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Quality of Life Research

Gepubliceerd in:

16-10-2023

Relationship between intrinsic capacity and health-related quality of life among community-dwelling older adults: the moderating role of social support

Auteurs: Jiaqi Yu, Yaru Jin, Huaxin Si, Yanhui Bian, Qinqin Liu, Yanyan Li, Cuili Wang

Gepubliceerd in: Quality of Life Research | Uitgave 1/2024

Abstract

Purpose

To examine how social support might moderate the relationship between intrinsic capacity and health-related quality of life (HRQoL) based on the buffering model of social support.

Methods

This was a cross-sectional study with a sample of 1181 Chinese community-dwelling older adults aged ≥ 60 years in 2016. Social support was assessed using the Social Support Rating Scale. Intrinsic capacity was assessed using the revised integrated care for older people screening tool. HRQoL was measured by the 12-item Short Form Health Survey. Hierarchical linear regression analysis was implemented to test the moderating effect of social support.

Results

Support utilization attenuated the relationship between lower intrinsic capacity and poor physical HRQoL while subjective support attenuated the relationship between lower intrinsic capacity and poor mental HRQoL. However, objective support had no significant moderating effect on the relationship between intrinsic capacity and specific domains of HRQoL.

Conclusion

The moderating effects of social support on the association between intrinsic capacity and HRQoL vary by support types. Effective interventions should target the perception and utilization of available support among older adults with lower intrinsic capacity to maintain their physical and mental HRQoL.

vorige artikel Mediational roles of stress-coping factors in the relationship between patient-perceived communication quality and physical functioning: racial difference between Chinese and Non-Hispanic White American breast cancer survivors

volgende artikel Patient adherence to patient-reported outcome measure (PROM) completion in clinical care: current understanding and future recommendations

Alleen toegankelijk voor geautoriseerde gebruikers

Schipper, H., Clinch, J., & Olweny, C. (1996). Quality of Life Studies: Definitions and Conceptual Issues. Lippincott-Raven.

World Health Organization. (2015). World Report on Ageing and Health (No. 978-92-4-156504-2)

Cesari, M., de Carvalho, I. A., Thiyagarajan, J. A., Cooper, C., Martin, F. C., Reginster, J.-Y., Vellas, B., & Beard, J. R. (2018). Evidence for the domains supporting the construct of intrinsic capacity. Journals of Gerontology Series A-Biological Sciences and Medical Sciences, 73(12), 1653–1660. https://doi.org/10.1093/gerona/gly011CrossRefPubMed

Cesari, M., Sumi, Y., Han, Z. A., Perracini, M., Jang, H., Briggs, A., Amuthavalli Thiyagarajan, J., Sadana, R., & Banerjee, A. (2022). Implementing care for healthy ageing. BMJ Global Health. https://doi.org/10.1136/bmjgh-2021-007778CrossRefPubMedPubMedCentral

Ma, L., Chhetri, J. K., Zhang, L., Sun, F., Li, Y., & Tang, Z. (2021). Cross-sectional study examining the status of intrinsic capacity decline in community-dwelling older adults in China: Prevalence, associated factors and implications for clinical care. British Medical Journal Open, 11(1), e043062. https://doi.org/10.1136/bmjopen-2020-043062CrossRef

Zeng, X., Shen, S., Xu, L., Wang, Y., Yang, Y., Chen, L., Guan, H., Zhang, J., & Chen, X. (2021). The impact of intrinsic capacity on adverse outcomes in older hospitalized patients: A one-year follow-up study. Gerontology. https://doi.org/10.1159/000512794CrossRefPubMed

Yu, J., Si, H., Qiao, X., Jin, Y., Ji, L., Liu, Q., Bian, Y., Wang, W., & Wang, C. (2021). Predictive value of intrinsic capacity on adverse outcomes among community-dwelling older adults. Geriatric Nursing, 42(6), 1257–1263. https://doi.org/10.1016/j.gerinurse.2021.08.010CrossRefPubMed

