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Gepubliceerd in: Quality of Life Research 8/2019

07-05-2019

Factors associated with health-related quality of life (HRQoL): differential patterns depending on age

Auteurs: Igone Etxeberria, Elena Urdaneta, Nerea Galdona

Gepubliceerd in: Quality of Life Research | Uitgave 8/2019

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Abstract

Purpose

The aims of this study were: (1) to analyze age differences in health-related quality of life (HRQoL) between the young old (aged 65–84) and the oldest old (aged 85 and over), and (2) to investigate three types of predictors: (a) physical health [Basic Activities of Daily Living (BADL), Instrumental Activities of Daily Living, comorbidity, use of medication], (b) global cognitive ability and (c) psychosocial factors, specifically personality traits, social support and emotional functioning (positive and negative affect and life satisfaction), which may influence the HRQoL of both the young old and the oldest old.

Method

A cross-sectional study was conducted with 257 healthy community-dwelling elderly people. HRQoL was assessed using the SF-36 Health Survey. Functional and health status, global cognitive ability and psychosocial variables were also assessed.

Results

Age differences were found in HRQoL, with the oldest old scoring lower for this variable. Multiple stepwise hierarchical linear regression analyses revealed that, in relation to the physical health component, use of medication, BADL and positive affect had the greatest influence among the young old (65–84), whereas among the oldest old, neuroticism and the BADL were the most influential factors. As regards the mental health component, neuroticism, use of medication and positive affect were the main predictor variables among the young old, while neuroticism and negative affect had the greatest influence among the oldest old group.

