A Path Analysis on Factors - Depression, Level of Health status, Physical Function, and Regular Exercise - Influencing Health Related Quality of Life according to sex in Community dwelling Elderly

Park, Jeong-Mo; Kim, Chungsook; Kim, MI-Won

doi:10.5932/jkphn.2016.30.2.337

Cited by 5 publications

(10 citation statements)

References 7 publications

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“…Concerning the health of older adults, the management of their physical functioning is vital for their mental health [21,22]. It is natural for bodily functions to decline with age.…”

Section: Discussionmentioning

confidence: 99%

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Physical Functioning, Depressive Symptoms, and Suicidal Ideation among Older Korean Adults

Sim

Lee

Kim

2021

IJERPH

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Previous studies have shown that the physical functioning of older adults directly affects their depressive symptoms, and suicide is also closely associated with depression. This study determined the effects of physical functioning on depressive symptoms and suicidal ideation among older Korean adults. This study used data from the 2017 National Survey of Older Persons. Among the 10,299 participants in the entire data set, 10,083 participants were analyzed, excluding 216 participants who did not respond to the dependent variables. Data analyses included frequency, chi-squared tests, and binary logistic regression. The results indicated that physical functioning among older adults was associated with reduced depressive symptoms and suicidal ideation. Compared to the group that had non-limited activities of daily living (ADL) function, the group with limitations was 1.66 times more likely to show depressive symptoms (OR: 1.66, 95% CI: 1.36–2.02). Similar trends were observed in instrumental activities of daily living (IADL) (OR: 1.85, 95% CI: 1.58–2.16). When suicidal ideation was set as a dependent variable, IADL had a statistically significant impact (OR: 1.41, 95% CI: 1.14–1.74); however, ADL did not seem to have an impact. Moreover, both ADL (OR: 1.62, 95% CI: 1.35–1.94) and IADL (OR: 1.72, 95% CI: 1.49–1.97) had statistically significant effects when combined with depressive symptoms and suicidal ideation. Better physical functioning was associated with a reduction in depressive symptoms and suicidal ideation. This study emphasizes the importance of physical functioning when examining older adults’ mental health.

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“…Concerning the health of older adults, the management of their physical functioning is vital for their mental health [21,22]. It is natural for bodily functions to decline with age.…”

Section: Discussionmentioning

confidence: 99%

“…It is natural for bodily functions to decline with age. However, this decline in physical functioning can be prevented by physical activity [9,22,23]. Exercise has an effective antidepressant action and has a positive effect on mental health [24].…”

Section: Discussionmentioning

confidence: 99%

Physical Functioning, Depressive Symptoms, and Suicidal Ideation among Older Korean Adults

Sim

Lee

Kim

2021

IJERPH

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“…Health-related Quality of life (HRQoL) can be defined as the subjective satisfaction with life in the physical, psychological, spiritual, and socioeconomic areas [12,13], which becomes more of an issue as life expectancy increases [14]. Factors affecting the healthrelated quality of life of the elderly include gender, socioeconomic level, physical and mental health, performance of daily life activities, subjective health status, and health behaviors [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, HRQoL is low in patients with decreased muscle mass, high BMI, and limited physical activity [15,17], and health behaviors, such as drinking, smoking, and exercise, affect HRQoL [1,18]. Park [12] found that the four variables of depression, physical function, health level, and regular exercise encompass 26% of the variance in women's HRQoL.…”

Section: Introductionmentioning

confidence: 99%

Health-Related Quality of Life of Elderly Women with Fall Experiences

Song

Lee

2021

IJERPH

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This study aimed to describe the health-related quality of life of elderly women with experience in fall treatment as well as to prepare basic data for the development of interventions to improve the quality of life for this group. The study was based on raw data from the 2019 Korea Community Health Survey. Using the SPSS program, the characteristics of the subjects were tested by frequency, percentage, and chi-square test. To establish the impact of fall experience on the health-related quality of life of elderly women, the OR and 95% CI were calculated using multiple logistic regression analysis. Of the 4260 people surveyed, 44.7% of the elderly women said they had a high quality of life, whereas 55.3% of the elderly women said they had a low quality of life. A younger age was associated with a better-rated health-related quality of life. Those who lived in a city and had a high level of education tended to describe a high quality of life. The quality of life was considered high by those who exercised, but low by those who were obese or diabetic. The results of this study can lead to a better understanding of the experiences of elderly women who have experienced falls, and they can be used as basic data for the development of related health programs.

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“…Body functions were shown to have the second largest path to QoL and an indirect impact on QoL through mental health, an intervening variable, meaning that low objective levels of body functions (the muscle strength, flexibility, balance, cardiopulmonary endurance, etc.) can support the possibility of depression [ 83 ], and decreased mental health and, as a consequence, result in lower QoL [ 83 , 84 ]. However, there is limited research on objective body functions [ 83 ].…”

Section: Discussionmentioning

confidence: 99%

Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone

Park

2022

PLoS ONE

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Aims Living alone, a reality in an increasing number of older adults recently, is a risk factor for low quality of life. This study identified the predictors of quality of life in older adults living alone based on mental health and the International Classification of Functioning, Disability, and Health. Methods This secondary data analysis used information from the 2018 Assessing the Requirements of Customized Health Care and Daily Living Support Services survey (N = 1,022), collected from adults aged ≥ 65 living alone in Siheung City, South Korea, from August to October 2018. The exogenous variables were body functions (hand grip strength, timed “up and go” test score, and body mass index), daily living activities (Korean Instrumental Activities of the Daily Living Scale), social activity participation (social activity engagement, neighbor contacts, and family contacts), and participation in economic activity (frequency). The endogenous variables were mental health (Geriatric Depression Scale Short Form—Korean Version and UCLA Loneliness Scale) and quality of life (EuroQoL-5 Dimension-3 Level and EuroQoL-Visual Analog Scale). Results After modifying the hypothetical model, which had failed to satisfy the recommended fitness level, the (modified) model had good fitness indices Q (CMIN / df) 2.90, GFI 1, AGFI 1, RMSEA 0.04, CFI 0.90 and PCFI 0.53. Of the nine pathways of the modified model, five were statistically significant. Quality of life was affected by body functions, daily living activities, social activity participation, and mental health. These variables explained 68.2% of the factors affecting quality of life. Conclusions By highlighting the role of mental health, this model provides a useful framework for improving the quality of life of older adults who live alone and function at various levels in the community. Focusing on advancing mental health through body functions, daily living activities, and social activity participation can improve quality of life.

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A Path Analysis on Factors - Depression, Level of Health status, Physical Function, and Regular Exercise - Influencing Health Related Quality of Life according to sex in Community dwelling Elderly

Cited by 5 publications

References 7 publications

Physical Functioning, Depressive Symptoms, and Suicidal Ideation among Older Korean Adults

Physical Functioning, Depressive Symptoms, and Suicidal Ideation among Older Korean Adults

Health-Related Quality of Life of Elderly Women with Fall Experiences

Structural equation model of the relationship between functional ability, mental health, and quality of life in older adults living alone

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