Assessing Health-Related Quality of Life (HRQOL) And Activity of Daily Living (ADL) in the Elderly Population of Urban Chengalpattu District, Tamil Nadu, India

Authors

  • Ashmitha Rajan SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India
  • Adithyan N SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India
  • Roshni Mary Peter SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India
  • Logaraj M SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India
  • Anantharaman VV SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalpattu, Tamil Nadu, India

DOI:

https://doi.org/10.55489/njcm.150920244354

Keywords:

Elderly, Health related quality of life, Activity of daily living

Abstract

Background: Improving the quality of life for India's increasing senior population is a pressing public health issue. The proportion of seniors has risen from 5.6% in 1961 to 8.6% in 2011 and is projected to reach 12.5% by 2030, escalating further to 20% by 2050. The study aimed to explore how functional status relates to various HRQOL dimensions among urban elderly in Chengalpattu.

Methodology: This cross-sectional study includes 260 elderly participants from Chengalpattu district, Tamil Nadu, India. The Short Form 36 (SF-36) assessed six domains of Health-Related Quality of Life (HRQOL), while the Barthel Activities of Daily Living (ADL) tool evaluated functional status.

Results: Primary education stands out as the most common educational background at 49.2%, the majority of females at 55.4%. Daily living participants' activities fall into three categories: independent (n = 134; 51.5%), partially dependent (n = 111; 42.7%), and dependent (n = 15; 5.9%). The ADL and HRQOL ratings showed strong relationships

Conclusion: The study underscores how declining ADL adversely affects multiple HRQOL aspects in the elderly, emphasizing the imperative of preserving functional health to enhance seniors' quality of life in India. Targeted interventions to maintain their independence and overall well-being are crucial amid the growing elderly population.

References

Gajendra Kumar Medhi, Jogesh Sarma,Star Pala et tal, Association between health related quality of life (HRQOL) and activity of daily living (ADL) among elderly in an urban setting of Assam, India, J Family Med Prim Care 2019;8:1760-4. Doi: https://doi.org/10.4103/jfmpc.jfmpc_270_19 PMid:31198751 PMCid:PMC6559106

Chandrakant Lahariya,Jyoti Khandekar, Shishir K Pradhan, Effect of Impairment and Disability on HealthRelated Quality of Life of Elderly: A CommunityBased Study from Urban, Indian Journal of Community Medicine/Vol 37/Issue 4/October 2012. Doi: https://doi.org/10.4103/0970-0218.103469 PMid:23293435 PMCid:PMC3531014

Lingyun Ran1, Hongqian Kong , Mengqi Du et tal, Comparison of health-related quality of life between the Han and Yi ethnicity elderly in the Yi autonomous areas of Yunnan Province, BMC Geriatrics (2019) 19:326. Doi: https://doi.org/10.1186/s12877-019-1257-1 PMid:31766992 PMCid:PMC6878633

Jackson JL. The effects of Thera-Band resistance training on health-related quality of life and muscular strength in adults ages 60-80 [dissertation]. Dissertation Abstracts Online. 2001;64(09A):3207.

Meiling Qi , Ping Li, Wendy Moyle et tal, Physical Activity, Health-Related Quality of Life, and Stress among the Chinese Adult Population during the COVID-19 Pandemic, Int. J. Environ. Res. Public Health 2020, 17, 6494. Doi: https://doi.org/10.3390/ijerph17186494 PMid:32906604 PMCid:PMC7558071

Elena M. Andresen, Victoria, J. Vahle et tal, Proxy reliability: Health-related quality of life (HRQoL) measures for people with disability, Quality of Life Research10:609 619,2001. Doi: https://doi.org/10.1023/A:1013187903591 PMid:11822794

Helena Horder,Ingmar Skoog,Kerstin Frandin, Health-related quality of life in relation to walking habits and fitness: a population-based study of 75-year-olds, Qual Life Res (2013) 22:1213-1223. Doi: https://doi.org/10.1007/s11136-012-0267-7 PMid:23001468

Roberta E. Rikli, C. Jessie Jones, Development and Validation of CriterionReferenced Clinically Relevant Fitness Standards for Maintaining Physical Independence in Later Years, The Gerontologist Volume 53, No.2:1- 13.

Hays RD, Morales IS,The RAND 36 measure of health related quality of life. Ann Med 2001;33:350 7. Doi: https://doi.org/10.3109/07853890109002089 PMid:11491194

Joshi K, Kumar R, Avasthi A. Morbidity profile and its relationship with disability and psychological distress among elderly people in Northern India. Int J Epidemiol 2003;32:978 87 Doi: https://doi.org/10.1093/ije/dyg204 PMid:14681260

Kumar S, Pradhan MR, Singh AK. Chronic diseases and their association with disability among the elderly in India. Social Science Spectrum 2017;3:27 37..

