Quality of life and associations with health-related behaviours among older adults with increased cardiovascular risk |
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| Institution: | 1. Department of Epidemiology and Preventive Medicine, Monash University, Melbourne, Australia;2. Department of Nutrition, Dietetics and Food, Monash University, Melbourne, Australia;3. School of Public Health, Curtin University, Perth, Australia;4. Sydney School of Public Health, The University of Sydney, Sydney, Australia;5. St. Vincent''s Institute of Medical Research, Melbourne, Australia;6. University of Melbourne, Parkville, Melbourne, Australia;7. Department of Medicine, St. Vincent''s Hospital, Melbourne, Australia;1. Department of Clinical Medicine and Surgery, ‘Federico II’ University of Naples, Naples, Italy;2. Department of Medicine and Surgery, University of Insubria, Varese, Italy and Department of Medicine and Cardiopulmonary Rehabilitation, Maugeri Care and Research Institutes, IRCCS Tradate, Varese, Italy;3. Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy;4. Department “Scuola Medica Salernitana”, Baronissi, SA, University of Salerno;5. Clinica Medica, Department of Medicine and Surgery, University of Milano-Bicocca, Monza, Italy;6. Department of Life, Health and Environmental Sciences, University of L''Aquila, L''Aquila, Italy;7. Studium Patavinum, Department of Medicine, University of Padua, Padua, Italy;8. Department of Translational and Precision Medicine, Sapienza University of Rome, Rome, Italy;9. Hypertension and Cardiovascular Risk Factors Research Center, Medical and Surgical Sciences Department, University of Bologna, Bologna, Italy;10. Department of Public Health, “Federico II” University of Naples, Naples, Italy;11. Nephrology, Dialysis and Transplantation Unit, Department of Emergency and Organ Transplantation, “Aldo Moro” University of Bari, Bari, Italy;12. Cardiology IV, “A.De Gasperi''s” Department, Niguarda Ca’ Granda Hospital, Milan, Italy;13. School of Medicine and Surgery, Milano-Bicocca University, Milan, Italy;14. Department of Advanced Biomedical Sciences, “Federico II” University of Naples, Naples, Italy;15. Italian Society of General Medicine, Avezzano, L''Aquila, Italy;p. CNR-IFC, Clinical Epidemiology of Renal Diseases and Hypertension, Reggio Cal Unit, Reggio Calabria, Italy;q. Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy;r. Department of Internal Medicine, Santa Maria Della Misericordia General Hospital, AULSS 5 Polesana, Rovigo, Italy;s. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy;t. Department of Biomedical Science and Oncology, University of Bari, Bari, Italy;u. Istituto Auxologico Italiano, IRCCS, Department of Cardiovascular, Neural and Metabolic Sciences, San Luca Hospital, Milan, Italy;v. Department of Medicine and Surgery, University of Milan-Bicocca, Milan, Italy;w. Department of Internal Medicine, University of Genoa and IRCCS Ospedale Policlinico San Martino, Genoa, Italy;x. Medicina Interna I, Ca’ Foncello University Hospital, Treviso, Italy;y. Department of Medicine and Centro di Ricerca Clinica e Traslazionale (CERICLET), University of Perugia, Perugia, Italy;z. Department of Geriatric and Intensive Care Medicine, Careggi Hospital and University of Florence, Florence, Italy;11. Department of Medicine, University of Padua, Padua, Italy;12. Hypertension Unit, Division of Cardiology, Department of Clinical and Molecular Medicine, Faculty of Medicine and Psychology, University of Rome Sapienza, Sant’Andrea Hospital, Rome, Italy;13. Hospital S. Maria Della Misericordia, Perugia, Italy;1. Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People''s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China;2. Department of Guangdong Provincial Key Laboratory of Coronary Heart Disease Prevention, Guangdong Cardiovascular Institute, Guangdong Provincial People''s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China;3. The Second School of Clinical Medicine, Southern Medical University, Guangzhou, 510515, China;4. Department of Cardiology, The First People''s Hospital of Foshan, Guangdong Province, 528000, China;5. Guangdong Provincial People''s Hospital, School of Medicine, South China University of Technology, Guangzhou, 510100, China;6. Department of Cardiology, Longyan First Hospital Affiliated with Fujian Medical University, Longyan, 364000, China;7. Department of Information Technology, Guangdong Provincial People''s Hospital, Guangdong Academy of Medical Sciences, Guangzhou, 510080, China;1. Menzies Institute for Medical Research, University of Tasmania, Hobart, Tasmania, Australia;2. Department of Kinesiology, University of Georgia, Athens, USA;3. The Nuffield Department of Women''s & Reproductive Health, University of Oxford, Oxford, UK;4. Murdoch Children''s Research Institute, Melbourne, Australia;5. Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, Melbourne, Australia;6. Research Centre of Applied and Preventive Cardiovascular Medicine, University of Turku, Turku, Finland;7. Centre for Population Health Research, University of Turku and Turku University Hospital, Turku, Finland;1. Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties, University of Palermo, Palermo, Italy;2. Department of Biomedicine, Neurosciences and Advanced Diagnostics, University of Palermo, Palermo, Italy;3. Istituto di Biofisica, Consiglio Nazionale delle Ricerche, Palermo, Italy |
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| Abstract: | Background and aimsA better understanding of the relationship between cardiovascular disease risk factors and quality of life (QoL) in older age is needed to inform development of risk reduction strategies. This cross-sectional study investigated the association of QoL with health-related behaviours in older adults at risk of heart failure.Methods and resultsOlder adults (N = 328) at risk of heart failure residing in Melbourne, Australia, provided data on QoL and health-related behaviours including physical activity, diet, smoking and alcohol consumption. Multiple linear regression modelling was used to examine associations between health-related behaviours, QoL and its constituent domains. After adjustment for age, gender, body mass index and comorbidities, current smoking was found to have a negative association with the mental component score (MCS) of QoL (β = ?0.174, p ≤ 0.01), with a positive association seen between MCS and physical activity (β = 0.130, p = 0.01). Current alcohol use had a positive association with the physical component score (PCS) (β = 0.120, p = 0.02) and saturated fat intake consumption had a negative association with the physical functioning domain of QoL (β = ?0.105, p = 0.03) but was not associated with either PCS or MCS.ConclusionEngagement of older adults at increased cardiovascular risk with behavioural risk factor modification using QoL as a driver of change may offer new opportunities to promote healthy ageing. Development of such strategies should consider that for some behaviours which are cardiovascular risk factors (alcohol intake, in particular), the positive association to QoL is complicated and needs further deliberation. |
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| Keywords: | Physical activity Smoking Alcohol consumption Health-related behaviour Chronic disease Quality of life |
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