Relationships Between Cognitive Dysfunction and Health-Related Quality of Life Among Older Persons in Taiwan: A Nationwide Population-Based Survey

Background: To examine the relationships between cognitive dysfunction status and quality of life. Methods: Secondary analysis of a nationwide population-based survey (≥65 years) in Taiwan. The 5-dimension EuroQoL questionnaire (EQ-5D) was completed by 10 013 participants. Results: Participants with...

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Veröffentlicht in:American journal of Alzheimer's disease and other dementias 2019-02, Vol.34 (1), p.41-48
Hauptverfasser: Liu, Hsin-Yun, Tsai, Wen-Che, Chiu, Ming-Jang, Tang, Li-Yu, Lee, Huey-Jane, Shyu, Yea-Ing L., Wang, Woan-Shyuan
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container_issue 1
container_start_page 41
container_title American journal of Alzheimer's disease and other dementias
container_volume 34
creator Liu, Hsin-Yun
Tsai, Wen-Che
Chiu, Ming-Jang
Tang, Li-Yu
Lee, Huey-Jane
Shyu, Yea-Ing L.
Wang, Woan-Shyuan
description Background: To examine the relationships between cognitive dysfunction status and quality of life. Methods: Secondary analysis of a nationwide population-based survey (≥65 years) in Taiwan. The 5-dimension EuroQoL questionnaire (EQ-5D) was completed by 10 013 participants. Results: Participants with mild cognitive impairment (MCI; odds ratio = 4.88), very mild dementia (VMD; 7.96), or dementia (32.85) were more likely than those with normal cognition to report self-care problems. Participants with MCI (3.86), VMD (9.26), or dementia (31.61) were more likely to have usual-activity problems, and those with MCI (3.04), VMD (3.82), or dementia (9.23) were more likely to have mobility problems. Participants with MCI (2.10 and 2.14), VMD (2.77 and 2.18), or dementia (3.04 and 3.02) were more likely to report pain/discomfort and anxiety/depression. Conclusion: Dementia was negatively associated with EQ-5D, especially self-care, usual activities, and mobility. Mild cognitive impairment or VMD was also negatively associated, with VMD more negatively associated. Developing interventions for patients with specific cognitive dysfunctions is critical.
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Methods: Secondary analysis of a nationwide population-based survey (≥65 years) in Taiwan. The 5-dimension EuroQoL questionnaire (EQ-5D) was completed by 10 013 participants. Results: Participants with mild cognitive impairment (MCI; odds ratio = 4.88), very mild dementia (VMD; 7.96), or dementia (32.85) were more likely than those with normal cognition to report self-care problems. Participants with MCI (3.86), VMD (9.26), or dementia (31.61) were more likely to have usual-activity problems, and those with MCI (3.04), VMD (3.82), or dementia (9.23) were more likely to have mobility problems. Participants with MCI (2.10 and 2.14), VMD (2.77 and 2.18), or dementia (3.04 and 3.02) were more likely to report pain/discomfort and anxiety/depression. Conclusion: Dementia was negatively associated with EQ-5D, especially self-care, usual activities, and mobility. Mild cognitive impairment or VMD was also negatively associated, with VMD more negatively associated. Developing interventions for patients with specific cognitive dysfunctions is critical.</description><identifier>ISSN: 1533-3175</identifier><identifier>EISSN: 1938-2731</identifier><identifier>DOI: 10.1177/1533317518813548</identifier><identifier>PMID: 30518221</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aged, 80 and over ; Cognitive Dysfunction - diagnosis ; Cognitive Dysfunction - epidemiology ; Cross-Sectional Studies ; Current Topics in Research ; Dementia - diagnosis ; Dementia - epidemiology ; Female ; Health Surveys ; Humans ; Male ; Quality of Life ; Self Care ; Severity of Illness Index ; Taiwan - epidemiology</subject><ispartof>American journal of Alzheimer's disease and other dementias, 2019-02, Vol.34 (1), p.41-48</ispartof><rights>The Author(s) 2018</rights><rights>The Author(s) 2018 2018 SAGE Publications</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c435t-991f5d97d8eca38f17b6fae7614ebdeda1e0e5ce3c9fe929615a229b4262aee73</citedby><cites>FETCH-LOGICAL-c435t-991f5d97d8eca38f17b6fae7614ebdeda1e0e5ce3c9fe929615a229b4262aee73</cites><orcidid>0000-0002-9697-535X</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852439/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10852439/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,315,728,781,785,886,21970,27857,27928,27929,44949,45337,53795,53797</link.rule.ids><linktorsrc>$$Uhttps://journals.sagepub.com/doi/full/10.1177/1533317518813548?utm_source=summon&amp;utm_medium=discovery-provider$$EView_record_in_SAGE_Publications$$FView_record_in_$$GSAGE_Publications</linktorsrc><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30518221$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Liu, Hsin-Yun</creatorcontrib><creatorcontrib>Tsai, Wen-Che</creatorcontrib><creatorcontrib>Chiu, Ming-Jang</creatorcontrib><creatorcontrib>Tang, Li-Yu</creatorcontrib><creatorcontrib>Lee, Huey-Jane</creatorcontrib><creatorcontrib>Shyu, Yea-Ing L.</creatorcontrib><creatorcontrib>Wang, Woan-Shyuan</creatorcontrib><title>Relationships Between Cognitive Dysfunction and Health-Related Quality of Life Among Older Persons in Taiwan: A Nationwide Population-Based Survey</title><title>American journal of Alzheimer's disease and other dementias</title><addtitle>Am J Alzheimers Dis Other Demen</addtitle><description>Background: To examine the relationships between cognitive dysfunction status and quality of life. Methods: Secondary analysis of a nationwide population-based survey (≥65 years) in Taiwan. The 5-dimension EuroQoL questionnaire (EQ-5D) was completed by 10 013 participants. Results: Participants with mild cognitive impairment (MCI; odds ratio = 4.88), very mild dementia (VMD; 7.96), or dementia (32.85) were more likely than those with normal cognition to report self-care problems. Participants with MCI (3.86), VMD (9.26), or dementia (31.61) were more likely to have usual-activity problems, and those with MCI (3.04), VMD (3.82), or dementia (9.23) were more likely to have mobility problems. Participants with MCI (2.10 and 2.14), VMD (2.77 and 2.18), or dementia (3.04 and 3.02) were more likely to report pain/discomfort and anxiety/depression. Conclusion: Dementia was negatively associated with EQ-5D, especially self-care, usual activities, and mobility. Mild cognitive impairment or VMD was also negatively associated, with VMD more negatively associated. 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subjects Aged
Aged, 80 and over
Cognitive Dysfunction - diagnosis
Cognitive Dysfunction - epidemiology
Cross-Sectional Studies
Current Topics in Research
Dementia - diagnosis
Dementia - epidemiology
Female
Health Surveys
Humans
Male
Quality of Life
Self Care
Severity of Illness Index
Taiwan - epidemiology
title Relationships Between Cognitive Dysfunction and Health-Related Quality of Life Among Older Persons in Taiwan: A Nationwide Population-Based Survey
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