Browse > Article
http://dx.doi.org/10.5720/kjcn.2014.19.5.479

The Factors Influencing Health-Related Quality of Life in the Elderly - Focused on the General Characteristics, Health Habits, Mental Health, Chronic Diseases, and Nutrient Intake Status: Data from the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012  

Lee, Hye-Sang (Department of Food and Nutrition, Andong National University)
Publication Information
Korean Journal of Community Nutrition / v.19, no.5, 2014 , pp. 479-489 More about this Journal
Abstract
Objectives: This study intended to determine significant factors that influence the health-related quality of life ("HRQoL"; EuroQol 5 Dimension health-related quality of life (EQ_5D) & EuroQol visual analogue scale (EQ_VAS)) of the elderly in Korea. Methods: This study was based on 3,903 subjects aged 65 years or more who participated in the Fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010~2012. The HRQoL was analyzed by various factors (general characteristics, health habits, mental health, chronic diseases, nutrient intakes). SPSS statistics for complex samples (Windows ver. 21.0) was used. Results: The HRQoL was higher in the males, those with higher educational level or higher income level while it was lower in those belong to single households. In particular, the EQ_5D was significantly higher in the group who reported walking practice, moderate physical activity (male), and the group who reported no vigorous physical activity (female). The EQ_VAS was significantly higher in the group who reported walking practice. Both EQ_5D and EQ_VAS were significantly lower in the group with stress, melancholy, suicidal thinking, and osteoarthritis. EQ_5D was significantly lower in the group with < 75% Estimated Energy Requirements (EER) in energy intake, and with < Estimated Average Requirements (EAR) in iron or niacin intake. A stepwise regression analysis revealed that i) higher educational level (male), and good self-rated health status significantly increased the EQ_5D, ii) age, alcohol intake (male), melancholy (female), suicidal thinking, osteoarthritis, and niacin intake deficiency (male) significantly decreased the EQ_5D, iii) higher income level (male) and good self-rated health status significantly increased the EQ_VAS, and iv) age (male), stress, suicidal thinking (female) and osteoarthritis significantly decreased the EQ_VAS. Conclusions: This study suggested that general characteristics, mental health, osteoarthritis, and niacin intake were associated with the HRQoL. Prospective research of long-term control is needed to establish the causal relationship between factors and the HRQoL.
Keywords
KNHANES V; the elderly; the health-related quality of life (HRQoL); EQ_5D; EQ_VAS;
Citations & Related Records
Times Cited By KSCI : 8  (Citation Analysis)
연도 인용수 순위
1 Atlantis E, Chow CM, Kirby A, Singh MF (2004): An effective exercise-based intervention for improving mental health and quality of life measures: a randomized controlled trial. Prev Med 39(2): 424-434   DOI   ScienceOn
2 Bae SY, Ko DS, Noh JS, Lee BH, Park HS, Park J (2010): Relation of physical activity and health-related quality of life in Korean elderly. J Korea Contents Assoc 10(10): 255-266   DOI
3 Chang YK, Park HR, Byun KW, Lee BK, Kwon JS (2006): Basic nutrition, Seoul, Kyomunsa, pp.198-288
4 Chung JY, Lee MY, Kim MJ (2010): A study on the prevalence of chronic diseases, health-related habits and nutrients intakes according to the quality of life in Korean adults. Korean J Community Nutr 15(4): 445-459
5 Jimenez-Redondo S, Beltran de Miguel B, Gavidia Banegas J, Guzman Mercedes L, Gomez-Pavon J, Cuadrado Vives C (2014): Influence of nutritional status on health-related quality of life of non-institutionalized older people. J Nutr Health Aging 18(4): 359-364   DOI