Stephens, C., Allen, J., Keating, N., Szabo, A., & Alpass, F. (2020). Neighborhood environments and intrinsic capacity interact to affect the health-related quality of life of older people in New Zealand. Maturitas, 139, 1–5. https://doi.org/10.1016/j.maturitas.2020.05.008CrossRefPubMed

Salinas-Rodríguez, A., González-Bautista, E., Rivera-Almaraz, A., & Manrique-Espinoza, B. (2022). Longitudinal trajectories of intrinsic capacity and their association with quality of life and disability. Maturitas, 161, 49–54. https://doi.org/10.1016/j.maturitas.2022.02.005CrossRefPubMed

10.

Sarla, E., Lambrinou, E. C., Galanis, P., Kalokairinou, A., Sourtzi, P. J. G., & Medicine, G. (2020). Factors that influence the relationship between social support and health-related quality of life of older people living in the community. Gerontology Geriatric Medicine, 6, 2333721420911474. https://doi.org/10.1177/2333721420911474CrossRefPubMedPubMedCentral

11.

Huang, L., & Li, J. (2015). Comparison of quality of life and social support of older adults in ChengDu City. Chinese Journal of Gerontology, 35, 6546–6547.

12.

Etxeberria, I., Urdaneta, E., & Galdona, N. (2019). Factors associated with health-related quality of life (HRQoL): Differential patterns depending on age. Quality of Life Research, 28(8), 2221–2231. https://doi.org/10.1007/s11136-019-02182-0CrossRefPubMed

13.

Tajvar, M., Fletcher, A., Grundy, E., Karami, B., & Mohabbati, F. (2022). Gender interaction in association of perceived social support and health-related quality of life among iranian older people: A cross-sectional survey. Health Promotion Perspectives, 12(1), 56–66. https://doi.org/10.34172/hpp.2022.08CrossRefPubMedPubMedCentral

14.

Kong, L. N., Zhang, N., Yuan, C., Yu, Z. Y., Yuan, W., & Zhang, G. L. (2021). Relationship of social support and health-related quality of life among migrant older adults: The mediating role of psychological resilience. Geriatric Nursing, 42(1), 1–7. https://doi.org/10.1016/j.gerinurse.2020.10.019CrossRefPubMed

15.

Gao, J., Hu, H., & Yao, L. (2020). The role of social engagement in the association of self-reported hearing loss and health-related quality of life. BMC Geriatrics, 20(1), 182. https://doi.org/10.1186/s12877-020-01581-0CrossRefPubMedPubMedCentral

16.

Lawton, M. P., & Nahemow, L. (1973). Ecology and the aging process.

17.

Moser, S., Luxenberger, W., & Freidl, W. (2017). The influence of social support and coping on quality of life among elderly with age-related hearing loss. American Journal of Audiology, 26(2), 170–179. https://doi.org/10.1044/2017_aja-16-0083CrossRefPubMed

18.

Lim, S. C., Chan, Y. M., & Gan, W. Y. (2023). Social and health determinants of quality of life of community-dwelling older adults in Malaysia. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph20053977CrossRefPubMedPubMedCentral

19.

Roberts, H. J., Johnson, K. M., Sullivan, J. E., & Hoppes, C. W. (2023). Balance confidence and balance performance, but not fall history are associated with quality of life in community-dwelling older adults: A cross sectional study. Journal of Geriatric Physical Therapy (2001), 46(1), 82–89. https://doi.org/10.1519/jpt.0000000000000349CrossRefPubMed

20.

Tsaras, K., Tsiantoula, M., Papagiannis, D., Papathanasiou, I. V., Chatzi, M., Kelesi, M., Kaba, E., & Fradelos, E. C. (2022). The effect of depressive and insomnia symptoms in quality of life among community-dwelling older adults. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph192013704CrossRefPubMedPubMedCentral

21.

