Orthostatic hypotension and health-related quality of life among community-living older people in Korea
- 12-09-2019
Gepubliceerd in:
- Auteurs
- Nahyun Kim
- Jooyeon Park
- Hyunjung Hong
- In Deok Kong
- Hyunwook Kang
- Gepubliceerd in
- Quality of Life Research | Uitgave 1/2020
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Abstract
Purpose
To investigate the association of orthostatic hypotension (OH) with health-related quality of life (HRQoL) in older people living in the community.
Methods
A cross-sectional design was used. A total of 217 participants aged 65 and older were classified as having OH if their systolic or diastolic blood pressure showed a drop of ≥ 20 mmHg systolic blood pressure or ≥ 10 mmHg diastolic blood pressure, respectively, within 3 min of standing. Participants provided demographic and medical information and responded to questionnaires about their HRQoL (EuroQoL-5D-3L), as well as depression, anxiety, cognitive function, and recent physical activities.
Results
The number of participants with OH was 117, and those without OH numbered 100. The mean HRQoL levels were 0.56 (SD 0.29) in the OH group and 0.74 (SD 0.25) in the non-OH group (p < .001). Participants with OH were more likely to be older, women, and smokers. These participants had fewer years of education, a greater history of stroke and hypertension, and a greater number of comorbidities. The absence of OH, a higher physical activity level, a lower degree of depression, an absence of stroke history, and younger age were all significant determinants of greater HRQoL.
Conclusions
The level of HRQoL of older people with OH was significantly lower than that of older people without. The presence of OH was an independent determinant of HRQoL in older adults after adjusting for covariates. This finding suggests that strategies for relieving OH could improve HRQoL in affected older adults.
- Titel
- Orthostatic hypotension and health-related quality of life among community-living older people in Korea
- Auteurs
-
Nahyun Kim
Jooyeon Park
Hyunjung Hong
In Deok Kong
Hyunwook Kang
- Publicatiedatum
- 12-09-2019
- Uitgeverij
- Springer International Publishing
- Gepubliceerd in
-
Quality of Life Research / Uitgave 1/2020
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649 - DOI
- https://doi.org/10.1007/s11136-019-02295-6
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