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Lu H, Dong XX, Li DL, Wu Q, Nie XY, Xu Y, Wang P, Pan CW. Prevalent falls, fall frequencies and health-related quality of life among community-dwelling older Chinese adults. Qual Life Res 2023; 32:3279-3289. [PMID: 37395987 DOI: 10.1007/s11136-023-03474-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/26/2023] [Indexed: 07/04/2023]
Abstract
PURPOSE Fall is a serious health hazard to older adults. The aim of our study was to investigate the relationship between falls and health-related quality of life (HRQOL) in mainland China. METHODS Data from 4579 Chinese community-dwelling older adults was analyzed. Data of falls was self-reported by participants, the HRQOL of older adults was measured by the 3-Level EQ-5D (EQ-5D-3L, 3L). Regression models were built to explore the associations of falls (experience and frequency) with the 3L data (index score, EQ-VAS score and health problems). The potential interaction effects between falls and gender on HRQOL were assessed using a likelihood ratio test, sex-stratified analysis was also performed to separately investigate the associations in men and women. RESULTS A total of 368 (8.0%) participants had the experience of fall during the last year. Falls (experience and frequency) were significantly related to EQ-5D-3L index and EQ-VAS scores, fall experience contributed to pain/discomfort and anxiety/depression problems, while fall frequency was associated with physical-related problems and pain/discomfort. Significant interactions between falls and sex in several EQ-5D measures were also observed, and men had lager magnitude of associations than women. CONCLUSION Falls were negative associated with overall HRQOL as well as separate HRQOL dimensions among older adults. It also appears that the HRQOL influence on older men is more evident than older women.
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Affiliation(s)
- Heng Lu
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China
| | - Xing-Xuan Dong
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China
| | - Dan-Lin Li
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China
| | - Qian Wu
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China
| | - Xin-Yi Nie
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China
| | - Yong Xu
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China
| | - Pei Wang
- School of Public Health, Fudan University, Dong An Road, Shanghai, 200032, China.
- Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China (Fudan University), Shanghai, China.
| | - Chen-Wei Pan
- School of Public Health, Medical College of Soochow University, Ren Ai Road, Suzhou, 215123, China.
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Delbari A, Akbarzadeh I, Saatchi M, Tabatabaei FS, Bidkhori M, Abolfathi Momtaz Y, Mohseni-Bandpey R, Hooshmand E. The Association of Social Support, Depression, and Loneliness with Health-Related Quality of Life in Over 50 Years Adults: Ardakan Cohort Study on Ageing (ACSA). Exp Aging Res 2023:1-14. [PMID: 37879966 DOI: 10.1080/0361073x.2023.2273164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Accepted: 10/15/2023] [Indexed: 10/27/2023]
Abstract
BACKGROUND AND AIM Social factors play a crucial role in the quality of life of + 50 adults. This study aimed to investigate the association between social support, depression, and loneliness and the health-related quality of life in + 50 adults of Ardakan. METHODS This was a cross-sectional study from the first phase of Ardakan Cohort Study on Aging (ACSA) in 2019. Health-Related Quality of Life (HRQoL, SF-16), Duke Social Support Index (DSSI), and Center for Epidemiologic Studies Depression Scale (CES-D10) were used to assess the variables of interest. Multivariable linear regression was used to model the associated factors with the score of the SF-16 tool in two dimensions; physical (PCS) and mental (MCS). FINDINGS A total of 5197 over 50 years individuals included in this study; The mean age was 62.2 ± 7.3 years old, and 52% were male. The mean score for PCS and MCS subscales was 45.6 (95% CI 45.4 to 45.9) and 49.3 (95% CI 49.0 to 49.5), respectively. Adjusted for other variables, having less feeling level of loneliness, and not having depressive symptoms were related to better PCS and MCS scores. CONCLUSION The HRQoL for the mental aspect of HRQoL was better than the physical in elder populations. Also, much more focus should be paid to older adults who experience inadequate social support, higher levels of loneliness, and depressive symptoms.
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Affiliation(s)
- Ahmad Delbari
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Isa Akbarzadeh
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Saatchi
- Department of Biostatistics and Epidemiology, School of Rehabilitation, University of Social Welfare and Rehabilitation Science, Tehran, Iran
- Health in Emergency and Disaster Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Fatemeh-Sadat Tabatabaei
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mohammad Bidkhori
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Yadollah Abolfathi Momtaz
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Reza Mohseni-Bandpey
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Elham Hooshmand
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
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Kwak Y, Ahn JW. Health-related quality of life in older women with injuries: a nationwide study. Front Public Health 2023; 11:1149534. [PMID: 37304095 PMCID: PMC10248008 DOI: 10.3389/fpubh.2023.1149534] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2023] [Accepted: 05/05/2023] [Indexed: 06/13/2023] Open
Abstract
Objectives This study aims to describe the health-related quality of life (HRQoL) and influencing factors of older women who experienced injuries. Methods This study is a secondary analysis of data from 4,217 women aged 65 years or older sampled from the Korea National Health and Nutrition Examination Survey (KNHANES) (2016-2020) database. Two-way analysis of variance was used to analyze the data. Results The mean HRQoL scores of older women with and without injuries were 0.81 ± 0.19 (n = 328) and 0.85 ± 0.17 (n = 3,889), respectively, which were significantly different (p < 0.001). The results of multiple regression analysis revealed that working, physical activity, BMI, osteoarthritis, stress, and subjective health status significantly affected the HRQoL of older women with injuries, and the explanatory power of the model was 29%. Conclusion The results of this study on factors affecting HRQoL can contribute to the understanding of the experience of older women with injuries and can be used as a reference to develop health promotion programs.