Sarla, E., Lambrinou, E. C., Galanis, P., Kalokairinou, A., Sourtzi, P. J. G., & Medicine, G. (2020). Factors that influence the relationship between social support and health-related quality of life of older people living in the community. Gerontology and Geriatric Medicine, 6, 233372142091147.CrossRef

22.

Borras, C., Ingles, M., Mas-Bargues, C., Dromant, M., Sanz-Ros, J., Román-Domínguez, A., Gimeno-Mallench, L., Gambini, J., & Viña, J. (2020). Centenarians: An excellent example of resilience for successful ageing. Mechanisms of Ageing and Development, 186, 111199. https://doi.org/10.1016/j.mad.2019.111199CrossRefPubMed

23.

Kong, L. N., Hu, P., Yao, Y., & Zhao, Q. H. (2019). Social support as a mediator between depression and quality of life in Chinese community-dwelling older adults with chronic disease. Geriatric Nursing, 40(3), 252–256. https://doi.org/10.1016/j.gerinurse.2018.10.014CrossRefPubMed

24.

Cohen, S., & Wills, T. A. (1985). Stress, social support, and the buffering hypothesis. Psychological Bulletin, 98(2), 310–357.CrossRefPubMed

25.

Baltes, P. B., & Baltes, M. M. (1989). Selective optimization with compensation—a psychological model of successful aging. Zeitschrift für Pädagogik, 35, 85–105.

26.

Pfeiffer, E. (1975). A short portable mental status questionnaire for the assessment of organic brain deficit in elderly patients. Journal of the American Geriatrics Society, 23(10), 433–441. https://doi.org/10.1111/j.1532-5415.1975.tb00927.xCrossRefPubMed

27.

World Health Organization. (2019). Integrated care for older people (ICOPE): guidance for person-centred assessment and pathways in primary care (No. 978-92-4-155010-9).

28.

Ware, J., Jr., Kosinski, M., & Keller, S. D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. https://doi.org/10.1097/00005650-199603000-00003CrossRefPubMed

29.

Shou, J., Ren, L., Wang, H., Yan, F., Cao, X., Wang, H., Wang, Z., Zhu, S., & Liu, Y. (2016). Reliability and validity of 12-item short-form health survey (SF-12) for the health status of Chinese community elderly population in Xujiahui district of Shanghai. Aging Clinical and Experimental Research, 28(2), 339–346. https://doi.org/10.1007/s40520-015-0401-9CrossRefPubMed

30.

Xiao, S. (1994). Theoretical basis and research applications of social support rating scale. Journal of Clinical Psychiatry, 4, 98–100.

31.

Van Nguyen, T., Van Nguyen, H., Duc Nguyen, T., Van Nguyen, T., & The Nguyen, T. (2017). Difference in quality of life and associated factors among the elderly in rural Vietnam. Journal of Preventive Medicine and Hygiene, 58(1), E63–E71.PubMedPubMedCentral

32.

Campos, A. C., e Ferreira, E. F., Vargas, A. M., & Albala, C. (2014). Aging, gender and quality of life (AGEQOL) study: Factors associated with good quality of life in older Brazilian community-dwelling adults. Health and Quality of Life Outcomes, 12, 166. https://doi.org/10.1186/s12955-014-0166-4CrossRefPubMedPubMedCentral

33.

Dai, H., Jia, G., & Liu, K. (2015). Health-related quality of life and related factors among elderly people in Jinzhou, China: A cross-sectional study. Public Health, 129(6), 667–673. https://doi.org/10.1016/j.puhe.2015.02.022CrossRefPubMed

34.

Wang, Q., Liu, X., Zhu, M., Pang, H., Kang, L., Zeng, P., Ge, N., Qu, X., Chen, W., & Hong, X. (2020). Factors associated with health-related quality of life in community-dwelling elderly people in China. Geriatrics & Gerontology International, 20(5), 422–429. https://doi.org/10.1111/ggi.13895CrossRef

35.

