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Predictors of patterns of change in health-related quality of life in older women over 7 years
 — evidence from a prospective cohort study
Author(s)Caroline E Dale, Ann Bowling, Joy Adamson
Journal titleAge and Ageing, vol 42, no 3, May 2013
PublisherOxford University Press, May 2013
Pagespp 312-318
Sourcewww.ageing.oxfordjournals.org
KeywordsAgeing process ; Older women ; Health [elderly] ; Quality of life ; Evaluation ; Measurement ; Longitudinal surveys.
AnnotationThe evaluation of the determinants of change over time in health-related quality of life (HR-QoL) in older people is limited. This study aimed to identify patterns of change in HR-QoL over seven years and their determinants using data from the British Women's Heart and Health Study, a representative sample of 4,286 older women. Longitudinal latent class analysis was used to identify subpopulations of women with similar HR-QoL trajectories from 1999_2000 to 2007. HR-QoL was measured using the European Quality of Life Instrument (EQ-5D). Multivariate multinomial logistic regression was used to model the association of identified trajectories with baseline predictors after multiple imputation of missing data. In the results four distinct EQ-5D trajectories were suggested: high (19% of women), high decline (22%), intermediate (42%) and low decline (16%). Prevalent arthritis, diabetes and obesity were the strongest predicting health conditions of adverse changes in HR-QoL and physical activity the strongest predicting lifestyle factor. Findings suggest that older women without obesity or pre-existing health conditions who undertake more physical activity are more likely to experience high HR-QoL, reinforcing the importance of these factors for healthy ageing. (JL).
Accession NumberCPA-130510209 A
ClassmarkBG: BD: CC: F:59: 4C: 3R: 3J

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