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Affiliation(s)
- Yeunhee Kwak
- Red Cross College of Nursing, Chung-Ang University, Seoul, Republic of Korea
| | - Jung-Won Ahn
- Department of Nursing, Gangneung-Wonju National University, Wonju-si, Gangwon-do, Republic of Korea
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Evaluation of quality of life in the elderly who have fallen. JOURNAL OF SURGERY AND MEDICINE 2023. [DOI: 10.28982/josam.7645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/26/2023] Open
Abstract
Background/Aim: Approximately 30% of older adults fall at least once per year; consequently, falls are a significant public health concern in the elderly. The most common outcomes are fractures, immobility, high morbidity, and mortality rates. In recent years, quality of life (QoL) is used as a criterion to guide social policies for the elderly. The high prevalence of falls can have serious consequences on the QoL of older people, resulting in prolonged hospitalization, institutionalization, need for care, social isolation, anxiety, and depression. Therefore, it is essential to understand the effect of falls on QoL and influencing factors. In light of this study’s results, it is intended to provide recommendations for social policy that will protect the elderly from falls and maintain their high QoL. This study aimed to determine the QoL and the factors affecting the elderly who have fallen.
Methods: The research was a cross-sectional study. The study sample consisted of 90 elderly individuals who applied to the hospital due to falls. The inclusion criteria were being 65 years of age or older, applying to the hospital's emergency department, orthopedic or orthopedic surgery clinic due to a fall, not having passed 6 months from the date of discharge, and agreeing to participate in the study voluntarily. Data were collected through face-to-face interviews in January–June 2021 using the purposive sampling method. The Elderly Introduction Form was used to obtain sociodemographic data of the participants, as well as data on falls and their experiences after falls. The Quality of Life Scale for the Elderly was used to determine QoL. The student’s t-test was used to compare two categorical variables. ANOVA was used for more than two variables, and logistic regression analysis was also applied.
Results: QoL levels were classified as poor, fair, and good, and 58.9% of the participants were found to have a fair QoL. In addition, according to the scale’s total score average of 3.17 (0.473), the general quality of life was found to be fair for all participants. According to the t-test and ANOVA results, the QoL was higher for those with higher education levels and those living with their spouses (P˂0.05). The QoL was low in those who had fractures, had surgery, were hospitalized for more than 4 days, and had chronic diseases (P˂0.05). In the regression analysis model, age, economic status, and the number of drugs used were effective on QoL.
Conclusion: The quality of life was poor in the elderly who experienced fractures and were hospitalized. Balance-enhancing exercises in the elderly can prevent falls and associated complications. Low education level, chronic illness, and drug use reduced the quality of life. For education, literacy courses and lifelong learning programs can be applied to the elderly. For diseases, healthy aging policies can be implemented.
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Freitas JLGDS, Silva JMM, Nóbrega JCL, Simões RFM, Medeiros JB, Alves RO, Santos JLF, Duarte YAO, Zatz M, Matheson D, Menezes TND, Santos S. Health-Related Quality of Life and Associated Factors: Regional Differences Among Oldest-Old in Brazil. INQUIRY: THE JOURNAL OF HEALTH CARE ORGANIZATION, PROVISION, AND FINANCING 2022; 59:469580221086922. [PMID: 35341376 PMCID: PMC8961359 DOI: 10.1177/00469580221086922] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Purpose The aim of this research was to investigate the extent to which socioeconomic and regional differences in Brazil may influence the quality of life. To this end, we examined factors associated with health-related quality of life in two populations of oldest-old people, aged 80 and over: one from the Northeast of Brazil and the other from the Southeast. Methods 417 participants aged 80 and over were interviewed face-to-face, 179 from Brejo dos Santos, one of the poorest regions in the Northeast; and 238 from São Paulo, one of the largest urban metropolises in Southeast Brazil. Data, which included socioeconomic and demographic factors, health status, and health-related quality of life, were collected using a structured questionnaire. The dependent variable was determined by the completion rate of the 12-item Short Form Survey and analyzed using multiple logistic regression. Results Although the population of São Paulo had four times as many long-lived women than men, had better literacy levels, used more medications, and presented a greater prevalence of symptoms suggestive of depression in comparison to the Northeast’s population, no difference was observed in the proportion of good physical components among the two populations, 54.3% in Brejo dos Santos’ oldest-old and 50.4% in São Paulo’s ( P = .6272). Quality and quantity of sleep were factors that most affected the health-related quality of life among the oldest-old of Northeast. Conclusion Factors associated with health-related quality of life were different among the oldest-old people of the two locations, thereby corroborating the heterogeneous nature of the longevous population.
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Affiliation(s)
| | - Jaíza M. M. Silva
- Public Health Program, Universidade Estadual da Paraíba (UEPB), Brazil
| | | | | | | | - Ricardo O. Alves
- Department of Statistics, Universidade Estadual da Paraíba (UEPB), Brazil
| | - Jair L. F. Santos
- Department of Social Medicine, Universidade de São Paulo (USP), Brazil
| | | | - Mayana Zatz
- Human Genome Studies Center, Universidade de São Paulo (USP), Brazil
| | - David Matheson
- Faculty of Education, Health and Wellbeing, University of Wolverhampton, UK
| | - Tarciana N. de Menezes
- Public Health Program, Universidade Estadual da Paraíba (UEPB), Brazil
- Department of Physical Therapy, Universidade Estadual da Paraíba (UEPB), Brazil
| | - Silvana Santos
- Public Health Program, Universidade Estadual da Paraíba (UEPB), Brazil
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