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 |
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container_title | American journal of Alzheimer's disease and other dementias |
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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. |
doi_str_mv | 10.1177/1533317518813548 |
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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.</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&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. Developing interventions for patients with specific cognitive dysfunctions is critical.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Cognitive Dysfunction - diagnosis</subject><subject>Cognitive Dysfunction - epidemiology</subject><subject>Cross-Sectional Studies</subject><subject>Current Topics in Research</subject><subject>Dementia - diagnosis</subject><subject>Dementia - epidemiology</subject><subject>Female</subject><subject>Health Surveys</subject><subject>Humans</subject><subject>Male</subject><subject>Quality of Life</subject><subject>Self Care</subject><subject>Severity of Illness Index</subject><subject>Taiwan - epidemiology</subject><issn>1533-3175</issn><issn>1938-2731</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kU1vEzEYhC0EoqVw54R85LLgj3Vsc0Fp-ChSRAuUs-WsXyeuNnawdxPlb_CLcZpSARInW5qZZywPQs8peUWplK-p4JxTKahSlItWPUCnVHPVMMnpw3qvcnPQT9CTUm4IaYVS5DE64aRGGKOn6OdX6O0QUiyrsCn4HIYdQMSztIxhCFvA7_bFj7E7WLCNDl-A7YdVcxsDh7-Mtg_DHieP58EDnq5TXOLL3kHGV5BLBeMQ8bUNOxvf4Cn-fNu2Cw7wVdqMx_Lm3JYK-zbmLeyfokfe9gWe3Z1n6PuH99ezi2Z--fHTbDpvupaLodGaeuG0dAo6y5WncjHxFuSEtrBw4CwFAqID3mkPmukJFZYxvWjZhFkAyc_Q2yN3My7W4DqIQ7a92eSwtnlvkg3mbyWGlVmmraFECdZyXQkv7wg5_RihDGYdSgd9byOksRhGpWZMtkxUKzlau5xKyeDveygxhy3Nv1vWyIs_33cf-D1eNTRHQ7FLMDdpzLH-1_-BvwApCapg</recordid><startdate>20190201</startdate><enddate>20190201</enddate><creator>Liu, Hsin-Yun</creator><creator>Tsai, Wen-Che</creator><creator>Chiu, Ming-Jang</creator><creator>Tang, Li-Yu</creator><creator>Lee, Huey-Jane</creator><creator>Shyu, Yea-Ing L.</creator><creator>Wang, Woan-Shyuan</creator><general>SAGE Publications</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9697-535X</orcidid></search><sort><creationdate>20190201</creationdate><title>Relationships Between Cognitive Dysfunction and Health-Related Quality of Life Among Older Persons in Taiwan: A Nationwide Population-Based Survey</title><author>Liu, Hsin-Yun ; Tsai, Wen-Che ; Chiu, Ming-Jang ; Tang, Li-Yu ; Lee, Huey-Jane ; Shyu, Yea-Ing L. ; Wang, Woan-Shyuan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c435t-991f5d97d8eca38f17b6fae7614ebdeda1e0e5ce3c9fe929615a229b4262aee73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Cognitive Dysfunction - diagnosis</topic><topic>Cognitive Dysfunction - epidemiology</topic><topic>Cross-Sectional Studies</topic><topic>Current Topics in Research</topic><topic>Dementia - diagnosis</topic><topic>Dementia - epidemiology</topic><topic>Female</topic><topic>Health Surveys</topic><topic>Humans</topic><topic>Male</topic><topic>Quality of Life</topic><topic>Self Care</topic><topic>Severity of Illness Index</topic><topic>Taiwan - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><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><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>American journal of Alzheimer's disease and other dementias</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext_linktorsrc</fulltext></delivery><addata><au>Liu, Hsin-Yun</au><au>Tsai, Wen-Che</au><au>Chiu, Ming-Jang</au><au>Tang, Li-Yu</au><au>Lee, Huey-Jane</au><au>Shyu, Yea-Ing L.</au><au>Wang, Woan-Shyuan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Relationships Between Cognitive Dysfunction and Health-Related Quality of Life Among Older Persons in Taiwan: A Nationwide Population-Based Survey</atitle><jtitle>American journal of Alzheimer's disease and other dementias</jtitle><addtitle>Am J Alzheimers Dis Other Demen</addtitle><date>2019-02-01</date><risdate>2019</risdate><volume>34</volume><issue>1</issue><spage>41</spage><epage>48</epage><pages>41-48</pages><issn>1533-3175</issn><eissn>1938-2731</eissn><abstract>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.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>30518221</pmid><doi>10.1177/1533317518813548</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0002-9697-535X</orcidid><oa>free_for_read</oa></addata></record> |
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source | Sage Journals GOLD Open Access 2024 |
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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