ASSOCIATION BETWEEN NUTRITIONAL STATUS AND QUALITY OF LIFE IN (PRE)FRAIL COMMUNITY-DWELLING OLDER PERSONS

2016 ◽  
pp. 1-8
Author(s):  
E. LUGER ◽  
S. HAIDER ◽  
A. KAPAN ◽  
K. SCHINDLER ◽  
C. LACKINGER ◽  
...  

Background: For developed countries, healthy aging is one of the challenges and the number of healthy life years and especially the quality of life (QoL) are important. Objective: This study aimed to assess the association between nutritional status and different domains of QoL in (pre)frail community-dwelling elders. Design: Baseline data from persons, who participated in a 12-week nutritional and physical training intervention program, conducted from September 2013 - July 2015. Setting: (Pre)frail community-dwelling elders living in Vienna, Austria. Participants: A total of 83 older persons living at home, 12 men and 71 women (86%) aged 65 to 98 years. Measurements: Structured interviews were conducted at participants’ homes. Mini Nutritional Assessment® long-form (MNA®-LF) was used to investigate the nutritional status. The QoL domains were assessed with the World Health Organization Quality of Life questionnaires. Simple and multiple linear regression analyses were performed to evaluate the association between nutritional status and QoL domains, adjusted for possible confounders. Results: 45% of the participants were at risk of malnutrition and 3% were malnourished. Compared to normal nourished people, persons who had an impaired nutritional status, significantly differed in the QoL domain ‘autonomy’ with mean (SD) scores of 50.0 (14.9) vs. 57.3 (13.7); p=0.022 and in the QoL domain ‘social participation’ with scores of 40.1 (13.6) vs. 47.0 (11.2); p=0.014, respectively. According to linear regression analyses, the MNA®-LF score was significantly associated with ‘overall QoL’ (β=0.26; p=0.016) and the QoL domains ‘physical health’ (β=0.23; p=0.036), ‘autonomy’ (β=0.27; p=0.015), and ‘social participation’ (β=0.28; p=0.013). Conclusions: There was a significant association between nutritional status and QoL in elderly (pre)frail community-dwelling people, in particular for the QoL domains ‘autonomy’ and ‘social participation’. However, it remains unclear whether malnutrition was the cause or the consequence, or it was mediated through a third possible factor e.g. the functional status.

NUTA Journal ◽  
2020 ◽  
Vol 7 (1-2) ◽  
pp. 52-60
Author(s):  
Mahendra Raj Joshi

The concept of social participation integrates with the policy of active ageing along with health and security. It encourages and advocates the productive engagement of elderly and acknowledges their potential contribution in the society. The main objective of this paper is to explore the status of social participation and its influence on their quality of life of older people living in community dwelling in Nepal. A cross-sectional community-based survey was carried out (November-December 2017) among 547 randomly selected 60 years and older people living in community dwelling. Quality of life (QOL) was measured by using the World Health Organization Quality of Life-abbreviated scale and social participation was measured by asking direct questions related to their participation in publing meeting, and perception about social relations in last one year.  Descriptive technique was used to analyze the data. One way ANOVA was performed to explain the significance of differentials in quality of life and its dimension among older people.vThe findings shows majority (52.9%) of males and  less than half of  females  (37.9%%)  who have attended any types of publing in last one year. This study found QOL score of Nepalese elderly was 12.92. It shows quality of life of Nepalese elderly was moderate level (with in the range of 4-20 scales). The mean scores of overall QOL index of elderly people who have attended public meeting was observed significantly higher (M=13.72) compared to those who did not attend of any public meeting (M= 12.29). Elderly social participation have significantly better quality of life in Nepal. This suggests the need to improve the frequency of participation of elderly people to their community which provides them opportunities to interact more with their physical as well as social environment that consequently improved their overall QOL.


Author(s):  
Berta Ausín ◽  
Manuel Muñoz ◽  
Miguel Ángel Castellanos ◽  
Sara García

