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Life Satisfaction and Frailty Among Older Adults.

ABSTRACT: Functional and physical impairment are factors believed to lead to declined life satisfaction among older adults. This study aimed to examine life satisfaction among older adults and the influence of frailty. Baseline data from two studies addressing frail older adults aged 80+ in Gothenburg, Sweden, (n=577) were used. Frailty was measured through eight indicators. Life satisfaction was measured with Fugl-Meyer's instrument LiSat-11. Perceived life satisfaction was rather high within the studied population, with 66% being satisfied with life as a whole. Most life satisfaction items were significantly associated with frailty status, with non-frail participants being satisfied to a higher extent for all items with the exception of financial situation, sexual life and partnership relation. The factors significantly explaining life satisfaction were psychological health, partner relationship, leisure and ADL. This study shows that older adults' satisfaction with life as a whole is almost as high as in younger age groups. Respondents with higher degree of frailty reported significantly lower degrees of life satisfaction, indicating a possibility to maintain life satisfaction by preventing or delaying the development of frailty.

SUBMITTER: Wilhelmson K

PROVIDER: S-EPMC4768568 | biostudies-literature | 2013 Sep

REPOSITORIES: biostudies-literature

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Life Satisfaction and Frailty Among Older Adults.

Wilhelmson Katarina K Fritzell Emelie E Eklund Kajsa K Dahlin-Ivanoff Synneve S

Health psychology research 20130923 3

Functional and physical impairment are factors believed to lead to declined life satisfaction among older adults. This study aimed to examine life satisfaction among older adults and the influence of frailty. Baseline data from two studies addressing frail older adults aged 80+ in Gothenburg, Sweden, (n=577) were used. Frailty was measured through eight indicators. Life satisfaction was measured with Fugl-Meyer's instrument LiSat-11. Perceived life satisfaction was rather high within the studied ...[more]

PMID: 26973917

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Project description:BACKGROUND:Multimorbidity and frailty are relevant conditions among older adult population. There is growing evidence about their association with poor health outcomes like disability, worst quality of life, and death. Nonetheless, the independent associations of both conditions have been studied, and few evidence exists about an interaction between them. Our aims were to assess the association of frailty and multimorbidity with the disability, quality of life and all-cause mortality as well as to analyze a potential interaction between these conditions. METHODS:Analytical samples included 1410 respondents for disability and quality of life, and 1792 for mortality. We performed a longitudinal analysis with older Mexican adults aged 50, using data collected from the WHO's Study on global AGEing and Adult Health Waves 1 and 2. Disability was measured using the World Health Organization Disability Assessment Schedule (WHODAS 2.0), and quality of life using the WHOQOL (WHO Quality of Life) instrument. All-cause mortality was determined by reviewing death certificates. Associations of frailty and multimorbidity with disability, quality of life and mortality were estimated using linear regression and Cox proportional hazards models. RESULTS:Multimorbidity assessed through three patterns (cardiopulmonary, vascular-metabolic, and mental-musculoskeletal) was associated with the three outcomes in this study. Cardiopulmonary and mental-musculoskeletal patterns increased the WHODAS mean score (??=?5.05; p <?0.01 and ??=?5.10; p <?0.01, respectively) and decreased WHOQOL score (??=?-?1.81; p <?0.01 and ??=?-?2.99; p <?0.01, respectively). Vascular-metabolic was associated with mortality (HR?=?1.47; p =?0.04), disability (??=?3.27; p <?0.01) and quality of life (??=?-?1.30; p =?0.02). Frailty was associated with mortality (pre-frail: HR?=?1.48; p?=?0.02 and frail: HR?=?1.68; p =?0.03), disability (pre-frail: ??=?5.02; p <?0.01; frail: ??=?13.29; p <?0.01) and quality of life (pre-frail: ??=?-?2.23; p <?0.01; frail: ??=?-?4.38; p <?0.01). Interaction terms of frailty and multimorbidity were not statistically significant. CONCLUSIONS:Multimorbidity and frailty are important predictors of poor health outcomes. These results highlight the importance of carrying out health promotion and prevention actions as well as specific interventions aimed at older adults who suffer from multimorbidity and frailty, in such a way that deleterious effects on health can be avoided.

Project description:BackgroundLife satisfaction is associated with many important health outcomes among older adults and is an indicator of successful ageing. The present study aims to replicate earlier findings regarding relationships between satisfaction with various life domains and life satisfaction in older adults. The study furthermore explores how parental status is associated with satisfaction with different life domains and how two types of intergenerational contact (contact with own children; post-retirement work in childcare) relate to life satisfaction.MethodsParticipants were 1978 older adults, aged 65-75 year (51.7% female), who live in Bremen and took part in the OUTDOOR ACTIVE study. 82.6% of the participants had one or more children. All participants completed a questionnaire, which among others comprised items assessing life satisfaction as well as satisfaction with six different life domains (satisfaction with living situation, financial situation, leisure time, health, family, neighbors and friends).ResultsLS is significantly related to all of the investigated life domains, independent of sex and age. For the participants with children, life satisfaction had the highest association with satisfaction with family (β: 0.202; 95%CI: 0.170-0.235), followed by satisfaction with neighbors and friends (β: 0.151; 95%CI: 0.111-0.191), and health satisfaction (β: 0.148; 95%CI: 0.120-0.176). In comparison to that, participants without children had the highest association between life satisfaction and satisfaction with health (β: 0.193; 95%CI: 0.135-0.252), followed by satisfaction with family (β: 0.175; 95%CI: 0.114-0.236) and satisfaction with neighbors and friends (β: 0.154; 95%CI: 0.077-0.232). In participants with children, there was a non-significant negative association between life satisfaction and work in childcare (β: -0.031; 95%CI: -0.178-0.116), while life satisfaction was statistically significantly positively associated to work in childcare in participants without own children (β: 0.681; 95%CI: 0.075-1.288).ConclusionsThe results suggest that the domain-specific approach to life satisfaction can elucidate differences in the correlates of life satisfaction and well-being between older adults with and without children. They further suggest that the benefits of working with children for life satisfaction may be more pronounced in older adults without children than older adults with children.

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Life Satisfaction and Frailty Among Older Adults.

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Life Satisfaction and Frailty Among Older Adults.

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