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Gepubliceerd in: Quality of Life Research 8/2021

28-03-2021

Health-related physical indicators and self-rated quality of life in older adults with neurocognitive disorder

Auteurs: Flávia Borges-Machado, Duarte Barros, Laetitia Teixeira, Óscar Ribeiro, Joana Carvalho

Gepubliceerd in: Quality of Life Research | Uitgave 8/2021

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Abstract

Purpose

This study aimed to identify the association between health-related physical indicators—sarcopenia-related factors, physical fitness, independence in activities of daily living (ADL) and habitual physical activity—and self-rated quality of life (QoL) in people with neurocognitive disorder (NCD).

Methods

This cross-sectional study included 115 participants (78.22 ± 7.48 years; 74.8% female) clinically diagnosed with NCD. Self-rated QoL was evaluated using The Quality of Life-Alzheimer’s Disease (QoL-AD). Dual energy X-ray Absorptiometry, handgrip strength, Short Physical Performance Battery, and the 6-m Walk test were used to assess sarcopenia-related factors. Senior Fitness Test and One Leg Balance test, Barthel Index, Baecke Modified Habitual Physical Activity Questionnaire were used to determine physical fitness, independence in ADL and physical activity, respectively. Regressions analyses were performed to examine associations between these variables and QoL-AD.

Results

Data from univariable linear regression analysis revealed that self-rated QoL was associated with sarcopenia-related factors (lower body function, handgrip strength, gait speed, and appendicular skeletal muscle mass index—ASMI), physical fitness (upper-and-lower-body strength, agility/dynamic balance, cardiorespiratory fitness and body mass index), habitual physical activity and independence in ADL. Results from multivariable regression analysis showed that ASMI (B = 1.846, 95% CI 0.165–3.527, p = 0.032) and lower body function (B = 0.756, 95% CI 0.269–1.242, p = 0.003) were positively associated with self-rated QoL. These variables explained 20.1% of the variability seen in self-rated QoL, controlling for age, sex, marital status and education.

Conclusion

Sarcopenia-related factors, namely lower body function and ASMI, should be acknowledged in future research studies as critical health-related indicators associated with QoL in people with NCD.

