The Relationship among Chronic Disease, Feeling-for-Their-Age, Sleep Quality, Health-Related Quality of Life and Activities of Daily Living of Community-Dwelling Persons over 55 Years of Age

Abstract

Japan's aging population rate is increasing and healthy life expectancy has decreases by 10 years shorter than average life expectancy. The aim of this study is to determine the relationship among chronic disease, sleep quality, health-related quality of life (HRQOL), and activities of daily living in people over 55 years old who live in the community. Subjects were 161 persons aged 57 to 90 years who were treated with chronic disease in the outpatient department of the A hospital. Exclusion criteria included patients with dementia, cancer and severe heart disease. The survey evaluation questionnaires included the Pittsburgh Sleep Quality Index (PSQI), HRQOL by Short-Form 8 Health Survey (SF-8), and activities of daily living. Variables associated with quality of sleep, HRQOL in univariate analysis with p < 0.05 were entered into multivariate analysis using logistic regression with a stepwise forward selection procedure to determine independent variables and their association with major causes. The logistic regression analysis was done using SPSS software and the post-hoc power of the study was estimated using G*power. The level of significance was set at p < 0.05. The risk factor of poor sleep quality was because of history of cancer [odds ratio (OR): 3.53, 95% confidence interval (CI): 1.06 -11.77], and insomnia (OR: 3.25, 95% CI: 1.55 -6.79). The risk factors of poor physical HRQOL were motor disease (OR: 2.62, 95% CI: 1.36 -5.07), respiratory disHow to cite this paper: Sugimoto, H., Tanioka, T., Yasuhara, Y., Kurokawa, A., Sato, M., Ozawa, K., Locsin, R. and Honda, S. CI: 0.15-0.59) was as "younger than actual age" and advanced the risk factor of poor sleep quality. In addition, feeling-for-their-age (OR: 0.44, 95% CI: 0.21 -0.92) resulted in reduced risk factor of poor physical HRQOL. The risk factor of poor sleep quality was due to a patient with history of cancer. The factor for good sleep quality and the good factor for physical HRQOL were indications of feeling younger than the actual age.

Comparison between attention and experiences of chronic complex patients: A multicentric study

“…The literature on this subject reveals contradictory data, as certain studies highlight the high burden of care and dependency necessary for these types of patients (Forjaz et al., 2015; Hudon et al., 2015) compared to other research, such as ours, which found a moderate dependency and a greater patient autonomy (Mokraoui et al., 2016). Nonetheless, there is certain agreement regarding the areas where the quality of life of these patients is most affected, highlighting mobility issues (moderate and severe problems in almost half of patients) and the presence of pain (Sugimoto et al, 2018). It seems reasonable to believe that musculoskeletal problems are highly prevalence and, together with pain, these appear as major disabling factors (Steingrímsdóttir et al, 2017).…”

Elderly person’s forward-looking and self-fulfilling life while living with chronic Illness

“…This case description presentation is part of a larger study, in which an initial sample of 161 patients in the outpatient department, age 55 years and older who were being treated at Hospital "A" for various chronic ailments [2], were screened. Of these, 66 participants were selected, those who had PSQI-J (Japanese version Pittsburgh Sleep Quality Index) scores of less than six [14,15].…”

“…A previous study [2] described the influence of chronic disease, sleep quality, health-related quality of life (HRQOL) and daily living activities of community-dwelling persons over 55 years of age on living fulfilling lives. The findings showed that good sleep quality was related to the participants' feeling-for-theirage, in that, because they felt younger physically, they were able to sleep better.…”