Michelle J Naughton1, Robert L Brunner2, Patricia E Hogan3, Suzanne C Danhauer3, Gretchen A Brenes4, Deborah J Bowen5, Beverly M Snively3, Joseph S Goveas6, Nazmus Saquib7, Oleg Zaslavsky8, Sally A Shumaker3. 1. Division of Population Sciences, Department of Internal Medicine, The Ohio State University, Columbus, Ohio. michelle.naughton@osumc.edu. 2. University of Nevada, Reno, Nevada. 3. Division of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, North Carolina. 4. Department of Psychiatry and Behavioral Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina. 5. Department of Bioethics and Humanities, University of Washington, School of Medicine, Seattle, Washington. 6. Department of Psychiatry and Behavioral Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin. 7. College of Medicine, Sulaiman Al-Rajhi Colleges, Kingdom of Saudi Arabia. 8. Health Sciences and Social Welfare, University of Haifa, Haifa, Israel.
Abstract
BACKGROUND: The number of older adults living to age 80 and older is increasing rapidly, particularly among women. Correlates of quality of life (QOL) in very advanced ages are not known. We examined the association of demographic, social-psychological, lifestyle, and physical health variables with global QOL in a Women's Health Initiative (WHI) cohort of women aged 80 and older. METHODS: 26,299 WHI participants, who had completed a recent psychosocial and medical update, were included in these analyses. Global QOL was assessed by a single item, asking the women to rate their overall QOL on a scale from 0 to 10. Characteristics of the women were examined by the level of their transformed global QOL scores (≤50, 50-70, ≥70), and multiple regression was used to examine which demographic, social-psychological, lifestyle and health variables were independently associated with higher global QOL. RESULTS: Social-psychological and current health variables were more strongly associated with global QOL than a history of selected comorbid conditions. In particular, higher self-rated health and fewer depressive symptoms were the most strongly associated with better global QOL in WHI women ≥80 years. CONCLUSIONS: Interventions to reduce depressive symptoms and improve health may lead to better self-reported health and global QOL among older women. Physical and mental health screenings followed by evidence-based interventions are imperative in geriatric care.
BACKGROUND: The number of older adults living to age 80 and older is increasing rapidly, particularly among women. Correlates of quality of life (QOL) in very advanced ages are not known. We examined the association of demographic, social-psychological, lifestyle, and physical health variables with global QOL in a Women's Health Initiative (WHI) cohort of women aged 80 and older. METHODS: 26,299 WHI participants, who had completed a recent psychosocial and medical update, were included in these analyses. Global QOL was assessed by a single item, asking the women to rate their overall QOL on a scale from 0 to 10. Characteristics of the women were examined by the level of their transformed global QOL scores (≤50, 50-70, ≥70), and multiple regression was used to examine which demographic, social-psychological, lifestyle and health variables were independently associated with higher global QOL. RESULTS: Social-psychological and current health variables were more strongly associated with global QOL than a history of selected comorbid conditions. In particular, higher self-rated health and fewer depressive symptoms were the most strongly associated with better global QOL in WHI women ≥80 years. CONCLUSIONS: Interventions to reduce depressive symptoms and improve health may lead to better self-reported health and global QOL among older women. Physical and mental health screenings followed by evidence-based interventions are imperative in geriatric care.
Authors: F Giorgi; R Cellerino; A Gramazio; D Tummarello; E T Menichetti; P Giordani; S Antognoli; F Carle; A Piga Journal: Am J Clin Oncol Date: 1996-08 Impact factor: 2.339
Authors: Luigi Grassi; Rosangela Caruso; Chiara Da Ronch; Martin Härter; Holger Schulz; Jana Volkert; Maria Dehoust; Susanne Sehner; Anna Suling; Karl Wegscheider; Berta Ausín; Alessandra Canuto; Manuel Muñoz; Mike J Crawford; Yael Hershkovitz; Alan Quirk; Ora Rotenstein; Ana Belén Santos-Olmo; Arieh Shalev; Jens Strehle; Kerstin Weber; Hans-Ulrich Wittchen; Sylke Andreas; Martino Belvederi Murri; Luigi Zerbinati; Maria Giulia Nanni Journal: Health Qual Life Outcomes Date: 2020-03-06 Impact factor: 3.186