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Eskandarzadeh M, Mansour-Ghanaei R, Pourghane P, Chaboki BG. Role of handgrip strength in predicting the quality of life in older adults: A cross-sectional study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 13:134. [PMID: 38784264 PMCID: PMC11114520 DOI: 10.4103/jehp.jehp_287_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/28/2023] [Accepted: 05/24/2023] [Indexed: 05/25/2024]
Abstract
BACKGROUND Quality of life (QOL) is a vital component in assessing the standard of living for seniors. Hand grip strength (HGS) is a widely used measure to diagnose muscle strength decline that often occurs due to age-related loss of skeletal muscle mass and function. This study focuses on the HGS in predicting the QOL of older adults who are referred to retirement centers in Guilan Province. MATERIALS AND METHODS In 2021, a cross-sectional analytical study was conducted among 115 older adults who were residing in retirement centers located in Guilan Province, Northern Iran. The participants were selected using a two-stage sampling method, where three retirement centers were randomly chosen followed by convenience sampling from each center. The selected retirement centers were situated in Langrod, Sowme'eh Sara, and Rasht cities in the east, west, and center of the province, respectively. The data were collected through a demographic information questionnaire, QOL scale (CASP-19), and HGS measurement using a dynamometer. RESULTS Of the participants, 57.4% were male, 51.3% had middle income, and 96.5% were categorized as young elderly. The mean overall QOL score was found to be 37.026 ± 6.123, while the mean HGS level was 31.74 ± 7.45 and 18.48 ± 5.13 among males and females, respectively. There was a significant association between the level of education and QOL (P = 0.002). Moreover, there was a positive and significant correlation between HGS and QOL (r = 0.54, P = 0.001). The results of the multiple linear regression identified HGS as a predictor of QOL (Adj R2 = 0.44, βHGS = 0.79). CONCLUSION Given that HGS has been identified as a predictor of QOL in older adults, improving this factor through exercise can lead to enhancement in their QOL. Therefore, regular sports exercises can be recommended as a means of improving HGS and subsequently enhancing the QOL of older adults.
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Affiliation(s)
- Masoumeh Eskandarzadeh
- Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Roya Mansour-Ghanaei
- Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
- Gastrointestinal and Liver Diseases Research Center, Guilan University of Medical Sciences, Rasht, Iran
| | - Parand Pourghane
- Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
| | - Bahare Gholami Chaboki
- Department of Nursing, Zeynab (P.B.U.H) School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
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Bahmaei J, Bahrami MA, Asadollahi A, Bastani P, Ravangard R. Older people's health promotion policies challenges: Making an avenue for policy responses in a developing country. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2024; 12:428. [PMID: 38464659 PMCID: PMC10920687 DOI: 10.4103/jehp.jehp_1785_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Accepted: 01/22/2023] [Indexed: 03/12/2024]
Abstract
BACKGROUND Older people's health policies suffer from many challenges in Iran. The issue is more highlighted considering the increasing rate of the older population in the country. This study aimed to explore the challenges of older people's health policies in Iran as well as make an avenue for policy responses. MATERIALS AND METHODS This study was a qualitative study that was conducted using conventional content analysis in 2020-2021 in Iran. The purposive and snowball sampling methods were used for semi-structured interviews with 30 selected participants. Data were analyzed through the content analysis approach using Granheim and Landman's five-step thematic method. RESULTS The results of analyzing the data were categorized into four main themes, 16 sub-themes, and 70 final codes. The main themes were executive, policymaking, intra- and inter-sectoral, and environmental challenges. CONCLUSIONS Older people are facing challenges in receiving appropriate and timely care. In order to achieve a wide national policy dialogue for covering all older people's health needs in policy agendas and better formulation and implementation of the policies, it is necessary for Iranian health policymakers to address executive challenges and apply effective strategies.