Keshari P, Shankar H. Prevalence and spectrum of functional disability of urban elderly subjects: A community based study from Central India. J Fam Community Med 2017;24:86 90. Doi: https://doi.org/10.4103/jfcm.JFCM_80_16 PMid:28566971 PMCid:PMC5426108

Gupta P, Mani K, Rai SK, Nongkynrih B, Gupta SK. Functional disability among elderly persons in a rural area of Haryana. Indian J Public Health 2014; 58:11 6 Doi: https://doi.org/10.4103/0019-557X.128155 PMid:24748351

Gupta S, Yadav R, Malhotra AK. Assessment of physical disability using Barthel index among elderly of rural areas of district Jhansi (U.P), India. J Fam Med Prim Care 2016;5:853 7. Doi: https://doi.org/10.4103/2249-4863.201178 PMid:28349004 PMCid:PMC5353827

Kaur S, Bhalla A, Kumari S, Singh A. Assessment of functional status and daily life problems faced by elderly in a North Indian city. Psychogeriatrics. 2019 Sep;19(5):419-425. Doi: https://doi.org/10.1111/psyg.12406 PMid:30723992

Hung WW, Ross JS, Boockvar KS, Siu AL. Association of chronic diseases and impairments with disability in older adults: A decade of change? Med Care 2012; 50:501 7. Doi: https://doi.org/10.1097/MLR.0b013e318245a0e0 PMid:22584885 PMCid:PMC3353149

Costa Filho AM, Mambrini JVM, Malta DC, Lima-Costa MF, Peixoto SV. Contribution of chronic diseases to the prevalence of disability in basic and instrumental activities of daily living in elderly Brazilians: the National Health Survey (2013). Cad Saude Publica. 2018 Feb 5;34(1) Doi: https://doi.org/10.1590/0102-311x00204016 PMid:29412330

Kumar S, Pradhan MR, Singh AK. Chronic diseases and their association with disability among the elderly in India. Social Science Spectrum 2017;3:27 37.

Chadha NK, Chao D, Mir UA, Bhatia H. Structure of social network of the elderly in Delhi. Indian J Gerontology 2005;19:307-26.

Mahoney FI, Barthel D. Functional evaluation: The Barthel Index. Md State Med J 1965; 14:56 61. Doi: https://doi.org/10.1037/t02366-000

Patel MD, Tilling K, Lawrence E, Rudd AG, Wolfe CD, Mckevitt C. Relationships between long term stroke disability, handicap and health related quality of life. Age Ageing 2006;35:273 9. Doi: https://doi.org/10.1093/ageing/afj074 PMid:16638767

Ware JE Jr, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992 Jun;30(6):473-83. Doi: https://doi.org/10.1097/00005650-199206000-00002 PMid:1593914

Lin C, Li C, Chang C, Liu C, Lin C, Meng N, et al. Reduced health related quality of life in elders with frailty: A cross sectional study of community dwelling elders in Taiwan. PLoS One 2011;6:e21841. Doi: https://doi.org/10.1371/journal.pone.0021841 PMid:21747961 PMCid:PMC3128625

Loos Ayav C, Chau N, Riani C, Guillemin F. Functional disability in France and its relationship with health related quality of life a population based prevalence study. Clin Exp Rheumatol 2007;25:701 8.

Nagarkar, A., & Kashikar, Y. (2017). Predictors of functional disability with focus on activities of daily living: A community-based follow-up study in older adults in India. Arch Gerontol Geriatr, 69, 151-155. Doi: https://doi.org/10.1016/j.archger.2016.11.015 PMid:27936458

Ćwirlej-Sozańska, A., Wiśniowska-Szurlej, A., Wilmowska-Pietruszyńska, A., & Sozański, B. (2019). Determinants of ADL and IADL disability in older adults in southeastern Poland. BMC Geriatr, 19, 1-13. Doi: https://doi.org/10.1186/s12877-019-1319-4 PMid:31672121 PMCid:PMC6824102

Parmar, M. C., & Saikia, N. (2018). Chronic morbidity and reported disability among older persons from the India Human Development Survey. BMC Geriatr, 18, 1-12. Doi: https://doi.org/10.1186/s12877-018-0979-9 PMid:30522436 PMCid:PMC6284309

Downloads

Published

2024-09-01

How to Cite

1.
Rajan A, N A, Mary Peter R, M L, Anantharaman VV. Assessing Health-Related Quality of Life (HRQOL) And Activity of Daily Living (ADL) in the Elderly Population of Urban Chengalpattu District, Tamil Nadu, India. Natl J Community Med [Internet]. 2024 Sep. 1 [cited 2024 Dec. 13];15(09):706-11. Available from: https://njcmindia.com/index.php/file/article/view/4354

Issue

Section

Original Research Articles