Global quality of life modifies terminal change in physical functioning among older adult women

被引:3
作者
Shrira, Amit [1 ]
Zaslavsky, Oleg [2 ]
LaCroix, Andrea Z. [3 ]
Seguin, Rebecca [4 ]
Post, Stephen [5 ]
Tindle, Hilary [6 ]
Hingle, Melanie [7 ]
Woods, Nancy [8 ]
Cochrane, Barbara [8 ]
Garcia, Lorena [9 ]
Schnall, Eliezer [10 ]
Rillamas-Sun, Eileen [3 ]
Palgi, Yuval [11 ]
机构
[1] Bar Ilan Univ, Interdisciplinary Dept Social Sci, Ramat Gan, Israel
[2] Univ Haifa, Cheryl Spencer Dept Nursing, IL-31999 Haifa, Israel
[3] Fred Hutchinson Canc Res Ctr, Publ Hlth Sci, Seattle, WA 98104 USA
[4] Cornell Univ, Coll Human Ecol, Ithaca, NY USA
[5] SUNY Stony Brook, Ctr Med Humanities, Stony Brook, NY 11794 USA
[6] Univ Pittsburgh, Div Internal Med, Pittsburgh, PA USA
[7] Univ Arizona, Coll Agr & Life Sci, Tucson, AZ USA
[8] Univ Washington, Sch Nursing, Seattle, WA 98195 USA
[9] Univ Calif Davis, Dept Publ Hlth Sci, Davis, CA 95616 USA
[10] Yeshiva Univ, Yeshiva Coll, New York, NY 10033 USA
[11] Univ Haifa, Dept Gerontol, IL-31999 Haifa, Israel
关键词
global quality of life; physical functioning; terminal change; Women's Health Initiative; older people; TO-DEATH; HEALTH; DECLINE; LIVE; AGE; SATISFACTION; DISABILITY; LONGEVITY; PATTERNS; PEOPLE;
D O I
10.1093/ageing/afu176
中图分类号
R592 [老年病学]; C [社会科学总论];
学科分类号
03 ; 0303 ; 100203 ;
摘要
Background: the factors that moderate decline in physical functioning as death approaches are understudied. This study aimed to assess death-related decline in global quality of life (QoL) and physical functioning and to test whether baseline QoL moderates terminal decline in physical functioning. Methods: four thousand six hundred and fifty-one decedents from the Women's Health Initiative Study (WHI) rated QoL and physical functioning each year throughout 5 years of follow-up. Results: both QoL and physical functioning showed a steeper decline as a function of years to death than as a function of chronological age. Moreover, decedents with higher QoL at baseline showed a less steep decline in physical functioning as death approached than those with lower QoL at baseline. Conclusion: although QoL strongly decreases across the terminal years, its beneficial influence on physical functioning is evident till the very end of life.
引用
收藏
页码:520 / 524
页数:5
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