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

Abstract

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.

Authors+Show Affiliations

Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. ppflyman1@stu.xjtu.edu.cn.Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. ppflyman1@stu.xjtu.edu.cn.Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. ppflyman1@stu.xjtu.edu.cn.Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. ppflyman1@stu.xjtu.edu.cn.Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. ppflyman1@stu.xjtu.edu.cn.Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. ppflyman1@stu.xjtu.edu.cn.Department of Epidemiology and Biostatistics, School of Public Heath, Xi'an Jiaotong University Health Science Center, No. 76 West Yanta Road, Xi'an, 710061, China. zhuanggh@mail.xjtu.edu.cn.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29401658

Citation

Zhang, Xiaona, et al. "Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly." International Journal of Environmental Research and Public Health, vol. 15, no. 2, 2018.
Zhang X, Xia R, Wang S, et al. Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly. Int J Environ Res Public Health. 2018;15(2).
Zhang, X., Xia, R., Wang, S., Xue, W., Yang, J., Sun, S., & Zhuang, G. (2018). Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly. International Journal of Environmental Research and Public Health, 15(2), doi:10.3390/ijerph15020256.
Zhang X, et al. Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly. Int J Environ Res Public Health. 2018 02 3;15(2) PubMed PMID: 29401658.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly. AU - Zhang,Xiaona, AU - Xia,Ruyi, AU - Wang,Shu, AU - Xue,Wei, AU - Yang,Jian, AU - Sun,Shuliu, AU - Zhuang,Guihua, Y1 - 2018/02/03/ PY - 2017/12/28/received PY - 2018/01/28/revised PY - 2018/02/01/accepted PY - 2018/2/7/entrez PY - 2018/2/7/pubmed PY - 2018/12/12/medline KW - health-related quality of life KW - hierarchical regression KW - lifestyle KW - older people KW - the SF-36v2 Health Survey KW - the WHOQOL-OLD module JF - International journal of environmental research and public health JO - Int J Environ Res Public Health VL - 15 IS - 2 N2 - 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. SN - 1660-4601 UR - https://www.unboundmedicine.com/medline/citation/29401658/Relative_Contributions_of_Different_Lifestyle_Factors_to_Health_Related_Quality_of_Life_in_the_Elderly_ L2 - http://www.mdpi.com/resolver?pii=ijerph15020256 DB - PRIME DP - Unbound Medicine ER -