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Depression,functional disability and quality of life among Nigerian older adults: Prevalences and relationships
Institution:1. Department of Medical Rehabilitation, College of Health Sciences, Nnamdi Azikiwe University, Nnewi Campus, Anambra State, Nigeria;2. Department of Medical Rehabilitation, College of Medical Sciences, University of Maiduguri, Borno State, Nigeria;3. Neurology Unit, Department of Medicine, College of Medicine, University of Ibadan/University College Hospital, Ibadan, Oyo State, Nigeria;4. Department of Physiology, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Ekiti State, Nigeria;1. Beijing Geriatric Healthcare Center, Xuanwu Hospital, Capital Medical University, Key Laboratory for Neurodegenerative Disease of Ministry of Education, Center of Alzheimer''s Disease, Beijing Institute for Brain Disorders, Beijing, China;2. Department of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China;3. Department of Geriatrics, Beijing Geriatric Hospital, Beijing, China;4. Department of Respiratory, Cangzhou People''s Hospital, Cangzhou, China;1. Neuropsychiatric Hospital Aro, PMB 2002, Abeokuta, Ogun State, Nigeria;2. Boston University School of Public Health, Boston, MA, 02118, USA;3. Boston University School of Medicine, Boston, MA 02118, USA;4. Department of Psychiatry, Boston Medical Center, Boston, MA 02118, USA;1. Department of Liberal arts and sciences, Toyama Prefectural University, Imizu City, Toyama Prefecture, Japan;2. Department of Preventive Gerontology, Center for Gerontology and Social Science, National Center for Geriatrics and Gerontology, Obu City, Aichi Prefecture, Japan;1. School of Rehabilitation Therapy, Queen’s University, Kingston, ON, Canada;2. Department of Public Health Sciences, Queen’s University, Kingston, ON, Canada;3. Department of Family Medicine, Queen’s University, Kingston, ON, Canada;4. Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA;5. Research Group on Geriatrics and Gerontology, Faculty of Health Sciences, Universidad de Caldas, Manizales, Colombia;6. Department of Physiotherapy, Federal University of Rio Grande do Norte, Natal, Brazil;7. Department of Epidemiology and Public Health, University of Maryland School of Medicine, Baltimore, USA;8. Department of Social and Preventive Medicine, School of Public Health, Universite de Montreal, Montreal, QC, Canada;1. Jockey Club Institute of Ageing, Chinese University of Hong Kong, New Territories, Hong Kong;2. Institute of Health Equity, Chinese University of Hong Kong, New Territories, Hong Kong;3. Department of Urban Planning and Design, The University of Hong Kong, Pokfulam, Hong Kong;4. Jockey Club School of Public Health and Primary Care, Chinese University of Hong Kong, New Territories, Hong Kong
Abstract:BackgroundAgeing is associated with increased morbidity, depression and decline in function. These may consequently impair the quality of life (QoL) of older adults.PurposeThis study was used to investigate the prevalence of functional disability, depression, and level of quality of life of older adults residing in Uyo metropolis and its environs, Nigeria.MethodThis cross sectional survey involved 206 (116 females and 90 males) older adults with mean age of 69.8 ± 6.7. The World Health Organization Quality of Life-OLD, Functional status Questionnaire (FSQ) and Geriatric Depression Scale (GDS) were used to measure quality of life, functional disability and depression respectively. Data was analysed using frequency counts and percentages and Spearman rank-order correlation coefficient, at 0.05 alpha level.Results45.5% of participants had depression, and at least 30% had functional disability in at least one domain, but their quality of life was fairly good (>60.0%) across all domains. Significant correlation existed between depression scores and individual quality of life and functional disability domains and between overall QoL and each functional disability domain (p < 0.001).ConclusionsDepression and functional disability were quite prevalent among sampled older adults but their QOL was not too severely affected. Since the constructs were interrelated, it seems interventions targeted at depression and functional status may invariably enhance the quality of life of the older adults.
Keywords:Depression  Functional disability  Frailty  Quality of life  Older adults
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