Relative Contributions of Different Lifestyle Factors to Health-Related Quality of Life in the Elderly.
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.
['Zhang|Xiaona|X|', 'Xia|Ruyi|R|', 'Wang|Shu|S|', 'Xue|Wei|W|', 'Yang|Jian|J|', 'Sun|Shuliu|S|', 'Zhuang|Guihua|G|']
D000368:Aged D000369:Aged, 80 and over D001521:Behavior Therapy D002681:China D015444:Exercise D005260:Female D006304:Health Status D006707:Homes for the Aged D006801:Humans D057187:Independent Living D007899:Leisure Activities D008019:Life Style D008297:Male D008603:Mental Health D000073216:Mental Status and Dementia Tests D008875:Middle Aged D009735:Nursing Homes D010808:Physical Examination D011788:Quality of Life D012424:Rural Population D012959:Socioeconomic Factors
lifestyle health-related quality of life the SF-36v2 Health Survey the WHOQOL-OLD module hierarchical regression older people