The prevalence of anxiety disorders over the last year among seniors ranged from 3.6% to 17.2%. The most prevalent disorders are specific phobias. Data are needed concerning the consequences of specific phobia disorder on the level of functioning and quality of life of older people, the age of onset of specific phobia disorder, and the duration of episodes. In total, 555 community-dwelling people aged between 65 and 84 years who lived in Madrid (Spain) were assessed (Composite International Diagnostic Interview for people over 65 years (CIDI65+), WHO Disability Assessment Schedule (WHODAS II), Health of the Nation Outcome Scales for Older Adults (HoNOS65+), World Health Organization Quality of Life Brief (WHOQOL-BREF). Prevalence rates and odds ratio, t-tests, binary logistic regression, and point-biserial correlations were calculated. A total of 12.07% of the sample suffered a specific phobia disorder over the last year. The average age at onset of the specific phobia was 38.78 (sd = 21.61) years. The mean duration of the phobia was approximately 20 (sd = 20) years. A significant effect of the specific phobia was found for the current levels of functioning and quality of life: WHOQOL-BREF total score (p < 0.05), WHODAS II overall score (p < 0.01), and HoNOS65+ total score (p < 0.001). Having specific phobia disorder decreased the level of functioning and negatively affected the quality of life. These data suggest the need for primary healthcare professionals to include the detection of specific phobia disorders in their protocols because people do not receive treatment for this problem, and they might carry it throughout their lives.


2019 ◽  
Vol 32 (11) ◽  
pp. 1283-1292
Author(s):  
Karla Moreno-Tamayo ◽  
Betty Manrique-Espinoza ◽  
Eliseo Ramírez-García ◽  
Sergio Sánchez-García

ABSTRACTObjective:Several studies have documented associations between social isolation and poor physical health or well-being. However, little is known of the importance of social support among older adults on specific topics about their quality of life. The purpose of the present study was to determine the relationship between social isolation and quality of life among older adults.Design:A cross-sectional study.Setting:Mexico City.Participants:1,252 subjects aged ≥ 60 years living at home.Measurements:We used the Abbreviated Version of the Lubben Social Network Scale (LSNS-6) to assess social isolation and the World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-Old) to assess quality of life. Socio-demographic and health factors were collected through face-to-face interviews. A series of linear regression analyses were used to investigate relationship between social isolation and quality of life. The statistical models were controlled for socio-demographic and health factors.Results:A total of 750 women (60%) and 502 men (40%) participated in the study. According to their LSNS-6 scores, 426 participants (34.0%) were classified into the highest group of isolation (range 0-10 points). Older adults with higher scores of social isolation exhibited lower quality of life. Regression analyses indicated that social isolation correlated with lower levels of global quality of life, autonomy, intimacy, and past, present, and future activities.Conclusions:Coping with life from a socially isolated situation entails serious difficulties concerning quality of life. Interventions that foster environments where older adults can forge social bonds might improve their quality of life.


Author(s):  
Eniola O. Cadmus ◽  
Lawrence A. Adebusoye ◽  
Eme T. Owoaje

Abstract Aim The decline of health and functional status as a result of old age makes it necessary to assess the Quality of Life (QoL) among older persons. There is, however, limited information in this regard from low and middle-income countries such as Nigeria. This study compares the QoL and associated factors among rural and urban community-dwelling older persons (≥ 60 years) in Oyo State, Nigeria. Subject and methods A cross-sectional, comparative community-based study was carried out using an interviewer-administered, semi-structured questionnaire. The QoL was determined using the World Health Organisation Quality of Life Brief Scale (WHOQOL-BREF). Data were analysed using Stata version 14 at p < 0.05. Results Overall, 1,180 (588 urban and 592 rural-dwelling) respondents were interviewed. Females constituted more than half of the respondents in both communities, accounting for over two thirds (69.2%) of the population. The mean QoL scores were similar in the psychological (54.2 ± 7.4) and environmental (54.7 ± 9.5) domains. However, the mean score for the physical domain was 69.2 ± 17.0 and 74.1 ± 12 for the social domain. There was no statistically significant difference between mean scores of the QoL in the two locations except in the environmental domain (p < 0.05). Good self-rated health was a common positive predictor of higher mean scores across the four domains in both the rural and urban settings (p < 0.05). Conclusion The rural–urban differences in the mean quality of life scores in the environmental domain in the study and poorer scores in the psychological and environmental domains necessitate areas for targeted intervention and more in-depth research.


2021 ◽  
Vol 12 ◽  
Author(s):  
Marta Muszalik ◽  
Agnieszka Kotarba ◽  
Ewa Borowiak ◽  
Grażyna Puto ◽  
Mateusz Cybulski ◽  
...  

