Alexandre Tiago da Silva, Cordeiro Renata Cereda, Ramos Luiz Roberto
Departamento de Fisioterapia, Universidade de Taubaté, Taubaté, SP, Brasil.
Rev Saude Publica. 2009 Aug;43(4):613-21. doi: 10.1590/s0034-89102009005000030. Epub 2009 May 29.
To analyze whether quality of life in active, healthy elderly individuals is influenced by functional status and sociodemographic characteristics, as well as psychological parameters.
Study conducted in a sample of 120 active elderly subjects recruited from two open universities of the third age in the cities of São Paulo and São José dos Campos (Southeastern Brazil) between May 2005 and April 2006. Quality of life was measured using the abbreviated Brazilian version of the World Health Organization Quality of Live (WHOQOL-bref) questionnaire. Sociodemographic, clinical and functional variables were measured through crossculturally validated assessments by the Mini Mental State Examination, Geriatric Depression Scale, Functional Reach, One-Leg Balance Test, Timed Up and Go Test, Six-Minute Walk Test, Human Activity Profile and a complementary questionnaire. Simple descriptive analyses, Pearson's correlation coefficient, Student's t-test for non-related samples, analyses of variance, linear regression analyses and variance inflation factor were performed. The significance level for all statistical tests was set at 0.05.
Linear regression analysis showed an independent correlation without colinearity between depressive symptoms measured by the Geriatric Depression Scale and four domains of the WHOQOL-bref. Not having a conjugal life implied greater perception in the social domain; developing leisure activities and having an income over five minimum wages implied greater perception in the environment domain.
Functional status had no influence on the Quality of Life variable in the analysis models in active elderly. In contrast, psychological factors, as assessed by the Geriatric Depression Scale, and sociodemographic characteristics, such as marital status, income and leisure activities, had an impact on quality of life.
分析活跃、健康的老年人的生活质量是否受到功能状态、社会人口学特征以及心理参数的影响。
2005年5月至2006年4月期间,对从巴西东南部圣保罗市和圣若泽杜斯坎普斯市的两所第三年龄开放式大学招募的120名活跃老年人样本进行了研究。使用世界卫生组织生活质量简表(WHOQOL-bref)的巴西缩写版问卷来测量生活质量。通过简易精神状态检查表、老年抑郁量表、功能伸展测试、单腿平衡测试、定时起立行走测试、六分钟步行测试、人类活动概况以及一份补充问卷进行跨文化验证评估,以测量社会人口学、临床和功能变量。进行了简单描述性分析、皮尔逊相关系数、非相关样本的学生t检验、方差分析、线性回归分析和方差膨胀因子分析。所有统计检验的显著性水平设定为0.05。
线性回归分析显示,老年抑郁量表测量的抑郁症状与WHOQOL-bref的四个领域之间存在无共线性的独立相关性。没有婚姻生活意味着在社会领域有更高的感知;开展休闲活动且收入超过五个最低工资意味着在环境领域有更高的感知。
在活跃老年人的分析模型中,功能状态对生活质量变量没有影响。相比之下,老年抑郁量表评估的心理因素以及婚姻状况、收入和休闲活动等社会人口学特征对生活质量有影响。