Age and sex differences in associations between self-reported health, physical function, mental function and mortality

Lin, Ming Hsien; Chen, Li Ju; Huang, Sheng‐Teng; Meng, Lili; Lee, Wei Ju; Peng, Li Ning; Hsiao, Fei‐Yuan; Chen, Liang Kung

doi:10.1016/j.archger.2021.104537

Cited by 23 publications

(11 citation statements)

References 42 publications

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“…Prior studies demonstrated that women reported poorer health status than men, and it is plausible that the gender gap may be attributed to factors such as biological, sociobehavioral, and psychological inequalities, and women may have more chronic conditions that are nonfatal but are debilitating to be linked with self-reported health problems . Likewise, current findings of employment and marriage status associated with discordance may suggest societal factors contributing to the clinician vs patient interpretation of symptoms . Furthermore, clinicians may tend to exclude breath shortness due to COPD from HF while patients do not.…”

Section: Discussionmentioning

confidence: 89%

New York Heart Association Class and Kansas City Cardiomyopathy Questionnaire in Acute Heart Failure

Huo,

Pu,

Wang

et al. 2023

JAMA Netw Open

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ImportanceSparse data exist regarding how clinician-assigned New York Heart Association (NYHA) class compares with heart failure (HF)–specific Kansas City Cardiomyopathy Questionnaire (KCCQ) in acute HF.ObjectiveTo compare concordance between NYHA class and KCCQ overall summary score (KCCQ-OS) in acute HF and investigate associations of changes in NYHA class and KCCQ-OS with long-term outcomes.Design, Setting, and ParticipantsIn this cohort study, patients with HF were enrolled from 52 hospitals in China between August 2016 and May 2018. Among patients with NYHA class and KCCQ-OS at admission and 1 month, levels of each scale were categorized into 4 groups from worst to best. Mild and moderate to severe discordance were defined as NYHA class and KCCQ-OS differing by 1 level or 2 or more levels, respectively. Multivariable models evaluated associations between improvements in the 2 measures and outcomes. Analysis was conducted from January to March 2023.ExposureChanges in NYHA class and KCCQ-OS from admission to 1 month.Main Outcomes and MeasuresAll-cause mortality, cardiovascular death, or first HF rehospitalization.ResultsA total of 2683 patients (1709 [63.7%] male; median [IQR] age, 66 [56-75] years) were included. NYHA class II, III, and IV were presented in 374 patients (13.9%), 1179 patients (44.0%), and 1130 patients (42.1%), respectively, and the median (IQR) KCCQ-OS was 44.4 (28.3-61.9). Concordance, mild discordance, and moderate to severe discordance between admission NYHA class and KCCQ-OS occurred in 954 patients (35.6%), 1203 patients (44.8%), and 526 patients (19.6%), respectively. For KCCQ-OS, kernel density overlaps were 73.6% between NYHA II and III, 63.8% between NYHA II and IV, and 88.3% between NYHA III and IV. Most patients experienced improvements in NYHA and KCCQ-OS from admission to 1 month. After adjustment, there was no significant association between improvements in NYHA class and 4-year all-cause mortality, whereas 5 or more point improvements in KCCQ-OS were independently associated with a lower risk of 4-year mortality (hazard ratio, 0.84; 95% CI, 0.74-0.96; P = .01). NYHA class and KCCQ-OS improvements were both associated with decreased risk of 1-year composite cardiovascular death or HF rehospitalization.Conclusions and RelevanceIn this cohort study of acute HF, discordance between NYHA class and KCCQ was common, and KCCQ was more relevant to subsequent mortality than NYHA class.

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Section: Discussionmentioning

confidence: 89%

New York Heart Association Class and Kansas City Cardiomyopathy Questionnaire in Acute Heart Failure

Huo,

Pu,

Wang

et al. 2023

JAMA Netw Open

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“…The results of the meta-analysis, which included the data of 40,550 adults, show that the respondents who undertook systematic physical activity, compared to women and men with moderate and low activity, were less likely to develop mental disorders. The highest risk group was those who led a sedentary lifestyle [66], while the level of physical activity, physical fitness, mental health, cognitive processes and the quality of functioning in social interactions were higher in men than in women [67][68][69][70].…”

Section: Discussionmentioning

confidence: 99%

The Structure of the Relationship between Physical Activity and Psychosocial Functioning of Women and Men during the COVID-19 Epidemic in Poland