Trial registration

ClinicalTrials.gov—identifier number NCT04095962.
vorige artikel Association of frailty with quality of life in older hypertensive adults: a cross-sectional study
volgende artikel Lower body extremity function is associated with health-related quality of life: a cross-sectional analysis of overweight and obese older adults with and without type 2 diabetes mellitus
Literatuur
1.
Livingston, G., et al. (2020). Dementia prevention, intervention, and care: 2020 report of the Lancet Commission. The Lancet, 396(10248), 413–446. CrossRef
2.
3.
American Psychiatric Association. (2013). Neurocognitive disorders, in DSM-5: Diagnostic and statistical manual of mental disorders. . American Psychiatric Publishing. CrossRef
4.
Livingston, G., et al. (2017). Dementia prevention, intervention, and care. The Lancet Commissions, 390, 2673–2734. CrossRef
5.
World Health Organization. (2012). Dementia: A public health priority. (1st ed.). WHO.
6.
World Health Organization. (2018). Towards a dementia plan: A WHO guide. . WHO.
7.
World Health Organization. (1997). WHOQOL measuring quality of life. Programme on mental health. . WHO.
8.
Browne, J. P., et al. (1994). Individual quality of life in the healthy elderly. Quality of Life Research, 3(4), 235–244. PubMedCrossRef
9.
Martyr, A., et al. (2018). Living well with dementia: A systematic review and correlational meta-analysis of factors associated with quality of life, well-being and life satisfaction in people with dementia. Psychological Medicine, 48(13), 2130–2139. PubMedCrossRef
10.
Lawton, M. P. (1994). Quality of life in Alzheimer disease. Alzheimer Disease and Associated Disorders, 8(Suppl 3), 138–150. PubMedCrossRef
11.
Logsdon, R. G., et al. (2002). Assessing quality of life in older adults with cognitive impairment. Psychosomatic Medicine, 64(3), 510–519. PubMedCrossRef
12.
Missotten, P., Dupuis, G., & Adam, S. (2016). Dementia-specific quality of life instruments: A conceptual analysis. International Psychogeriatrics, 28(8), 1245–1262. PubMedCrossRef
13.
Ettema, T. P., et al. (2005). A review of quality of life instruments used in dementia. Quality of Life Research, 14(3), 675–686. PubMedCrossRef
14.
Ojagbemi, A., & Akin-Ojagbemi, N. (2019). Exercise and quality of life in dementia: A systematic review and meta-analysis of randomized controlled trials. Journal of Applied Gerontology, 38(1), 27–48. PubMedCrossRef
15.
O’Rourke, H. M., et al. (2015). Factors that affect quality of life from the perspective of people with dementia: A metasynthesis. Journal of the American Geriatrics Society, 63(1), 24–38. PubMedCrossRef
16.
Black, B. S., et al. (2012). Quality of life of community-residing persons with dementia based on self-rated and caregiver-rated measures. Quality of Life Research, 21(8), 1379–1389. PubMedCrossRef
17.
Naglie, G., et al. (2006). Utility-based quality of life measures in Alzheimer’s disease. Quality of Life Research, 15(4), 631–643. PubMedCrossRef
18.
Holopainen, A., et al. (2019). Factors associated with the quality of life of people with dementia and with quality of life-improving interventions: Scoping review. Dementia, 18(4), 1507–1537. PubMedCrossRef
19.
Byrne-Davis, L. M. T., Bennett, P. D., & Wilcock, G. K. (2006). How are quality of life ratings made? Toward a model of quality of life in people with dementia. Quality of Life Research, 15(5), 855–865. PubMedCrossRef
20.
Logsdon, R. G., McCurry, S. M., & Teri, L. (2007). Evidence-based interventions to improve quality of life for individuals with dementia. Alzheimer’s Care Today, 8(4), 309–318. PubMedPubMedCentral
21.
Forbes, D., et al. (2015). Exercise programs for people with dementia (review). Cochrane Database of Systematic Reviews, 2015(4), CD006489.
22.
Hesseberg, K., et al. (2016). Physical fitness in older people with mild cognitive impairment and dementia. Journal of Aging and Physical Activity, 24(1), 92. PubMedCrossRef
23.
Lam, F. M., et al. (2018). Physical exercise improves strength, balance, mobility, and endurance in people with cognitive impairment and dementia: A systematic review. Journal of Physiotherapy, 64(1), 4–15. PubMedCrossRef
24.
Chang, K. V., et al. (2016). Association between sarcopenia and cognitive impairment: A systematic review and meta-analysis. Journal of the American Medical Directors Association, 17(12), 1164.e7-1164.e15. CrossRef
25.
