Associations of Cognitive Complaints and Depressive Symptoms with Health-Related Quality of Life and Perceived Overall Health in Japanese Adult Volunteers

Toyoshima, Kuniyoshi; Inoue, Takeshi; Baba, Toshiaki; Masuya, Jiro; Ichiki, Masahiko; Fujimura, Yota; Kusumi, Ichiro

doi:10.3390/ijerph18189647

Cited by 3 publications

(4 citation statements)

References 38 publications

(57 reference statements)

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“…Low IC reserve has been verified to be associated with worse physical, mental, and total QoL (Ma et al, 2020). Some domains of IC, such as sensory (Harithasan et al, 2020;Zhang et al, 2021), locomotion (Henchoz et al, 2017), cognition (Bouldin et al, 2021), and depressive symptoms (Toyoshima et al, 2021), were shown to be related to HRQoL. The present study extends our knowledge about the different effects of IC domains on domain-specific HRQoL.…”

Section: Discussionsupporting

confidence: 70%

“…Moreover, cognitive decline, a common neurological disease in elderly, characterized by biological damage in the limbic system of the brain, is considered an exemplification of how, from a neurobiological abnormality, one transitions to a psychological feeling (hopelessness, which is also one of the subcomponents of the definition of demoralization) and vice versa (Clarke and Kissane, 2002;Costanza et al, 2015). In fact, depression might be the intermediate mediator between cognitive impairment and mental health (Toyoshima et al, 2021). Unfortunately, the reported negative relationship between cognitive impairment with mental health in the psychological dimension of HRQoL (Bouldin et al, 2021) was not found in this study.…”

Section: )contrasting

confidence: 63%

“…Subjective cognitive decline in middle-aged and older adults could have a negative impact on their mental health (Bouldin et al, 2021). The psychological domains of IC referred to as depressive symptoms, were significantly and directly associated with HRQoL and mediated the relationships between cognitive complaints and HRQoL (Toyoshima et al, 2021). Sensory and locomotion domains are not only particularly important dimensions of physical function but also critical components of both IC and frailty (Belloni and Cesari, 2019;Ma, 2019).…”

Section: Introductionmentioning

confidence: 99%

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The overall and domain-specific quality of life of Chinese community-dwelling older adults: the role of intrinsic capacity and disease burden

Hu,

Ruan,

Zhang

et al. 2023

Front. Psychol.

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ObjectiveThis study aimed to investigate the impact of the different domains of intrinsic capacity (IC) and chronic disease burden on health-related quality of life (HRQoL) and domain-specific HRQoL in Chinese community-dwelling older adults.DesignA cross-sectional observational study of a community-based cohort.ParticipantsWe evaluated Chinese older adults (n = 429, mean age, 72.91 ± 7.014 years; female proportion, 57.30%).MeasurementsIC contains five domains, namely locomotion, vitality, cognition, psychological, and sensory capacity. Locomotion dysfunction was defined as grip and/or gait decline. Vitality decline was defined if two of the following three parameters were present: fatigue, physical inactivity, and weight loss or overweight. Cognition was classified into normal cognition, pre-mild cognitive impairment (pre-MCI), and MCI according to the normative z-scores of the neuropsychological test battery. Psychological dysfunction was diagnosed based on depressive symptoms. Sensory dysfunction was defined as hearing and/or vision impairment. HRQoL was assessed using the AQoL-8D scale, which comprised physical (including independent living, senses, and pain) and psychosocial (including mental health, happiness, self-worth, coping, and relationships) dimensions. Low HRQoL (HRQoL score or subscores in the highest quintile) was used as a dependent variable in logistic regression analyses adjusted for demographic, health-related, and psychological confounders.ResultsSensory impairment was an independent determinant of senses, and locomotion impairment was significantly associated with overall HRQoL, independent living, and pain in the physical dimension of HRQoL. Cognition was an independent determinant of the senses. Vitality was independently associated with overall HRQoL, senses, and pain in the physical dimension and mental health and relationships in the psychological dimension of HRQoL. The psychological domain of IC was independently associated with overall and domain-specific HRQoL apart from senses after adjustment for all confounders. The number of multimorbidities mainly had a significant impact on independent living after adjustment for all confounders.ConclusionIC domains and chronic disease burden had heterogeneous influences on overall and domain-specific HRQoL. The impairment of sensory and locomotion domains had a synergistic impact on the overall and physical dimensions of HRQoL. The vitality and psychological domains of IC had more profound effects on HRQoL. Older people with high morbidity might have a higher risk of poor independent living.

