title: Chronic respiratory diseases and quality of life in elderly nursing home residents.
abstract: Few studies have assessed the quality of life (QOL) related to chronic respiratory diseases in the elderly. In the framework of the geriatric study on the health effects of air quality in elderly care centers (GERIA) study, a questionnaire was completed by elderly subjects from 53 selected nursing homes. It included various sections in order to assess respiratory complaints, QOL (World Health Organization QOL (WHOQOL)-BREF), and the cognitive and depression status. The outcome variables were the presence of a score lower than 50 (<50) in each of the WHOQOL-BREF domains (physical health, psychological health, social relationships, and environmental health). Chronic bronchitis, frequent cough, current wheezing, asthma, and allergic rhinitis were considered as potential risk factors. The surveyed sample was (n = 887) 79% female, with a mean age of 84 years (SD: 7 years). In the multivariable analysis, a score of <50 in the physical domain was associated with wheezing in the previous 12 months (odds ratio (OR): 2.03, confidence interval (CI): 1.25-3.31) and asthma (OR: 1.95, CI: 1.12-3.38). The psychological domain was related with a frequent cough (OR: 1.43, CI: 0.95-2.91). A score of <50 in the environmental domain was associated with chronic bronchitis (OR: 2.89, CI: 1.34-6.23) and emphysema (OR: 3.89, CI: 1.27-11.88). In view of these findings, the presence of respiratory diseases seems to be an important risk factor for a low QOL among elderly nursing home residents.
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, Lisbon, Portugal Epidemiology and Statistics Analisys Unit, Research Centre, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, Lisbon, Portugal pmartinsalergo@gmail.com.
authors.forename: Pedro
authors.identifier: http://orcid.org/0000-0002-4129-133X
authors.initials: P
authors.lastname: Carreiro-Martins
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal.
authors.forename: Joana
authors.initials: J
authors.lastname: Gomes-Belo
authors.affiliation: Epidemiology and Statistics Analisys Unit, Research Centre, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, Lisbon, Portugal CEAUL, Departamento de Bioestatística e Informática, Faculdade de Ciências Médicas (FCM), Universidade Nova de Lisboa, Campo dos Mártires da Pátria, Lisbon, Portugal.
authors.forename: Ana Luísa
authors.initials: AL
authors.lastname: Papoila
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal.
authors.forename: Iolanda
authors.initials: I
authors.lastname: Caires
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal.
authors.forename: Teresa
authors.initials: T
authors.lastname: Palmeiro
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, Lisbon, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Gaspar-Marques
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, Lisbon, Portugal.
authors.forename: Paula
authors.initials: P
authors.lastname: Leiria-Pinto
authors.affiliation: Instituto Nacional de Saúde Dr. Ricardo Jorge, Rua Alexandre Herculano, Porto, Portugal.
authors.forename: Ana Sofia
authors.initials: AS
authors.lastname: Mendes
authors.affiliation: Instituto Nacional de Saúde Dr. Ricardo Jorge, Rua Alexandre Herculano, Porto, Portugal Epidemiology Research Unit, Institute of Public Health, University of Porto (EPIUnit), Porto, Portugal.
authors.forename: João
authors.initials: J
authors.lastname: Paulo-Teixeira
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal.
authors.forename: Maria Amália
authors.initials: MA
authors.lastname: Botelho
authors.affiliation: CEDOC, Respiratory Research Group, Nova Medical School, Campo dos Mártires da Pátria, Lisbon, Portugal Serviço de Imunoalergologia, Hospital de Dona Estefânia, Centro Hospitalar de Lisboa Central, EPE, Rua Jacinta Marto, Lisbon, Portugal.
authors.forename: Nuno
authors.initials: N
authors.lastname: Neuparth
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D009735:Nursing Homes; D011174:Portugal / Q000453:epidemiology; D015995:Prevalence; D011788:Quality of Life; D012140:Respiratory Tract Diseases / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Asthma; COPD; aged people; elderly; quality of life