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Yan LL Daviglus ML Liu K Pirzada A Garside DB Schiffer L Dyer AR Greenland P 《Obesity research》2004,12(1):69-76
OBJECTIVE: To examine relationships of BMI with health-related quality of life in adults 65 years and older. RESEARCH METHODS AND PROCEDURES: In 1996, a health survey was mailed to all surviving participants > or = 65 years old from the Chicago Heart Association Detection Project in Industry Study (1967 to 1973). The response rate was 60%, and the sample included 3981 male and 3099 female respondents. BMI (kilograms per meter squared) was classified into four groups: underweight (<18.5), normal weight (18.5 to 24.9), overweight (25.0 to 29.9), and obese (> or = 30.0). Main outcome measures were Health Status Questionnaire-12 scores (ranging from 0 to 100) assessing eight domains: health perception, physical functioning, role limitations-physical, bodily pain, energy/fatigue, social functioning, role limitations-mental, and mental health. The higher the score, the better the outcome. RESULTS: With adjustment for age, race, education, smoking, and alcohol intake, obesity was associated with lower health perception and poorer physical and social functioning (women only) but not impaired mental health. Overweight was associated with impaired physical well-being among women only. Both underweight men and women reported impairment in physical, social, and mental well-being. For example, multivariable-adjusted health perception domain scores for women were 50.8 (underweight), 62.7 (normal weight), 60.5 (overweight), and 52.1 (obese), respectively. Associations weakened but remained significant with further adjustment for comorbidities. DISCUSSION: Compared with normal-weight people, both underweight and obese older adults reported impaired quality of life, particularly worse physical functioning and physical well-being. These results reinforce the importance of normal body weight in older age. 相似文献
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Smith AW Reeve BB Bellizzi KM Harlan LC Klabunde CN Amsellem M Bierman AS Hays RD 《Health care financing review》2008,29(4):41-56
This study examined the physical and mental health of 126,685 males and females age 65 or over, with and without cancer that completed a Medicare Health Outcomes Survey (MHOS) between 1998-2002. Cancer information was ascertained through the National Cancer Institute's (NCI's) Surveillance, Epidemiology and End Results (SEER) program and linked to MHOS data. Results indicated that across most cancer types, cancer patients reported significantly more comorbid conditions and poorer physical and mental health compared with patients without cancer. Negative associations were most pronounced in those with two or more comorbidities and in those diagnosed with cancer within the past year. 相似文献
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Purposes
The aims were to assess the association between lifetime traumatic events and post-traumatic stress syndrome (PTSS) and health-related quality of life (HRQOL) and satisfaction with life stratified by gender among a community-dwelling sample of older adults.Methods
Data used came from the ESA-Services study (2011–2013) and included a large convenience sample of 1811 older adults. Traumatic events were measured using a list of 14 events. PTSS was measured using the Impact of Event Scale-Revised. HRQOL and life satisfaction were measured with the EQ-5D-3L and the Satisfaction With Life Scale. Multivariate regression analyses were used to assess the association between traumatic events, PTSS, and quality of life.Results
Respondents had a mean age of 73.90 years (SD: 6.13, range 65–97). Our results showed that exposure to violence (OR 4.88, CI 2.72–8.77), an accident (OR 2.33, CI 1.29–4.22), and sexual abuse (OR 2.26 CI 1.17–4.37) was associated with PTSS only in women. No traumatic event was associated only in men. The interaction between gender and exposure to violence and life-threatening disease of a close one was significant. Experiencing violence (β = ?0.04, p < 0.01), a natural disaster (β = ?0.04, p = 0.02), a life-threatening disease (β = ?0.04, p < 0.01), and sexual abuse (β = ?0.04, p < 0.01) were associated with a lower HRQOL only in women. No traumatic event was associated in men. Interactions between event and gender were significant for natural disaster, life-threatening disease of a close one, sexual abuse, and other type of traumatic events. A life-threatening disease (β = ?0.90, p < 0.01) was associated with a reduced life satisfaction only in men and the exposure of violence (β = ?1.18, p < 0.01) was associated with lower life satisfaction in women.Conclusion
Our study could help healthcare professionals to identify and monitor traumatic events that are at higher risk to be associated with PTSS and a lower quality of life for older men and women.6.
