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Randomized Controlled Trial
. 2007 Sep;33(3):214-8.
doi: 10.1016/j.amepre.2007.04.031.

Health-related quality of life in older adults at risk for disability

Erik J Groessl  1 , Robert M Kaplan, W Jack Rejeski, Jeffrey A Katula, Abby C King, Georita Frierson, Nancy W Glynn, Fang-Chi Hsu, Michael Walkup, Marco Pahor
Affiliations
Randomized Controlled Trial

Health-related quality of life in older adults at risk for disability

Erik J Groessl et al. Am J Prev Med. 2007 Sep.

Abstract

Background: The number of older adults living in the United States continues to increase, and recent research has begun to target interventions to older adults who have mobility limitations and are at risk for disability. The objective of this study is to describe and examine correlates of health-related quality of life in this population subgroup using baseline data from a larger intervention study.

Methods: The Lifestyle Interventions and Independence for Elders-Pilot study (LIFE-P) was a randomized controlled trial that compared a physical activity intervention to a non-exercise educational intervention among 424 older adults at risk for disability. Baseline data (collected in April-December 2004, analyzed in 2006) included demographics, medical history, the Quality of Well-Being Scale (QWB-SA), a timed 400-m walk, and the Short Physical Performance Battery (SPPB). Descriptive health-related quality of life (HRQOL) data are presented. Hierarchical linear regression models were used to examine correlates of HRQOL.

Results: The mean QWB-SA score for the sample was 0.630 on an interval scale ranging from 0.0 (death) to 1.0 (asymptomatic, optimal functioning). The mean of 0.630 is 0.070 lower than a comparison group of healthy older adults. The variables associated with lower HRQOL included white ethnicity, more comorbid conditions, slower 400-m walk times, and lower SPPB balance and chair stand scores.

Conclusions: Older adults who are at risk for disability had reduced HRQOL. Surprisingly, however, mobility was a stronger correlate of HRQOL than an index of comorbidity, suggesting that interventions addressing mobility limitations may provide significant health benefits to this population.

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Conflict of interest statement

No financial conflict of interest was reported by the authors of this paper.

References

    1. Patla AE, Shumway-Cook A. Dimensions of mobility: Defining the complexity and difficulty associated with community mobility. Journal of Aging and Physical Activity. 1999;7(1):7–19.
    1. Fried LP, Bandeen-Roche K, Chaves PH, Johnson BA. Preclinical mobility disability predicts incident mobility disability in older women. J Gerontol A Biol Sci Med Sci. 2000;55(1):M43–52. - PubMed
    1. Guralnik JM, LaCroix AZ, Abbott RD, Berkman LF, Satterfield S, Evans DA, et al. Maintaining mobility in late life. I. Demographic characteristics and chronic conditions. Am J Epidemiol. 1993;137(8):845–57. - PubMed
    1. Ferrucci L, Penninx BW, Leveille SG, Corti MC, Pahor M, Wallace R, et al. Characteristics of nondisabled older persons who perform poorly in objective tests of lower extremity function. J Am Geriatr Soc. 2000;48(9):1102–10. - PubMed
    1. Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995;332(9):556–61. - PMC - PubMed

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