Health-Related Problems and Drivers of Health-Related Quality of Life Among Community-Dwelling Older Adults

Taburee, Watcharaporn; Sirilak, Supinda; Khotcharrat, Rossukon; Anekpunyakul, Prattana; Dilokthornsakul, Piyameth; Lukkahatai, Nada; Boongird, Chitima

doi:10.1177/2150132720913724

Cited by 3 publications

(5 citation statements)

References 36 publications

(38 reference statements)

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“…Participant Recruitment. Recruitment was protracted (June 2018 to February 2019) re ecting high incidences of chronic disease in this population aged > 50y e.g., hypertension (65%), diabetes (23%) 47 , and the low proportion of male recruits. Eighty people answered the advertisement and of these 53 tted the inclusion criteria.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Efficacy of Bacopa monnieri on memory and vascular functions: A randomised controlled trial

Kamkaew

Ingkaninan

Waranuch

et al. 2022

Preprint

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Bacopa monnieri (L.) Wettst. (Brahmi) is a traditional memory enhancer partly by improved cerebral blood flow. Here we sought to link improved cognitive function with better blood flow in randomised double-blinded placebo-controlled trial in an elderly cohort. Normotensive Thais, aged 55-80y having mini-mental state examination (MMSE) scores > 25, no dementia or other psycho/neurological disease, normal lipid profile, and blood biochemistry were recruited. The trial design was a 2 week run-in, 12 week intervention of test product or placebo, and 4 week washout. The intervention was an extract of B. monnieri leaves (eBM) in 40 ml of mulberry juice. The placebo contained mulberry juice and other constituents to match gustatory properties. End-points were a battery of memory functions, carotid blood velocity, post-ischemic microvascular blood flow, markers of vascular inflammation, blood pressure and the blood markers. Response latency was reduced by 14.2 ± 4.9% (p = 0.022 comparing placebo) but only in > 65s. Other memory recall parameters were either unaffected or for ‘accuracy of recall’ was already maximal preventing further improvement. No change was detected in carotid blood velocity while microvascular blood flow marginally increased (by 28.4 ± 8.3%, p = 0.07). This preliminary evidence warrant further studies on selected patients with microvascular cognitive dysfunction using more discriminating protocols.

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Section: Resultsmentioning

confidence: 99%

“…Routine home visits were deemed unnecessarily invasive because: (a) the intervention is commonly consumed as a food or a herbal medication, (b) eBM is a much researched supplement, and (c) most elderly in our catchment area cohabit (94%) and have family caregivers (99%) 47 .…”

Section: Taste Odour and Visual Discrimination Between Interventions:...mentioning

confidence: 99%

Efficacy of Bacopa monnieri on memory and vascular functions: A randomised controlled trial

Kamkaew

Ingkaninan

Waranuch

et al. 2022

Preprint

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“…46 Our study noted that those study participants who had history of a fall in the previous 6 months had a lower HRQOL than participants without a fall, which is similar to the finding in other studies. 17,47 The prevalence of a fall in the 6 months before the date of the interview was 10.3% of our study participants. This is higher than the overall prevalence of a fall among elderly people in the northern region of Thailand (5.5%).…”

Section: Dovepressmentioning

confidence: 86%

“…Previous cross-sectional surveys conducted in northern and northeastern Thailand determined the QOL and associated sociodemographic factors and health-related problems of community-dwelling older adults in the rural setting. 16 , 17 International studies assessing the HRQOL of Thai older adults have been carried out using different measurement tools in different settings. Therefore, we aimed to describe the HRQOL, using representative samples from Northern Thailand, of community-dwelling Thai older adults residing in the urban setting, using the Euro-Qol questionnaire (EQ-5D-5L), and investigate the influence of sociodemographic background, health behaviors and underlying diseases on their HRQOL.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Health-Related Quality of Life Among Community-Dwelling Thai Older Adults in Chiang Mai, Northern Thailand

