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Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly

机译:不同生活方式因素对老年人健康相关生活质量的相对贡献

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摘要

Much of the previous literature has studied the relationship between individual lifestyle factors and the health-related quality of life (HRQOL). However, only a few studies combined them to explore their relative importance to the HRQOL in the elderly. This study assesses the HRQOL of the urban, rural, and institutionalized Chinese elderly and explores the relative contributions of different lifestyle factors to their HRQOL. The SF-36v2 Health Survey, the WHOQOL-OLD module, and the socio-demographic and lifestyle questionnaire were utilized in this study. Hierarchical regression was performed in order to analyze the results. The physical and mental component scores of the SF-36v2 survey were 47.05 ± 9.95 and 54.92 ± 9.92, respectively. The total score for the WHOQOL-OLD module was 73.01 ± 11.99, with institutionalized persons reporting lower scores. For the physical component of the elderly participants’ HRQOL, the R2 value changed the most (0.116) when exercise-and-labor-related factors were added in. For the mental component, sleep-related (0.054), and leisure-time-activity-related factors (0.053) caused the largest change of the R2 value. For the elderly-specific HRQOL, measured by the WHOQOL-OLD module, the leisure-time-activity-related factors caused the largest change in the R2 value (0.119), followed by exercise-and-labor-related factors (0.078). Heterogeneity was present among the three subgroups. In sum, compared with their community-dwelling counterparts, the HRQOL of institutionalized older people was relatively poor and different lifestyle factors contributed to the HRQOL differently.
机译:以前的许多文献都研究了个体生活方式因素与健康相关的生活质量(HRQOL)之间的关系。但是,只有少数研究将它们结合起来,以探讨它们对老年人HRQOL的相对重要性。这项研究评估了城市,农村和制度化老年人的HRQOL,并探索了不同生活方式因素对其HRQOL的相对贡献。在这项研究中使用了SF-36v2健康调查,WHOQOL-OLD模块以及社会人口统计学和生活方式问卷。进行了层次回归以分析结果。 SF-36v2调查的身体和精神成分得分分别为47.05±9.95和54.92±9.92。 WHOQOL-OLD模块的总得分为73.01±11.99,其中机构化人员的得分更低。对于老年人参与者的HRQOL的身体成分,当添加与运动和劳动有关的因素时,R 2 值变化最大(0.116)。对于精神成分,与睡眠有关的( R 2 值的变化最大,而休闲时间活动相关因素(0.053)引起的变化最大。对于通过WHOQOL-OLD模块测量的老年人专用HRQOL,休闲时间与活动相关的因素导致R 2 值(0.119)的变化最大,其次是运动和劳动相关因素(0.078)。三个亚组之间存在异质性。总之,与社区居民相比,制度化老年人的HRQOL相对较差,不同的生活方式因素对HRQOL的贡献也不同。

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