Association between muscle function, cognitive state, depression symptoms and quality of life of older people: evidence from clinical practice
Autor: | Salah Gariballa, Awad Alessa |
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Rok vydání: | 2017 |
Předmět: |
Male
Aging medicine.medical_specialty Body Mass Index 03 medical and health sciences 0302 clinical medicine Cognition Quality of life medicine Humans 030212 general & internal medicine Muscle Strength Association (psychology) Depression (differential diagnoses) Aged Aged 80 and over Depression medicine.disease Comorbidity Mental health Physical therapy Quality of Life Female Geriatrics and Gerontology Older people Psychology Body mass index 030217 neurology & neurosurgery |
Zdroj: | Aging clinical and experimental research. 30(4) |
ISSN: | 1720-8319 |
Popis: | Although low muscle function/strength is an important predictor of poor clinical outcome in older patients, information on its impact on mental health in clinical practice is still lacking. The aim of this report is to measure the impact of low muscle function measured by handgrip strength on mental health of older people during both acute illness and recovery. Four hundred and thirty-two randomly selected hospitalized older patients had their baseline demographic and clinical characteristics assessed within 72 h of admission, at 6 weeks and at 6 months. Low muscle strength-handgrip was defined using the European Working Group criteria. Mental health outcome measures including cognitive state, depression symptoms and quality of life were also measured. Among the 432 patients recruited, 308 (79%) had low muscle strength at baseline. Corresponding figures at 6 weeks and at 6 months were 140 (73%) and 158 (75%). Patients with poor muscle strength were significantly older with increased disability and poor nutritional status compared with those with normal muscle strength. After adjustment for age, gender, disability, comorbidity including severity of acute illness and body mass index patients with low muscle strength had worse cognitive function, quality of life and higher depression symptoms compared with those with normal muscle strength over a 6-month period (p |
Databáze: | OpenAIRE |
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