Autonomy, identity and health: defining quality of life in older age

Heide, Sara

doi:10.1136/medethics-2020-107185

Cited by 7 publications

(4 citation statements)

References 1 publication

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“…However, traditional indicators such as reduced morbidity may be less meaningful for older adults themselves than subjectively assessed symptomatic improvements that may relate to their QoL ( 15 ). Indeed, defining QoL may allow healthcare providers to shift from minimizing individuals’ disabilities toward maximizing their abilities ( 40 ). Several age-associated nutrition changes can also impact QoL, from decreased intake to alteration in nutrient needs, and these changes could benefit from targeted nutrition interventions if the nexus between those changes and QoL could be better elucidated ( 15 ).…”

Section: Discussionmentioning

confidence: 99%

Research is still limited on nutrition and quality of life among older adults

Arensberg,

Gahche,

Clapes

et al. 2023

Front. Med.

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IntroductionGlobally, the number of older adults is growing exponentially. Yet, while living longer, people are not necessarily healthier. Nutrition can positively impact healthy aging and quality of life (QoL). Two decades ago, nutrition and diet were rarely viewed as key QoL domains, were not part of QoL screening, and QoL studies frequently used unvalidated tools. It is unclear how the nutrition and QoL research area may have since evolved.MethodsA scoping review was conducted in Pubmed of research with community-living older adults (aged ≥65) from developed economies that included 1 of 29 common, valid QoL instruments, nutrition indices, and was published between 1/2000–12/2022. The review followed published methodology guidance and used the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) flow diagram to document identified studies and record number of included/excluded studies (based on scoping review’s pre-specified criteria).ResultsOf 258 studies identified initially, 37 fully met scoping review inclusion criteria; only 2 were QoL studies, 30 focused on nutrition, 3 on measurement tool validation/testing, and 2 were other study types. Most studies (n = 32) were among populations outside of North America; majority were conducted in Europe (n = 22) where the EuroQol 5 Dimension (Eq5D) was used in >1/2 the studies. Of 5 North American studies, the 36-Item Short Form Survey (SF-36) was most frequently used (n = 4). Myriad nutrition indices described various aspects of eating, dietary intake, and nutrition status, making comparability between studies difficult. Studies included several different nutrition questionnaires; Mini Nutritional Assessment (MNA) (n = 8) or Mini Nutritional Assessment Short Form (MNA-SF) (n = 5) were used most frequently. The most frequent anthropometric measure reported was Body Mass Index (BMI) (n = 28). Nutrition-related biochemical indices were reported infrequently (n = 8).DiscussionThe paucity of studies over the last two decades suggests research on nutrition and QoL among community-living older adults remains underdeveloped. Valid QoL instruments and nutrition indices are now available. To ensure greater comparability among studies it is important to develop consensus on core indices of QoL and particularly nutrition. Greater agreement on these indices will advance further research to support healthy aging and improve QoL for community-dwelling older adults.

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Section: Discussionmentioning

confidence: 99%

Research is still limited on nutrition and quality of life among older adults

Arensberg,

Gahche,

Clapes

et al. 2023

Front. Med.

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“…Preama Heide cilj definiranja kvalitete života je u promjeni fokusa minimaniziranja svega onoga što ograničava stariju osobu, a potenciranja onoga što ta starija osoba može učiniti (Heide, 2022).…”

Section: Odrednice Kvalitete žIvota U Starijihunclassified

Kvaliteta života u starijih osoba

Popović,

Zavidić,

Radošević Quadranti

et al. 2023

JAHR (Rij., Online)

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Udio starijeg stanovništva u ukupnoj populaciji značajno se povećava. Demografski podaci Svjetske zdravstvene organizacije (SZO) predviđaju povećanje udjela starijeg stanovništva u sljedećih 30 godina na 24 % od ukupne populacije. Starenje stanovništva rezultat je niza međusobno povezanih čimbenika, poput napretka medicine, tehnologije te gospodarskog i društvenog razvoja. Sukladno navedenom, pitanje osiguravanja kvalitete života starijih osoba od iznimnog je društvenog i socijalnog značaja. U radu ćemo razraditi određene čimbenike koji imaju utjecaj na kvalitetu života osoba starije životne dobi. Poštovanje etičkih normi u radu sa starijima trebalo bi biti jedan od temeljnih čimbenika percepcije pojma kvalitete života. Potrebne su značajne društvene mjere kako bi se poboljšali standardi koji će omogućiti održavanje neovisnosti i autonomije, pozitivno samopoimanje zdravlja, duhovnost, stambenu i financijsku sigurnost koje pridonose kvaliteti života starijih.

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“…Thus, the use of online environments can most likely compensate to some extent for the diminishing contact and relationships in the offline environment of social life in supporting emotional life, building selfconfidence, and affirming one's own identity. According to Heide [5], the seniors' quality of life depends mainly on maintaining a lifelong identity. Digital communication technologies can contribute significantly to preserving identity and maintaining its integrity in the aging generation.…”

Section: Introductionmentioning

confidence: 99%

Older People and the Construction of Virtual Identities in the Digital Culture

Roubal¹

2023

OBM Geriatr

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This research study addresses certain theoretical issues surrounding the relationship between digital technologies, the aging population, and identity. At the same time, it offers a conceptual proposal of indicators of the social inclusion of older people in the digital culture of society as a potential starting point for further empirical research. The progressive trend of a growing proportion of older people is a demographic reality in many economically and technologically advanced societies. This demographic aging of populations raises several economic, sociopolitical, medical, cultural, social, and psychological issues. One of the most important and oft-overlooked sets of issues is the active participation of older people in the digital culture environment and the use of information and communication technologies as an alternative source of social interaction in constructing and affirming their own identity. Aging is often associated with a natural decline in professional activity, poorer health, reduced physical activity, reduced social contacts, and sometimes isolation and loneliness. The active participation of older people in the digital environment of communication and virtual interactions can buffer these negative factors to a certain extent and offer an adequate alternative for fulfilling the need for social relationships, self-actualization, and affirmation of identity. Of course, digital culture does have an ambivalent character. On the one hand, there are obvious positive effects on social life, subjective experience, and consciousness of one's own identity derived from real and virtual social interactions. On the other hand, digitalizing life generates unseen risks in invading an accelerated pace of life, superficiality, and the deepening of social inequalities.

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Autonomy, identity and health: defining quality of life in older age

Cited by 7 publications

References 1 publication

Research is still limited on nutrition and quality of life among older adults

Research is still limited on nutrition and quality of life among older adults

Kvaliteta života u starijih osoba

Older People and the Construction of Virtual Identities in the Digital Culture

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