Mental component of health-related quality of life is an independent predictor of incident functional disability among community-dwelling older people: a prospective cohort study

Tomioka, Kimiko; Shima, Midori; Saeki, Keigo

doi:10.1007/s11136-021-02780-x

Cited by 9 publications

(5 citation statements)

References 45 publications

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“…The results from the current study agree with a previous clinical trial, [25] a more recent systematic review, [26] and other recent studies. [27][28][29] Moreover, this study findings align with other studies, which discovered that patients with KOA from North, Central, and South America, Europe, Asia, and Brazil significantly impacted their quality of life. [4,18,[30][31][32] These patients characteristics, such as gender, body weight, physical activity, mental health, pain, non-optimal nutrition, and education, impact their quality of life.…”

Section: Discussionsupporting

confidence: 90%

A conceptual model of factors associated with health-related quality of life in men and women with knee osteoarthritis in Riyadh, Saudi Arabia: A multicenter cross-sectional study

et al. 2023

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This study used a conceptual model to examine the factors influencing physical, mental, and overall health-related quality of life (HRQoL) in women and men aged 45 and older with knee osteoarthritis (KOA) in Saudi Arabia. In this multicenter cross-sectional study, we randomly included 356 individuals aged 45 years or above with doctor-confirmed KOA from the orthopedic and physiotherapy departments of the 5 tertiary hospitals in Riyadh, Saudi Arabia, between March 2016 and March 2017. We split all participants into men (n = 146) and women (n = 210) based on gender. A conceptual model was developed using the HRQoL influential potential factors, such as age, sex, education, occupation, and way of eating (sociodemographic), and clinical factors, such as osteoarthritis knee and its severity, duration, pain, and body mass index. The 36-item short form health survey and its subscales of the physical composite scale and mental composite scale were used to evaluate overall HRQoL, physical, and mental health, respectively. We used unadjusted multiple linear regression analyses to investigate the associations between gender-specific potential factors and HRQoL outcomes. Women and men aged between 60 and 64 years were more strongly associated significantly with less physical composite scale score by −3.17, (standard error [SE] = 1.71, P = .021) and −3.18 (SE = 1.69, P = .023) respectively, followed by the primary school or less education by −3.40 (SE = 1.27, P = .0002), severe KOA of −8.94 (SE = 0.99, P < .001), eating on the floor bending the knee of −3.93 (SE = 1.63, P = .042), and pain of −2.39 (SE = 0.26, P < .0001). Women and men with primary school or less education significantly had low mental composite scale and 36-item short form health survey scores of −3.07 (SE = 1.22, P = .041) and −3.23 (SE = 0.99, P = .018), respectively, followed by severe KOA of −4.07 (SE = 1.22, P = .001) and −6.50 (SE = 0.83, P < .0001) and eating on the floor, extending the knee at −3.35 (SE = 1.74, P = .043). Risk factors like age, education, pain, body mass index, and severe KOA are linked to poor physical, mental, and overall HRQoL among women and men in Saudi Arabia.

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Section: Discussionsupporting

confidence: 90%

A conceptual model of factors associated with health-related quality of life in men and women with knee osteoarthritis in Riyadh, Saudi Arabia: A multicenter cross-sectional study

et al. 2023

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“…Although more research is needed to establish a link between the frequency of Internet use and mental health among older adults, frequent Internet use during the COVID-19 pandemic may have a positive impact on mental health among older adults. Because poor mental health status such as psychological distress [ 9 ] and decreased QOL [ 38 ] is a risk factor for incident disability in community-dwelling older adults, frequent Internet use may have prevented the deterioration in mental health due to social distancing and prevented the onset of disability.…”

Section: Discussionmentioning

confidence: 99%

Longitudinal association between frequency of Internet use and incident disability among community-dwelling older people during the COVID-19 pandemic

Tomioka,

Shima,

Saeki

2024

Environ. Health Prev. Med.