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Affiliation(s)
- Jamshid Bahmaei
- Student Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran
- Behbahan Faculty of Medical Sciences, Behbahan, Iran
| | - Mohammad Amin Bahrami
- Health Human Recourses Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran
| | - Abdolrahim Asadollahi
- Department of Gerontology, Faculty of Health, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Peivand Bastani
- College of Health and Human Sciences, Faculty of Health, Charles Darwin University, Alice Springs campus, NT, Australia
| | - Ramin Ravangard
- Health Human Recourses Research Center, School of Health Management and Information Sciences, Shiraz University of Medical Science, Shiraz, Iran
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Peter RM, Palanisamy K, Kumar D, Joseph A. Prevalence of activity limitation and its associated predictor among the elderly in Tamil Nadu, India: A community-based cross-sectional study. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:202. [PMID: 37545989 PMCID: PMC10402771 DOI: 10.4103/jehp.jehp_1575_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/02/2022] [Accepted: 11/22/2022] [Indexed: 08/08/2023]
Abstract
BACKGROUND Functional disability develops in a dynamic and progressive manner. As people age, their health problems worsen and they lose the ability to perform activities of daily living (ADLs) such as dressing, using the toilet, bathing, and eating. With a better understanding of the underlying risk factors and the related mechanisms of the disablement process, it is possible to make more effective and more efficient programs to prevent or delay the onset of disability in older people. MATERIALS AND METHODS A community-based, descriptive, cross-sectional study was carried out among 453 elderly from Tamil Nadu, India. A door-to-door interview was used to administer the Katz Index of Independence on ADL. Simple random selection was employed to select the study individuals. To determine the association for particular risk factors, Chi-squared test and binary logistic regression were used. RESULTS First, our study findings show the prevalence of activity limitation among the elderly using the The Katz Index of Independence. This study shows that the prevalence of activity limitation was 23% among the elderly. Seventy-seven percent had no significant limitations: they are independent. There is a statistically significant association between activity limitation as opposed to gender, visual impairment, depression, urinary incontinence, unintentional injury in the past year, and alcohol consumption. CONCLUSION The study found that the self-reported prevalence of activity limitation was 23% among the elderly and 77% had no significant limitations. The Katz Index of Independence in activities of daily living may be used as a handy tool to identify the activity limitation in community-based checkups.
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Affiliation(s)
- Roshni M. Peter
- Department of Community Medicine, SRM Medical College and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
| | - Kaveri Palanisamy
- Department of Community Medicine, SRM Medical College and Research Centre, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
| | - Dhasarathi Kumar
- Research Scholar, School of Public Health, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
| | - Alex Joseph
- School of Public Health, SRM Institute of Science and Technology, Kattankulathur, Tamil Nadu, India
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Ahmadi M, Kazemi-Arpanahi H, Nopour R, Shanbehzadeh M. Factors influencing quality of life among the elderly: An approach using logistic regression. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2023; 12:215. [PMID: 37545996 PMCID: PMC10402806 DOI: 10.4103/jehp.jehp_13_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/04/2023] [Accepted: 02/20/2023] [Indexed: 08/08/2023]
Abstract
BACKGROUND Improving the physical, psychological, and social factors in the elderly significantly increases the QoL1 among them. This study aims to identify the crucial factors for predicting QoL among the elderly using statistical methods. MATERIALS AND METHODS In this study, 980 samples related to the elderly with favorable and unfavorable QoL were investigated. The elderly's QoL was investigated using a qualitative and self-assessment questionnaire that measured the QoL among them by five Likert spectrum and independent factors. The Chi-square test and eta coefficient were used to determine the relationship between each predicting factor of the elderly's QoL in SPSS V 25 software. Finally, we used the Enter and Forward LR methods to determine the correlation of influential factors in the presence of other variables. RESULTS The study showed that 20 variables gained a significant relationship with the quality of life of the elderly at P < 0.05. The study results showed that the degree of dependence (P = 0.03), diabetes mellitus (P = 0.03), formal and informal social relationships (P = 0.01 and P = 0.02), ability to play an emotional role (P = 0.03), physical performance (P = 0.01), heart diseases and arterial blood pressure (P = 0.02), and cancer (P = 0.01) have favorable predictive power in predicting the QoL among the elderly. CONCLUSION Attempts to identify and modify the important factors affecting the elderly's QoL have a significant role in improving the QoL and life satisfaction in this age group people. This study showed that the statistical methods have a pleasant capability to discover the factors associated with the elderly's QoL with high performance in this regard.
