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Health-related quality of life of institutionalized older adults: Influence of physical,nutritional and self-perceived health status
Institution:1. Postdoctoral researcher, Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea;2. Researcher, Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea;3. Researcher, Department of Nursing, Yonsei University Graduate School, Seoul, 03722, Republic of Korea;4. Professor, Mo-Im Kim Nursing Research Institute, College of Nursing, Yonsei University, 50-1 Yonsei-ro Seodaemun-gu, Seoul, 03722, Republic of Korea;1. Istanbul Health Sciences University Umraniye Training and Research Hospital, Palliative Care Unit, Turkey;2. Istanbul Medeniyet University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Turkey;3. Istanbul Health Sciences University Umraniye Training and Research Hospital, Department of Internal Medicine, Turkey;4. Istanbul Medeniyet University, Faculty of Health Sciences, Department of Nutrition and Dietetics, Turkey;5. Prof. Dr. Süleyman Yalçın City Hospital, Department of Physical Medicine and Rehabilitation, Turkey;6. Istanbul Medical School, Istanbul University, Department of Internal Medicine, Division of Geriatrics, Turkey;7. Istanbul Medeniyet University, Faculty of Medicine, Department of Internal Medicine, Turkey;1. Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran;2. Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran;3. Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran;4. Department of Community Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran;5. Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
Abstract:IntroductionInstitutionalized older adults have higher risks of diseases and worse health-related quality of life (HRQoL) than noninstitutionalized.ObjectiveTo evaluate the influence of physical state, nutritional status and self-perceived general health and oral health on the quality of life of institutionalized older adults in two Brazilian cities.MethodsA multicenter cross-sectional study was conducted in 17 homes for the aged of two Brazilian cities. Six trained researchers interviewed 344 older adults. The performance of activities of daily living (Katz scale) and frailty status (Fried scale) were applied to evaluate the physical state. The Mini Nutritional Assessment Short-Form (MNA-SF®) and the body composition were used to screening the nutritional status. A hand dynamometer was used to measure the dominant hand grip strength. The 12-Item Short Form Survey for self-perceived health (SF-12) was used to determine the HRQoL. A Likert scale was used to assess the general and oral health self-perception. Multiple Poisson regression model was applied to analyze the data (α = 0.05).ResultsThe mean (SD) score of the SF-12 was 60.89 (14.50) points. The factors associated with the highest SF-12 score were being able to walk, being nonfrail, being normal nourished, taking fewer medications, having greater dominant hand grip strength and higher self- perceived general health (p < 0.05).ConclusionBetter HRQoL in institutionalized older adults was associated with better physical state, nutritional status and self-perceived general health.
Keywords:Aged  Institutionalization  Homes for the aged  Quality of life
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