Conclusion

The oldest old had a poorer HRQoL in both dimensions measured (physical and mental). There appear to be differences between the determinants of HRQoL for young old and oldest old adults, suggesting that these associations change with age.
Literatuur
1.
go back to reference Lawton, M. P. (2001). Quality of life and the end of life. In J. E. Birren & K. W. Schaie (Eds.), Handbook of the psychology of aging (5th ed., pp. 593–616). New York: Academic Press. Lawton, M. P. (2001). Quality of life and the end of life. In J. E. Birren & K. W. Schaie (Eds.), Handbook of the psychology of aging (5th ed., pp. 593–616). New York: Academic Press.
2.
go back to reference Lim, L. L., & Fisher, J. D. (1999). Use of the 12-item short form (SF-12) health survey in an Australian heart and stroke population. Quality of Life Research, 8, 1–8. CrossRefPubMed Lim, L. L., & Fisher, J. D. (1999). Use of the 12-item short form (SF-12) health survey in an Australian heart and stroke population. Quality of Life Research, 8, 1–8. CrossRefPubMed
3.
go back to reference Al-Windi, A., Elmfeldt, D., Tibblin, G., & Svärdsudd, K. (1999). The influence of sociodemographic characteristics on well-being and symptoms in a Swedish community. Scandinavian Journal of Primary Health Care, 17, 201–209. CrossRefPubMed Al-Windi, A., Elmfeldt, D., Tibblin, G., & Svärdsudd, K. (1999). The influence of sociodemographic characteristics on well-being and symptoms in a Swedish community. Scandinavian Journal of Primary Health Care, 17, 201–209. CrossRefPubMed
4.
go back to reference Pinquart, M. (2001). Correlates of subjective health in older adults: A meta-analysis. Psychology and Aging, 16(3), 414–426. CrossRefPubMed Pinquart, M. (2001). Correlates of subjective health in older adults: A meta-analysis. Psychology and Aging, 16(3), 414–426. CrossRefPubMed
7.
go back to reference Bowling, A. (2005). Aging well, quality of life in older age (1st ed.). Maidenhead: Open University Press. Bowling, A. (2005). Aging well, quality of life in older age (1st ed.). Maidenhead: Open University Press.
9.
go back to reference Zaninotto, P., Falaschetti, E., & Sacker, A. (2009). Age trajectories of quality of life among older adults: Results from the English Longitudinal Study of Ageing. Quality of Life Research, 18(10), 1301–1309. CrossRefPubMed Zaninotto, P., Falaschetti, E., & Sacker, A. (2009). Age trajectories of quality of life among older adults: Results from the English Longitudinal Study of Ageing. Quality of Life Research, 18(10), 1301–1309. CrossRefPubMed
13.
go back to reference Ferrer, A., Formiga, F., Cunillera, O., Megido, M. J., Corbella, X., & Almeda, J. (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. CrossRefPubMed Ferrer, A., Formiga, F., Cunillera, O., Megido, M. J., Corbella, X., & Almeda, J. (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. CrossRefPubMed
15.
go back to reference Hong, E. (2015). Age differences in health-related quality of life among south Korean elderly. Research & Reviews: Journal of Child and Family Studies, 1(4), 34–39. Hong, E. (2015). Age differences in health-related quality of life among south Korean elderly. Research & Reviews: Journal of Child and Family Studies, 1(4), 34–39.
19.
go back to reference Andersson, L., Marcusson, J., & Wressle, E. (2014). Health related quality of life and activities of daily living in 85-year-olds in Sweden. Health and Social Care in the Community, 22(4), 368–374. CrossRefPubMed Andersson, L., Marcusson, J., & Wressle, E. (2014). Health related quality of life and activities of daily living in 85-year-olds in Sweden. Health and Social Care in the Community, 22(4), 368–374. CrossRefPubMed
20.
go back to reference Ware, J., & Sherbourne, C. (1992). The MOS 36-item short form health survey (SF-36). Conceptual framework and item selection. Medical Care, 30, 473–483. CrossRefPubMed Ware, J., & Sherbourne, C. (1992). The MOS 36-item short form health survey (SF-36). Conceptual framework and item selection. Medical Care, 30, 473–483. CrossRefPubMed
22.
go back to reference Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61–65. PubMed Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61–65. PubMed
23.
go back to reference Baztán, J. J., Pérez del Molino, J., & Alarcón, T. (1993). Índice de Barthel: instrumento válido para la valoración funcional de pacientes con enfermedad cerebrovascular. Revista Española de Geriatría y Gerontología, 28, 32–40. Baztán, J. J., Pérez del Molino, J., & Alarcón, T. (1993). Índice de Barthel: instrumento válido para la valoración funcional de pacientes con enfermedad cerebrovascular. Revista Española de Geriatría y Gerontología, 28, 32–40.
24.
go back to reference Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186. CrossRefPubMed Lawton, M. P., & Brody, E. M. (1969). Assessment of older people: Self-maintaining and instrumental activities of daily living. The Gerontologist, 9(3), 179–186. CrossRefPubMed
27.
