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Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2017

Open Access 01-12-2017 | Research

Factors associated with health-related quality of life in Koreans aged over 50 Years: the fourth and fifth Korea National Health and Nutrition Examination Survey

Authors: Kyoung Min Kwon, Jung Soo Lee, Na Eun Jeon, Yeo Hyung Kim

Published in: Health and Quality of Life Outcomes | Issue 1/2017

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Abstract

Background

To evaluate and analyse the factors associated with health-related quality of life (HR-QoL) in the Korean population aged 50 years and older.

Methods

We used data obtained from the fourth and fifth Korea National Health and Nutrition Examination Survey (KNHANES IV-V) 2007–2012, a national, cross-sectional health examination and survey, for which representative data on the health, nutritional status, and physical activities of the Korean general population are collected by the Korea Centres for Disease Control and Prevention (KCDC). The sampling protocol for the KNHANES was designed to involve a complex, stratified, multistage probability cluster survey of a representative sample of the noninstitutionalized civilian population in South Korea using a cross-sectional design. The association between HR-QoL and socio-economic factors and medical comorbidities in adults aged 50 years and older was investigated using data from the KNHANES IV-V from 2007 to 2012 (n = 17,937). The EuroQol 5-Dimension Questionnaire (EQ-5D) was used to evaluate HR-QoL, and the factors associated with HR-QoL were analysed after adjusting for socio-economic and demographic factors, anthropometric measurements and clinical comorbidities.

Results

Health status declined with ageing, and low socio-economic status had negative associations with health status. Gender had no association with health status. Among chronic medical conditions, arthritis and depression had significant associations with health status in older people when stratified by age and gender (P < 0.05).

Conclusions

These findings suggest that older people may value the ability to perform daily activities, which may mean that it is necessary to pay more attention to the factors associated with musculoskeletal pain and emotional distress, as well as socio-economic status or chronic diseases.

