Factors associated with health-related quality of life among community-dwelling older adults: the APPCARE study.

Autor: Bally ELS; Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Korenhof SA; Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Ye L; Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands., van Grieken A; Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Tan SS; Research Group City Dynamics, InHolland University of Applied Sciences, Rotterdam, The Netherlands., Mattace-Raso F; Division of Geriatric Medicine, Erasmus MC University Medical Center, Rotterdam, The Netherlands., Procaccini E; Funded Project Office, Local Health Authority n.2 Treviso, Treviso, Italy., Alhambra-Borrás T; Polibienestar Research Institute, University of Valencia, Valencia, Spain., Raat H; Department of Public Health, Erasmus MC University Medical Center, Rotterdam, The Netherlands. h.raat@erasmusmc.nl.
Jazyk: angličtina
Zdroj: Scientific reports [Sci Rep] 2024 Jun 21; Vol. 14 (1), pp. 14351. Date of Electronic Publication: 2024 Jun 21.
DOI: 10.1038/s41598-024-64539-x
Abstrakt: This study aimed to identify the factors associated with health-related quality of life (HRQOL) among community-dwelling older adults. Physical and mental HRQOL were measured by the 12-item Short Form Health Survey (SF-12) at baseline and follow-up. Linear regression models were used to evaluate associations between socio-demographic, health, and lifestyle factors and HRQOL. The sample included 661 participants (mean age = 77.4 years). Frailty was negatively associated with physical HRQOL (B = - 5.56; P < 0.001) and mental HRQOL (B = - 6.65; P < 0.001). Participants with a higher score on activities of daily living (ADL) limitations had lower physical HRQOL (B = - 0.63; P < 0.001) and mental HRQOL (B = - 0.18; P = 0.001). Female sex (B = - 2.38; P < 0.001), multi-morbidity (B = - 2.59; P = 0.001), and a high risk of medication-related problems (B = - 2.84; P < 0.001) were associated with lower physical HRQOL, and loneliness (B = - 3.64; P < 0.001) with lower mental HRQOL. In contrast, higher age (B = 2.07; P = 0.011) and living alone (B = 3.43; P < 0.001) were associated with better mental HRQOL in the multivariate models. Future interventions could be tailored to subpopulations with relatively poor self-reported HRQOL, such as frail or lonely older adults to improve their HRQOL.
(© 2024. The Author(s).)
Databáze: MEDLINE
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