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Aging Clinical and Experimental Research

, Volume 9, Issue 5, pp 356–364 | Cite as

Morbidity and health-related quality of life among ambulant elderly citizens

  • A. Grimby
  • A. Svanborg
Original Article

Abstract

Health-related quality of life (HRQL) was analyzed in relation to 16 different diagnoses common for ambulant, community living 76-year-old urban citizens participating in the longitudinal population study of elderly in Göteborg (H 70), Sweden. HRQL of the total sample was good, but was impaired by illness, mostly in the form of anginal pain, urinary incontinence, locomotor and mental disorders. The HRQL of those suffering from e.g. chronic lung disorders or under treatment for hypertension or cancer, however, seemed to be little influenced. Sleep was impaired regardless of being ill or healthy, except for anginal pain, upper extremity disorders and back pain which had a significantly detrimental impact on sleep. The degree of female complaints surpassed those of men for pain, emotions, sleep and mobility, and for household activities and hobbies. Within the separate diagnostic groups, however, gender differences were few. Generally, HRQL decreased with multimorbidity. In the emotional and social dimensions, however, HRQL was very little influenced until health was much impaired (reaching 4 or more diagnoses). The studied diagnoses did not explain more than up to 1/3 of the QL decrease, thus suggesting that factors other than health have an impact or that ill health is considered an acceptable component of aging. However, most of the diagnoses seemed to cause much distress in common daily life, especially anginal pain, urinary incontinence, locomotor problems, visual impairment, and mental disorders.

