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Gepubliceerd in: Quality of Life Research 12/2020

20-06-2020

The association between sociodemographic factors, frailty, and health-related quality of life in older inpatients: a cross-sectional study

Auteurs: Qiuping Li, Binru Han, Xi Chen

Gepubliceerd in: Quality of Life Research | Uitgave 12/2020

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Abstract

Purpose

This cross-sectional study aims to explore the association between frailty and domains of quality of life (QOL) among hospitalized patients in older age under consideration of the sociodemographic characteristics.

Methods

Older inpatients in a comprehensive tertiary hospital in China were involved. Data including sociodemographic, clinical diagnosis, frailty status, and QOL were collected through questionnaires and physical assessments. Frailty was measured using the frailty phenotype defined by Fried. QOL was determined by completion of version 2 of the 12-item Short Form Survey (SF-12v2). Multivariable linear regression and structural equation modeling were applied to estimate associations between frailty and QOL.

Results

260 older inpatients were enrolled and classified as frail (31.92%), pre-frail (39.62%), and robust (28.46%). Patients with frailty were older and were more likely to have severe comorbidity, higher nutritional risk score and lower body mass index, activities of daily living score (P < 0.05). As the extent of frailty increased, the patients in old age experienced poor QOL in most of dimensions. Five multiple linear regression models indicated that the estimated differences in the physical component summary of QOL were lower for the frail and pre-frail groups versus the robust group. After adjusting all covariates, the coefficients were − 7.72 (− 11.04, − 4.41) and − 16.48 (− 20.37, − 12.58) for pre-frail and frail, respectively. Structural equation modeling results showed that sociodemographic characteristics directly affected QOL, while others played an indirect role in reducing their QOL by causing frailty.

Conclusions

Frailty is prevalent in hospitalized patients having older age. Patients with frailty would experience poor QOL, especially in the dimension of physical health. To promote healthy aging, further studies into how frailty influences the QOL is warranted.
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Literatuur
2.
go back to reference Liao, C. X., Ma, H. M., Xu, X., & Wu, J. J. (2017). Prevalence of frailty in Chinese community-dwelling older adults: A meta-analysis. Occupation and Health, 33(20), 2767–2770. Liao, C. X., Ma, H. M., Xu, X., & Wu, J. J. (2017). Prevalence of frailty in Chinese community-dwelling older adults: A meta-analysis. Occupation and Health, 33(20), 2767–2770.
12.
go back to reference Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., & Hirsch, C. (2001). Frailty in older adults: Evidence for a phenotype. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(3), 146–157.CrossRef Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., & Hirsch, C. (2001). Frailty in older adults: Evidence for a phenotype. Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 56(3), 146–157.CrossRef
13.
go back to reference Chen, L. Y., Wu, Y. H., Liu, L. K., Lee, W. J., Hwang, A. C., Peng, L. N., et al. (2018). Association among serum insulin-like growth factor-1, frailty, muscle mass, bone mineral density, and physical performance among community-dwelling middle-aged and older adults in Taiwan. Rejuvenation Research, 21(3), 270–277. https://doi.org/10.1089/rej.2016.1882.CrossRefPubMed Chen, L. Y., Wu, Y. H., Liu, L. K., Lee, W. J., Hwang, A. C., Peng, L. N., et al. (2018). Association among serum insulin-like growth factor-1, frailty, muscle mass, bone mineral density, and physical performance among community-dwelling middle-aged and older adults in Taiwan. Rejuvenation Research, 21(3), 270–277. https://​doi.​org/​10.​1089/​rej.​2016.​1882.CrossRefPubMed
14.
go back to reference Lam, C. L., Tse, E. Y., & Gandek, B. (2005). Is the standard SF-12 health survey valid and equivalent for a Chinese population? Quality of Life Research, 14(2), 539–547.CrossRef Lam, C. L., Tse, E. Y., & Gandek, B. (2005). Is the standard SF-12 health survey valid and equivalent for a Chinese population? Quality of Life Research, 14(2), 539–547.CrossRef
16.
go back to reference Zhao, L. C., Yang, Z., Hu, X., He, Y., & Liu, D. P. (2018). Equivalence of SF-12v2 and SF-36v2 in assessing health related quality of life in a general population in Chengdu. Journal of Sichuan University, 49(1), 87–92. Zhao, L. C., Yang, Z., Hu, X., He, Y., & Liu, D. P. (2018). Equivalence of SF-12v2 and SF-36v2 in assessing health related quality of life in a general population in Chengdu. Journal of Sichuan University, 49(1), 87–92.
17.
go back to reference Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases , 40(5), 373–383.CrossRef Charlson, M. E., Pompei, P., Ales, K. L., & MacKenzie, C. R. (1987). A new method of classifying prognostic comorbidity in longitudinal studies: Development and validation. Journal of Chronic Diseases , 40(5), 373–383.CrossRef
18.
go back to reference Elia, M., & Stratton, R. (2004). On the ESPEN guidelines for nutritional screening 2002. Clinical Nutrition, 23(1), 131–132.CrossRef Elia, M., & Stratton, R. (2004). On the ESPEN guidelines for nutritional screening 2002. Clinical Nutrition, 23(1), 131–132.CrossRef
21.
go back to reference Dong, J., Zhao, Y. T., Li, J., Shi, H., & Xi, H. (2016). Advances in frailty and malnutrition research. Chinese Journal of Geriatrics, 35(8), 907–909. Dong, J., Zhao, Y. T., Li, J., Shi, H., & Xi, H. (2016). Advances in frailty and malnutrition research. Chinese Journal of Geriatrics, 35(8), 907–909.
22.
go back to reference Luger, E., Haider, S., Kapan, A., Schindler, K., Lackinger, C., & Dorner, T. E. (2016). Association between nutritional status and quality of life in (pre) frail community-dwelling older persons. The Journal of Frailty & Aging, 5(3), 141–148. Luger, E., Haider, S., Kapan, A., Schindler, K., Lackinger, C., & Dorner, T. E. (2016). Association between nutritional status and quality of life in (pre) frail community-dwelling older persons. The Journal of Frailty & Aging, 5(3), 141–148.
23.
go back to reference Xu, X. P., Wu, L. Y., Wang, X. L., Xie, Y., Fang, L., & Wang, F. J. (2017). Study on evaluation of frailty syndrome and care dependence of elderly inpatients in Quzhou city. Medicine and Society, 30(8), 64–66. Xu, X. P., Wu, L. Y., Wang, X. L., Xie, Y., Fang, L., & Wang, F. J. (2017). Study on evaluation of frailty syndrome and care dependence of elderly inpatients in Quzhou city. Medicine and Society, 30(8), 64–66.
29.
30.
go back to reference Salem, B. E., Nyamathi, A., Brecht, M. L., Phillips, L. R., Mentes, J. C., Sarkisian, C., et al. (2014). Constructing and identifying predictors of frailty among homeless adults-a latent variable structural equations model approach. Archives of Gerontology and Geriatrics, 58(2), 248–256.CrossRef Salem, B. E., Nyamathi, A., Brecht, M. L., Phillips, L. R., Mentes, J. C., Sarkisian, C., et al. (2014). Constructing and identifying predictors of frailty among homeless adults-a latent variable structural equations model approach. Archives of Gerontology and Geriatrics, 58(2), 248–256.CrossRef
Metagegevens
Titel
The association between sociodemographic factors, frailty, and health-related quality of life in older inpatients: a cross-sectional study
Auteurs
Qiuping Li
Binru Han
Xi Chen
Publicatiedatum
20-06-2020
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 12/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-020-02559-6

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