Aung¹,

Moolphate²,

Koyanagi³

et al. 2022

RMHP

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Background Population aging has been growing worldwide and Thailand has become an aged society with 20% of its population aged 60 and over. Age-related decline in physical and mental health impacts the health-related quality of life (HRQOL) of older adults. Purpose We aimed to describe the HRQOL of Thai older adults, residing in the community. Methods This cross-sectional survey was part of a Community-Integrated Intermediary Care project (CIIC), TCTR20190412004. A total of 1509 participants from an intervention arm of a cluster randomized controlled trial were included. A Thai version of the Euro-Qol questionnaire (EQ-5D-5L) was used to determine the HRQOL and associated sociodemographic background, health behaviors and underlying diseases of a representative sample from Maehia, Chiang Mai, Thailand. SPSS version 24 was used to analyze data via descriptive analysis and binary logistic regression. Results The mean age of the participants was 69.31±7.10 years, and nearly a quarter (23.8%) was older than 75 years. The mean EQ index score was 0.81±0.23 and older age, lower educational attainment, unemployment, lack of exercise habits, current smokers, having history of a fall in the last 6 months, diabetes, hyperlipidemia, dependency assessed using Barthel’s Activity of Daily Living (ADL) Index, and depression using the Geriatric Depression Scale (GDS) were more likely to represent HRQOL-related problems. Conclusion Our findings have highlighted the factors affecting the HRQOL of community-dwelling older adults which could be of importance in preparing for active and healthy aging communities. The routine dependency assessment using the ADL index will be useful in estimating the HRQOL of the aging population. Fall prevention programs are also recommended to reduce dependency. Moreover, the association of having diabetes and hyperlipidemia with problems in HRQOL dimensions highlight the need for public health intervention not only to prevent the increasing burden of non-communicable diseases but also to improve the HRQOL of older adults.

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“…It can range from mild restrictions on the personal freedom to total institutionalization [52]. In a population based cross-sectional study, Taburee et al reported falls to be one of the predictors of health-related quality of life in community-dwelling adults [53]. Recurrent fallers have also been reported to have poor physical performance and a poor quality of life compared to single fallers [54].…”

Section: Impact On Daily Activitiesmentioning

confidence: 99%

Potential Factors Associated with Healthcare Utilization for Balance Problems in Community-Dwelling Adults within the United States: A Narrative Review

Kapur,

Sakyi,

Lohia

et al. 2023

Healthcare

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Falls are the leading cause of mortality and chronic disability in elderly adults. There are effective fall prevention interventions available. But only a fraction of the individuals with balance/dizziness problems are seeking timely help from the healthcare system. Current literature confirms the underutilization of healthcare services for the management of balance problems in adults, especially older adults. This review article explores factors associated with healthcare utilization as guided by the Andersen Healthcare Utilization Model, a framework frequently used to explore the factors leading to the use of health services. Age, sex, race/ethnicity, BMI, and comorbidities have been identified as some of the potential predisposing factors; socioeconomic status, health insurance, and access to primary care are the enabling and disabling factors; and severity of balance problem, perceived illness, and its impact on daily activities are the factors affecting need for care associated with healthcare utilization for balance or dizziness problems. Knowledge about these barriers can help direct efforts towards improved screening of vulnerable individuals, better access to care, and education regarding effective fall prevention interventions for those who are at risk for underutilization. This can aid in timely identification and management of balance problems, thereby reducing the incidence of falls.

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Health-Related Problems and Drivers of Health-Related Quality of Life Among Community-Dwelling Older Adults

Cited by 3 publications

References 36 publications

Efficacy of Bacopa monnieri on memory and vascular functions: A randomised controlled trial

Efficacy of Bacopa monnieri on memory and vascular functions: A randomised controlled trial

Determinants of Health-Related Quality of Life Among Community-Dwelling Thai Older Adults in Chiang Mai, Northern Thailand

Potential Factors Associated with Healthcare Utilization for Balance Problems in Community-Dwelling Adults within the United States: A Narrative Review

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