Objective
The purpose of the present study was to examine the relationship between the use of senior center and health-related quality of life in Korean older adults.Methods
A questionnaire survey was conducted to two types of older adults who lived in Busan, Korea: 154 older adults who used a senior center and 137 older adults who did not use a senior center. The Korean version of short-form 36-item health survey was administered to assess the health-related quality of life. Demographic variables were obtained from a questionnaire. These were gender, age, family status, marital status, education, monthly income, present illness, body mass index and physical activity.Results
The 8-domain scales of physical function and role-physical were significantly higher in the users of the senior center compared with the non-users (F=4.87, p=0.027 and F=7.02, p=0.009, respectively). The 8-domain scales of vitality was also significantly higher in the users of the senior center compared with the non-users (F=7.48, p=0.007).Conclusions
The present study showed that the users of the senior center have higher physical function, role-physical and vitality compared with the non-users. These findings suggest that although the results are unable to specify causal relationships using the senior center may lead to some improvement in health-related quality of life. 相似文献7.
Andrade Juliana Mara Drumond Andrade Flávia Cristina de Oliveira Duarte Yeda Aparecida Bof de Andrade Fabíola 《Quality of life research》2020,29(6):1665-1674
Quality of Life Research - To investigate the longitudinal association between frailty and health-related quality of life (HRQoL) in older adults and to examine whether family functionality... 相似文献
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Andrea Otero-Rodríguez Luz María León-Muñoz Teresa Balboa-Castillo José R. Banegas Fernando Rodríguez-Artalejo Pilar Guallar-Castillón 《Quality of life research》2010,19(1):15-23
Purpose
We examined whether changes in health-related quality of life (HRQL) predict subsequent mortality among the Spanish elderly. 相似文献9.
Social network and health-related quality of life in older adults: A population-based study in Spain 总被引:1,自引:0,他引:1
E.?López.?García J.?R.?Banegas A.?Graciani.?Pérez-Regadera R.?Herruzo.?Cabrera F.?Rodríguez-Artalejo
This study examined the association between social network and health-related quality of life (HRQL) in older adults and compared this against the association between HRQL and a disabling disease such as osteoarthritis. A cross-sectional survey was done on 3600 subjects representative of the Spanish non-institutionalised population aged 60 years and over. Data were collected through home-based personal interview and physical examination. HRQL was measured with the SF-36 health questionnaire. Data analysis was performed with multiple linear regression models with adjustment for the main confounders. Of the total sample, 38.6 of subjects were unmarried, 17.6 were living alone, 4.7 saw their family seldom or never, and 2.9 saw their friends seldom or never. Unmarried status and living alone were associated with lower scores in the social and mental quality-of-life components, though statistical significance was not in general attained (p > 0.05). Seeing family members seldom or never was associated (p < 0.05) with worse scores in the following scales of SF-36 questionnaire role-physical, body pain, general health and mental health. HRQL was lower among those who saw friends seldom or never, and the reduction in HRQL proved similar to that associated with osteoarthritis, on the physical functioning (coefficients –8.4 vs. –8.1) and general health scales (–7.8 vs. –6.6); the reduction in HRQL was even greater than that associated with osteoarthritis for other scales, such as vitality (–9.6 vs. –6.7; p > 0.05) and social functioning (–14.5 vs. –3.7; p < 0.05). We conclude that only a small proportion of Spains elderly population lack frequent social relationships, yet low frequency of relationships with friends is associated with a decline in quality of life similar to or greater than that associated with osteoarthritis. 相似文献
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Jennifer L. Pecina Gregory J. Hanson Holly Van Houten Paul Y. Takahashi 《Quality of life research》2013,22(9):2315-2321
Purpose
Telemonitoring is being increasingly used for chronic disease monitoring. While the primary aim of telemonitoring is to improve chronic disease management and decrease hospitalizations, the potential impact on patient’s health-related quality of life may be an additional benefit.Methods
Two hundred and five patients aged 60 years and older with multiple medical conditions were enrolled in a one-year randomized controlled trial of daily home telemonitoring. Health-related quality of life was measured with the 12-Item Short-Form at the beginning and at the completion of the study. Per protocol analysis of the 166 patients responding to the follow-up survey was performed.Results
Among the 166 responders, there were no significant differences at baseline in the physical component summary (PCS) scores (p value = 0.32), nor the mental component summary (MCS) scores (p value = 0.12) between the telemonitored group and the usual care group. There was also no difference in the 12-month PCS scores (p value = 0.39) or MCS scores (p value = 0.10) between groups. There was no difference in the change from baseline to 12-month MCS scores between groups (p value = 0.89); however, there was a significant difference in the baseline to 12-month change of PCS scores between groups, with the telemonitored group having a greater decrease in PCS scores (?4.3 ± 9.3), compared to the usual care group (?1.2 ± 8.5) over the course of the study (p value = 0.03).Conclusion
Home telemonitoring in older adults with multiple comorbidities does not significantly improve self-perception of mental well-being (as measured by MCS scores) and may worsen self-perception of physical health (as measured by PCS scores). 相似文献11.