Mazur

Bartoń

2022

IJERPH

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Since the coronavirus disease (COVID-19) pandemic is a serious crisis in many countries around the world, it is important to conduct empirical research aimed at identifying risks and factors protecting the functioning of people affected by it. For this reason, the goals of the present research were to determine the level of physical activity and the severity of symptoms characteristic of mental disorders, cognitive disorders and the quality of social functioning, as well as the structure of the relationship between physical activity and psychosocial functioning of 226 women and 226 men during the COVID-19 epidemic in Eastern Poland. The research was conducted using the IPAQ-SF Questionnaire, GHQ-28 Questionnaires, TUS Test-6/9 version, the original SFS Scale and a self-developed sociodemographic survey. The collected data indicate that women as compared to men show lower levels of weekly physical activity, walking, moderate activity, vigorous activity and quality of functioning in family relationships, but higher severity of mental health disorders, somatic symptoms, functional disorders, depressive symptoms, cognitive disorders, perceptual work disorders, attention deficits and higher quality of functioning in work relationships. On the other hand, the structural model indicates that physical activity, interacting with mental health disorders and cognitive disorders, is positively associated with the social functioning of the respondents, and gender is the moderator of the occurring dependencies. This suggests that physical activity adapted to the condition of health may be an important component of gender-individualized psychopreventive interventions.

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“…Although previous studies have examined outcomes and disparities among different ethnic populations [9,10,16,19,20,30,31], there is a paucity of evidence on relevant ADLs and their importance in the Asian-Indian populace. ADLs performed by people in North America and Europe may not be entirely applicable to Asian and Middle Eastern cultures [22].…”

Section: Introductionmentioning

confidence: 99%

What Are Culturally Relevant Activities of Daily Living in the Asian-Indian Population? A Survey of 402 Patients With Knee Pain

Kulkarni

Mathew

Vatti

et al. 2023

Clin Orthop Relat Res

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BackgroundPatient-reported outcome measures are essential tools in assessing clinical outcomes. Although several patient-reported outcome measures such as the Oxford Knee Score and Knee Injury and Osteoarthritis Outcome Score have been developed and validated, their applicability in the Asian-Indian population may be limited; key cultural differences including varying functional demands, ethnicity-specific necessities, and social expectations represent a unique collection of needs. Such differences include preferences toward ground-level activities and those favoring the manual completion of tasks.Questions/purposes(1) Which activities of daily living (ADLs) do patients in an Asian-Indian population consider the most important? (2) How do the categories of ADLs (personal care, household, work, travel, and recreation) vary among patients of different gender (men and women) and age (< 60 and > 60 years) groups?MethodsA cross-sectional study was conducted in October 2019 at a hospital in Mumbai, India. We developed a questionnaire with five domains for physical activity (personal care, household, work, travel, and recreation) formulated from a review and modification of existing categories identified by the WHO and the American Heart Association. Forty key ADLs were identified according to input obtained from detailed interviews of healthcare providers involved in the care of patients with orthopaedic illness, based on established domains. Respondents were instructed to identify the ADLs that were the most relevant to their lifestyle and culture. Responses from 402 patients (mean age 60 ± 12 years; 51% [206 of 402] were women) were analyzed to identify the most commonly selected ADLs. Responses were further evaluated to understand the impact of gender and age on these preferences by comparing men and women, as well as younger (age < 60 years) and older (age > 60 years) patients.ResultsThe three most frequently reported ADLs in each domain, representing the ADLs that were the most important to the Asian-Indian population, were standing without assistance (82% [331 of 402]), getting up with support (81% [324 of 402]), and toilet use (74% [298 of 402]) in the personal activity category; climbing stairs (80% [322 of 402]), sitting cross-legged (80% [320 of 402]), and praying (79% [319 of 402]) in the household activity category; going to the market (72% [291 of 402]), long-distance walking (62% [250 of 402]), and carrying a shopping bag (60% [242 of 402]) in the work activity category; walking on an uneven surface (66% [266 of 402]), using a taxi (61% [247 of 402]), and traveling by train (59% [239 of 402]) in the travel activity category; and yoga (67% [269 of 402]), playing with children (66% [264 of 402]), and indoor games (63% [252 of 402]) in the recreational activity category. The order of importance of ADL domains was identical in the men versus women groups as well as in the younger age versus older age groups; ADL domains with the highest number of selected ADLs in order of decreasing importance were hou...

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Age and sex differences in associations between self-reported health, physical function, mental function and mortality

Cited by 23 publications

References 42 publications

New York Heart Association Class and Kansas City Cardiomyopathy Questionnaire in Acute Heart Failure

New York Heart Association Class and Kansas City Cardiomyopathy Questionnaire in Acute Heart Failure

The Structure of the Relationship between Physical Activity and Psychosocial Functioning of Women and Men during the COVID-19 Epidemic in Poland

What Are Culturally Relevant Activities of Daily Living in the Asian-Indian Population? A Survey of 402 Patients With Knee Pain

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