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Gepubliceerd in: Quality of Life Research 6/2020

04-02-2020

Association between frailty and family functionality on health-related quality of life in older adults

Auteurs: Juliana Mara Andrade, Flávia Cristina Drumond Andrade, Yeda Aparecida de Oliveira Duarte, Fabíola Bof de Andrade

Gepubliceerd in: Quality of Life Research | Uitgave 6/2020

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Abstract

Objectives

To investigate the longitudinal association between frailty and health-related quality of life (HRQoL) in older adults and to examine whether family functionality moderates the association between frailty and HRQoL.

Methods

It’s a longitudinal observational study. The sample was drawn from three waves (2006, 2010, and 2015) of the Health, Well-Being, and Aging Study (Saúde, bem-estar e envelhecimento; SABE) collected in São Paulo, Brazil with adults aged 60 years and older. HRQoL was based on the Short Form (SF-12) Health Survey, from which the physical component score (PCS) and mental component score (MCS) were obtained. Frailty status was determined according to the Fried frailty criteria. Family support was measured using the family APGAR instrument. Mixed effects linear regression was used to determine the associations of frailty on longitudinal changes in HRQoL and to examine whether family functionality attenuates this association.

Results

Being frail was negatively associated with MCS and PCS scores. Familiar functionality was found to be a protective factor for MCS only.