go back to reference Lobo, A., Saz, P., Marcos, G., Día, J. L., De la Cámara, C., Ventura, T., et al. (1999). Revalidación y normalización del Mini-Examen Cognoscitivo (primera versión en castellano del Mini-Mental Status Examination) en la población general geriátrica. Medicina Clínica (Barcelona), 112(20), 767–774. Lobo, A., Saz, P., Marcos, G., Día, J. L., De la Cámara, C., Ventura, T., et al. (1999). Revalidación y normalización del Mini-Examen Cognoscitivo (primera versión en castellano del Mini-Mental Status Examination) en la población general geriátrica. Medicina Clínica (Barcelona), 112(20), 767–774.
28.
go back to reference Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. A Global Journal of Child Research, 12(3), 189–198. Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”. A practical method for grading the cognitive state of patients for the clinician. A Global Journal of Child Research, 12(3), 189–198.
30.
go back to reference Cordero, A., Pamos, A., Seisdedos, N., Avia, M. D., & Costa, P. T. (2008). Inventario de personalidad neo revisado (NEO PI-R), inventario neo reducido de cinco factores (NEO-FFI): Manual profesional. Madrid: TEA. Cordero, A., Pamos, A., Seisdedos, N., Avia, M. D., & Costa, P. T. (2008). Inventario de personalidad neo revisado (NEO PI-R), inventario neo reducido de cinco factores (NEO-FFI): Manual profesional. Madrid: TEA.
31.
go back to reference Bellón, J., Delgado, A., Luna del Castillo, J., & Lardelli, P. (1996). Validez y fiabilidad del cuestionario de apoyo social funcional Duke-UNC-11. Atención Primaria, 18(4), 153–163. Bellón, J., Delgado, A., Luna del Castillo, J., & Lardelli, P. (1996). Validez y fiabilidad del cuestionario de apoyo social funcional Duke-UNC-11. Atención Primaria, 18(4), 153–163.
33.
go back to reference Sandín, B., Chorot, P., Lostao, L., Joiner, T., Santed, M., & Valiente, R. (1999). Escala PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural. Psicothema, 11(1), 37–51. Sandín, B., Chorot, P., Lostao, L., Joiner, T., Santed, M., & Valiente, R. (1999). Escala PANAS de afecto positivo y negativo: validación factorial y convergencia transcultural. Psicothema, 11(1), 37–51.
35.
go back to reference Pons, D., Atienza, F., Balaguer, I., & García-Merita, M. (2002). Propiedades psicométricas de la escala de satisfacción con la vida en personas de tercera edad. Revista Iberoamericana de Diagnóstico y Evaluación Psicológica, 13, 71–82. Pons, D., Atienza, F., Balaguer, I., & García-Merita, M. (2002). Propiedades psicométricas de la escala de satisfacción con la vida en personas de tercera edad. Revista Iberoamericana de Diagnóstico y Evaluación Psicológica, 13, 71–82.
36.
39.
go back to reference Baltes, P. B., & Smith, J. (1999). Multilevel and systemic analyses of old age: Theoretical and empirical evidence for a fourth age. In V. L. Bengston & K. W. Schaie (Eds.), Handbook of theories of aging (pp. 153–173). New York, NY: Springer. Baltes, P. B., & Smith, J. (1999). Multilevel and systemic analyses of old age: Theoretical and empirical evidence for a fourth age. In V. L. Bengston & K. W. Schaie (Eds.), Handbook of theories of aging (pp. 153–173). New York, NY: Springer.
40.
go back to reference Smith, J., & Baltes, P. B. (1999). Trends and profiles of psychological functioning in very old age. In P. B. Baltes & K. U. Mayer (Eds.), The Berlin Aging Study: Aging from 70 to 100 (pp. 197–226). New York: Cambridge University Press. Smith, J., & Baltes, P. B. (1999). Trends and profiles of psychological functioning in very old age. In P. B. Baltes & K. U. Mayer (Eds.), The Berlin Aging Study: Aging from 70 to 100 (pp. 197–226). New York: Cambridge University Press.
41.
go back to reference Canada, B., Stephan, Y., Jaconelli, A., & Duberstein, P. R. (2016). The moderating effect of chronological age on the relation between neuroticism and physical functioning: Cross sectional evidence from two French samples. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 71(1), 35–40. https://​doi.​org/​10.​1093/​geronb/​gbu083. CrossRef Canada, B., Stephan, Y., Jaconelli, A., & Duberstein, P. R. (2016). The moderating effect of chronological age on the relation between neuroticism and physical functioning: Cross sectional evidence from two French samples. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 71(1), 35–40. https://​doi.​org/​10.​1093/​geronb/​gbu083. CrossRef
47.
go back to reference Facal, D., Iglesias, A., González, M. F., & Galdona, N. (2010). La influencia de los afectos sobre la salud percibida de las personas mayores. In R. González, A. Valle, R. Arce, & F. Fariña (Eds.), Calidad de Vida, Bienestar y Salud (p. 127). A Coruña: Psicoeduca. Facal, D., Iglesias, A., González, M. F., & Galdona, N. (2010). La influencia de los afectos sobre la salud percibida de las personas mayores. In R. González, A. Valle, R. Arce, & F. Fariña (Eds.), Calidad de Vida, Bienestar y Salud (p. 127). A Coruña: Psicoeduca.
Metagegevens
Titel
Factors associated with health-related quality of life (HRQoL): differential patterns depending on age
Auteurs
Igone Etxeberria
Elena Urdaneta
Nerea Galdona
Publicatiedatum
07-05-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02182-0