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Quality of Life Research
Gepubliceerd in: Quality of Life Research 2/2024

15-11-2023

Perceived health- related quality of life in persons with multiple sclerosis with and without a vascular comorbidity

Auteurs: Lindsay O. Neto, Jennifer A. Ruiz, Elizabeth S. Gromisch

Gepubliceerd in: Quality of Life Research | Uitgave 2/2024

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Abstract

Purpose

Vascular comorbidities are prevalent and can contribute to adverse health outcomes in persons with multiple sclerosis (PwMS). Understanding the association between vascular comorbidities and health-related quality of life (HRQOL) among PwMS may be beneficial in improving outcomes and disease management. This cross-sectional study aimed to examine the relationship between vascular comorbidities and the different dimensions of HRQOL in PwMS.

Methods

Participants (n = 185) were PwMS recruited from a community-based comprehensive MS care center. Demographics, comorbid conditions, and disability level were collected via a self-report REDCap survey, with the 29-item Multiple Sclerosis Quality of Life (MSQOL-29) as the outcome measure. Regression models were used to examine the association between vascular comorbidities and the MSQOL-29, controlling for age, gender, ethnicity, level of education, marital status, MS subtype, disease duration, and disability.

Results

Approximately 35% reported at least one vascular comorbidity, with the most common being hypertension (27.0%), followed by hyperlipidemia (24.9%) and diabetes (8.1%). After factoring in for demographics and disability, having a vascular comorbidity was associated with lower physical HRQOL (β = – 10.05, 95% CI: – 28.24, 23.50), but not mental HRQOL (β = – 2.61, 95% CI: – 10.54, 5.32). Hypertension was negatively associated with several dimensions of HRQOL, including Physical Function, Change in Health, Health Perceptions, Energy, and Health Distress.

Conclusions

 Having at least one vascular comorbidity is associated with lower physical HRQOL, independent of demographics and level of physical disability. Focus should be directed to the physical burden and challenges vascular comorbidities may cause on the lives of PwMS.
vorige artikel Quality of life in postmenopausal women with osteoporosis and osteopenia: associations with bone microarchitecture and nutritional status
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Metagegevens
Titel
Perceived health- related quality of life in persons with multiple sclerosis with and without a vascular comorbidity
Auteurs
Lindsay O. Neto
Jennifer A. Ruiz
Elizabeth S. Gromisch
Publicatiedatum
15-11-2023
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 2/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-023-03546-3

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