Introduction: Frailty syndrome, as a physiological syndrome, is characterized by a gradual decline in physiological reserve and a lowered resistance to stress-inducing factors, leading to an increased risk of adverse outcomes. It is significantly connected with dependence on care and frequent hospitalizations.Objectives: The aim of the study was to describe socio-demographic, clinical and psychological profile of frailty older adults living in their own homes and to nursing homes.Methods: The study was conducted with 180 patients who were over 60 years of age, the mean (±SD) was 74.1 (±8.8) years. Among the subjects, 90 individuals were community-dwelling older adults. The survey used a list of socio-demographic questions, as well as the following scales: Mini-Mental State Examination (MMSE), Geriatric Depression Scale (GDS), SHARE-FI, and The World Health Organization Quality of Life (WHOQOL-Bref).Results: Pre-frailty was confirmed in 49 (27.2%) patients, and frailty syndrome was noticed in 47 patients (26.1%). The prevalence of frailty syndrome in the study group was related to: place of living (p &lt; 0.001), age (p &lt; 0.001), widowhood (p &lt; 0.001), a poor economic situation (p &lt; 0.001), basic education level (p &lt; 0.001), living alone (p &lt; 0.001), longer duration of illness (p &lt; 0.001), comorbidities (p &lt; 0.001), more medications taken (p &lt; 0.001), deterioration of hearing (p = 0.003), impairment of cognitive functions (p &lt; 0.001), depression (p &lt; 0.001), and decreased quality of life (p &lt; 0.001).Discussion: A lot of socio-demographic and medical factors, particularly cognitive and mental functioning were connected with the prevalence and progression of frailty syndrome in the study group. Quality of life was significantly dependent on the presence of frailty syndrome, both in homes and in nursing homes.


2016 ◽  
Vol 5 (1) ◽  
Author(s):  
Mariana Mapelli de Paiva ◽  
Flavia Aparecida Dias ◽  
Nayara Paula Fernandes Martins Molina ◽  
Darlene Mara dos Santos Tavares

Objetivou descrever as variáveis relacionadas com a hipertensão arterial sistêmica (HAS) e comparar com os escores de qualidade de vida (QV) entre idosos com e sem HAS da zona rural de Uberaba – MG. Foram constituídos dois grupos: idosos com HAS (353) e sem HAS (353). Utilizaram-se os instrumentos: semiestruturado, World Health Organization Quality of Life – BREF (WHOQOL-BREF), World Health Organization Quality of Life Assessment for Older Persons (WHOQOL-OLD). Realizou análise descritiva e teste t-Student (p<0,05). A maioria dos idosos foi diagnosticada há menos de 10 anos, por meio de exame médico de rotina, aferiam a pressão arterial, usavam medicamento e consumiam pouco sal. Os idosos com HAS apresentaram menor escore de QV em relação aos sem HAS. São necessárias medidas que minimize os impactos que a HAS causa na QV.


Author(s):  
Danyaa Allya Salsabilla ◽  
Iin Fatmawati ◽  
Ikha Deviyanti Puspita ◽  
Utami Wahyuningsih

Abstrak Latar belakang: Usia Harapan Hidup (UHH) penduduk dunia, tidak terkecuali di Indonesia, meningkat signifikan selama 10 tahun terakhir. Hal ini mengakibatkan peningkatan pesat jumlah lansia, jika hal ini tidak diimbangi dengan kualitas hidup yang baik tentunya akan berdampak pada gangguan kesehatan. Penelitian ini bertujuan untuk menganalisis hubungan antara status gizi (IMT) dan aktivitas fisik dengan kualitas hidup lansia di RW 02 Desa Jatibening, Bekasi. Metode: Penelitian ini adalah observasional analitik dengan desain cross sectional. Responden dipilih dengan menggunakan teknik simple random sampling dengan jumlah sampel 63 lansia (>60 tahun). Pengambilan data dilakukan pada bulan Desember 2020 – Januari 2021. Data status gizi diperoleh melalui pengukuran langsung menggunakan timbangan digital dan pengukur tinggi badan mikrotoise. Data aktivitas fisik dan kualitas hidup diperoleh melalui pengisian kuesioner dengan wawancara menggunakan Physical Activity Scale for the Elderly (PASE) dan World Health Organization Quality of Life Old (WHOQOL-OLD). Pengolahan data menggunakan uji korelasi rank spearman. Hasil: Hasil penelitian menunjukkan bahwa ada hubungan antara status gizi dengan kualitas hidup (r = 0,471; p = 0,000) dan ada hubungan antara aktivitas fisik dengan kualitas hidup (r = 0,673; p = 0,000) di RW 02 Desa Jatibening , Bekasi. Kesimpulan: Terdapat hubungan antara status gizi dan aktivitas fisik dengan kualitas hidup pada lanjut usia Kata kunci: Status gizi, aktivitas fisik, kualitas hidup, lanjut usia   Abstract Background: Life expectancy of the world's population, including Indonesia, has increased significantly for the last 10 years. This has resulted in a rapid increase in the number of elderly people, if this is not balanced with a good quality of life it can cause health problems. This research was aims to analyze the relationship between nutritional status (BMI) and physical activity with the quality of life of the elderly in RW 02 Jatibening Village, Bekasi.. Methods: This research method is analytic observational with a cross-sectional design. The respondent was selected by using simple random sampling technique with a total sample of 63 elderly (> 60 years). Data collection was carried out in December 2020 - January 2021. Nutritional status data obtained through direct measurement using a digital scale and a microtoise height meter. Physical activity and quality of life data were obtained through filling out a questionnaire with interviews using the Physical Activity Scale for the Elderly (PASE) and the World Health Organization Quality of Life Old (WHOQOL-OLD). Data processing using the Spearman rank correlation test. Result: The results showed that there was a relationship between nutritional status and quality of life (r = 0.471; p = 0.000) and there was a relationship between physical activity and quality of life (r = 0.673; p = 0.000) in RW 02 Jatibening Village, Bekasi. Conclusion: There is a relationship between nutritional status and physical activity with quality of life of the elderly Key Words: Nutritional status, physical activity, quality of life, elderly


