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Walking ability, anxiety and depression, significantly decrease EuroQol 5-Dimension 5-Level scores in older
Utako Shimizu1, Hagiko Aoki2, Momoe Sakagami3
1Graduate School of Health Sciences, Niigata University, 2-746 Asahimachi-dori, Chuo-ku, Niigata 951-8518, Japan.
Archives of Gerontology and Geriatrics
|June 25, 2018
Summary
Lifestyle factors like reduced walking ability and mental health significantly impact quality of life for older hemodialysis patients in Japan. Early detection of depression and maintaining mobility are crucial for improving health outcomes.
Area of Science:
- Nephrology
- Geriatrics
- Public Health
Background:
- The aging population of hemodialysis patients in Japan presents unique challenges.
- Understanding lifestyle factors influencing their health-related quality of life is crucial but remains unclear.
Purpose of the Study:
- To measure health-related quality of life using the EQ-5D-5L in older Japanese hemodialysis patients.
- To identify lifestyle factors affecting EQ-5D-5L scores in this demographic.
Main Methods:
- The study included outpatients aged 65+ undergoing maintenance hemodialysis for over 5 years.
- EuroQoL 5-Dimension 5-Level (EQ-5D-5L) scores were assessed.
- Multiple linear regression analysis identified factors influencing EQ-5D-5L scores.
Main Results:
- Data from 739 patients (mean age 72.9 years) were analyzed.
- A mean EQ-5D-5L score of 0.738 was observed.
- Higher anxiety/depression scores, reduced walking ability, longer hemodialysis duration, older age, and subjective symptoms were negatively correlated with EQ-5D-5L scores.
Conclusions:
- Reduced walking ability and anxiety/depression significantly decrease quality of life in older hemodialysis patients.
- Early detection of depression and maintaining walking ability through exercise are recommended interventions.
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