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Background There is limited evidence of a protective effect of Internet use for incident disability (ID) during the COVID-19 pandemic. We investigated the association between frequency of Internet use (FIU) and ID among community-dwelling older people. Methods We used longitudinal data from the 2019 and 2022 surveys, including 7,913 residents aged ≥65 without disability at baseline. ID was defined as a new public long-term care insurance certification. FIU at baseline was categorized into daily, weekly, monthly, yearly, and non-users. Changes in FIU before and during the COVID-19 pandemic were categorized into continuing frequent (i.e., daily or weekly), continuing moderate (i.e., monthly or yearly), increase in frequency, from non-users to users, decrease in frequency, from users to non-users, and continuing non-users. Covariates included age, gender, education, perceived economic situation, family structure, body mass index, chronic medical conditions, dietary variety, working status, walking time, and cognitive functioning. Multivariable Poisson regression models were used to estimate adjusted cumulative incidence ratio (aCIR) and 95% confidence interval (CI) for ID. Results During the 3-year follow-up, 132 of 4,453 people aged 65–74, 595 of 3,460 people aged ≥75, 287 of 3,660 men, and 440 of 4,253 women developed ID. For FIU at baseline, among people aged ≥75 or men, there was a dose-response relationship between more frequent Internet use at baseline and a lower risk of ID ( P -trend was 0.005 in people aged ≥75, and <0.001 in men). Compared to non-users, daily users had a significantly lower risk of ID [aCIR (95% CI) = 0.69 (0.53–0.90) in people aged ≥75, and 0.49 (0.34–0.70) in men]. For changes in FIU, “continuing frequent” and “from non-users to users” had a lower risk of ID than continuing non-users. After stratified analyses, “continuing frequent” remained a significant association in people aged ≥75 or in men, while “from non-users to users” had a significant association in those with daily walking time <30 minutes. Conclusions Although FIU may act as a marker of disability, or indicate individual adaptability, our findings suggest that Internet use may be a potential preventive measure against ID in community-dwelling older people when social distancing is required. Supplementary information The online version contains supplementary material available at https://doi.org/10.1265/ehpm.23-00207 .

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“…In the SF-36 scale, the PCS and MCS indicate physical and mental status, respectively. Kimiko et al ( 42 ) examined 8,333 patients and found that the MCS was an independent predictor of old age, whereas the PCS was not. We also found that mental status might be the primary reason for disparities in QOL between patients treated with DMC or IF.…”

Section: Discussionmentioning

confidence: 99%

Dual-mobility cup total hip arthroplasty improves the quality of life compared to internal fixation in femoral neck fractures patients with severe neuromuscular disease in the lower extremity after stroke: a retrospective study

Liang

Chen

et al. 2023

Front. Surg.

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BackgroundThis study aimed to demonstrate that dual-mobility cup total hip arthroplasty (DMC-THA) can significantly improve the quality of life (QOL) of elderly femoral neck fracture patients with severe neuromuscular disease in unilateral lower extremities due to stroke hemiplegia compared to internal fixation (IF).MethodsFifty-eight cases of severe neuromuscular disease in the unilateral lower extremities with muscle strength < grade 3/5 due to stroke were retrospectively examined From January 2015 to December 2020. Then, patients were divided into DMC and IF groups. The QOL was examined using the EQ-5D and SF-36 outcome measures. The physical and mental statuses were assessed using the Barthel Index (BI) and e Fall Efficacy Scale-International (FES-I), respectively.ResultsPatients in the DMC group had higher BI scores than those in the IF group at different time point. Regarding mental status, the FES-I mean score was 42.1 ± 5.3 in the DMC group and 47.3 ± 5.6 in the IF group (p = 0.002). For the QOL, the mean SF-36 score was 46.1 ± 18.3 for the health component and 59.5 ± 15.0 for the mental component in the DMC group compared to 35.3 ± 16.2 (p = 0.035), and 46.6 ± 17.4 (p = 0.006) compared to the IF group. The mean EQ-5D-5L values were 0.733 ± 0.190 and 0.303 ± 0.227 in the DMC and IF groups (p = 0.035), respectively.ConclusionDMC-THA significantly improved postoperative QOL compared to IF in elderly patients with femoral neck fractures and severe neuromuscular dysfunction in the lower extremity after stroke. The improved outcomes were related to the enhanced early, rudimentary motor function of patients.

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Mental component of health-related quality of life is an independent predictor of incident functional disability among community-dwelling older people: a prospective cohort study

Cited by 9 publications

References 45 publications

A conceptual model of factors associated with health-related quality of life in men and women with knee osteoarthritis in Riyadh, Saudi Arabia: A multicenter cross-sectional study

A conceptual model of factors associated with health-related quality of life in men and women with knee osteoarthritis in Riyadh, Saudi Arabia: A multicenter cross-sectional study

Longitudinal association between frequency of Internet use and incident disability among community-dwelling older people during the COVID-19 pandemic

Dual-mobility cup total hip arthroplasty improves the quality of life compared to internal fixation in femoral neck fractures patients with severe neuromuscular disease in the lower extremity after stroke: a retrospective study

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