2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Sabita Sharma ◽  
Dipendra Kumar Yadav ◽  
Isha Karmacharya ◽  
Raju Pandey

Background. The main objective of the study was to assess the nutritional status and quality of life in the geriatric population of Lahan municipality of Siraha district. Methods. A cross-sectional analytical study was conducted in Lahan municipality of Siraha district from June to December 2017. The Mini-Nutritional Assessment tool was used to investigate the nutritional status, and World Health Organization Quality of Life-OLD questionnaires were used to assess the quality of life among geriatric population. Result. Out of the total participants, one-third (45.7%) of the participants were at risk of malnutrition and 19.8% were malnourished while 34.5% had normal nutritional status. It was seen that 48.2% of participants had good quality of life whereas 51.8% of them had poor quality of life. There was a significant association between nutritional status and quality of life in the elderly population. Conclusion. The findings showed the need for active ageing interventions to improve the nutritional status and quality of life of elders at the community settings. Proper attention should be focused on elders’ nutrition to reduce the observed prevalence of malnutrition, and focus should be given on the nutrition status that leads to improve the quality of life of elders.


2015 ◽  
Vol 28 (4) ◽  
pp. 361-366 ◽  
Author(s):  
Lucélia Malaquias Cordeiro ◽  
Jéssica de Lima Paulino ◽  
Maria Eliana Peixoto Bessa ◽  
Cíntia Lira Borges ◽  
Saul Filipe Pedrosa Leite

Objetivo Avaliar a qualidade de vida de idosos frágeis institucionalizados. Métodos Estudo transversal com a inclusão de 33 idosos frágeis e pré-frágeis, classificados a partir da Escala de Fragilidade de Edmonton. Foram aplicados: um instrumento para caracterização dos aspectos sociodemográficos e o instrumento World Health Organization Quality of Life for Older Persons para avaliação da qualidade de vida. Resultados Houve predomínio do sexo feminino (54,5%) e a média de idade foi de 76,8 anos (±9,3). Observou-se associação significativa entre a qualidade de vida e todas suas facetas, e houve forte relação entre qualidade de vida e “atividades passadas, presentes e futuras” (r=0,715; p<0,001). Conclusão A presença de fragilidade não interferiu diretamente na qualidade de vida de idosos e apresentou associação significativa com motivo de institucionalização.


Medicina ◽  
2020 ◽  
Vol 56 (8) ◽  
pp. 402
Author(s):  
Predrag Kovačević ◽  
Snežana Miljković ◽  
Aleksandar Višnjić ◽  
Jefta Kozarski ◽  
Radmilo Janković

Background and objectives: Quality of life (QoL) after breast cancer surgery is an important public health issue. The aim of this study was to determine the relationship between the levels of perceived quality of life in patients operated on for breast cancer in relation to the type of surgery, using the standardized questionnaires. Materials and Methods: We assessed 425 women after surgery for breast cancer. The assessment included the application of the WHOQOL-bref (The World Health Organization Quality of Life-Bref), and FACT-B (Functional Assessment of Cancer Therapy-Breast) questionnaires. The statistical analysis of the data included multiple linear regression and correlation tests. Results: Multiple linear regression analysis found that education, existence of comorbidities, time elapsed since surgery, and type of surgery were significant predictors of overall quality of life. Women’s overall quality of life and general health has increased by 0.16 times for each subsequent year of surgery, and by 0.34 times for each subsequent higher education level. Breast-conserving surgery or mastectomy with breast reconstruction were statistically significant (β = 0.18) compared to total mastectomy. Conclusions: There is a significant difference in the quality of life perceived by patients in whom the breast has been preserved or reconstructed in relation to patients in whom total mastectomy has been performed.


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