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Affiliation(s)
- Maryam Ahmadi
- Ph.D. of Health Information Management, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Hadi Kazemi-Arpanahi
- Ph.D. of Health Information Management, Department of Health Information Technology, Abadan University of Medical Sciences, Abadan, Iran
| | - Raoof Nopour
- Ph.D. Student of Health Information Management, Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
| | - Mostafa Shanbehzadeh
- Ph.D. of Health Information Management, Department of Health Information Technology, School of Paramedical, Ilam University of Medical Sciences, Ilam, Iran
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Liu S, Lu Y, Wang D, He X, Ren W, Kong D, Luo Y. Impact of digital health literacy on health-related quality of life in Chinese community-dwelling older adults: the mediating effect of health-promoting lifestyle. Front Public Health 2023; 11:1200722. [PMID: 37415711 PMCID: PMC10321557 DOI: 10.3389/fpubh.2023.1200722] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Accepted: 05/26/2023] [Indexed: 07/08/2023] Open
Abstract
Background In the context of aging and digitalization, the development and application of digital health can help meet the growing health needs of older adults. Improving digital health literacy of older adults may be an effective way to alleviate the shortage of public health resources and improve their health-related quality of life (HRQoL). However, the impact of digital health literacy on HRQoL in older adults and the underlying mechanism remain unclear. This study intends to explore whether digital health literacy has an effect on HRQoL in community-dwelling older adults, and whether health-promoting lifestyle plays a mediating role between digital health literacy and HRQoL, while providing a theoretical basis for the scientific construction of HRQoL intervention programs for older adults. Methods The cross-sectional study was conducted in Chongqing, China from September 2020 to April 2021. 572 community-dwelling older adults were surveyed by stratified sampling. Data on sociodemographic characteristics, digital health literacy, health-promoting lifestyle and HRQoL were collected. Univariate analysis was used to compare the differences in HRQoL among community-dwelling older adults with different sociodemographic characteristics. Pearson correlation analysis was used to explore the correlation between digital health literacy, health-promoting lifestyle and HRQoL. SPSS PROCESS macro was used to examine the mediating effect of health-promoting lifestyle between digital health literacy and HRQoL. Results The mean score of HRQoL was 97.97 (SD 11.45). Univariate analysis showed that there were statistically significant differences in HRQoL among community-dwelling older adults with different gender, age, educational level, marital status, and monthly household income per capita (p < 0.05). There were positive correlations between digital health literacy, health-promoting lifestyle and HRQoL, with correlation coefficients ranging from 0.416 to 0.706 (p < 0.001). Digital health literacy was positively associated with HRQoL (β = 0.210, p < 0.001), and health-promoting lifestyle mediated the relationship between digital health literacy and HRQoL, with an indirect effect of 0.175 (95% Bootstrap CI 0.135-0.214). Conclusion Digital health literacy can affect HRQoL through the mediating effect of health-promoting lifestyle. It is suggested that relevant management institutions, communities and families should strengthen the cultivation of the digital health literacy of older adults, promote their development of health-promoting lifestyle, and ultimately improve HRQoL.
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Sahin S, Kocakoc N, Arayici ME, Baybas BK, Boyacioglu H, Akcicek SF. Evaluation of the quality of life in the university of third age students: a cross-sectional study. Eur Geriatr Med 2023; 14:389-396. [PMID: 36959487 DOI: 10.1007/s41999-023-00764-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2022] [Accepted: 02/28/2023] [Indexed: 03/25/2023]
Abstract
PURPOSE The purpose of this paper was to determine the quality of life (QoL) and related factors in university of third age (U3A) students, as well as to compare the QoL between those who participated in education and those who did not. METHODS Two hundred seventy-one people aged 60 and over who are students at Ege U3A, were included in this cross-sectional study. Demographic data of participants were collected through a pre-prepared form. Data on the QoL of individuals were collected through the short form of the WHO QoL Scale (WHOQOL-BREF). RESULTS A total of 271 participants were included in this study. 82.2% (n = 221) of the research group were women. In U3A, 65.3% (n = 177) of the individuals were former students. The highest value was found in the psychological and general health sub-parameter with 75.0%, and the lowest value in the social relations sub-parameters with 66.7%. The scores of sub-parameters of social environment were significantly higher in men than in women (p < 0.001, respectively). The physical health scores of the former students were higher than those of the new students (p < 0.001). CONCLUSIONS It was determined that the QoL of U3A students was higher among males, those with higher education levels, and those who were married, as well as that the QoL of the individuals participating in the U3A training was positive in the physical health sub-dimension. There is a need for future studies in which pre- and post-training evaluations will be conducted to determine the impact of the U3A training program.
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Affiliation(s)
- Sevnaz Sahin
- Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Ege University, 35100, No: 1606, Bornova, Izmir, Turkey.
