health Related ◽  
Older Men And Women

MO822POLYPHARMACY NEGATIVELY AFFECTS HEALTH-RELATED QUALITY OF LIFE IN DIALYSIS PATIENTS

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Julia Colombijn ◽  
Anna Bonenkamp ◽  
Anita Van Eck van der Sluijs ◽  
Alferso C Abrahams ◽  
Joost Bijlsma ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Related Quality ◽  
Dialysis Patients ◽  
Self Rated Health ◽  
Therapeutic Benefits ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
The Mean

Abstract Background and Aims Dialysis patients are often prescribed a large number of medications to improve metabolic control and manage co-existing comorbidities. However, several studies suggest that a large number of medications can also detrimentally affect their health-related quality of life (HRQoL). Therefore, this study aims to provide insight in the association between the number of medications and various aspects of HRQoL in dialysis patients. Method A multicentre study was conducted among dialysis patients from Dutch dialysis centres three months after initiation of dialysis as part of the ongoing prospective DOMESTICO study. The number of medications, defined as the number of concomitantly prescribed types of drugs, was obtained from electronic patient records. Primary outcome was HRQoL measured with the Physical Component Summary (PCS) score and Mental Component Summary (MCS) score (range 0-100) of the Short Form 12. Secondary outcomes were number of symptoms (range 0-30) measured with the Dialysis Symptoms Index and self-rated health (range 0-100) measured with the visual analogue scale of the EuroQol-5D-5L. Data were analysed using linear regression and adjusted for possible confounders, including age, sex, dialysis modality, and comorbidity. Analyses for MCS and number of symptoms were performed after categorising patients in tertiles according to their number of medications because assumptions of linearity were violated for these outcomes. Results A total of 162 patients were included. Mean age of patients was 58 ± 17 years, 35% were female, and 80% underwent haemodialysis. The mean number of medications was 12.2 ± 4.5. Mean PCS and MCS were 36.6 ± 10.2 and 46.8 ± 10.0, respectively. The mean number of symptoms was 12.3 ± 6.9 and mean self-rated health 60.1 ± 20.6. In adjusted analyses, PCS was 0.6 point lower for each additional medication (95%CI -0.9 – -0.2; p=0.002). MCS was 4.9 point lower (95%CI -8.8 – -1.0; p=0.01) and 1.0 point lower (95%CI -5.1 – 3.1; p=0.63) for the highest and middle tertiles of medications, respectively, compared to the lowest tertile. Patients in the highest tertile of medications reported 4.1 more symptoms compared to the lowest tertile (95%CI 1.5 – 6.6; p=0.002) but no significant difference in the number of symptoms was observed between the middle and lowest tertile. Self-rated health was 1.5 point lower for each medication (95%CI -2.2 – -0.7; p&lt;0.001). Conclusion After adjustment for comorbidity and other confounders, a higher number of medications was associated with a lower PCS, MCS, and self-rated health in dialysis patients and with more symptoms. This suggests that it may be relevant to weigh expected therapeutic benefits of medication against their possible harmful effects on HRQoL. An unfavourable balance between expected benefits and impact on HRQoL might be ground to deviate from clinical guidelines, especially for patients with a limited life-expectancy and for whom a kidney transplant is unattainable.

scholarly journals Health-Related Quality of Life following Cytoreductive Radical Prostatectomy in Patients with de-novo Oligometastatic Prostate Cancer

Cancers ◽  
2021 ◽  
Vol 13 (22) ◽  
pp. 5636
Author(s):  
Michael Chaloupka ◽  
Lina Stoermer ◽  
Maria Apfelbeck ◽  
Alexander Buchner ◽  
Vera Wenter ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Prostate Cancer ◽  
Radical Prostatectomy ◽  
De Novo ◽  
Health Related Quality ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

(1) Background: local treatment of the primary tumor has become a valid therapeutic option in de-novo oligo-metastatic prostate cancer (PC). However, evidence regarding radical prostatectomy (RP) in this setting is still subpar, and the effect of cytoreductive RP on postoperative health-related quality of life (HRQOL) is still unclear. (2) Methods: for the current study, patients with de-novo oligo-metastatic PC (cM1-oligo), defined as ≤5 bone lesions in the preoperative staging, were included, and matched cohorts using the variables age, body-mass index (BMI), and pT-stage were generated. Patient-reported outcome measures (PROMS) were assessed pre- and postoperatively using the validated EORTC-QLQ-C30, IIEF-5, and ICIQ-SF questionnaires. The primary endpoint for univariate and multivariable analysis was good general HRQOL defined by previously validated cut-off values. (3) Results: in total, 1268 patients (n = 84 (7%) cM1-oligo) underwent RP between 2012 and 2020 at one tertiary care center. A matched cohort of 411 patients (n = 79 with oligo-metastatic bone disease (cM1-oligo) and n = 332 patients without clinical indication of metastatic disease (cM0)) was created. The median follow-up was 25mo. There was no significant difference in good general HRQOL rates between cM1-oligo-patients and cM0-patients before RP (45.6% vs. 55.2%, p = 0.186), and at time of follow-up (44% vs. 56%, p = 0.811). Global health status (GHS) worsened significantly in cM0-patients compared to baseline (−5, p = 0.001), whereas GHS did not change significantly in cM1-oligo-patients (+3.2, p = 0.381). In multivariate analysis stratified for good erectile function (IIEF5 > 18; OR 5.722, 95% CI 1.89–17.36, p = 0.002) and continence recovery (OR 1.671, 95% CI 1.03–2.70, p = 0.036), cM1-oligo was not an independent predictive feature for general HRQOL (OR 0.821, 95% CI 0.44–1.53, p = 0.536). (4) Conclusions: in this large contemporary retrospective analysis, we observed no significant difference in HRQOL in patients with the oligometastatic bone disease after cytoreductive radical prostatectomy, when compared to patients with localized disease at time of surgery.