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Section: Discussionsupporting

confidence: 70%

Section: )contrasting

confidence: 63%

Section: Introductionmentioning

confidence: 99%

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The overall and domain-specific quality of life of Chinese community-dwelling older adults: the role of intrinsic capacity and disease burden

Hu,

Ruan,

Zhang

et al. 2023

Front. Psychol.

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“…HRQoL was measured by the EuroQol-5 dimension, which consists of a five-dimensional classification system. 25 , 26 EQ5D-5L has five dimensions: mobility, self-care, daily activities, pain/discomfort, and anxiety/depression. Each dimension has five levels: no difficulty, a little difficulty, moderate difficulty, serious difficulty, and very serious difficulty.…”

Section: Methodsmentioning

confidence: 99%

Prevalence and Characteristics of Frailty at 6 months Following Total Hip and Knee Arthroplasty in Patients With End-Stage OA

Kuwakado

Kawaguchi

Otsuka

et al. 2022

Geriatr Orthop Surg Rehabil

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Introduction Lower-limb osteoarthritis (OA) in the elderly can be a risk factor for frailty, which is the preliminary of disability, but it may be reversible with appropriate interventions. We aimed to use the Kihon Check List (KCL) to assess multiple domains of frailty and to identify the characteristics of frailty in patients with hip or knee OA following total joint arthroplasty. Materials and Methods This study included 136 ≥ 65-year-old patients (mean age: 73.0 years) who underwent total arthroplasty with end-stage hip and knee OA. We assessed frailty status, instrumental activities of daily living (IADL), and health-related quality of life (HRQoL) according to the KCL, functional ambulatory index (FAI) and EuroQol-5 Dimension (EQ5D), respectively, as well as the extent of pain preoperatively and at postoperative 6 months. Results Using KCL, seventy-eight (57.4%) patients were frail preoperatively, but the prevalence significantly decreased to 52 patients (38.2%) at postoperative 6 months. Total arthroplasty intervention provided significant improvements in the total KCL scores, including the physical domain ( P < .01), pain ( P < .01), FAI scores ( P < .01), and EQ5D ( P < .01), but not the social domain. Multivariate logistic regression analysis identified age at surgery (OR: .93, 95% CI: .86-.99) and preoperative FAI score (OR: 1.10, 95% CI: 1.03-1.19) as independent predictors of postoperative frailty. Conclusions Total arthroplasty procedures on patients with hip and knee OA reduced their KCL score, but social aspects were less improved than physical aspects in the shortterm. Older age and preoperative lower IADL score can be useful for accurately estimating less improvement of frailty in the early postoperative phase. Our results suggest that long term follow-up of OA is needed to provide comprehensive interventions, including in social aspects, especially for patients with lower activity.

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Serum GDNF levels as predictors of subjective cognitive complaints in male subjects with major depressive disorder

Souza,

Cardoso,

Mondin

et al. 2024

The European Journal of Psychiatry

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Associations of Cognitive Complaints and Depressive Symptoms with Health-Related Quality of Life and Perceived Overall Health in Japanese Adult Volunteers

Cited by 3 publications

References 38 publications

The overall and domain-specific quality of life of Chinese community-dwelling older adults: the role of intrinsic capacity and disease burden

The overall and domain-specific quality of life of Chinese community-dwelling older adults: the role of intrinsic capacity and disease burden

Prevalence and Characteristics of Frailty at 6 months Following Total Hip and Knee Arthroplasty in Patients With End-Stage OA

Serum GDNF levels as predictors of subjective cognitive complaints in male subjects with major depressive disorder

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