| | - Nurgul Kocakoc
- Division of Geriatrics, Department of Internal Medicine, Institude of Health Sciences, Ege University, Bornova, Izmir, Turkey
| | - Mehmet Emin Arayici
- Department of Preventive Oncology, Institute of Health Sciences, Dokuz Eylul University, Inciralti, Izmir, Turkey
| | - Bugçe Kamer Baybas
- Division of Geriatrics, Department of Internal Medicine, Institude of Health Sciences, Ege University, Bornova, Izmir, Turkey
| | - Hayal Boyacioglu
- Department of Statistics, Faculty of Science, Ege University, Bornova, Izmir, Turkey
| | - Selahattin Fehmi Akcicek
- Division of Geriatrics, Department of Internal Medicine, Faculty of Medicine, Ege University, 35100, No: 1606, Bornova, Izmir, Turkey
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Owan VJ, Duruamaku-Dim JU, Okon AE, Akah LU, Agurokpon DC, Ubi IO, Abanyam VA. Interlinking alcohol intake, mental stress, psychotic experiences and job performance of higher institutions' graduates: A structural equation modelling. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:312. [PMID: 36439016 PMCID: PMC9683444 DOI: 10.4103/jehp.jehp_417_22] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 04/26/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Graduates' job performance has become a matter that needs urgent attention. This is because many stakeholders are increasingly becoming interested in understanding the extent schools are able to produce output that meets the yearnings of society. Along these lines, we examined the contributions of alcohol intake to the job performance of higher education graduates while treating mental stress and psychotic experiences as mediators in the nexus. MATERIALS AND METHODS The study's population comprised all the graduates of higher education institutions in Nigeria between 2015 and 2020. Data were collected from a virtual cross-section of 3,862 graduates who self-reported to have taken alcohol in the past. These participants responded to an electronic questionnaire that was mailed to them. The scale content validity for clarity and relevance were 0.90 and 0.88, respectively, while the Cronbach alpha reliability estimate of the instrument is 0.86. RESULTS Amongst many others, key findings indicate that alcohol intake, mental stress and psychotic experiences jointly made a significant negative contribution to the overall job performance of graduates (R 2 = 0.256, 95% confidence interval (CI) [0.23, 0.28], P = 0.00). Mental stress (B = -0.09, β = -0.14, z = -4.45, 95%CI [-0.24, -0.05], P = 0.00) and psychotic experiences (B = -0.26, β = -0.43, z = -8.07, 95%CI [-0.68, -0.16], P = 0.01) have significant negative contributions to graduates' job performance, respectively. Alcohol intake and mental stress jointly predict the psychotic experiences of graduates (B = -0.26, β = -0.43, z = -8.07, 95%CI [-0.68, -0.16], P = 0.01). Alcohol intake has a positive contribution to the mental stress of graduates (R 2 = 0.797, 95%CI [0.77, 0.825], P = 0.01). Mental stress and psychotic experiences jointly mediated the relationship between alcohol intake and graduates' job performance. CONCLUSION It was concluded that high intake of alcohol and high levels of mental stress and psychotic experiences significantly reduce graduates' job performance generally and in specific aspects. Alcohol intake can increase graduates' job performance to a small extent depending on the amount consumed.
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Affiliation(s)
| | | | - Abigail Edem Okon
- Department of Educational Foundations, University of Calabar, Nigeria
| | - Levi Udochukwu Akah
- Department of Human Kinetics and Health Education, University of Calabar, Nigeria
| | | | - Isaac Ofem Ubi
- Department of Educational Foundations, University of Calabar, Nigeria
| | - Victor Atah Abanyam
- Department of Vocational and Technical Education, University of Calabar, Nigeria
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Salmannezhad M, Momtaz YA, Sahhaf R, Rassafiani M, Foladi SH. The effect of "Elder Care by Elderly People Program" on life satisfaction and quality of life among institutionalized senior citizens. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2022; 11:1. [PMID: 35281382 PMCID: PMC8893073 DOI: 10.4103/jehp.jehp_487_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/10/2020] [Accepted: 01/02/2021] [Indexed: 06/14/2023]
Abstract
INTRODUCTION Improving participation in life meaningful roles is one of the most important predictors of quality of life (QOL) and life satisfaction (LS) in later life. The purpose of this study was to investigate the effect of Elder Care by Elderly People (ECP) on LS and QOL among institutionalized senior citizens. MATERIAL AND METHOD This was an interventional study involving a targeted sample of 36 older adults in Ghods nursing home in Tehran in 2018. WHOQOL-OLD 24-item and LS 40-item questionnaires were used to measure LS and Olathe repeated-measures ANOVA and descriptive was employed to obtain the objectives. RESULTS The participants were 36 older adults in Ghods nursing home. The mean age of older adults was 67.27 (standard deviation [SD] = 7.6), of whom about 77.8% were male. The mean score of QOL increased from 74.38 (SD = 13.09) pre intervention to 83.72 (SD = 11.43) 2 months post intervention, with most significant change of 9.3 QOL points between pre intervention and 2 months post intervention alone (P < 0.01). Similarly, LS increased from 114.19 (SD = 26.93) pre intervention to 133.94 (SD = 20.49) 2 months post intervention, with most significant change of 19.7 LS points between pre intervention and 2 months post intervention alone (P < 0.001). CONCLUSIONS The results of this study showing the evidence of the positive impact of the ECP Programmed for the elderly, therefore, it is suggested that the programmer is evaluated in future studies.
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Affiliation(s)
- Mohsen Salmannezhad
- 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
| | - Robab Sahhaf
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
| | - Mehdi Rassafiani
- Iranian Research Center on Ageing, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
- Department of Occupational Therapy, Faculty of Allied Health Sciences, Kuwait University, Kuwait City, Kuwait
| | - Shiva Hosseini Foladi
- Ph.D Student in Health Services Management, Health Management and Economics Research Center, Isfahan University of Medical Sciences, Isfahan, Iran
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