Conclusions

These findings are innovative and make an important contribution to the study of HRQoL among older adults in developing countries.
Literatuur
1.
go back to reference Costanza, R., Fisher, B., Ali, S., Beer, C., Bond, L., Boumans, R., et al. (2007). Quality of life: An approach integrating opportunities, human needs, and subjective well-being. Ecological Economics,61, 267–276.CrossRef Costanza, R., Fisher, B., Ali, S., Beer, C., Bond, L., Boumans, R., et al. (2007). Quality of life: An approach integrating opportunities, human needs, and subjective well-being. Ecological Economics,61, 267–276.CrossRef
2.
go back to reference Camelo, L. V., Giatti, L., & Barreto, S. M. (2016). Health related quality of life among elderly living in region of high vulnerability for health in Belo Horizonte, Minas Gerais. Revista Brasileira de Epidemiologia,19(2), 280–293.PubMedCrossRef Camelo, L. V., Giatti, L., & Barreto, S. M. (2016). Health related quality of life among elderly living in region of high vulnerability for health in Belo Horizonte, Minas Gerais. Revista Brasileira de Epidemiologia,19(2), 280–293.PubMedCrossRef
3.
go back to reference Brown, D. S., Thompson, W. W., Zack, M. M., Arnold, S. E., & Barile, J. P. (2015). Associations between health-related quality of life and mortality in older adults. Prevention Science,16(1), 21–30.PubMedPubMedCentralCrossRef Brown, D. S., Thompson, W. W., Zack, M. M., Arnold, S. E., & Barile, J. P. (2015). Associations between health-related quality of life and mortality in older adults. Prevention Science,16(1), 21–30.PubMedPubMedCentralCrossRef
4.
go back to reference Henchoz, Y., Botrugno, F., Cornaz, S., Bula, C., Charef, S., & Santos-Eggimann, B. (2017). Determinants of quality of life in community-dwelling older adults: Comparing three cut-offs on the excellent-to-poor spectrum. Quality of Life Research,26, 283–289.PubMedCrossRef Henchoz, Y., Botrugno, F., Cornaz, S., Bula, C., Charef, S., & Santos-Eggimann, B. (2017). Determinants of quality of life in community-dwelling older adults: Comparing three cut-offs on the excellent-to-poor spectrum. Quality of Life Research,26, 283–289.PubMedCrossRef
5.
go back to reference Lima, M. G., Barros Marilisa, B. A., César, C. L. G., Goldbaum, M., Carandina, L., & Alves, M. C. G. P. (2011). Health-related behavior and quality of life among the elderly: A population-based study. Revista de Saúde Pública,45(3), 485–493.PubMedCrossRef Lima, M. G., Barros Marilisa, B. A., César, C. L. G., Goldbaum, M., Carandina, L., & Alves, M. C. G. P. (2011). Health-related behavior and quality of life among the elderly: A population-based study. Revista de Saúde Pública,45(3), 485–493.PubMedCrossRef
6.
go back to reference Kim, J., Choi, Y., Park, S., Cho, K. H., Ju, Y. J., & Park, E. C. (2017). The impact of living arrangements on quality of life among Korean elderly: Findings from the Korean longitudinal study of aging (2006–2012). Quality of Life Research,26(5), 1303–1314.PubMedCrossRef Kim, J., Choi, Y., Park, S., Cho, K. H., Ju, Y. J., & Park, E. C. (2017). The impact of living arrangements on quality of life among Korean elderly: Findings from the Korean longitudinal study of aging (2006–2012). Quality of Life Research,26(5), 1303–1314.PubMedCrossRef
7.
go back to reference Maatouk, I., Wild, B., Wesche, D., Herzog, W., Raum, E., Muller, H., et al. (2012). Temporal predictors of health-related quality of life in elderly people with diabetes: Results of a German cohort study. PLoS ONE,7(1), e31088.PubMedPubMedCentralCrossRef Maatouk, I., Wild, B., Wesche, D., Herzog, W., Raum, E., Muller, H., et al. (2012). Temporal predictors of health-related quality of life in elderly people with diabetes: Results of a German cohort study. PLoS ONE,7(1), e31088.PubMedPubMedCentralCrossRef
8.
