Quality of life, falls and functional mobility of Portuguese older adults, during the COVID pandemic 19
DOI:
https://doi.org/10.47197/retos.v52.95705Keywords:
SF-36, Falls, Mobility, TUG, Healthy AgingAbstract
Background The confinement imposed by the COVID-19 pandemic resulted in a change in the lives of the elderly, which may have affected their quality of life and health. Objective: Describe the quality of life related to health and verify its association with the occurrence of falls and functional mobility of Portuguese elderly during the COVID-19 pandemic. Methods: Descriptive observational study. Participants were 182 older adults, aged > 65 years (85.7% female; age 72.7 ± 6.7 years), from Baixo Alentejo, Portugal. Quality of life was assessed using the SF-36 questionnaire (Portuguese version) and we explored the relationships between their eight domains and the occurrence of falls and functional mobility (TUG). Results: We found significant associations between quality of life and gender, occurrence of falls and mobility. The analysis of the dimensions SF-36 revealed that a more positive perception of SM (73.1%) is associated with the female gender. A more positive perception of FF (73.1%), DC (53.3%), FS (74.7%), DE (45.1%) and SM (72.5%) is associated with non-occurrence of falls, and it was found that a more positive perception of FF (82.3%) and DE (53.2%) is associated with good mobility. Conclusion: It was found that a better perception of FF, FS, DE, SN and DC are related to the non-occurrence of falls. Also, a good perception of FF and DE are related to good mobility. The conclusions of this study highlight the positive relationship between a good perception of quality of life, the absence of falls, and good mobility in older adults.
Keywords: SF-36; fall; mobility; TUG; healthy aging
References
Ahorsu, D. K., Lin, C. Y., Imani, V., Saffari, M., Griffiths, M. D., & Pakpour, A. H. (2022). The Fear of COVID-19 Scale: Development and Initial Validation. Int J Ment Health Addict, 20(3), 1537-1545. doi:10.1007/s11469-020-00270-8
Ammar, A., Brach, M., Trabelsi, K., Chtourou, H., Boukhris, O., Masmoudi, L., . . . On Behalf of the, E.-C. C. (2020). Effects of COVID-19 Home Confinement on Eating Behaviour and Physical Activity: Results of the ECLB-COVID19 International Online Survey. Nutrients, 12(6). doi:https://doi.org/10.3390/nu12061583
Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. Lancet Public Health, 5(5), e256. doi:10.1016/s2468-2667(20)30061-x
Arpino, B., Pasqualini, M., Bordone, V., & Solé-Auró, A. (2021). Older People's Nonphysical Contacts and Depression During the COVID-19 Lockdown. The Gerontologist, 61(2), 176–186. doi:https://doi.org/10.1093/geront/gnaa144
Bell, J. A., Sabia, S., Singh-Manoux, A., Hamer, M., & Kivimäki, M. (2017). Healthy obesity and risk of accelerated functional decline and disability. International Journal of Obesity, 41(6), 866-872. doi:10.1038/ijo.2017.51
Bischoff, H. A., Stähelin, H. B., Monsch, A. U., Iversen, M. D., Weyh, A., von Dechend, M., . . . Theiler, R. (2003). Identifying a cut-off point for normal mobility: a comparison of the timed 'up and go' test in community-dwelling and institutionalised elderly women. Age Ageing, 32(3), 315-320. doi:10.1093/ageing/32.3.315
Bohannon, R. W. (2006). Reference values for the timed up and go test: a descriptive meta-analysis. Journal of Geriatric Physical Therapy, 29(2), 64-68. doi:10.1519/00139143-200608000-00004
Chakraborty, I., & Maity, P. (2020). COVID-19 outbreak: Migration, effects on society, global environment and prevention. Science of The Total Environment, 728, 138882. doi:https://doi.org/10.1016/j.scitotenv.2020.138882
Cigiloglu, A., Ozturk, Z. A., & Efendioglu, E. M. (2021). How have older adults reacted to coronavirus disease 2019? Psychogeriatrics, 21(1), 112-117. doi:https://doi.org/10.1111/psyg.12639
Crooks, E., & Cleary, K. (2019). Using Health-Related Quality of Life (SF-36v2<sup>®</sup>) to Predict Falls in Community-Dwelling Older Adults. In (pp. 082).
