Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status

Tek, Nilüfer Acar; Karaçil-Ermumcu, M Ş

doi:10.1007/s12603-018-1066-9

Cited by 42 publications

(27 citation statements)

References 39 publications

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“…Regarding medication, the number of drugs prescribed was positively associated with a very low HRQoL in the PCS. This finding is consistent with previous research, in which polymedication has been identified as a determinant factor of a poorer quality of life [12,13,14,40]. In our opinion, this association may be related to the side effects produced by the joint presence of several drugs within the patient.…”

Section: Discussionsupporting

confidence: 93%

“…In our sample, the BMI values observed presented two interesting aspects: on the one hand, at the mental level, a higher BMI was associated with a better HRQoL, but for the physical component it was significantly associated with a very low quality of life. It seems clear that overweight and obese patients perceive a poorer physical health [40,45,46,47]. This is corroborated by the fact that interventions aimed at achieving weight loss have been shown to improve the physical quality of life [48].…”

Section: Discussionmentioning

confidence: 99%

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Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis

Blanco-Reina

Valdellós²,

Ocaña-Riola

et al. 2019

JCM

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The main aim of this study was to determine the association of various clinical, functional and pharmacological factors with the physical (PCS) and mental (MCS) summary components of the health-related quality of life (HRQoL) of community-dwelling older adults. Design: Cross-sectional study. Patients and setting: Sample of 573 persons aged over 65 years, recruited at 12 primary healthcare centres in Málaga, Spain. Sociodemographic, clinical, functional, and comprehensive drug therapy data were collected. The main outcome was HRQoL assessed on the basis of the SF-12 questionnaire. A multinomial logistic regression model was constructed to study the relationship between independent variables and the HRQoL variable, divided into intervals. The average self-perceived HRQoL score was 43.2 (± 11.02) for the PCS and 48.5 (± 11.04) for the MCS. The factors associated with a poorer PCS were dependence for the instrumental activities of daily living (IADL), higher body mass index (BMI), number of medications, and presence of osteoarticular pathology. Female gender and the presence of a psychopathological disorder were associated with worse scores for the MCS. The condition that was most strongly associated with a poorer HRQoL (in both components, PCS and MCS) was that of frailty (odds ratio (OR) = 37.42, 95% confidence interval (CI) = 8.96–156.22, and OR = 20.95, 95% CI = 7.55–58.17, respectively). It is important to identify the determinant factors of a diminished HRQoL, especially if they are preventable or modifiable.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis

Blanco-Reina

Valdellós²,

Ocaña-Riola

et al. 2019

JCM

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“…Similar to the present results, some studies have shown that HRQoL indicators decrease with aging in older adults ( 25 , 37 – 39 ). In addition, our results suggest that the HRQoL scores among the participants in the hospital or nursing home settings were lower compared to the participants living in the community.…”

Section: Discussionsupporting

confidence: 92%

Associations Between Nutritional Status, Sociodemographic Characteristics, and Health-Related Variables and Health-Related Quality of Life Among Chinese Elderly Patients: A Multicenter Prospective Study

et al. 2020

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Background: Studies that explore the nutritional status, sociodemographic factors, mental health variables, and physical health variables that affect the health-related quality of life (HRQoL) of elderly patients are scarce in China. Objective: This study aimed to examine the association between health-related quality of life (HRQoL) and nutritional status, sociodemographic characteristics, and health-related variables among Chinese elderly patients. Materials and Methods: Participants were recruited from six tertiary-level hospitals in six provinces or municipalities/cities throughout China from October 2018 to February 2019: a total of 9,996 participants aged 65 years and older were enrolled. The nutritional status and HRQoL were measured using the Mini Nutritional Assessment-Short Form (MNA-SF) and the EuroQoL Five-Dimension Visual Analog Scale, respectively. BMI was taken using standard measurement protocols. Sociodemographic characteristics included age, sex, education, marital status, ethnicity, smoking, alcohol drinking, and current residence. Mental and physical health variables such as frailty and depression were assessed using validated tested instruments. Multiple linear regression analysis was used to analyze whether the nutritional status, sociodemographic characteristics, and health-related variables were associated with HRQoL. Results: According to the MNA-SF scores at the 30-and 90-day follow-up, 9.7% and 9.1% of participants were malnourished, respectively. Higher MNA-SF scores were related to higher HRQoL scores in older patients (regression coefficient; 95% confidence interval) both at the 30-day (0.660; 0.499-0.821) and 90-day (0.622; 0.434-0.809) follow-up. However, there were no significant associations between the body mass index values and HRQoL. Sociodemographic characteristics (such as age, smoking, and current residence), physical health variables (frailty, urinary function, defecation function, sleeping condition, and falling accidents in the past 12 months), and mental health variables (depression) were the main factors influencing HRQoL in this group. Conclusion: There are several factors associated with HRQoL among the population derived from this investigation of a representative sample of the Chinese hospitalized elderly population in tertiary hospitals. These findings could have major importance for the planning of "active aging" policies and programs.

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“…Those not receiving polymedication had higher levels for Factor 3 (Self-control; t = −2.971; p = .003), in agreement with the results of Lluch-Canut et al (2013), in which the patients who took more medication reported lower levels on four of the six factors (Satisfaction, Prosocial, Self-control and problem-solving, and Self-actualization). Another study carried out among older adults related a poorer quality of life with polymedication (Acar & Karaçil, 2018).…”

Section: Discussionmentioning

confidence: 99%

Positive Mental Health and Self‐Care in Patients with Chronic Physical Health Problems: Implications for Evidence‐based Practice

Llobet

Ortega

Lluch‐Canut

et al. 2020

Worldviews Ev Based Nurs

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Background The capacity for self‐care and positive mental health (PMH) has an influence on well‐being and on one’s approach to chronic illness. Purpose The aim was to determine the level of PMH and self‐care agency as well as the relations among sociodemographic variables, PMH, and the level of self‐care among patients with chronic physical health problems. We also examined correlations between PMH and self‐care agency. Methods A descriptive, cross‐sectional correlational study was conducted with a sample of 209 patients at a primary care center. The instruments used were the Positive Mental Health Questionnaire and the Appraisal of Self‐Care Agency scale. The STROBE statement was used. Results Significant differences were found in the PMH factors in relation to sociodemographic variables and health conditions. Suffering one or more chronic diseases was associated negatively, and significantly, with the capacity for self‐care. The four most prevalent chronic health problems in the sample were hypertension, hypercholesterolemia, obesity, and diabetes mellitus. Linking Evidence to Action In people with chronic physical health problems, there is a positive relationship between PMH and self‐care capacity. An increase in the possibility of caring for oneself saw an increase in PMH; conversely, an increase in PMH brought with it an increased capacity for self‐care as well. Therefore, if actions are taken to increase PMH, the capacity for self‐care will also increase.

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Determinants of Health Related Quality of Life in Home Dwelling Elderly Population: Appetite and Nutritional Status

Cited by 42 publications

References 39 publications

Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis

Factors Associated with Health-Related Quality of Life in Community-Dwelling Older Adults: A Multinomial Logistic Analysis

Associations Between Nutritional Status, Sociodemographic Characteristics, and Health-Related Variables and Health-Related Quality of Life Among Chinese Elderly Patients: A Multicenter Prospective Study

Positive Mental Health and Self‐Care in Patients with Chronic Physical Health Problems: Implications for Evidence‐based Practice

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