The Impact of Depression and Malnutrition on Health-Related Quality of Life Among the Elderly Iranians

Keshavarzi, Sareh; Ahmadi, Seyed Mehdi; Lankarani, Kamran Bagheri

doi:10.5539/gjhs.v7n3p161

Cited by 39 publications

(45 citation statements)

References 34 publications

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“…The overall poor QOL observed in this study is consistent with previous studies from Nepal's capital city of Kathmandu, where older patients in an outpatient clinic [16] and nursing homes [17] settings, had a lower overall QOL score. Previous studies, from international settings, are in line with our findings [22,23]. Further, a gradient decline in the odds of poor QOL was noted by increasing age group which is in line with a previous study from Nepal where age was inversely associated with QOL [24].…”

Section: Discussionsupporting

confidence: 93%

Biosocial and disease conditions affecting the quality of life among older adults in Eastern Nepal

Yadav¹,

Thapa

Mistry

et al. 2020

Preprint

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Background The ageing population in most low-and middle-income countries is accompanied by an increased risk of non-communicable diseases culminating in a poor quality of life. However, the factors accelerating this poor quality of life (QOL) have not been fully examined. Therefore, this study examined the factors influencing the quality of life of Nepali older adults.Methods Data from a previous cross-sectional study, conducted between January and April 2018 in eastern Nepal, was used. The analytical sample included 794 older adults aged ≥60 years, selected by a multi-stage cluster sampling approach. QOL was measured using the Older People’s Quality of Life tool; dichotomized as poor and good QOL. Other measures used included age, gender, ethnicity, religion, marital status, physical activity and chronic diseases such as osteoarthritis, cardiovascular disease, diabetes, chronic obstructive pulmonary disease (COPD), and depression. The factors associated with quality of life were examined using mixed-effects logistic regression.Results Seven in ten respondents (70.4%) reported a poor quality of life. At the bivariate level, increasing age, unemployment, intake of alcohol, lack of physical activity as well as osteoarthritis, COPD and depression were significantly associated with a lower likelihood of a good quality of life. The adjusted model showed that older age (AOR=0.50, p<0.05), the Christian religion (AOR=0.38, p<0.01), and being from an Indigenous, Dalit, or Madheshi background were associated with a lower likelihood of good quality of life. However, higher income of >Nrs 10,000 (AOR=3.34, p<0.001), daily physical activity (AOR=3.33, p<0.001), and the absence of osteoarthritis and depression were associated with a higher odds ratio of good quality of life.Conclusion The findings of this study echo the need to develop and implement policies aimed at improving the socio-cultural and disease conditions that catalyse poor quality of life in this population.

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Section: Discussionsupporting

confidence: 93%

Biosocial and disease conditions affecting the quality of life among older adults in Eastern Nepal

Yadav¹,

Thapa

Mistry

et al. 2020

Preprint

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“…Given the results, the comparative study of the QOL among the elderly is sought. The female majority in the sample is close to other findings [26][27][28]. Even given this reality in both scenarios, the gender was not significantly associated with QOL.…”

Section: Discussionsupporting

confidence: 57%

“…Having a strong connection to this domain, the depression had an important focus when evaluating the mental and emotional aspects of the QOL of the elderly [28]. Recently, low QOL scores have been found in elderly patients with depressive symptoms when compared to elderly patients without these symptoms [26].…”

Section: Discussionmentioning

confidence: 99%

Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

Miranda¹,

Torres²,

Toscano³

et al. 2017

int arch med

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Background: To characterize the demands of health and quality of life of elderly people monitored in the primary care of Rio Grande do Norte/Brazil. Methods and Findings:This is a descriptive, cross-sectional study of a quantitative approach with elderly patients monitored by the primary care. The sample was given for convenience, obtaining 120 participants. The research was conducted through an interview with theapplication of the following questionnaires: Mini Mental State Examination, Socio-demographic Data and Pain Characteristics, ShortForm-36, Mini Nutritional Assessment, the primary activities of daily living, the instrumental activities of daily living, Prism 7 and the Geriatric Depression Scale. Data analysis was performed using the SPSS statistical program, in which descriptive and association tests were used. Results:The main demands were related to functionality, followed by nutritional and geriatric depression. The quality of life presented worse results in the domain of general health status and better scores in the emotional and mental health aspects. Regarding the dimensions, the physical health obtained aworse score. Conclusion:Based on the found characterization of the health demands, it is suggested to perform other studies with the same population, enabling to plan and implementing a multidimensional intervention and improving the quality of life of the elderly people.

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“…According to BMI, the depression is high among the elderly who were underweight and according to MNA scale, the depression is high among malnourished (88.9%) and among the elderly at risk of malnutrition (76.1%) when compared to the elderly who were having normal nutritional status and is corroborated with some studies. (21,24,25)Depression is significantly associated with the presence of anemia among the elderly and is supported by a study done in Chianti (26) and in Sao Paulo (27)As the severity of anemia increases, the proportion of depression also increases from 36.4% in the elderly with mild anemia to 61.9% in the elderly with severe anemia. Binary logistic regression analysis showed that the increase in the burden of depression is significantly associated with lower socio economic status,the elderly who were widow/widower/ separated compared to currently married, the elderly who are malnourished or at risk of malnutrition and the presence of co-morbidities.…”

Section: Discussionmentioning

confidence: 52%

A Study on the Prevalence of Depression and its Associated Factors among the Elderly in Kancheepuram District, South India

Pushparani¹,

Chitrasena²,

Ramasubramanian³

2017

NJRCM

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Background: The proportion of the elderly persons is increasing, most of the people lives in rural areas and depression among the elderly impairs the functioning in daily life. As people age, they experience multiple chronic health problems. Health problems when compounded with depression, worsens the clinical outcome still further. Objectives:To assess the prevalence of depression and its associated factors among the elderly. Materials and methods: This is a part of a larger study, conducted as a community based cross sectional study on nutrition and health status of the elderly.Data was collected on an interview schedule in the local language among 496 the elderly persons (60 years and above) selected by multi stage sampling technique from Kancheepuram District in Tamil Nadu using semi -structured questionnaire. Nutritional assessment done using Mini Nutritional Assessment (MNA) scale, hemoglobin estimation by Cyano-methemoglobin method and depression scaleusing Geriatric Depression Scale -Short Form (15 questions).Results:Nearly half (47.8%) of the elderly were depressed. It was found that depression is high in labourers, poorly educated, females, those living alone, without their spouse, financially dependent and lower socio economic status and with co -morbidities, anemia and malnutrition. Multi variateanalysis revealed a significant association of depressionin the elderlywith lower socio economic status (OR = 1.97), those not living with their spouse (OR= 4.5), who were malnourished or at risk of malnutrition (OR = 5.8) and who had co-morbidities including anemia and Malnutrition (OR = 1.79). Conclusion: There is an urgent need to address depression among the elderly. Mental health services to the elderly should be incorporated in the screening services rendered in primary health care settings for a proper care and support to improve their quality of life.

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The Impact of Depression and Malnutrition on Health-Related Quality of Life Among the Elderly Iranians

Cited by 39 publications

References 34 publications

Biosocial and disease conditions affecting the quality of life among older adults in Eastern Nepal

Biosocial and disease conditions affecting the quality of life among older adults in Eastern Nepal

Health Demands Characteristics and Quality of Life in the Elderly Monitored in the Primary Care

A Study on the Prevalence of Depression and its Associated Factors among the Elderly in Kancheepuram District, South India

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