Trial registration

The Korea National Health and Nutrition Examination Survey (KNHNES) is not a clinical trial registry, but the national health survey conducted by the Government of the Republic of Korea, to gather information on health and nutritional status of Korean population, to plan public health services and health education programs, and to do statistical studies of the efficiency of public health services required for setting up welfare and healthcare policies.
Literature
1.
Kaplan GA, Camacho T. Perceived health and mortality: a nine-year follow-up of the human population laboratory cohort. Am J Epidemiol. 1983;117:292–304.CrossRefPubMed
2.
Makai P, Brouwer WB, Koopmanschap MA, et al. Quality of life instruments for economic evaluations in health and social care for older people: a systematic review. Soc Sci Med. 2014;102:83–93.CrossRefPubMed
3.
Katona M, Schmidt R, Schupp W, Graessel E. Predictors of health-related quality of life in stroke patients after neurological inpatient rehabilitation: a prospective study. Health Qual Life Outcomes. 2015;13:58.CrossRefPubMedPubMedCentral
4.
Rabin R, de Charro F. EQ-5D: a measure of health status from the EuroQol group. Ann Med. 2001;33:337–43.CrossRefPubMed
5.
Kim SH, Ahn J, Ock M, et al. The EQ-5D-5L valuation study in Korea. Qual Life Res. 2016;25:1845–52.CrossRefPubMed
6.
Obradovic M, Lal A, Liedgens H. Validity and responsiveness of EuroQol-5 dimension (EQ-5D) versus short Form-6 dimension (SF-6D) questionnaire in chronic pain. Health Qual Life Outcomes. 2013;11:110.CrossRefPubMedPubMedCentral
7.
Haghgoo HA, Pazuki ES, Hosseini AS, Rassafiani M. Depression, activities of daily living and quality of life in patients with stroke. J Neurol Sci. 2013;328:87–91.CrossRefPubMed
8.
Guajardo VD, Terroni L, Sobreiro Mde F, et al. The influence of depressive symptoms on quality of life after stroke: a prospective study. J Stroke Cerebrovasc Dis. 2015;24:201–9.CrossRefPubMed
9.
Franceschini M, La Porta F, Agosti M, et al. Is health-related-quality of life of stroke patients influenced by neurological impairments at one year after stroke? Eur J Phys Rehabil Med. 2010;46:389–99.PubMed
10.
Lee HT, Shin J, Lim Y-H, et al. Health-related quality of life in coronary heart disease in Korea the Korea National Health and nutrition examination survey 2007 to 2011. Angiology. 2015;66:326–32.CrossRefPubMed
11.
Hajek A, Brettschneider C, Mallon T, et al. The impact of social engagement on health-related quality of life and depressive symptoms in old age - evidence from a multicenter prospective cohort study in Germany. Health Qual Life Outcomes. 2017;15:140.CrossRefPubMedPubMedCentral
12.
Zimmermann IR, Silva MT, Galvao TF, Pereira MG. Health-related quality of life and self-reported long-term conditions: a population-based survey. Rev Bras Psiquiatr. 2017;39:62–8.CrossRefPubMed
13.
Layte R, Sexton E, Savva G. Quality of life in older age: evidence from an Irish cohort study. J Am Geriatr Soc. 2013;61(Suppl 2):S299–305.CrossRefPubMed
14.
Nam HSKK, Kwon SS, Koh KW, Poul K. EQ-5D Korean valuation study using time trade of method. Cheongwon: Korea Centers for Disease Control and Prevention. In; 2007.
15.
Huong NT, Ha LTH, Tien TQ. Determinants of health-related quality of life among elderly: evidence from chi Linh town. Vietnam Asia Pac J Public Health. 2017;29:84S–93S.CrossRefPubMed
16.
Hamed AF, Sayed TA, Hassan A. Study of health related quality of life (HRQoL) among rural elderly in upper Egypt (Edfa Village-Sohag). The Egyptian Journal of Community Medicine. 2012;30:35–48.
17.
Fryback DG, Dunham NC, Palta M, et al. US norms for six generic health-related quality-of-life indexes from the National Health Measurement study. Med Care. 2007;45:1162–70.CrossRefPubMedPubMedCentral
18.
Konig HH, Bernert S, Angermeyer MC, et al. Comparison of population health status in six european countries: results of a representative survey using the EQ-5D questionnaire. Med Care. 2009;47:255–61.CrossRefPubMed
19.
Lubetkin EI, Jia H, Franks P, Gold MR. Relationship among sociodemographic factors, clinical conditions, and health-related quality of life: examining the EQ-5D in the U.S. general population. Qual Life Res. 2005;14:2187–96.CrossRefPubMed
20.
Frick KD, Jones AS. Gender bias in economic evaluation methods: quality of life and family role effects. Womens Health Issues. 2008;18:4–6.CrossRefPubMed
21.
Alter DA, Iron K, Austin PC, et al. Socioeconomic status, service patterns, and perceptions of care among survivors of acute myocardial infarction in Canada. JAMA. 2004;291:1100–7.CrossRefPubMed
22.
Lee K, Lim HT, Hwang SS, et al. Socio-economic disparities in behavioural risk factors for cancer and use of cancer screening services in Korean adults aged 30 years and older: the third Korean National Health and nutrition examination survey, 2005 (KNHANES III). Public Health. 2010;124:698–704.CrossRefPubMed
23.
Jenkins JB, McCoy TP. Symptom clusters, functional status, and quality of life in older adults with osteoarthritis. Orthop Nurs. 2015;34:36–42. quiz 43-34CrossRefPubMed
24.
Woo J, Lau E, Lee P, et al. Impact of osteoarthritis on quality of life in a Hong Kong Chinese population. J Rheumatol. 2004;31:2433–8.PubMed
25.
Imai H, Chen WL, Fukutomi E, et al. Depression and subjective economy among elderly people in Asian communities: Japan, Taiwan, and Korea. Arch Gerontol Geriatr. 2015;60:322–7.CrossRefPubMed
26.
Barros A, Costa BE, Mottin CC, d'Avila DO. Depression, quality of life, and body composition in patients with end-stage renal disease: a cohort study. Rev Bras Psiquiatr. 2016;38:301–6.CrossRefPubMed
27.
Hassan K, Loar R, Anderson BJ, Heptulla RA. The role of socioeconomic status, depression, quality of life, and glycemic control in type 1 diabetes mellitus. J Pediatr. 2006;149:526–31.CrossRefPubMed
28.
Demura S, Sato S. Relationships between depression, lifestyle and quality of life in the community dwelling elderly: a comparison between gender and age groups. J Physiol Anthropol Appl Hum Sci. 2003;22:159–66.CrossRef
29.
Choi YJ, Lee MS, An SY, et al. The relationship between diabetes mellitus and health-related quality of life in Korean adults: the fourth Korea National Health and nutrition examination survey (2007-2009). Diabetes Metab J. 2011;35:587–94.CrossRefPubMedPubMedCentral
30.
Oh MG, Han MA, Park CY, et al. Health-related quality of life among cancer survivors in Korea: the Korea National Health and nutrition examination survey. Jpn J Clin Oncol. 2014;44:153–8.CrossRefPubMed
31.
Osada H, Shibata H, Haga H, Yasumura S. Relationship of physical condition and functional capacity to depressive status in person aged 75 years. Nihon Koshu Eisei Zasshi. 1995;42:897–909.PubMed
32.
Sugisawa H, Shibata H. Psychosocial determinants of changes in activities of daily living and depressive status among stroke patients at home. Nihon Koshu Eisei Zasshi. 1995;42:203–9.PubMed
Metadata
Title
Factors associated with health-related quality of life in Koreans aged over 50 Years: the fourth and fifth Korea National Health and Nutrition Examination Survey
Authors
Kyoung Min Kwon
Jung Soo Lee
Na Eun Jeon
Yeo Hyung Kim
Publication date
01-12-2017
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2017
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-017-0816-4

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