Castilla y León Blood Therapy and Donation Center, 47007 Valladolid, Spain.
Department of Statistics and Operational, Research and Mathematics Institute, University of Valladolid (IMUVA), 47007 Valladolid, Spain.
Int J Environ Res Public Health. 2022 May 9;19(9):5745. doi: 10.3390/ijerph19095745.
(1) Background: Today's society is moving towards active aging, underlining the importance of understanding and improving quality of life (QoL). This QoL in women over the age of 65 years diagnosed with osteoporosis was compared with the QoL of the general population, and risk factors for osteoporosis related to QoL were identified. (2) Methods: This is an observational, descriptive, cross-sectional study with a personal interview. The study population was 704 women over 65 years of age diagnosed with osteoporosis as of 1 November 2018, based on medical records from four health centers of the eastern Valladolid urban health area. This was a random sample of 247 women stratified by health center. Information on osteoporosis risk factors, comorbidities, daily lifestyle habits, and QoL assessed with the EQ-5D was collected. QoL was modeled using sociodemographic variables, lifestyle, and clinical variables. (3) Results: Women with osteoporosis had a positive perception of their health (EQ-5D% VAS 64.9 ± 18.31). High EQ-5D QoL scores were obtained on the dimensions of mobility: 51.6% [95% CI (44.2%, 58.9%)]; self-care: 75.3% [95% CI (68.5%, 81.2%)]; activities of daily living: 71.4% [95% CI (64.4%, 77.6%)]; pain/discomfort: 25.8% [95% CI (19.8%, 32.6%)]; and anxiety/depression: 53.8% [95% CI (46.4%, 61.0%)]. (4) Conclusions: The QoL of the study group was no worse than the QoL of the general population, except for pain/discomfort and anxiety/depression. Age, highest educational level reached, inflammatory diseases, physical activity, and insomnia were independent predictors of QoL in women with osteoporosis.
(1) 背景:当今社会正朝着积极老龄化的方向发展,突出了理解和提高生活质量(QoL)的重要性。本研究比较了 704 名 65 岁以上被诊断为骨质疏松症的女性的生活质量(QoL)与一般人群的 QoL,并确定了与 QoL 相关的骨质疏松症风险因素。(2) 方法:这是一项观察性、描述性、横断面研究,采用个人访谈。研究人群为截至 2018 年 11 月 1 日,根据东部巴利亚多利德城市卫生区四个卫生中心的病历,诊断为骨质疏松症的 704 名 65 岁以上的女性。这是通过按卫生中心分层的 247 名女性的随机样本。收集了有关骨质疏松症风险因素、合并症、日常生活方式和使用 EQ-5D 评估的生活质量信息。使用社会人口统计学变量、生活方式和临床变量对生活质量进行建模。(3) 结果:患有骨质疏松症的女性对自己的健康状况有积极的认识(EQ-5D%VAS 64.9±18.31)。在移动性维度上获得了较高的 EQ-5D 生活质量评分:51.6%[95%CI(44.2%,58.9%)];自我护理:75.3%[95%CI(68.5%,81.2%)];日常生活活动:71.4%[95%CI(64.4%,77.6%)];疼痛/不适:25.8%[95%CI(19.8%,32.6%)];焦虑/抑郁:53.8%[95%CI(46.4%,61.0%)]。(4) 结论:研究组的生活质量并不比一般人群差,除了疼痛/不适和焦虑/抑郁。年龄、最高受教育程度、炎症性疾病、身体活动和失眠是骨质疏松症女性生活质量的独立预测因素。