go back to reference Kojima, G., Iliffe, S., Jivraj, S., & Walters, K. (2016). Association between frailty and quality of life among community dwelling older people: A systematic review and meta-analysis. Journal of Epidemiology and Community Health,70(7), 716–721.PubMedCrossRef Kojima, G., Iliffe, S., Jivraj, S., & Walters, K. (2016). Association between frailty and quality of life among community dwelling older people: A systematic review and meta-analysis. Journal of Epidemiology and Community Health,70(7), 716–721.PubMedCrossRef
9.
go back to reference Crocker, T. F., Brown, L., Clegg, A., Farley, K., Franklin, M., Simpkins, S., et al. (2019). Quality of life is substantially worse for community-dwelling older people living with frailty: Systematic review and meta-analysis. Quality of Life Research,28(8), 2041–2056.PubMedPubMedCentralCrossRef Crocker, T. F., Brown, L., Clegg, A., Farley, K., Franklin, M., Simpkins, S., et al. (2019). Quality of life is substantially worse for community-dwelling older people living with frailty: Systematic review and meta-analysis. Quality of Life Research,28(8), 2041–2056.PubMedPubMedCentralCrossRef
10.
go back to reference Andrade, J. M., Duarte, Y. A. O., Alves, L. C., Andrade, F. C. D., Souza Junior, P. R. B., Lima-Costa, M. F., et al. (2018). Frailty profile in Brazilian older adults: ELSI-Brazil. Revista de Saúde Pública,52(Suppl. 2), 17s.PubMedCentral Andrade, J. M., Duarte, Y. A. O., Alves, L. C., Andrade, F. C. D., Souza Junior, P. R. B., Lima-Costa, M. F., et al. (2018). Frailty profile in Brazilian older adults: ELSI-Brazil. Revista de Saúde Pública,52(Suppl. 2), 17s.PubMedCentral
11.
go back to reference Ferrer, A., Formiga, F., Cunillera, O., Megido, M. J., Corbella, X., Almeda, J., et al. (2015). Predicting factors of health-related quality of life in octogenarians: A 3-year follow-up longitudinal study. Quality of Life Research,24, 2701–2711.PubMedCrossRef Ferrer, A., Formiga, F., Cunillera, O., Megido, M. J., Corbella, X., Almeda, J., et al. (2015). Predicting factors of health-related quality of life in octogenarians: A 3-year follow-up longitudinal study. Quality of Life Research,24, 2701–2711.PubMedCrossRef
13.
go back to reference Lenardt, M. H., Carneiro, N. H. K., Binotto, M. A., Willig, M. H., Lourenço, T. M., & Albino, J. (2016). Frailty and quality of life in elderly primary health care users. Revista Brasileira de Enfermagem,69(3), 448–453.CrossRef Lenardt, M. H., Carneiro, N. H. K., Binotto, M. A., Willig, M. H., Lourenço, T. M., & Albino, J. (2016). Frailty and quality of life in elderly primary health care users. Revista Brasileira de Enfermagem,69(3), 448–453.CrossRef
14.
go back to reference Varela, F. R. A., Ciconelli, R. M., Campolina, A. G., & Soarez, P. C. (2015). Quality of life evaluation of frail elderly in Campinas, São Paulo. Revista de Associação Médica Brasileira,61(5), 423–430.CrossRef Varela, F. R. A., Ciconelli, R. M., Campolina, A. G., & Soarez, P. C. (2015). Quality of life evaluation of frail elderly in Campinas, São Paulo. Revista de Associação Médica Brasileira,61(5), 423–430.CrossRef
15.
go back to reference Brito, T. R. P., Nunes, D. P., Duarte, Y. A. O., & Lebrão, M. L. (2019). Social network and older people’s functionality: Health, Well-being, and Aging (SABE) study evidences. Revista Brasileira de Epidemioligia,21(Suppl. 02), e180003. Brito, T. R. P., Nunes, D. P., Duarte, Y. A. O., & Lebrão, M. L. (2019). Social network and older people’s functionality: Health, Well-being, and Aging (SABE) study evidences. Revista Brasileira de Epidemioligia,21(Suppl. 02), e180003.
16.
17.
go back to reference Campos, A. C. V., Rezende, G. P., Ferreira, E. F., Vargas, A. M. D., & Gonçalves, L. H. T. (2017). Family functioning of Brazilian elderly people living in community. Acta Paulista de Enfermagem,30(4), 358–367.CrossRef Campos, A. C. V., Rezende, G. P., Ferreira, E. F., Vargas, A. M. D., & Gonçalves, L. H. T. (2017). Family functioning of Brazilian elderly people living in community. Acta Paulista de Enfermagem,30(4), 358–367.CrossRef
18.