Multimorbidity and  health-related quality of life among people 55 years and up: results of a longitudinal study in New Zealand

2020 ◽  
Author(s):  
Nayyereh Aminisani ◽  
Chris Stephens ◽  
Fiona Alpass ◽  
Seyed Morteza Shamshirgaran
Keyword(s):  
Quality Of Life ◽  
Longitudinal Study ◽  
New Zealand ◽  
Inverse Association ◽  
Health Related Quality ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
Over Time

Abstract Background: This study aimed to examine the association of Health-Related Quality of Life (HRQOL) and multimorbidity (MM) and its correlates over time in New Zealand. Methods: People aged 55 years and over were invited to participate in a nationally representative population-based longitudinal study in 2006 and followed up biennially until 2016. Generalized Estimating Equations (GEE) with an exchangeable correlation matrix and robust standard errors adjusted for both time-constant and time-varying factors using baseline and five subsequent waves of data were used, to compare a range of factors related to changes in MM and HRQOL. Results: Of 2632 participants at baseline, 957 of the participants were classified as “MM participants”; 570 had two, and the rest had three chronic conditions. The results of the GEE regression models demonstrated that SF12-PCS decreased over time, and there was a significant difference in SF12-PCS between MM and Non-MM participants. Having MM was negatively associated with HRQOL-PCS [-3.00 (95 %CI -3.60, -2.49); p <0.001)]. Although the results showed an increase in SF12-MCS over time, the score of the mental dimension of HRQOL was lower among MM participants compared to Non-MM participants [-2.60, 95 %CI -3.09, -2.11]. Conclusions: According to this longitudinal study, there is an inverse association between MM and one of the most important health outcomes; HRQOL, in older adults.

scholarly journals Cervical kyphosis in asymptomatic populations: incidence, risk factors, and its relationship with health-related quality of life

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Shuang Ao ◽  
Yu Liu ◽  
Yu Wang ◽  
Hao Zhang ◽  
Hui Leng
Keyword(s):  
Quality Of Life ◽  
Risk Factors ◽  
Cervical Lordosis ◽  
Health Related Quality ◽  
Cervical Kyphosis ◽  
T1 Slope ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related

Abstract Background Cervical kyphosis has been pointed out in asymptomatic populations. The purposes of this study were (1) to investigate the incidence of cervical kyphosis in asymptomatic populations, (2) to identify risk factors related to cervical kyphosis, and (3) to assess the relationship between cervical kyphosis and health-related quality of life (HRQOL). Methods A cohort of 235 asymptomatic volunteers’ records was retrospectively analyzed. Radiographic parameters of the coronal and sagittal planes were measured in the full-length spine x-ray. All patients were classified into two groups based on the cervical lordosis angle: cervical lordosis (CL) and cervical kyphosis (CK). HRQOL was evaluated by EQ-5D and SF-36 (PCS and MCS) questionnaires. Results CK was observed in 90 of 235 (38.3%) participants. There was a significant difference with regard to age between volunteers with CK and CL (32.23 ± 8.12 vs. 42.12 ± 6.14, p < 0.05). Several parameters had a significant relationship with CK, including TK, T1 slope, TIA, SVA, and CT. Logistic regression analysis identified age, TK, T1 slope, and SVA as independent risk factors of CK. In addition, there was a negative correlation between CK and the parameters of HRQOL (EQ-5D, − 0.63; PCS, − 0.68; MCS, − 0.59). Conclusions The incidence of CK in normal populations is 38.3%. Some spinal parameters are related to CK. CK is associated with the HRQOL.

scholarly journals Association of Dietary Diversity with Health-related Quality of Life and Osteosarcopenic Obesity in Korean Female Adults (P18-059-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Yun-Jung Bae
Keyword(s):  
Quality Of Life ◽  
Dietary Diversity ◽  
Age Group ◽  
Health Related Quality ◽  
Dietary Diversity Score ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
Osteosarcopenic Obesity