Key words

Elderly health-related quality of life morbidity Nottingham Health Profile 

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References

  1. 1.
    Aaronson N.K.: Methodological issues in assessing the quality of life of cancer patients. Cancer 67 (Suppl. 3): 844–850, 1991.PubMedCrossRefGoogle Scholar
  2. 2.
    Bloom J.R.: Quality of life after cancer: A policy perspective. Cancer 67: 855–859, 1991.PubMedCrossRefGoogle Scholar
  3. 3.
    Ebrahim S., Barer D., Nouri F.: The use of the Nottingham Health Profile with patients after stroke. J. Epidemiol. Commun. Health 40: 166–169, 1986.CrossRefGoogle Scholar
  4. 4.
    de Haan R., Aaronson N.K., Limburg M., Langton Hewer R., van Crevel H.: Measuring quality of life in stroke. Stroke 24: 320–327, 1993.PubMedCrossRefGoogle Scholar
  5. 5.
    Applegate W.B., Phillips H.L., Schnaper H.: A randomized controlled trial of the effects of three antihypertensive agents on blood pressure control and quality of life in older women. Arch. Intern. Med. 151: 1817–1823, 1991.PubMedCrossRefGoogle Scholar
  6. 6.
    Dimenäs I., Wiklund I., Dahlöf C., Lindvall K., Olofsson B., de Faire U.: Differences in subjective well-being and symptoms between normotensives, borderline hypertensives, and hypertensives. J. Hypertens. 7: 885–888, 1989.PubMedCrossRefGoogle Scholar
  7. 7.
    Gurland B.J., Teresi J., Smith W.M.: Effects of treatment for isolated systolic hypertension on cognitive status and depression in the elderly. J. Am. Geriatr. Soc. 36: 1015–1022, 1988.PubMedGoogle Scholar
  8. 8.
    Wiklund I., Herlitz J., Hjalmarson A.: Quality of life five years after myocardial infarction. Eur. Heart J. 10: 464–472, 1989.PubMedGoogle Scholar
  9. 9.
    Nissinen A., Wiklund I., Lahti T., Wilson A., Wahl M.: Anti-anginal therapy and quality of life. A comparison of the effects of transdermal nitroglycerin and long-acting oral nitrates. J. Clin. Epidemiol. 44: 989–997, 1991.PubMedCrossRefGoogle Scholar
  10. 10.
    Wilson A., Wiklund I., Lahti T., Wahl M.: A summary index for the assessment of quality of life in angina pectoris. J. Clin. Epidemiol. 44: 981–988, 1991.PubMedCrossRefGoogle Scholar
  11. 11.
    Borgquist L., Nilsson L.T., Lindelöw G., Wiklund I., Thorngren K.G.: Perceived health in hip-fracture patients. A prospective follow-up of 100 patients. Age Ageing 21: 109–116, 1992.PubMedCrossRefGoogle Scholar
  12. 12.
    Guccione A.A., Jette A.M.: Multidimensional assessment of functional limitations in patients with arthritis. Arthritis Care Res. 3: 44–52, 1990.PubMedGoogle Scholar
  13. 13.
    Hunt S.M., McKenna S.P., Williams J.: Reliability of a population survey tool for measuring perceived health problems: a study of patients with osteoarthrosis. J. Epidemiol. Commun. Health 35: 297–300, 1981.CrossRefGoogle Scholar
  14. 14.
    Sullivan M., Ahlmén B., Bjelle A.: Health status assessment in rheumatoid arthritis. 1. Further work on the validity of the Sickness Impact Profile. J. Rheumatol. 17: 439–447, 1990.PubMedGoogle Scholar
  15. 15.
    Wiklund I., Romanus B.: A comparison of quality of life before and after arthroplasty in patients who had arthrosis of the hip joint. J. Bone Joint Surg. Am. 73: 765–769, 1991.PubMedGoogle Scholar
  16. 16.
    Wiklund I., Romanus B., Hunt S.: Self-assessed disability in patients with arthrosis of the hip joint. Reliability of the Swedish version of the Nottingham Health Profile. Int. Disabil. Stud. 10: 159–163, 1988.PubMedCrossRefGoogle Scholar
  17. 17.
    Fitzpatrick R., Ziebland S., Jenkinson C., Mowat A.: The social dimension of health status measures in rheumatoid arthritis. Int. Disabil. Stud. 13: 34–37, 1991.PubMedCrossRefGoogle Scholar
  18. 18.
    Grimby A., Milsom I., Molander U., Wiklund I., Ekelund P.: The influence of urinary incontinence on the quality of life in elderly women. Age Ageing 22: 82–89, 1993.PubMedCrossRefGoogle Scholar
  19. 19.
    Hunskaar S., Vinsnes A.: The Quality of life in women with urinary incontinence as measured by the Sickness Impact Profile. J. Am. Geriatr. Soc. 39: 378–382, 1991.PubMedGoogle Scholar
  20. 20.
    Spilker B., Simpson R.L., Tilson HH.: Quality of life bibliography and indexes. 1991 Update. J. Clin. Res. Pharmacoepidemiol. 6: 205–266, 1992.Google Scholar
  21. 21.
    Hunt S.M., McEwen J.: The development of a subjective health indicator. Sociol. Health Illness 2: 231–246, 1980.CrossRefGoogle Scholar
  22. 22.
    Hunt S.M., McEwen J., McKenna S.P.: Perceived health: age and sex norms in a community. J. Epidemiol. Commun. Health 38: 156–160, 1984.CrossRefGoogle Scholar
  23. 23.