go back to reference Brettschneider, C., Leicht, H., Bickel, H., Dahlhaus, A., Fuchs, A., Gensichen, J., et al. (2013). Relative impact of multimorbid chronic conditions on health-related quality of life—Results from the multicare cohort study. PLoS ONE,8(6), e66742.PubMedPubMedCentralCrossRef Brettschneider, C., Leicht, H., Bickel, H., Dahlhaus, A., Fuchs, A., Gensichen, J., et al. (2013). Relative impact of multimorbid chronic conditions on health-related quality of life—Results from the multicare cohort study. PLoS ONE,8(6), e66742.PubMedPubMedCentralCrossRef
19.
go back to reference de Lima Silva, V., de Medeiros, C. A. C. X., Guerra, G. C. B., Ferreira, P. H. A., de Araújo Junior, R. F., de Araújo Barbosa, S. J., et al. (2017). Quality of life, integrative community therapy, family support, and satisfaction with health services among elderly adults with and without symptoms of depression. Psychiatric Quarterly,88(2), 359–s369.PubMedCrossRef de Lima Silva, V., de Medeiros, C. A. C. X., Guerra, G. C. B., Ferreira, P. H. A., de Araújo Junior, R. F., de Araújo Barbosa, S. J., et al. (2017). Quality of life, integrative community therapy, family support, and satisfaction with health services among elderly adults with and without symptoms of depression. Psychiatric Quarterly,88(2), 359–s369.PubMedCrossRef
20.
go back to reference Alvarenga, M. R. M., Oliveira, M. A. C., Domingues, M. A. R., Amendola, F., & Faccenda, O. (2011). Social support networks for elderly patients attended by Family Health teams. Ciências e Saúde Coletiva,16(5), 2603–2611.CrossRef Alvarenga, M. R. M., Oliveira, M. A. C., Domingues, M. A. R., Amendola, F., & Faccenda, O. (2011). Social support networks for elderly patients attended by Family Health teams. Ciências e Saúde Coletiva,16(5), 2603–2611.CrossRef
21.
go back to reference Torres, G. V., Reis, L. A., Reis, L. A., & Fernandes, M. H. (2009). Quality of life and associated factors in functionally dependent elderly in the hinterland of Northeast Brazil. Jornal Brasileiro de Psiquiatria,58(1), 39–44.CrossRef Torres, G. V., Reis, L. A., Reis, L. A., & Fernandes, M. H. (2009). Quality of life and associated factors in functionally dependent elderly in the hinterland of Northeast Brazil. Jornal Brasileiro de Psiquiatria,58(1), 39–44.CrossRef
22.
go back to reference Abdala, G. A., Kimura, M., Duarte, Y. A. O., Lebrão, M. L., & Santos, B. (2015). Religiousness and health-related quality of life of older adults. Revista de Saúde Pública,49(55), 1–9. Abdala, G. A., Kimura, M., Duarte, Y. A. O., Lebrão, M. L., & Santos, B. (2015). Religiousness and health-related quality of life of older adults. Revista de Saúde Pública,49(55), 1–9.
23.
go back to reference Prazeres, F., & Santiago, L. (2016). Relationship between health-related quality of life, perceived family support and unmet health needs in adult patients with multimorbidity attending primary care in Portugal: A multicentre cross-sectional study. Health and Quality of Life Outcomes,14(1), 156.PubMedPubMedCentralCrossRef Prazeres, F., & Santiago, L. (2016). Relationship between health-related quality of life, perceived family support and unmet health needs in adult patients with multimorbidity attending primary care in Portugal: A multicentre cross-sectional study. Health and Quality of Life Outcomes,14(1), 156.PubMedPubMedCentralCrossRef
24.
go back to reference Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its use by physicians. The Journal of Family Practice,6(6), 1231–1239.PubMed Smilkstein, G. (1978). The family APGAR: A proposal for a family function test and its use by physicians. The Journal of Family Practice,6(6), 1231–1239.PubMed
25.
go back to reference Lim, A. T. C., Manching, J., & Penserga, E. G. (2012). Correlation between Family APGAR scores and health-related quality of life of Filipino elderly patients with knee osteoarthritis. International Journal of Rheumatic Diseases,15(4), 407–413.PubMedCrossRef Lim, A. T. C., Manching, J., & Penserga, E. G. (2012). Correlation between Family APGAR scores and health-related quality of life of Filipino elderly patients with knee osteoarthritis. International Journal of Rheumatic Diseases,15(4), 407–413.PubMedCrossRef