Daskalopoulou, C., Stubbs, B., Kralj, C., Koukounari, A., Prince, M., & Prina, A. M. (2017). Physical activity and healthy ageing: A systematic review and meta-analysis of longitudinal cohort studies. Ageing Research Reviews, 38, 6-17. doi:https://doi.org/10.1016/j.arr.2017.06.003
Davis, J. C., Marra, C. A., & Liu-Ambrose, T. Y. (2011). Falls-related self-efficacy is independently associated with quality-adjusted life years in older women. Age Ageing, 40, 340–346. doi:10.1093/ageing/afr019
Fábrega-Cuadros, R., Hita-Contreras, F., Martínez-Amat, A., Jiménez-García, J. D., Achalandabaso-Ochoa, A., Lavilla-Lerma, L., . . . Aibar-Almazán, A. (2021). Associations between the Severity of Sarcopenia and Health-Related Quality of Life in Community-Dwelling Middle-Aged and Older Adults. International Journal of Environmental Research and Public Health, 18(15), 8026. Retrieved from https://www.mdpi.com/1660-4601/18/15/8026
Fagerstrom, C., & Borglin, G. (2010). Mobility, functional ability and health-related quality of life among people of 60 years or older. Aging Clinical and Experimental Research, 22(5-6), 387-394. doi:10.1007/BF03324941
Ferreira, P. L. (2000a). Criação da versão portuguesa do MOS SF-36. Parte I – Adaptação cultural e linguística. Acta Medica Portuguesa, 13, 55-66. Retrieved from https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1760/1337
Ferreira, P. L. (2000b). Criação da versão portuguesa do MOS SF-36. Parte II – Testes de validação. Acta Medica Portuguesa, 13(3), 119-127. Retrieved from https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/1770/1347
Ferreira, P. L., & Santana, P. (2003). Percepção de estado de saúde e de qualidade de vida da população activa: contributo para a definição de normas portuguesas. Revista Portuguesa de Saúde Pública, 21, 15-30.
FITBIT. (2020). The Impact Of Coronavirus On Global Activity 2020. Retrieved from https://blog.fitbit.com/covid-19-global-activity/.
Fjeldstad, C., Fjeldstad, A. S., Acree, L. S., Nickel, K. J., & Gardner, A. W. (2008). The influence of obesity on falls and quality of life. Dyn Med, 7, 4. doi:10.1186/1476-5918-7-4
Gasmi A, S., N., Tippairote, T., Dadar, M., Menzel, A., & Bjørklund, G. I. (2020). Individual risk management strategy and potential therapeutic options for the COVID-19 pandemic. . Clin Immunol, 215:108409. doi:doi:10.1016/j.clim.2020.108409
Guedes, D. P., Hatmann, A. C., Martini, F. A., Borges, M. B., & Bernardelli, R., Jr. (2012). Quality of life and physical activity in a sample of Brazilian older adults. J Aging Health, 24(2), 212-226. doi:10.1177/0898264311410693
Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., . . . Wallace, R. B. (1994). A Short Physical Performance Battery Assessing Lower Extremity Function: Association With Self-Reported Disability and Prediction of Mortality and Nursing Home Admission. Journal of Gerontology, 49(2), M85–M94. doi:10.1093/geronj/49.2.m85. PMID: 8126356
Herrera, M. S., Elgueta, R., Fernández, M. B., Giacoman, C., Leal, D., Marshall, P., . . . Bustamante, F. (2021). A longitudinal study monitoring the quality of life in a national cohort of older adults in Chile before and during the COVID-19 outbreak. BMC Geriatrics, 21(143). doi:https://doi.org/10.1186/s12877-021-02110-3
Hirvensalo, M., Rantanen, T., & Heikkinen, E. (2000). Mobility Difficulties and Physical Activity as Predictors of Mortality and Loss of Independence in the Community-Living Older Population. Journal of the American Geriatrics Society, 48(5), 493–498. doi:10.1111/j.1532-5415.2000.tb04994.x