    Birren J.E., Lubben J.E., Rowe J.C., Deutchman D.E.: The concept and measurement of quality of life in the frail elderly. Academic Press, San Diego, 1991, pp. 344–360.Google Scholar
  24. 24.
    Rinder L., Roupe S., Steen B., Svanborg A.: Seventy-year-old people in Gothenburg. A population study in an industrialized Swedish city. Acta Med. Scand. 198: 397–407, 1975.PubMedCrossRefGoogle Scholar
  25. 25.
    Svanborg A.: Seventy-year-old people in Gothenburg: a population study in an industrialized Swedish city: II. General presentation of social and medical conditions. Acta Med. Scand. 611: 5–37, 1977.Google Scholar
  26. 26.
    Svanborg A.: Cohort differences in the Göteborg studies of Swedish 70-year olds. In: Brody J.A., Maddox G.L. (Eds.), Epidemiology and aging. An international perspective. Proceedings from the XIIIth international congress of gerontology, July, 12–17, 1985. Springer Publ. Co., New York, 1988, pp. 27–35.Google Scholar
  27. 27.
    Eriksson B.G., Mellström D., Svanborg A.: Medical-social intervention in a 70-year-old Swedish population. A general presentation of methodological experience. Comprehensive Gerontology 1: 49–56, 1987.Google Scholar
  28. 28.
    Svanborg A.: A medical-social intervention in a 70-year-old Swedish population: Is it possible to postpone functional decline in aging? J. Gerontol. 48 (Special issue): 84–88, 1993.PubMedCrossRefGoogle Scholar
  29. 29.
    Grimby A., Wiklund I.: Health-related quality of life in old age. A study among 76-year-old Swedish urban citizens. Scand. J. Soc. Med. 22: 7–14, 1994.PubMedGoogle Scholar
  30. 30.
    Rose G.A., Blackburn H.: Cardiovascular survey methods. WHO Monogr., Geneva, 1968, pp. 1–188.Google Scholar
  31. 31.
    Hunt S.M., McKenna S.P., McEwen J., Backett E.M., Williams J., Papp E.: A quantitative approach to perceived health status: a validation study. J. Epidemiol. Commun. Health 34: 281–286, 1980.CrossRefGoogle Scholar
  32. 32.
    Hunt S.M., Wiklund I.: Cross-cultural variation in the weighting of health statements: a comparison of English and Swedish valuations. Health Policy 227–235, 1987.Google Scholar
  33. 33.
    Berg S., Nilsson L., Svanborg A.: Behavioural and clinical aspects — longitudinal studies. In: Wattis J.P., Hindmarch I. (Eds.), Medicine in old age. Psychological assessment of the elderly. Churchill Livingstone, New York, 1988, pp. 47–60.Google Scholar
  34. 34.
    Bagge E., Bjelle A., Svanborg A.: A longitudinal study of the occurrence of joint complaints in elderly people. Age Ageing 21: 160–167, 1992.PubMedCrossRefGoogle Scholar
  35. 35.
    Skoog I., Nilsson L., Palmertz B., Andreasson L.A., Svanborg A.: A population study of dementia in 85-year olds. N. Engl. J. Med. 328: 153–158, 1993.PubMedCrossRefGoogle Scholar
  36. 36.
    Lernfelt B., Wikstrand J., Svanborg A., Landahl S.: Age-related differences in left ventricular function — A longitudinal study. In: Lernfelt B. (Ed.), Cardiovascular disease and left ventricular performance in old age. Doctoral Dissertation, Göteborg University, 1990, pp. 1–12.Google Scholar
  37. 37.
    Landahl S., Jagenburg O., Svanborg A.: Blood components in a 70-year-old population. Clin. Chim. Acta 112: 301–304, 1981.PubMedCrossRefGoogle Scholar
  38. 38.
    Nilsson-Ehle H., Jagenburg R., Landahl S., Svanborg A., Westin J.: Haematological abnormalities and reference intervals in the elderly. A cross-sectional comparative study of three urban Swedish population samples aged 70, 75 and 81 years. Acta Med. Scand. 224: 595–604, 1988.PubMedCrossRefGoogle Scholar
  39. 39.
    Hunt S.M., McEwen J., Backett E.M., Williams J., Papp E.: Subjective health of patients with peripheral vascular disease. Practitioner 226: 133–136, 1982.PubMedGoogle Scholar
  40. 40.
    Wiklund I., Sanne H., Vedin A., Wilhelmsson C.: Psychosocial outcome one year after a first myocardial infarction. J. Psychosom. Res. 28: 309–321, 1984.PubMedCrossRefGoogle Scholar
  41. 41.
    Lawton M.P.: A multidimensional view of quality of life in frail elders. In: Birren J.E., Lubben J.E., Rowe J.C., Deutchman D.E. (Eds.), The concept and measurement of quality of life in the frail elderly. Academic Press, San Diego, 1991, pp. 3–27.Google Scholar

Copyright information

© Springer Internal Publishing Switzerland 1997

Authors and Affiliations

  • A. Grimby
    • 1
  • A. Svanborg
    • 2
  1. 1.Department of Geriatric MedicineGöteborg University, Vasa hospitalGöteborgSweden
  2. 2.Department of Medicine, Section of Geriatric MedicineUniversity of IllinoisChicagoUSA

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