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. 2024 Jun 21;14(1):14351.
doi: 10.1038/s41598-024-64539-x.

Factors associated with health-related quality of life among community-dwelling older adults: the APPCARE study

Esmée L S Bally  1 , Sophie A Korenhof  1 , Lizhen Ye  1 , Amy van Grieken  1 , Siok Swan Tan  2 , Francesco Mattace-Raso  3 , Elena Procaccini  4 , Tamara Alhambra-Borrás  5 , Hein Raat  6
Affiliations

Factors associated with health-related quality of life among community-dwelling older adults: the APPCARE study

Esmée L S Bally et al. Sci Rep. .

Abstract

This study aimed to identify the factors associated with health-related quality of life (HRQOL) among community-dwelling older adults. Physical and mental HRQOL were measured by the 12-item Short Form Health Survey (SF-12) at baseline and follow-up. Linear regression models were used to evaluate associations between socio-demographic, health, and lifestyle factors and HRQOL. The sample included 661 participants (mean age = 77.4 years). Frailty was negatively associated with physical HRQOL (B = - 5.56; P < 0.001) and mental HRQOL (B = - 6.65; P < 0.001). Participants with a higher score on activities of daily living (ADL) limitations had lower physical HRQOL (B = - 0.63; P < 0.001) and mental HRQOL (B = - 0.18; P = 0.001). Female sex (B = - 2.38; P < 0.001), multi-morbidity (B = - 2.59; P = 0.001), and a high risk of medication-related problems (B = - 2.84; P < 0.001) were associated with lower physical HRQOL, and loneliness (B = - 3.64; P < 0.001) with lower mental HRQOL. In contrast, higher age (B = 2.07; P = 0.011) and living alone (B = 3.43; P < 0.001) were associated with better mental HRQOL in the multivariate models. Future interventions could be tailored to subpopulations with relatively poor self-reported HRQOL, such as frail or lonely older adults to improve their HRQOL.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
Population of analysis.
See this image and copyright information in PMC

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