26.
go back to reference Gonçalves, L. H. T., Leite, M. T., Hildebrandt, L. M., Bisogno, S. C., Biasuz, S., & Falcade, B. L. (2013). Living together and family care at the fourth age: Quality of life for seniors and their caregivers. Revista Brasileira de Geriatria e Gerontologia,16(2), 315–325.CrossRef Gonçalves, L. H. T., Leite, M. T., Hildebrandt, L. M., Bisogno, S. C., Biasuz, S., & Falcade, B. L. (2013). Living together and family care at the fourth age: Quality of life for seniors and their caregivers. Revista Brasileira de Geriatria e Gerontologia,16(2), 315–325.CrossRef
27.
go back to reference Lebrão, M. L., Duarte, Y. A. O., Santos, J. L. F., & Silva, N. N. (2018). 10 Years of SABE study: Background, methodology and organization of the study. Revista Brasileira de Epidemiologia,21(2), e180002.CrossRef Lebrão, M. L., Duarte, Y. A. O., Santos, J. L. F., & Silva, N. N. (2018). 10 Years of SABE study: Background, methodology and organization of the study. Revista Brasileira de Epidemiologia,21(2), e180002.CrossRef
28.
go back to reference Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, M. S. (2007). User’s Manual for the SF-12v2TM Health Survey: With a Supplement Documenting SF-12 Health Survey. Lincoln, RI: Quality Metric Incorporated. Ware, J. E., Kosinski, M., Turner-Bowker, D. M., & Gandek, M. S. (2007). User’s Manual for the SF-12v2TM Health Survey: With a Supplement Documenting SF-12 Health Survey. Lincoln, RI: Quality Metric Incorporated.
29.
go back to reference Camelier, A. A. (2004). Avaliação da Qualidade de Vida Relacionada à Saúde em Pacientes com DPOC: Estudo de Base Populacional com o SF-12 na Cidade de São Paulo-SP. São Paulo: Tese (Doutorado em Ciências) – Faculdade de Medicina Universidade Federal de São Paulo. Camelier, A. A. (2004). Avaliação da Qualidade de Vida Relacionada à Saúde em Pacientes com DPOC: Estudo de Base Populacional com o SF-12 na Cidade de São Paulo-SP. São Paulo: Tese (Doutorado em Ciências) – Faculdade de Medicina Universidade Federal de São Paulo.
30.
go back to reference Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology Series A,56(3), M146–M157.CrossRef Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., et al. (2001). Frailty in older adults: Evidence for a phenotype. The Journals of Gerontology Series A,56(3), M146–M157.CrossRef
31.
go back to reference Guigoz, Y., Vellas, B., & Garry, P. J. (1996). Assessing the nutritional status of the elderly: The mini nutritional assessment as part of the geriatric evaluation. Nutrition Reviews,54(1 Pt 2), S59–S65.PubMed Guigoz, Y., Vellas, B., & Garry, P. J. (1996). Assessing the nutritional status of the elderly: The mini nutritional assessment as part of the geriatric evaluation. Nutrition Reviews,54(1 Pt 2), S59–S65.PubMed
32.
go back to reference Simonsick, E. M., Maffeo, C. E., Rogers, S. K., Skinner, E. A., Davis, D., Guralnik, J. M., et al. (1997). Methodology and feasibility of a home-based examination in disabled older women: The women’s health and aging study. The Journals of Gerontology Series A,52(5), M264–M274.CrossRef Simonsick, E. M., Maffeo, C. E., Rogers, S. K., Skinner, E. A., Davis, D., Guralnik, J. M., et al. (1997). Methodology and feasibility of a home-based examination in disabled older women: The women’s health and aging study. The Journals of Gerontology Series A,52(5), M264–M274.CrossRef
33.
go back to reference The IPAQ Group. (2005). Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ)—Short and Long Forms. IPAQ Research Committee. The IPAQ Group. (2005). Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ)—Short and Long Forms. IPAQ Research Committee.
34.
go back to reference Duarte, Y. A. O. (2001). Família: rede de suporte ou fator estressor. A ótica de idosos e cuidadores familiares. São Paulo: Tese (Doutorado em Enfermagem) – Escola de Enfermagem Universidade de São Paulo. Duarte, Y. A. O. (2001). Família: rede de suporte ou fator estressor. A ótica de idosos e cuidadores familiares. São Paulo: Tese (Doutorado em Enfermagem) – Escola de Enfermagem Universidade de São Paulo.