Lou, Y., Xu, L., Carlsson, M., Lan, X., & Engström, M. (2022). Quality of life of older people in nursing homes in China-evaluation and application of the Chinese version of the life satisfaction questionnaire. BMC Geriatrics, 22(1), 328. https://doi.org/10.1186/s12877-022-03040-4CrossRefPubMedPubMedCentral

36.

Wu, H., Han, S., Zhang, G., Wu, W., & Tang, N. (2020). Health-related quality of life and determinants in North-China urban community residents. Health and Quality of Life Outcomes, 18(1), 280. https://doi.org/10.1186/s12955-020-01522-wCrossRefPubMedPubMedCentral

37.

Carstensen, L. L., Isaacowitz, D. M., & Charles, S. T. (1999). Taking time seriously. A theory of socioemotional selectivity. American Psychologist, 54(3), 165–181. https://doi.org/10.1037//0003-066x.54.3.165CrossRefPubMed

38.

Charles, S. T. (2010). Strength and vulnerability integration: A model of emotional well-being across adulthood. Psychological Bulletin, 136(6), 1068–1091. https://doi.org/10.1037/a0021232CrossRefPubMedPubMedCentral

39.

Nicholson, K., Makovski, T. T., Griffith, L. E., Raina, P., Stranges, S., & van den Akker, M. (2019). Multimorbidity and comorbidity revisited: Refining the concepts for international health research. Journal of Clinical Epidemiology, 105, 142–146. https://doi.org/10.1016/j.jclinepi.2018.09.008CrossRefPubMed

40.

Miller, J. W., Stromeyer, W. R., & Schwieterman, M. A. (2013). Extensions of the Johnson–Neyman technique to linear models with curvilinear effects: Derivations and analytical tools. Multivariate Behavioral Research, 48(2), 267–300. https://doi.org/10.1080/00273171.2013.763567CrossRefPubMed

41.

Tchalla, A., Laubarie-Mouret, C., Cardinaud, N., Gayot, C., Rebiere, M., Dumoitier, N., Rudelle, K., Druet-Cabanac, M., Laroche, M. L., & Boyer, S. (2022). Risk factors of frailty and functional disability in community-dwelling older adults: A cross-sectional analysis of the FREEDOM-LNA cohort study. BMC Geriatrics, 22(1), 762. https://doi.org/10.1186/s12877-022-03447-zCrossRefPubMedPubMedCentral

42.

Merchant, R. A., Liu, S. G., Lim, J. Y., Fu, X., & Chan, Y. H. (2020). Factors associated with social isolation in community-dwelling older adults: A cross-sectional study. Quality of Life Research, 29(9), 2375–2381. https://doi.org/10.1007/s11136-020-02493-7CrossRefPubMed

43.

Jin, Y., Si, H., Qiao, X., Tian, X., Liu, X., Xue, Q. L., & Wang, C. (2020). Relationship between frailty and depression among community-dwelling older adults: The mediating and moderating role of social support. The Gerontologist, 60(8), 1466–1475. https://doi.org/10.1093/geront/gnaa072CrossRefPubMed

44.

Liao, Y. H., Kao, T. W., Peng, T. C., & Chang, Y. W. (2021). Gender differences in the association between physical activity and health-related quality of life among community-dwelling elders. Aging Clinical and Experimental Research, 33(4), 901–908. https://doi.org/10.1007/s40520-020-01597-xCrossRefPubMed

45.

Gallicchio, L., Hoffman, S. C., & Helzlsouer, K. J. (2007). The relationship between gender, social support, and health-related quality of life in a community-based study in Washington County Maryland. Quality of Life Research, 16(5), 777–786. https://doi.org/10.1007/s11136-006-9162-4CrossRefPubMed

46.