Umegaki, H., et al. (2020). Association between sarcopenia and quality of life in patients with early dementia and mild cognitive impairment. Journal of Alzheimer’s Disease, 76, 435–442. PubMedCrossRef
26.
Pacifico, J., et al. (2020). Prevalence of sarcopenia as a comorbid disease: A systematic review and meta-analysis. Experimental Gerontology, 131, 110801. PubMedCrossRef
27.
Waite, S. J., et al. (2021). Sarcopenia and frailty in individuals with dementia: A systematic review. Archives of Gerontology and Geriatrics, 92, 104268. PubMedCrossRef
28.
Marzetti, E., et al. (2017). Sarcopenia: An overview. Aging Clinical and Experimental Research, 29, 11–17. PubMedCrossRef
29.
Carvalho, J., et al. (2021). “Body & Brain”: effects of a multicomponent exercise intervention on physical and cognitive function of adults with dementia - study protocol for a quasi-experimental controlled trial. BMC Geriatrics, 21, 156. PubMedPubMedCentralCrossRef
30.
World Health Organization. (2016). ICD-10: International statistical classification of diseases and related health problems: 10th revision. (5th ed.). World Health Organization.
31.
McKhann, G., et al. (1984). Clinical diagnosis of Alzheimer’s disease: Report of the NINCDS-ADRDA Work Group under the auspices of Department of Health and Human Services Task Force on Alzheimer’s Disease. Neurology, 34, 939–944. PubMedCrossRef
32.
von Elm, E., et al. (2007). The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: Guidelines for reporting observational studies. Bulletin of the World Health Organization, 85(11), 867–872. CrossRef
33.
Bárrios, H. S. G. (2012). Adaptação Cultural e Linguística e Validação do Instrumento QOL-AD para Portugal. Faculdade de Medicina da Universidade de Lisboa. Universidade de Lisboa.
34.
Nogueira, J., et al. (2018). Validation study of the Alzheimer’s disease assessment scale-cognitive subscale (ADAS-Cog) for the Portuguese patients with mild cognitive impairment and Alzheimer’s disease. The Clinical Neuropsychologist, 32(sup1), 46–59. PubMedCrossRef
35.
Nogueira, J., et al. (2018). Alzheimer’s Disease Assessment Scale-Cognitive Subscale (ADAS-Cog): Normative data for the Portuguese population. Acta Medica Portuguesa, 31(2), 94–100. PubMedCrossRef
36.
Bossers, W. J. R., et al. (2012). Recommended measures for the assessment of cognitive and physical performance in older patients with dementia: A systematic review. Dementia and Geriatric Cognitive Disorders Extra, 2(1), 589–609. PubMedPubMedCentralCrossRef
37.
Cummings, J. L., et al. (1994). The Neuropsychiatric Inventory: Comprehensive assessment of psychopathology in dementia. Neurology, 44(12), 2308–2314. PubMedCrossRef
38.
Ferreira, A. R., et al. (2015). Validity and reliability of the European Portuguese version of neuropsychiatric inventory in an institutionalized sample. Journal of Clinical Medical Research, 7(1), 21–28. CrossRef
39.
40.
Gould, H., et al. (2014). Total and appendicular lean mass reference ranges for Australian men and women: The geelong osteoporosis study. Calcified Tissue International, 94(4), 363–372. PubMedCrossRef
41.
Guralnik, J. M., et al. (1994). A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85-94. PubMedCrossRef
42.
Westman, A. W., et al. (2019). Measurement characteristics and clinical utility of the short physical performance battery among community-dwelling older adults. Archives of Physical Medicine and Rehabilitation, 100(1), 185–187. CrossRef
43.
Freiberger, E., et al. (2012). Performance-based physical function in older community-dwelling persons: A systematic review of instruments. Age and Ageing, 41(6), 712–721. PubMedCrossRef
44.
Blankevoort, C. G., van Heuvelen, M. J., & Scherder, E. J. (2013). Reliability of six physical performance tests in older people with dementia. Physical Therapy, 93(1), 69–78. PubMedCrossRef
45.
Ries, J. D., et al. (2009). Test-retest reliability and minimal detectable change scores for the timed “up & go” test, the six-minute walk test, and gait speed in people with Alzheimer disease. Physical Therapy, 89(6), 569–579. PubMedCrossRef
46.
Montero-Odasso, M., et al. (2019). Consensus on shared measures of mobility and cognition: From the Canadian Consortium on Neurodegeneration in Aging (CCNA). Journals of Gerontology: Series A, Biological Sciences and Medical Sciences, 74(6), 897–909. CrossRef
47.
48.
American Society Hand Therapy. (1983). The hand: Examination and diagnosis. (3rd ed.). Churchill Livingstone.