Boehlen Friederike H. Maatouk Imad Friederich Hans-Christoph Schoettker Ben Brenner Hermann Wild Beate 《Quality of life research》2022,31(7):2023-2033
Quality of Life Research - Health-related quality of life (HRQOL) in older persons is influenced by physical and mental health, as well as by their social contacts and social support. Older women... 相似文献
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Aljeaidi Muhamad S. Haaksma Miriam L. Tan Edwin C. K. 《Quality of life research》2022,31(9):2663-2671
Quality of Life Research - Health-related quality of life (HRQoL) is an important outcome measure when considering medical treatment; however, the impact of polypharmacy on trajectories of HRQoL... 相似文献
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Purpose To examine the association of psychosocial adaptation status with vision-specific health-related quality of life (HRQOL) and
the role of psychosocial adaptation in the linkage between visual impairment and vision-specific HRQOL outcomes among older
adults with visual disorders.
Design and methods In this cross-sectional study, older urban adults with visual problems (N = 167) were interviewed using a structured questionnaire to assess their self-reported visual function, general health, psychosocial
adaptation status, and vision-specific HRQOL. Performance-based measure of visual function marked by distance visual acuity
was clinically conducted by ophthalmologists.
Results It was found in the study that psychosocial adaptation status was significantly associated with vision-specific HRQOL, including
the domains of mental health symptoms due to vision and dependency on others due to vision. The results also showed that psychosocial
adaptation status could buffer the effect of visual impairment on vision-specific HRQOL, including the domains of social function,
mental health, and dependency.
Conclusion Psychosocial adaptation status is significantly associated with multiple domains of vision-specific HRQOL. The findings have
significant implications for health education and psychosocial intervention for older adults with age-related vision loss. 相似文献
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BACKGROUND: Laboratory research suggests that tea has potential neurocognitive protective effects, but this is not established in humans. OBJECTIVE: We aimed to examine the relation between tea intake and cognitive impairment and decline. DESIGN: Among community-living Chinese adults aged > or = 55 y in the Singapore Longitudinal Ageing Studies cohort, we measured tea consumption at baseline and administered the Mini-Mental State Examination (MMSE) at baseline and 1-2 y later. Cognitive impairment was defined as an MMSE score < or = 23 and cognitive decline as a drop in MMSE score of > or = 1 point. We performed cross-sectional analysis of baseline data from 2501 participants and longitudinal analysis of data from 1438 cognitively intact participants. Odds ratios (ORs) of association were calculated in logistic regression models that adjusted for potential confounders. RESULTS: Total tea intake was significantly associated with a lower prevalence of cognitive impairment, independent of other risk factors. Compared with the ORs for rare or no tea intake, the ORs for low, medium, and high levels of tea intake were 0.56 (95% CI: 0.40, 0.78), 0.45 (95% CI: 0.27, 0.72), and 0.37 (95% CI: 0.14, 0.98), respectively (P for trend < 0.001). For cognitive decline, the corresponding ORs were 0.74 (95% CI: 0.54, 1.00), 0.78 (95% CI: 0.55, 1.11), and 0.57 (95% CI: 0.32, 1.03), respectively (P for trend = 0.042). These effects were most evident for black (fermented) and oolong (semi-fermented) teas, the predominant types consumed by this population. In contrast, no association between coffee intake and cognitive status was found. CONCLUSION: Regular tea consumption was associated with lower risks of cognitive impairment and decline. 相似文献
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JP Barile WW Thompson MM Zack GL Krahn W Horner-Johnson SC Haffer 《The Journal of ambulatory care management》2012,35(4):293-304
This study investigated associations between chronic medical conditions, activities of daily living (ADL), and health-related quality of life (HRQOL). Our findings suggest that the number of ADL limitations reported by older adults is associated with their HRQOL. Findings from our analyses also suggest that the association between having multiple comorbid conditions and HRQOL is stronger for those with no ADL limitations than those with at least some limitations. These data will aid practitioners in determining the relative importance of chronic medical conditions and ADL limitations on HRQOL and demonstrate how ADL limitations and comorbid conditions may differentially impact HRQOL. 相似文献
