Cognitive Functioning, Dependency, and Quality of Life Among Older Adults

Munawar, Khadeeja; Fadzil, Zeynep Umran; Choudhry, Fahad Riaz; Kausar, Rukhsana

doi:10.1080/01924788.2023.2193786

Cited by 8 publications

(6 citation statements)

References 87 publications

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“…This study data indicate that the quality of life of older adults is rated below average which compliments the previous research [ 16 ] stating that dependency on others due to functional limitations, a sense of disability, and reduced social contacts. Moreover, most elderly people consider the ability to be independent from their surroundings as a more important factor for quality of life than having good health [ 18 ]. The completed research data reveal that when outlining the key actions to improve quality of life, general statements dominate, they do not ensure clear opportunities for change.…”

Section: Discussionmentioning

confidence: 99%

“…Moreover, older individuals perceive their aging experience and its impact on quality of life with an understanding of aging, as they undergo significant age-related processes such as declining health and physical functioning [ 17 ]. Even a study conducted by Munawar et al [ 18 ] ( citing Phelan, Anderson, Lacroix, Larson, 2004) showed that more than 93% of older adults considered being able to remain independent from their surroundings to be a more important factor for quality of life than having good health.…”

Section: Theoretical Overviewmentioning

confidence: 99%

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Disposition of improving quality of life in older adults: the case of Lithuania

Iždonaitė-Medžiūnienė,

Preikšaitienė

2024

Aging Clin Exp Res

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Background Quality of life is a phenomenon that recently required lots of concern, especially for older adults, since healthy aging and longevity have become the focus in life. Most research on the quality of life addresses certain issues of older people having special diseases, health problems, and disorders. Our research is based on holistic quality of life empowering multiple areas of life/domains of older adults without addressing their diseases or health disorders. Aim Our research aims at evaluating the quality of life of the research participants (older people), addressing their problematic areas and suggestions for better quality of life. Methods The conducted research implied mixed methods as quantitative survey and reflection based on interviews. We chose participants from the III age university and the ongoing project “Healthy Aging Program”. Results The research results showed the lowest ratings for emotional and physical health and the highest rating for social health. Also, older adults tend to avoid specifying precise measures to improve their quality of life and demonstrate a more conservative stance regarding the implementation of more radical changes in improving water consumption, exercising, meal planning, and enhancing psychosocial well-being. Conclusions The overall quality of life rating was lower than the average. Older adults are not sufficiently prepared or educated to make significant changes to develop healthier habits in their quality-of-life improvement, though, they demonstrate concern about their quality of life.

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Section: Discussionmentioning

confidence: 99%

Section: Theoretical Overviewmentioning

confidence: 99%

Disposition of improving quality of life in older adults: the case of Lithuania

Iždonaitė-Medžiūnienė,

Preikšaitienė

2024

Aging Clin Exp Res

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“…Needing care, being dependent on activities of daily living, experiencing pain, and loneliness were associated with reduced quality of life 55 . Research investigating the relationship between quality of life, level of dependency, and cognitive functioning demonstrates that in older adults residing in their own homes the level of dependency serves as a significant predictor for the physical and environmental domains of quality of life 25 .…”

Section: Discussionmentioning

confidence: 99%

“…Quality of life and activities of daily living (ADL) indicate a person's health status 24,25 . Cognitive deficits in memory in older adults are associated with difficulties in planning and frequency social activities, impaired communication, a higher likelihood of physical decline, a negative perception of health status, and worse quality of life [26][27][28] .…”

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confidence: 99%

Observational evidence of the association between physical and psychological determinants of aging with cognition in older adults

Martins,

Peyré-Tartaruga,

Haas

et al. 2024

Sci Rep

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Aging involves physical and cognitive deterioration in older adults. Detecting predictors of dementia early is crucial to identify its onset. This study aimed to associate physical and psychological determinants with cognitive performance in older adults. Observational study with 221 older adults, classified according to cognitive impairment. We evaluated cognitive function by Mini-Mental State Examination. Physical determinants encompassed muscle strength, functional mobility, and cardiorespiratory fitness, while psychological consisted of quality of life and activities of daily living. Multiple linear regression was performed to investigate this relationship. Physical and psychological determinants were significantly linked to cognitive impairment, including lower muscle strength, reduced functional mobility and of cardiorespiratory fitness. The influence of environment, autonomy, and engagement in daily activities on cognitive impairment was also observed. The analysis of physical and psychological determinants could help to aid in distinguishing individuals with cognitive impairment.

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“… 7 It holds significant implications for public health and social welfare. 8 , 9 However, despite improvements in the health of elderly individuals reported in various regions of China, 10 , 11 limited research has focused on the health-related quality of life (HRQoL) of the elderly population in Tibet.…”

Section: Introductionmentioning

confidence: 99%

Factors Associated with Elderly Health-Related Quality of Life in Tibet: A Cross-Sectional Study from a Health Ecological Perspective

Pan,

Hu,

Yangzong

et al. 2024

JMDH

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Background Aging and its consequences are receiving considerable global attention in developed and developing countries. The health-related quality of life (HRQoL) of elderly individuals is crucial for public health and social welfare. Despite advances in understanding the health status of the elderly population in Tibet, a region located on China’s southwest border, a significant research gap remains regarding their HRQoL. Methods We conducted a cross-sectional study in Tibet, China, in 2018, which thoroughly examined HRQoL and its determinants in individuals aged 60 and above. The EQ-5D-VAS instrument, consisting of two standardized scales (EQ-5D-3L and EQ-VAS), was utilized to measure HRQoL. We based the selection of potential determinants on a novel health ecological model encompassing various environmental and personal factors. We employed the Least Absolute Shrinkage and Selection Operator regression to systematically pinpoint key predictive factors for dimensionality reduction. The Tobit regression analysis further elucidated the relationship between these factors and the EQ-VAS and EQ-5D-index scores. Results Our study encompassed 1604 elderly participants. They presented varying severity levels across all five dimensions of the EQ-5D-3L. The most commonly observed issue was pain/discomfort, with a prevalence of 40.27%. The average EQ-VAS score was 56.15 (SD=21.15), and the mean EQ-5D-index score was 0.78 (SD=0.25). Our multivariate analysis revealed that determinants such as age, sex, number of chronic illnesses, vision problems, hearing problems, physical activity, employment status, social participation, place of residence, and insurance type were significantly associated with HRQoL. Conclusion The HRQoL of Tibet’s elderly population presents significant concerns, especially given the region’s challenging natural conditions. This underscores the urgent need for focused policy interventions at the socio-economic strata to extend vital support and aid.

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Cognitive Functioning, Dependency, and Quality of Life Among Older Adults

Cited by 8 publications

References 87 publications

Disposition of improving quality of life in older adults: the case of Lithuania

Disposition of improving quality of life in older adults: the case of Lithuania

Observational evidence of the association between physical and psychological determinants of aging with cognition in older adults

Factors Associated with Elderly Health-Related Quality of Life in Tibet: A Cross-Sectional Study from a Health Ecological Perspective

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