49.
Mathiowetz, V. (2002). Comparison of Rolyan and Jamar dynamometers for measuring grip strength. Occupational Therapy International, 9(3), 201–209. PubMedCrossRef
50.
Alencar, M. A., et al. (2012). Handgrip strength in elderly with dementia: Study of reliability. Revista Brasileira de Fisioterapia, 16(6), 510–514. PubMedCrossRef
51.
Rikli, R. E., & Jones, J. (2001). Senior fitness test manual. (2nd ed.). Human Kinetics.
52.
Hesseberg, K., Bentzen, H., & Bergland, A. (2015). Reliability of the senior fitness test in community-dwelling older people with cognitive impairment. Physiotheraphy Research International: The Journal for Researchers and Clinicians in Physical Therapy, 20(1), 37–44. CrossRef
53.
Vellas, B. J., et al. (1997). One-leg standing balance and functional status in a population of 512 community-living elderly persons. Aging, 9(1–2), 95–98. PubMed
54.
Rolland, Y., et al. (2007). Exercise program for nursing home residents with Alzheimer’s Disease: A 1-year randomized, controlled trial. Journal of the American Geriatrics Society, 55(2), 158–165. PubMedCrossRef
55.
Rolland, Y., et al. (2009). An abnormal “one-leg balance” test predicts cognitive decline during Alzheimer’s disease. Journal of Alzheimer’s Disease, 16(3), 525–531. PubMedCrossRef
56.
Sourdet, S., et al. (2012). Prognosis of an abnormal one-leg balance in community-dwelling patients with Alzheimer’s disease: a 2-year prospective study in 686 patients of the REALFR study. Journal of the American Medical Directors Association, 13(4), 407e1-407e6. CrossRef
57.
Mahoney, F. I., & Barthel, D. W. (1965). Functional evaluation: The Barthel Index. Maryland State Medical Journal, 14, 61–65. PubMed
58.
Sequeira, C. (2007). Cuidar de Idosos Dependentes. Coimbra: Quarteto Editora.
59.
Almeida, M. C. B., & Ribeiro, J. L. P. (2014). Adaptation of the modified habitual physical activity questionnaire (Baecke) to the Portuguese population. Revista de Enfermagem Referência, 3, 27–35. CrossRef
60.
Farina, N., et al. (2018). Use of physical activity questionnaires in people with dementia: A scoping review. Journal of Aging and Physical Activity, 27(3), 413–421. CrossRef
61.
Cruz-Jentoft, A. J., et al. (2019). Sarcopenia: Revised European consensus on definition and diagnosis. Age and Ageing, 48(1), 16–31. PubMedCrossRef
62.
Beaudart, C., et al. (2017). Validation of the SarQoL®, a specific health-related quality of life questionnaire for Sarcopenia. Journal of Cachexia, Sarcopenia and Muscle, 8(2), 238–244. PubMedCrossRef
63.
Burns, J. M., et al. (2010). Reduced lean mass in early Alzheimer disease and its association with brain atrophy. Archives of Neurology, 67(4), 428–433. PubMedPubMedCentralCrossRef
64.
Kim, J., et al. (2019). Association of muscle and visceral adipose tissues with the probability of Alzheimer’s disease in healthy subjects. Scientific Reports, 9(1), 949. PubMedPubMedCentralCrossRef
65.
66.
Wang, D. X. M., et al. (2020). Muscle mass, strength, and physical performance predicting activities of daily living: A meta-analysis. Journal of Cachexia, Sarcopenia and Muscle, 11(1), 3–25. PubMedCrossRef
67.
Bonfiglio, V., Umegaki, H., & Kuzuya, M. (2019). Quality of life in cognitively impaired older adults. Geriatrics and Gerontology International, 19(10), 999–1005. PubMedCrossRef
68.
69.
70.
Huang, X., et al. (2020). Path analysis from physical activity to quality of life among dementia patients: A dual-path mediating model. Journal of Advanced Nursing, 76(2), 546–554. PubMedCrossRef
71.
Chan, C. S., et al. (2015). Greater independence in activities of daily living is associated with higher health-related quality of life scores in nursing home residents with dementia. Healthcare, 3(3), 503–518. PubMedPubMedCentralCrossRef
72.
Garre-Olmo, J., et al. (2017). A path analysis of dependence and quality of life in Alzheimer’s disease. American Journal of Alzheimer’s Disease and Other Dementias, 32(2), 108–115. PubMedCrossRef
Metagegevens
Titel
Health-related physical indicators and self-rated quality of life in older adults with neurocognitive disorder
Auteurs
Flávia Borges-Machado
Duarte Barros
Laetitia Teixeira
Óscar Ribeiro
Joana Carvalho
Publicatiedatum
28-03-2021
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 8/2021
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-021-02828-y

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