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Depressive symptoms,physical symptoms,and health-related quality of life among older adults with HIV
Olson Blair Vincent Wilson Meyer Jaimie P. Kershaw Trace Sikkema Kathleen J. Heckman Timothy G. Hansen Nathan B. 《Quality of life research》2019,28(12):3313-3322
Quality of Life Research - In the United States, approximately 45% of persons living with HIV (PLHIV) are ≥ 50 years of age. Many older PLHIV have multi-morbidities that... 相似文献
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Maria Augusta Bessa Rebelo Evangeline Maria Cardoso Peter G. Robinson Mario Vianna Vettore 《Quality of life research》2016,25(7):1735-1742
Purpose
To identify demographic, socioeconomic and dental clinical predictors of oral health-related quality of life (OHRQoL) in elderly people.Methods
Cross-sectional study involving 613 elderly people aged 65–74 years in Manaus, Brazil. Interviews and oral examinations were carried out to collect demographic characteristics (age and sex) and socioeconomic data (income and education), dental clinical measures (DMFT, need of upper and lower dentures) and OHRQoL (GOHAI questionnaire). Structural equation modelling was used to estimate direct and indirect pathways between the variables.Results
Being older predicted lower schooling but higher income. Higher income was linked to better dental status, which was linked to better OHRQoL. There were also indirect pathways. Age and education were linked to OHRQoL, mediated by clinical dental status. Income was associated with dental clinical status via education, and income predicted OHRQoL via education and clinical measures.Conclusion
Our findings elucidate the complex pathways between individual, environmental factors and clinical factors that may determine OHRQoL and support the application of public health approaches to improve oral health in older people.18.
Akitomo Yasunaga Ai Shibata Kaori Ishii Shigeru Inoue Takemi Sugiyama Neville Owen Koichiro Oka 《Health and quality of life outcomes》2018,16(1):240
Background
The isotemporal substitution (IS) approach can be used to assess the effect of replacing one activity with the equal duration of another activity on relevant outcomes. This study examined the associations of objectively assessed sedentary behavior (SB) and physical activity (PA) with health-related quality of life (HRQOL) in older Japanese adults, using the IS approach.Methods
Participants were 287 older Japanese adults (aged 65–84?years) who wore accelerometers for at least 7 days. We calculated the average daily time spent in SB (≤1.5 METs); light-intensity PA (LPA: >?1.5 to <?3.0 METs); and moderate- to vigorous-intensity PA (MVPA: ≥3.0 METs) per day. HRQOL was assessed using the Medical Outcomes Survey Short Form-8 questionnaire.Results
The IS models showed replacing SB or LPA with MVPA to be significantly associated with better physical component summary scores. Replacing SB with MVPA was marginally associated with better mental component summary scores.Conclusion
These findings indicate that replacing SB with the same amount of MVPA may contribute to better physical HRQOL in older adults.19.
Tze-Pin Ng K. C. Y. Aung L. Feng L. Feng M. S. Z. Nyunt K. B. Yap 《The journal of nutrition, health & aging》2014,18(2):161-166
Background
Tea consumption has been reported to be associated with lowered risk of cardiovascular disease, stroke and osteoporosis that cause functional disability, but its association with physical function has not been investigated directly.Objective
We examined the association between tea consumption and performance in gait and balance, instrumental and basic activities of daily living (IADL and BADL) in a cross-sectional study of community-living older persons.Method
Baseline data of 2398 adults aged ≥ 55 years in the Singapore Longitudinal Ageing Studies who completed self-reported current tea consumption, Performance Oriented Mobility Assessment (POMA) of gait and balance, and self reports of BADL and IADL were analyzed.Results
In multivariate analyses controlling for age, gender, education, housing type, co-morbidities, hospitalization, arthritis and hip fracture, GDS depression score, MMSE cognitive score, body mass index, creatinine, serum albumin, haemoglobin, physical activities score and coffee consumption, tea consumption was positively associated with better balance (β=0.06, p<0.01), gait (β=0.01, p=0.02), IADL (β=0.03, p=0.01) and BADL (β=0.01, p=0.05). Strongly positive associations were observed for black/oolong tea in multivariate analyses, and for green tea consumption only in univariate analysis, whereas coffee consumption was not associated at all.Conclusions
Tea consumption was associated with better physical functional performances in community-living older adults. 相似文献20.
Flávia A. C. Wanderley Gustavo Silva Elisa Marques José Oliveira Jorge Mota Joana Carvalho 《Quality of life research》2011,20(9):1371-1378