Jacobsen, E. L., Bye, A., Aass, N., Fosså, S. D., Grotmol, K. S., Kaasa, S., . . . Hjermstad, M. J. (2018). Norwegian reference values for the Short-Form Health Survey 36: development over time. Qual Life Res, 27(5), 1201-1212. doi:10.1007/s11136-017-1684-4
Júnior, R., Silva, S., Batista, S., & Silva, E. (2021). Benefícios da prática de exercícios resistidos na prevenção de quedas em idosos: uma revisão sistemática. Caderno de Educação Física e Esporte, 19(2), 85–91. doi:https://doi.org/10.36453/cefe.2021.n2.26964
Lampinen, P., & Heikkinen, E. (2003). Reduced mobility and physical activity as predictors of depressive symptoms among community-dwelling older adults: An eight-year follow-up study. Aging Clinical and Experimental Research, 14(3), 205–211. doi:10.1007/BF03324501
Lima, M., Rodrigues, S. R., Bezerra, P., Rodrigues, L. P., & Cancela, J. M. (2021). Monitorization of Timed Up and Go Phases in Elderly. Physical & Occupational Therapy In Geriatrics, 39(2), 169-181. doi:10.1080/02703181.2020.1836111
Lima, M. G., Barros, M. B., César, C. L., Goldbaum, M., Carandina, L., & Ciconelli, R. M. (2009). Impact of chronic disease on quality of life among the elderly in the state of São Paulo, Brazil: a population-based study. Rev Panam Salud Publica, 25(4), 314-321. doi:10.1590/s1020-49892009000400005
Loureiro, V., Gomes, M., & Alves, A. (2021). Miedo a caer y capacidad funcional de mayores a vivir en la comunidad (Fear of falling and physical fitness in community-dwelling older adults). Retos, 43, 495-502. doi:https://doi.org/10.47197/retos.v43i0.88588
Musich, S., Wang, S. S., Hawkins, K., & Greame, C. (2017). The Frequency and Health Benefits of Physical Activity for Older Adults. Popul Health Manag, 20(3), 199-207. doi:10.1089/pop.2016.0071
Newman, A. B., Simonsick, E. M., Naydeck, B. L., Boudreau, R. M., Kritchevsky, S. B., Nevitt, M. C., . . . Harris, T. B. (2006). Association of long-distance corridor walk performance with mortality, cardiovascular disease, mobility limitation, and disability. JAMA, 295(17), 2018–2026. doi:10.1001/jama.295.17.2018
Nguyen, H. C., Nguyen, M. H., Do, B. N., Tran, C. Q., Nguyen, T. T. P., Pham, K. M., . . . Duong, T. V. (2020). People with Suspected COVID-19 Symptoms Were More Likely Depressed and Had Lower Health-Related Quality of Life: The Potential Benefit of Health Literacy. J Clin Med, 9(4). doi:10.3390/jcm9040965
Podsiadlo, D., & Richardson, S. (1991). The timed "Up & Go": a test of basic functional mobility for frail elderly persons. Journal of the American Geriatrics Society, 39(2), 142-148. doi:https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Rydwik, E., Bergland, A., Forsen, L., & Frändin, K. (2011). Psychometric properties of timed up and go in elderly people: a systematic review. Physical & Occupational Therapy In Geriatrics, 29(2), 102-125. doi:10.3109/02703181.2011.564725
Sartor-Glittenberg, C., Lehmann, S., Okada, M., Rosen, D., Brewer, K., & Bay, R. (2014). Variables Explaining Health-Related Quality of Life in Community-Dwelling Older Adults. Journal of Geriatric Physical Therapy, 37(2), 83–91. doi:https://doi.org/10.1519/JPT.0b013e3182a4791b
Silva, P., Barbosa, F., André, M., & Delerue Matos, A. (2022). Home confinement and mental health problems during the Covid-19 pandemic among the population aged 50 and older: A gender perspective. SSM - Population Health, 17, 100999. doi:https://doi.org/10.1016/j.ssmph.2021.100999
Stewart, A. L., & Ware, J. E. (1992). Measuring functioning and well-being. The Medical Outcomes Study approach. London: Duke University Press.
