scholarly journals Effects of frailty and chronic diseases on quality of life in Dutch community-dwelling older adults: a cross-sectional study

2018 ◽  
Vol Volume 13 ◽  
pp. 325-334 ◽  
Author(s):  
Inge Renne ◽  
Robbert JJ Gobbens
2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ewelina Lepsy ◽  
Ewa Radwańska ◽  
Grzegorz Żurek ◽  
Alina Żurek ◽  
Antonina Kaczorowska ◽  
...  

Abstract Background Aging is a progressive and irreversible process that negatively affects the quality of life (QOL). Older adults face difficulties related to worsening health, lowering the level of physical and mental efficiency. We aimed to analyze the associations between physical fitness and QOL in Polish older adults considering sex differences. Methods This cross-sectional study was performed from March to August 2015. The sample consisted of 100 community-dwelling adults (67 women, 33 men) with a mean age of 82.94 ± 2.67 years. The World Health Organization QOL, Short Form questionnaire (WHOQOL-BREF), and the Fullerton Functional Fitness Test (FFFT) were used. Biometric data, social and environmental situation, nutritional and lifestyle behaviors have been also collected using a questionnaire designed by the authors. Results The results obtained in individual domains of WHOWOL-BREF indicate a good level of QOL in all the examined domains. Statistically significant sex differences were obtained in physical (p = 0.01), psychological (p = 0.04) and environmental (p = 0.02) domains in WHOQOL-BREF. It was noted that men perform better in terms of the upper (arm curl, p < 0.001) and lower body strength (chair stand, p = 0.01), aerobic endurance (two-minute step test, p < 0.001), agility and dynamic balance (up and go test, p < 0.001) in FFFT. Conclusions Community-dwelling older adults aged 80–93 years in Poland present a good level of QOL, and the higher score was obtained in men. Also, men presented better physical fitness, showed a higher level of independence in daily activities, and assessed better their own QOL than women.


2021 ◽  
Vol 35 ◽  
Author(s):  
Roosevelt Silva BASTOS ◽  
Leticia Marques SÁ ◽  
Sofia Rafaela Maito VELASCO ◽  
Debora Foger TEIXEIRA ◽  
Larissa Sanches PAINO ◽  
...  

BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e043062
Author(s):  
Lina Ma ◽  
Jagadish K Chhetri ◽  
Li Zhang ◽  
Fei Sun ◽  
Yun Li ◽  
...  

ObjectivesIntrinsic capacity (IC) was proposed by the WHO as a new concept for capturing an individual’s functional capacities across their lifetime. We aimed to investigate the prevalence and factors associated with IC decline and examine associations between IC and adverse outcomes among community-dwelling older adults in China.DesignA cross-sectional study.SettingCommunity, China.ParticipantsData were derived from the China Comprehensive Geriatric Assessment Study, a population-based nationally representative sample. IC comprises of five domains: locomotion, cognition, vitality, sensory and psychology. Participants were deemed to have IC decline if they showed a decline in any of the five domains. Sociodemographic characteristics, chronic diseases, geriatric syndromes and adverse outcomes were also examined.ResultsOf the 5823 community-dwelling participants aged 60–98 years, 2506 had IC decline (weighted 39.9%): 57.7% in western, 38.3% in northern, 33.7% in northwest, 36.1% in middle, 16.9% in eastern and 19.8% in northeast China. The number of participants with decline in the locomotion, cognition, vitality, sensory and psychological domains were 1039 (17.8%), 646 (11.1%), 735 (12.6%), 824 (14.2%) and 713 (12.2%), respectively. Age, northern residence, low education, being unmarried, low income, less exercise, less meat intake, insomnia, memory loss, urinary incontinence, constipation, slowness, chronic obstructive pulmonary disease and osteoarthritis were related to IC decline. After adjusting for age, sex, area, district, marriage, education, waist–hip ratio, smoking, alcohol consumption, exercise, income and chronic diseases, IC decline was independently associated with risk of frailty, disability, falls, fractures and immobility.ConclusionThe prevalence of IC decline in China is high. IC decline was significantly associated with adverse outcomes, after adjustment for related variables. Efforts promoting IC to delay functional dependence should focus on modifiable factors, including negative social factors, poor lifestyle, chronic diseases and geriatric syndromes.


2014 ◽  
Vol 12 (1) ◽  
pp. 2 ◽  
Author(s):  
Ulrich Thiem ◽  
Renate Klaaßen-Mielke ◽  
Ulrike Trampisch ◽  
Anna Moschny ◽  
Ludger Pientka ◽  
...  

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