35.
go back to reference Ribeiro, K. T. (2011). Fatores associados à qualidade de vida relacionada à saúde de idosos residentes no Município de São Paulo – Estudo SABE: Saúde, Bem-Estar e Envelhecimento [tese de doutorado]. São Paulo: Universidade de São Paulo. Ribeiro, K. T. (2011). Fatores associados à qualidade de vida relacionada à saúde de idosos residentes no Município de São Paulo – Estudo SABE: Saúde, Bem-Estar e Envelhecimento [tese de doutorado]. São Paulo: Universidade de São Paulo.
37.
go back to reference Rao, J. N. K., & Scott, A. J. (1984). On chi-squared tests for multiway contingency tables with cell proportions estimated from survey data. The Annals of Statistics,12, 46–60.CrossRef Rao, J. N. K., & Scott, A. J. (1984). On chi-squared tests for multiway contingency tables with cell proportions estimated from survey data. The Annals of Statistics,12, 46–60.CrossRef
38.
go back to reference Verbeke, G. (1997). Linear mixed models for longitudinal data. In G. Verbeke (Ed.), Linear mixed models in practice (pp. 63–153). New York: Springer.CrossRef Verbeke, G. (1997). Linear mixed models for longitudinal data. In G. Verbeke (Ed.), Linear mixed models in practice (pp. 63–153). New York: Springer.CrossRef
39.
go back to reference Cameron, A. C., & Miller, D. L. (2015). A practitioner’s guide to cluster-robust inference. Journal of Human Resources,50(2), 317–372.CrossRef Cameron, A. C., & Miller, D. L. (2015). A practitioner’s guide to cluster-robust inference. Journal of Human Resources,50(2), 317–372.CrossRef
40.
go back to reference Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013). Frailty in elderly people. Lancet,381, 752–762.PubMedCrossRef Clegg, A., Young, J., Iliffe, S., Rikkert, M. O., & Rockwood, K. (2013). Frailty in elderly people. Lancet,381, 752–762.PubMedCrossRef
41.
go back to reference Webb, E., Blane, D., McMunn, A., & Netuveli, G. (2011). Proximal predictors of change in quality of life at older ages. Journal of Epidemiology & Community Health,65(6), 542–547.CrossRef Webb, E., Blane, D., McMunn, A., & Netuveli, G. (2011). Proximal predictors of change in quality of life at older ages. Journal of Epidemiology & Community Health,65(6), 542–547.CrossRef
42.
go back to reference Antonucci, T. C. (1991). Attachment, social support, and coping with negative life events in mature adulthood. In E. M. Cummings, A. L. Greene, & K. H. Karraker (Eds.), Life-span developmental psychology: Perspectives on stress and coping (pp. 261–276). Hillsdale, NJ: Lawrence Erlbaum. Antonucci, T. C. (1991). Attachment, social support, and coping with negative life events in mature adulthood. In E. M. Cummings, A. L. Greene, & K. H. Karraker (Eds.), Life-span developmental psychology: Perspectives on stress and coping (pp. 261–276). Hillsdale, NJ: Lawrence Erlbaum.
43.
go back to reference Camarano, A. A., & Kanso, S. (2010). As instituições de longa permanência para idosos no Brasil. Revista Brasileira de Estudo de População,27(1), 232–235.CrossRef Camarano, A. A., & Kanso, S. (2010). As instituições de longa permanência para idosos no Brasil. Revista Brasileira de Estudo de População,27(1), 232–235.CrossRef
44.
go back to reference Chiavegatto Filho, A. D. P., Lebrão, M. L., & Kawachi, I. (2012). Income inequality and elderly self-rated health in São Paulo(Brazil)hema. Annals of Epidemiology,22(12), 863–867.PubMedCrossRef Chiavegatto Filho, A. D. P., Lebrão, M. L., & Kawachi, I. (2012). Income inequality and elderly self-rated health in São Paulo(Brazil)hema. Annals of Epidemiology,22(12), 863–867.PubMedCrossRef
Metagegevens
Titel
Association between frailty and family functionality on health-related quality of life in older adults
Auteurs
Juliana Mara Andrade
Flávia Cristina Drumond Andrade
Yeda Aparecida de Oliveira Duarte
Fabíola Bof de Andrade
Publicatiedatum
04-02-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02433-5

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