Syddall, H. E., Martin, H. J., Harwood, R. H., Cooper, C., & Aihie Sayer, A. (2009). The SF-36: a simple, effective measure of mobility-disability for epidemiological studies. The journal of nutrition, health & aging, 13(1), 57-62. doi:10.1007/s12603-009-0010-4
Tam-Seto, L., Weir, P., & Dogra, S. (2016). Factors Influencing Sedentary Behaviour in Older Adults: An Ecological Approach. AIMS Public Health, 3(3), 555-572. doi:10.3934/publichealth.2016.3.555
Tampubolon, G. (2015). Delineating the third age: joint models of older people's quality of life and attrition in Britain 2002-2010. Aging Ment Health, 19(7), 576-583. doi:10.1080/13607863.2014.1003279
Thiem, U., Klaaßen-Mielke, R., Trampisch, U., Moschny, A., Pientka, L., & Hinrichs, T. (2014). Falls and EQ-5D rated quality of life in community-dwelling seniors with concurrent chronic diseases: a cross-sectional study. . Health and quality of life outcomes, 12(2). doi:https://doi.org/10.1186/1477-7525-12-2
Thrane, G., Joakimsen, R. M., & Thornquist, E. (2007). The association between timed up and go test and history of falls: the Tromsø study. BMC Geriatr, 7, 1. doi:10.1186/1471-2318-7-1
Tison, G., Avram, R., Kuhar, P., Abreau, S., Marcus, G. M., Pletcher, M. J., & Olgin, J. E. (2020). Worldwide Effect of COVID-19 on Physical Activity: A Descriptive Study. Annals of Internal Medicine, 173(9), 767-770. doi:10.7326/m20-2665 %m 32598162
Tornvall, E., Marcusson, J., & Wressle, E. (2016). Health-related quality of life in relation to mobility and fall risk in 85-year-old people: A population study in Sweden. Ageing and Society, 36(9), 1982-1997. doi:https://doi.org/10.1017/S0144686X15000896
Trombetti, A., Reid, K. F., Hars, M., Herrmann, F. R., Pasha, E., Phillips, E. M., & Fielding, R. A. (2015). Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 27(2), 463–471. doi:https://doi.org/10.1007/s00198-015-3236-5
Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., de Oliveira, V., Mazzardo, O., & de Campos, W. (2015). The Association Between Physical Activity and Quality of Life Domains Among Older Women. J Aging Phys Act, 23(4), 524-533. doi:10.1123/japa.2013-0070
Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., Oliveira, V., Mazzardo, O., & Campos, W. (2014). Association between physical activity and quality of life in the elderly: a systematic review, 2000-2012. Braz J Psychiatry, 36(1), 76-88. doi:10.1590/1516-4446-2012-0895
Van Leeuwen, K. M., van Loon, M. S., van Nes, F. A., Bosmans, J. E., de Vet, H. C. W., Ket, J. C. F., . . . Ostelo, R. W. J. G. (2019). What does quality of life mean to older adults? A thematic synthesis. PLOS ONE, 8. doi:10.1371/journal.pone.0213263
Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. . Medical care, 30(6), 473–483.
Whitehead, B. R., & Torossian, E. (2021). Older Adults' Experience of the COVID-19 Pandemic: A Mixed-Methods Analysis of Stresses and Joys. The Gerontologist, 61(1), 36–47. , 61(1), 36-47. doi:https://doi.org/10.1093/geront/gnaa126
WHO. (2007). Global Report on Falls Prevention in Older Age. Community Health, 53.
WHO. (2015). World report on ageing and health. Retrieved from Geneva, Switzerland:
WHO. (2020a). COVID-19 transmission and protective measures. Retrieved from https://www.who.int/westernpacific/emergencies/covid-19/information/transmission-protective-measures
WHO. (2020b). WHO guidelines on physical activity and sedentary behaviour. Geneva: World Health Organization,.
WHO. (2021a). UN Decade of Healthy Ageing 2021-2030. Retrieved from https://www.who.int/initiatives/decade-of-healthy-ageing
WHO. (2021b). World Health Organisation. ‘The Structure of the WHOQOL-100’. WHOQOL: Measuring Quality of Life. Retrieved from https://www.who.int/tools/whoqol
WHO. (2016). Introducing the WHOQOL instruments’. WHOQOL: Measuring Quality of Life. Retrieved from http://www.who.int/healthinfo/survey/whoqol-qualityoflife/en/
Wilmot, E. G., Edwardson, C. L., Achana, F. A., Davies, M. J., Gorely, T., Gray, L. J., . . . Biddle, S. J. (2012). Sedentary time in adults and the association with diabetes, cardiovascular disease and death: systematic review and meta-analysis. Diabetologia, 55(11), 2895-2905. doi:10.1007/s00125-012-2677-z
Xue, Y., Lu, J., Zheng, X., Zhang, J., Lin, H., Qin, Z., & Zhang, C. (2021). The relationship between socioeconomic status and depression among the older adults: The mediating role of health promoting lifestyle. J Affect Disord, 285, 22-28. doi:10.1016/j.jad.2021.01.085
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