6 Kang EJ, Shin HS, Park HJ, Jo MW, Kim NY (2006): A valuation of health status using EQ-5D. Korean J Health Econ Policy 12(2): 19-43
7 Keddie AM (2011): Associations between severe obesity and depression: results from the National Health and Nutrition Examination Survey, 2005-2006. Prev Chronic Dis 8(3): A57
8 Kim JG (2012): An analysis on income-related health inequality of the aged applied to EQ-5D. J Korean Gerontol Soc 32(3): 759-776
9 Kim JY, Lee SG, Lee SK (2010): The relationship between health behaviors, health status, activities of daily living and healthrelated quality of life in the elderly. J Korean Gerontol Soc 30(2): 471-484
10 Kim KI, Lee JH, Kim CH (2012): Impaired health-related quality of life in elderly women is associated with multimorbidity: results from the Korean National Health and Nutrition Examination Survey. Gend Med 9(5): 309-318   DOI   ScienceOn
11 Kim MH, Cho YS, Uhm WS, Kim S, Bae SC (2005): Cross-cultural adaptation and validation of the Korean version of the EQ-5D in patients with rheumatic diseases. Qual Life Res 14(5): 1401-1406   DOI   ScienceOn
12 Ministry of Health and Welfare, Korea Centers for Disease Control and Prevention (2013): Korea Health Statistics 2012: Korea National Health and Nutrition Examination Survey (KNHANES V-3). Available from http://knhanes.cdc.go.kr/ [cited January 13, 2014]
13 Statistics Korea (2014): Annual report on the statistics for elderly. Available from http://kostat.go.kr/ [cited June 19, 2014]
14 Lee DH, Bin SO (2011): Structure relationships for diseased and health-related quality of life in the elderly. J Korea Contents Assoc 11(1): 216-224
15 Lee HS (2013): Prevalence of hypertension and related risk factors in the elderly: data from the 4th Korean National Health & Nutrition Examination Survey, 2007-2009. J Korean Diet Assoc 19(1): 14-24   DOI
16 Lee HS (2014): Prevalence of osteoarthritis and related risk factors in the elderly: data from the fifth Korea National Health and Nutrition Examination Survey (KNHANES V), 2010-2012. J Korean Diet Assoc 20(2): 99-109   DOI
17 Solli O, Stavem K, Kristiansen IS (2010): Health-related quality of life in diabetes: The associations of complications with EQ-5D scores. Health Qual Life Outcomes 8: 18   DOI
18 Oh SW (2011): Obesity and metabolic syndrome in Korea. Diabetes Metab J 35(6): 561-566   DOI   ScienceOn
19 Olivares PR, Gusi N, Prieto J, Hernandez-Mocholi MA (2011): Fitness and health-related quality of life dimensions in communitydwelling middle aged and older adults. Health Qual Life Outcomes 9: 117   DOI
20 Park H, Lee SK (2012): The association between osteoarthritis and health-related quality of life in women aged 50 years and over: using the Korea National Health and Nutrition Examination Survey (KNHANES) data. J Korean Soc Health Educ Promot 29(2): 23-32
21 The Korean Nutrition Society (2010): Dietary reference intakes for Koreans, Seoul, The Korean Nutrition Society, pp.578-583
22 Kim JI (2013): Levels of health-related quality of life (EQ-5D) and its related factors among vulnerable elders receiving home visiting health care services in some rural areas. J Korean Acad Community Health Nurs 24(1): 99-109   DOI   ScienceOn
23 Kim HJ, Park K (2011): Egg consumption and prevalence of metabolic syndrome in Korean adults: based on 2007-2008 Korean National Health and Nutrition Examination Survey. Korean J Community Nutr 16(3): 364-374   DOI
24 Lee CJ, Joung H (2012): Milk intake is associated with metabolic syndrome: using data from the Korea National Health and Nutrition Examination Survey 2007-2010. Korean J Community Nutr 17(6): 795-804   DOI   ScienceOn
25 Sohn S (2009): Factors related to the health related quality of life in elderly women. Korean J Women Health Nurs 15(2): 99-107   DOI