Abdul Mutalip, M. H., Abdul Rahim, F. A., Mohamed Haris, H., Yoep, N., Mahmud, A. F., Salleh, R., Lodz, N. A., Sooryanarayana, R., Maw Pin, T., & Ahmad, N. A. (2020). Quality of life and its associated factors among older persons in Malaysia. Geriatrics & Gerontology International, 20(Suppl 2), 92–97. https://doi.org/10.1111/ggi.13961CrossRef

47.

Wethington, E., & Kessler, R. C. (1986). Perceived support, received support, and adjustment to stressful life events. Journal of Health and Social Behavior, 27(1), 78–89.CrossRefPubMed

48.

Jalali-Farahani, S., Amiri, P., Karimi, M., Vahedi-Notash, G., Amirshekari, G., & Azizi, F. (2018). Perceived social support and health-related quality of life (HRQoL) in Tehranian adults: Tehran lipid and glucose study. Health and Quality of Life Outcomes, 16(1), 90. https://doi.org/10.1186/s12955-018-0914-yCrossRefPubMedPubMedCentral

49.

Yi, J., Zhong, B., & Yao, S. (2014). Health-related quality of life and influencing factors among rural left-behind wives in Liuyang. China. BMC Womens Health, 14, 67. https://doi.org/10.1186/1472-6874-14-67CrossRefPubMed

50.

Kim, J., & Lee, J. E. (2018). Social support and health-related quality of life among elderly individuals living alone in South Korea: A cross-sectional study. The Journal of Nursing Research, 26(5), 316–323. https://doi.org/10.1097/jnr.0000000000000241CrossRefPubMed

51.

Wang, C., Lin, S., Ma, Y., & Wang, Y. (2021). The mediating effect of social support on the relationship between perceived stress and quality of life among shidu parents in China. Health and Quality of Life Outcomes, 19(1), 104. https://doi.org/10.1186/s12955-021-01726-8CrossRefPubMedPubMedCentral

52.

Dumitrache, C. G., Rubio, L., Rubio-Herrera, R. J. A., & Health, M. (2017). Perceived health status and life satisfaction in old age, and the moderating role of social support. Aging & Mental Health, 21, 751–757.CrossRef

53.

Yaghoobzadeh, A., Sharif Nia, H., Pahlevan Sharif, S., Hosseinigolafshani, S. Z., Mohammadi, F., Oveisi, S., & Allen, K. A. (2018). Role of sex, socioeconomic status, and emotional support in predicting aging perception among older adults. International Journal of Aging and Human Development, 87(1), 77–89. https://doi.org/10.1177/0091415017727211CrossRefPubMed

54.

Hong, J. H., Lachman, M. E., Charles, S. T., Chen, Y., Wilson, C. L., Nakamura, J. S., VanderWeele, T. J., & Kim, E. S. (2021). The positive influence of sense of control on physical, behavioral, and psychosocial health in older adults: An outcome-wide approach. Preventive Medicine, 149, 106612. https://doi.org/10.1016/j.ypmed.2021.106612CrossRefPubMed

55.

Wu, F., & Sheng, Y. (2019). Social support network, social support, self-efficacy, health-promoting behavior and healthy aging among older adults: A pathway analysis. Archives of Gerontology and Geriatrics, 85, 103934. https://doi.org/10.1016/j.archger.2019.103934CrossRefPubMed

56.

Moreno-Tamayo, K., Manrique-Espinoza, B., Ramírez-García, E., & Sánchez-García, S. (2020). Social isolation undermines quality of life in older adults. International Psychogeriatrics, 32(11), 1283–1292. https://doi.org/10.1017/s1041610219000310CrossRefPubMed

57.

Liu, J., Wei, W., Peng, Q., & Xue, C. (2020). Perceived health and life satisfaction of elderly people: Testing the moderating effects of social support, attitudes toward aging, and senior privilege. Journal of Geriatric Psychiatry and Neurology, 33(3), 144–154. https://doi.org/10.1177/0891988719866926CrossRefPubMed

58.