Abstract Objectives This study was conducted to evaluate the association of dietary diversity score with health-related quality of life and osteosarcopenic obesity in female aged 50 or older using data from the 2008∼2010 National Health and Nutrition Examination Survey (KNHANES). Methods In this cross-sectional study, a total of 4276 subjects (50∼64y: n = 2279, ≥65y: n = 1997) were classified according to dietary diversity score (DDS) (≥3 DDS, <3 DDS) using 24 h dietary recalls method. Body composition was evaluated using dual-energy X-ray absorptiometry (DXA) and health-related quality of life was assessed using EQ-5D (EuroQol five-dimension) index. Analysis was conducted by age-stratified groups: 50∼64 (≥3 DDS = 2070, <3 DDS = 209) and 65 (≥3 DDS = 1534, <3 DDS = 463) yrs or older. Results The ≥3 DDS group had a larger proportion of subjects who were highly educated compared to <3 DDS group (P < 0.001). In the 65 yrs or older age group, age-adjusted means of EQ-5D index of ≥3 DDS group and <3 DDS group were 0.84 and 0.74, respectively and there was significant difference (P < 0.0001). However, in the 50∼64 yrs age group, no difference was observed in EQ-5D index according to the dietary diversity. The ≥3 DDS group had a larger proportion of subjects who had no osteosarcopenic obesity compared to <3 DDS group (P < 0.05). Conclusions These results suggest that the dietary diversity may be associated with a lower health-related quality of life and osteosarcopenic obesity in Korean female aged 50 years or older. Funding Sources This work was supported by the National Research Foundation of Korea (NRF) grant funded by the Korea government (MSIP; Ministry of Science, ICT & Future Planning) (No. 2017R1C1B5017636).

scholarly journals The impact of the housing situation on the health-related quality of life of refugees located in North Rhine-Westfalia, Germany

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Belau
Keyword(s):  
Quality Of Life ◽  
Living Conditions ◽  
Housing Situation ◽  
Health Related Quality ◽  
Physical Scale ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Abstract Background In 2015 and 2016, more than one million people fled to Germany from war-affected countries - mainly from Syria, Afghanistan and Iraq. Nevertheless, little is known about health-promoting and health-damaging living conditions in refugees located in Germany. Strengthening healthy living conditions could be a measure to increase health-related quality of life (HRQoL) of refugees. Methods The analyses were based on data from the FlüGe Health Study. The study was conducted in the period from February to November 2018 and included interviews and examinations. Participants were recruited from shared (n = 182) and private accommodation (n = 144) in several cities in North Rhine-Westphalia in Germany. The effect of housing situation on health-related quality of life as estimated from a modified version of the SF-12 questionnaire was examined using univariable analyses. Results Three hundred and nine participants ranging in age from 18 to 75 years (Mean 32.4, SD 0.61) gave complete replies. The majority was males (73.0%) and more than half of the respondents (58,4%) were in a partnership. Univariate analysis showed no statistically significant difference in HRQoL scores among participants from shared and private accommodation in physical scale (Mean 51.7, SD 10.05 vs. 49.7, SD 10.88; p = 0.096) and mental scale (Mean 41.9, SD 14.7 vs. 44.3, SD 14.2; p = 0.134). Conclusions From the data it appears that refugees living in shared and private accommodation in Germany have HRQoL scores indicating a relatively moderate HRQoL in physical scale and low HRQoL in mental scale compared to the German population.

scholarly journals Weight Status, Physical Fitness, and Health-Related Quality of Life among Chinese Adolescents: A Cross-Sectional Study

2019 ◽  
Vol 16 (13) ◽  
pp. 2271 ◽  
Author(s):  
Xiangren Yi ◽  
You Fu ◽  
Ryan Burns ◽  
Meng Ding
Keyword(s):  
Quality Of Life ◽  
Physical Fitness ◽  
Multiple Regression ◽  
Chinese Adolescents ◽  
Health Related Quality ◽  
Significant Difference ◽  
Related Quality ◽  
Health Related ◽  
The Impact

Purpose: The impact of physical fitness (PF) on adolescents’ health-related quality of life (HRQOL) is an important health issue in China. The purpose of this study was to identify whether body mass index (BMI), cardiorespiratory fitness (CRF), and musculoskeletal fitness (MSF) influences HRQOL among Chinese adolescents. Method: The participants were 10,007 students (boys = 5276, 14.14 years ± 1.79; girls = 4829, 14.22 years ± 1.81) who were randomly selected from 30 secondary schools in Shandong, China. BMI, CRF, MSF, and HRQOL were measured and analyzed using ANCOVA and multiple regression. Results: BMI and physical fitness variables were partially associated with HRQOL in Chinese adolescents. ANCOVA showed a significant difference among BMI categories in terms of physical sense (PS), living convenience, and self-satisfaction (SS) for boys, but this difference was only seen with social activity opportunity (SAO) for girls. Multiple regression found that BMI was significantly associated with SAO. For boys, CRF was associated with the teacher and student relationship and SS, whereas MSF was only associated with PS. For girls, CRF was significantly linked with the parent and children relationship, learning capacity, and attitudes and self-perception (S-P), while MSF was associated with S-P. Conclusion: Enforcing physical activity and enhancing PF will be a crucial pathway in improving adolescents’ HRQOL in China.

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