Feeling good in old age: factors explaining health-related quality of life

Sustained growth in longevity raises questions as to why some individuals report a good quality of life in older ages, while others seem to suffer more markedly the effects of natural deterioration. Health-related quality of life (HRQL) is mediated by several easily measurable factors, including soc...

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Detalles Bibliográficos
Autores: Alcañiz, Manuela, Solé Auró, Aïda
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2018
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:10230/54408
Acceso en línea:http://hdl.handle.net/10230/54408
http://dx.doi.org/10.1186/s12955-018-0877-z
Access Level:acceso abierto
Palabra clave:Oldest-old population
Health-related quality of life
EuroQol-5D
Spain
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spelling Feeling good in old age: factors explaining health-related quality of lifeAlcañiz, ManuelaSolé Auró, AïdaOldest-old populationHealth-related quality of lifeEuroQol-5DSpainSustained growth in longevity raises questions as to why some individuals report a good quality of life in older ages, while others seem to suffer more markedly the effects of natural deterioration. Health-related quality of life (HRQL) is mediated by several easily measurable factors, including socio-demographics, morbidity, functional status and lifestyles. This study seeks to further our knowledge of these factors in order to outline a profile of the population at greater risk of poor ageing, and to identify those attributes that might be modified during younger stages of the life course. We use nationally representative data for Catalonia (Spain) to explain the HRQL of the population aged 80-plus. Cross-sectional data from 2011 to 2016 were provided by an official face-to-face survey. HRQL was measured using EQ-VAS – the EuroQol-5D visual analogue scale – which summarizes current self-perceived health. Multivariate linear regression was used to identify variables influencing the EQ-VAS score. Sociodemographic factors, including being older, female, poorly educated and belonging to a low social class, were related with poor HRQL at advanced ages. The presence of severe mobility problems, pain/discomfort, and anxiety/depression were highly correlated to the HRQL of the elderly, while problems of self-care and with usual activities had a weaker association. Encouraging the young to stay in education, as well as to adopt healthier lifestyles across the lifespan, might ensure better HRQL when individuals reach old age. More multidisciplinary research is required to understand the multifaceted nature of quality of life in the oldest-old population.This study was supported by the Spanish Ministry of Economy and Competitiveness under Grants ECO2015–66314-R and CSO2016–80484-R. The authors also acknowledge funding from PCIN-2016-005 under the second Joint Programming Initiative “More Years Better Lives”, a study that belongs to the multi-country project “Care, Retirement & Wellbeing of Older People Across Different Welfare Regimes” (CREW).BioMed Central202220222018info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttp://hdl.handle.net/10230/54408http://dx.doi.org/10.1186/s12955-018-0877-zreponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésHealth and Quality of Life Outcomes. 2018 Mar 13;16:48info:eu-repo/grantAgreement/ES/1PE/CSO2016-80484-Rinfo:eu-repo/grantAgreement/ES/1PE/ECO2015-66314-R© The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.http://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:recercat.cat:10230/544082026-05-29T05:05:01Z
dc.title.none.fl_str_mv Feeling good in old age: factors explaining health-related quality of life
title Feeling good in old age: factors explaining health-related quality of life
spellingShingle Feeling good in old age: factors explaining health-related quality of life
Alcañiz, Manuela
Oldest-old population
Health-related quality of life
EuroQol-5D
Spain
title_short Feeling good in old age: factors explaining health-related quality of life
title_full Feeling good in old age: factors explaining health-related quality of life
title_fullStr Feeling good in old age: factors explaining health-related quality of life
title_full_unstemmed Feeling good in old age: factors explaining health-related quality of life
title_sort Feeling good in old age: factors explaining health-related quality of life
dc.creator.none.fl_str_mv Alcañiz, Manuela
Solé Auró, Aïda
author Alcañiz, Manuela
author_facet Alcañiz, Manuela
Solé Auró, Aïda
author_role author
author2 Solé Auró, Aïda
author2_role author
dc.subject.none.fl_str_mv Oldest-old population
Health-related quality of life
EuroQol-5D
Spain
topic Oldest-old population
Health-related quality of life
EuroQol-5D
Spain
description Sustained growth in longevity raises questions as to why some individuals report a good quality of life in older ages, while others seem to suffer more markedly the effects of natural deterioration. Health-related quality of life (HRQL) is mediated by several easily measurable factors, including socio-demographics, morbidity, functional status and lifestyles. This study seeks to further our knowledge of these factors in order to outline a profile of the population at greater risk of poor ageing, and to identify those attributes that might be modified during younger stages of the life course. We use nationally representative data for Catalonia (Spain) to explain the HRQL of the population aged 80-plus. Cross-sectional data from 2011 to 2016 were provided by an official face-to-face survey. HRQL was measured using EQ-VAS – the EuroQol-5D visual analogue scale – which summarizes current self-perceived health. Multivariate linear regression was used to identify variables influencing the EQ-VAS score. Sociodemographic factors, including being older, female, poorly educated and belonging to a low social class, were related with poor HRQL at advanced ages. The presence of severe mobility problems, pain/discomfort, and anxiety/depression were highly correlated to the HRQL of the elderly, while problems of self-care and with usual activities had a weaker association. Encouraging the young to stay in education, as well as to adopt healthier lifestyles across the lifespan, might ensure better HRQL when individuals reach old age. More multidisciplinary research is required to understand the multifaceted nature of quality of life in the oldest-old population.
publishDate 2018
dc.date.none.fl_str_mv 2018
2022
2022
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10230/54408
http://dx.doi.org/10.1186/s12955-018-0877-z
url http://hdl.handle.net/10230/54408
http://dx.doi.org/10.1186/s12955-018-0877-z
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Health and Quality of Life Outcomes. 2018 Mar 13;16:48
info:eu-repo/grantAgreement/ES/1PE/CSO2016-80484-R
info:eu-repo/grantAgreement/ES/1PE/ECO2015-66314-R
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info:eu-repo/semantics/openAccess
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