Aljeaidi, M. S., Haaksma, M. L., & Tan, E. C. K. (2022). Polypharmacy and trajectories of health-related quality of life in older adults: An Australian cohort study. Quality of Life Research, 31(9), 2663–2671. https://doi.org/10.1007/s11136-022-03136-9CrossRefPubMedPubMedCentral

59.

Nikitin, J., & Freund, A. M. (2019). The adaptation process of aging (pp. 281–298). Cambridge University Press.

60.

Reed, A. E., & Carstensen, L. L. (2012). The theory behind the age-related positivity effect. Frontiers in Psychology, 3, 339. https://doi.org/10.3389/fpsyg.2012.00339CrossRefPubMedPubMedCentral

61.

Worthy, D. A., Gorlick, M. A., Pacheco, J. L., Schnyer, D. M., & Maddox, W. T. (2011). With age comes wisdom: Decision making in younger and older adults. Psychological Science, 22(11), 1375–1380. https://doi.org/10.1177/0956797611420301CrossRefPubMed

62.

Grossmann, I., Na, J., Varnum, M. E., Park, D. C., Kitayama, S., & Nisbett, R. E. (2010). Reasoning about social conflicts improves into old age. Proceedings of the National Academy of Sciences, 107(16), 7246–7250. https://doi.org/10.1073/pnas.1001715107CrossRef

63.

Lu, J., Yu, Z., Zhang, X., Wu, M., Lin, S., Zhu, Y., Xu, Z., You, L., Wei, F., Tang, M., Jin, M., Wang, J., & Chen, K. (2020). Association between social health status and health-related quality of life among community-dwelling elderly in Zhejiang. Health and Quality of Life Outcomes, 18(1), 110. https://doi.org/10.1186/s12955-020-01358-4CrossRefPubMedPubMedCentral

64.

López-Ortega, M., & Konigsberg, M. (2020). Health-related quality of life among Jewish older persons in Mexico and its determinants. Health and Quality of Life Outcomes, 18(1), 152. https://doi.org/10.1186/s12955-020-01401-4CrossRefPubMedPubMedCentral

65.

Spini, D., Bernardi, L., & Oris, M. (2017). Toward a life course framework for studying vulnerability. Research in Human Development, 14, 25–25.

66.

Shapira, S., Cohn-Schwartz, E., Yeshua-Katz, D., Aharonson-Daniel, L., Clarfield, A. M., & Sarid, O. (2021). Teaching and practicing cognitive-behavioral and mindfulness skills in a web-based platform among older adults through the COVID-19 pandemic: A pilot randomized controlled trial. International Journal of Environmental Research and Public Health. https://doi.org/10.3390/ijerph182010563CrossRefPubMedPubMedCentral

67.

Lapena, C., Continente, X., Sánchez Mascuñano, A., Mari dell’Olmo, M., & López, M. J. (2022). Effectiveness of a community intervention to reduce social isolation among older people in low-income neighbourhoods. European Journal of Public Health, 32(5), 677–683. https://doi.org/10.1093/eurpub/ckac100CrossRefPubMedPubMedCentral

68.

Rodríguez-Romero, R., Herranz-Rodríguez, C., Kostov, B., Gené-Badia, J., & Sisó-Almirall, A. (2021). Intervention to reduce perceived loneliness in community-dwelling older people. Scandinavian Journal of Caring Sciences, 35(2), 366–374. https://doi.org/10.1111/scs.12852CrossRefPubMed

Titel: Relationship between intrinsic capacity and health-related quality of life among community-dwelling older adults: the moderating role of social support
Auteurs: Jiaqi Yu
Yaru Jin
Huaxin Si
Yanhui Bian
Qinqin Liu
Yanyan Li
Cuili Wang
Publicatiedatum: 16-10-2023
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 1/2024
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-023-03520-z

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Abstract

Purpose

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