The relationship between physical, functional capacity and quality of life (QoL) among elderly people with a chronic disease
Introduction
Old age is the last period of human life, which is unavoidable and irreversible, with unique biological, physiological, psychological and socio-economic features (Norris et al., 2008). During this period, elderly people encounter many health problems. Chronic and degenerative diseases, such as hypertension, osteoporosis, chronic obstructive pulmonary disease (COPD), and diabetes mellitus (DM) are the most frequently experienced health problems in old age (Fortin et al., 2006, Li et al., 2009). Health problems such as physical deficiencies, pain, cancer, cardiovascular diseases, dissatisfaction with life and social isolation are not specific to elderly people; however, they are among the most frequently experienced health problems in old age (Yoem et al., 2008).
A higher number of chronic diseases are consistently associated with a higher prevalence of mobility limitations (Cornoni-Huntley et al., 1991, Kriesgman et al., 2004), and longitudinally with a higher incidence of mobility loss (Guralnik et al., 1993). Most previous studies have addressed cross-sectional associations between the presence of specific chronic diseases and limitations in physical and functional status in elderly people (Peruzza et al., 2003, Ferrucci et al., 2004, Lee et al., 2006, Muszalik et al., 2009). It was found that various chronic diseases seen in elderly people affect physical and emotional dimensions of life, limit people's daily activities and cause their QoL to decrease (Kempen et al., 1999, Wandell and Tovi, 2000, Johansson et al., 2004, Franzen et al., 2007, Carillo et al., 2009).
The present study examined the relationship between physical, functional capacity and QoL among elderly people aged 65 or older who have a chronic disease. The second aim is to examine the relationship between socio-demographic factors and clinical factors (types of disease, number of diseases) in female and male elderly people.
Section snippets
Patients and methods
The present study includes 100 individuals in total (43 females, 57 males) who live in Bolu province, Turkey, and who are 65 or older. The analyses were made using face-to-face interviews. The participants who were literate were asked to complete the questionnaire form; the researcher read the questions on the form and completed the answers given by the participants who had difficulty in reading or who were not literate. The individuals who were included within the study are consisted of
Results
Of the individuals included in the study, 43 (43%) were female, 57 (57%) were male. The socio-demographic data of the participants are given in Table 1.
It was found that cardiovascular diseases are more common among males than females. The other most common health problems among women are skeletal system-related problems, diabetes, urinary or bowel problems and systemic problems; in men, the other most common health problems are musculoskeletal problems, diabetes, urinary and bowel problems,
Discussion
The average age of the individuals included in the present study is in the category of the younger olds, and the average age of men is higher than that of women. The level of education is lower in women; and the rate of overweight individuals and the rate of use of assistive devices for walking in daily life are higher in women. These results of the present study are similar to those of previous studies in the literature (Birtane et al., 2000, Çivi and Tanrikulu, 2000, Van Jaarsveld et al., 2002
Conclusions
In the present study, it was found that there are statistically significant differences between elderly male and female individuals with a chronic disease in terms of kind of disease, number of diseases, level of mobility, functional status and QoL; these differences also affect women in terms of QoL and level of daily life activities. It is thought that, in elderly people with a chronic disease, especially in women, rehabilitation programs to improve physical and functional capacity, exercises
Conflict of interest statement
None.
References (40)
- et al.
Identifying the relationship among mental status, functional independence and mobility level in Turkish institutionalized elderly: gender differences
Arch. Gerontol. Geriatr.
(2006) - et al.
Health-related quality of life in individuals with chronic obstructive pulmonary disease
Heart Lung
(2005) - et al.
Morbidity and quality of life and the moderating effects of level of education in the elderly
Soc. Sci. Med.
(1999) - et al.
Correlates of functional limitations in older Chinese patients with chronic obstructive pulmonary disease in Hong Kong
Heart Lung
(2006) - et al.
Associations of health risk factors and chronic illness with life dissatisfaction among U.S. adults: the behavioral factor surveillance system
Prev. Med.
(2009) - et al.
The effect of medical conditions on the functional limitations of Mexican-American elderly
Ann. Epidemiol.
(1996) - et al.
Age, functional capacity, and health-related quality of life in patients with heart failure
J. Card. Fail.
(2004) - et al.
Functional assessment and health-related quality of life (HRQOL) of elderly patients on the basis of the functional assessment of chronic illness therapy (FACİT)-F questionnaire
Arch. Gerontol. Geriatr.
(2009) - et al.
Gender differences in health-related quality of life among the elderly: the role of objective functional capacity and chronic conditions
Soc. Sci. Med.
(2006) - et al.
Chronic obstructive pulmonary disease (COPD) in elderly subjects: impact on functional status and quality of life
Respir. Med.
(2003)
Obesity: what is an elderly population growing into?
Maturitas
A pilot study of the self-reported quality of life for patients with chronic obstructive pulmonary disease
Heart Lung
Gender-specific changes in quality of life following cardiovascular disease: a prospective study
J. Clin. Epidemiol.
Institutionalization in the elderly: the role of chronic diseases and dementia. Cross-sectional and longitudinal data from a population-based study
J. Clin. Epidemiol.
The coming epidemic of obesity in elderly Americans
J. Am. Geriatr. Soc.
The evaluation of factors effecting quality of life in the residents of Edirne elderly instution
Geriatrics
Role of depressive symptoms and comorbid chronic disease on health-related quality of life among community-dwelling older adults
J. Psychosom. Res.
Measuring quality of life: is quality of life determined by expectations or experience?
Br. Med. J.
Co-morbidity analysis: a strategy for understanding mortality, disability and use of health care facility of older people
Int. J. Epidemiol.
An epidemiological study to evaluate the level of dependence and physical disability with the prevelance of chronic diseases in the elderly
Geriatrics
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