Life Of Older People Research Articles

248 Influence of self-efficacy on older adults’ perspectives and engagement with technology

Abstract Background Self-efficacy has been demonstrated to influence individuals’ perspectives and preferences in relation to technology use, and informs disparities observed among older adults in terms of their access and use of information communication technology. However, research exploring the effects of technological self-efficacy on the consequent virtual engagement among older adults is scarce. The relationship between self-efficacy and varying levels of technology use and proficiency needs to be considered. These factors not only shape older adults’ perspectives on technology use but also impact their adaptation and engagement in critical areas of daily life: including information access, advocacy, and social participation. This paper investigates the relationship between the adoption of and attitudes towards technology among older people, the role of self-efficacy in informing these attitudes, and the level of use or perceived usefulness of technology. Methods The study draws on in-depth interviews with older adult members (n = 40) and stakeholders (n = 30) of a nationally representative membership-based grassroots older adult organisation in Ireland. The semi-structured interviews explored individuals’ experiences of technology use, focusing on daily routines, social connectedness, information access, and civic participation. Results Findings reveal that narratives about daily routines involving technology are influenced by perceptions of self-efficacy in relation to technology in general. However, this self-efficacy is also influenced by other factors that influenced interaction with technology in the daily lives of older people. Dependence on social support can paradoxically impair self-efficacy when such support is withdrawn. An ideology of individual responsibility sometimes led participants to view themselves as the problem when struggling with digital engagement, contributing to a lack of confidence and motivation. Conclusion While technology development for older people is progressing, there is less consideration of the correlation between technology adoption rates and self-efficacy. This paper proposes interventions to empower individuals, enrich virtual engagement, and reduce technological inequalities. Understanding these dynamics could help shape inclusive technological engagement practices and policies for older adults.

Frailty and Factors Affecting It Among Older People Living in Nursing Home: A Cross-sectional Study

Frailty and Factors Affecting It Among Older People Living in Nursing Home: A Cross-sectional Study

Silk Peptide Ameliorates Sarcopenia through the Regulation of Akt/mTOR/FoxO3a Signaling Pathways and the Inhibition of Low-Grade Chronic Inflammation in Aged Mice.

As populations around the world age, interest in healthy aging is growing. One of the first physical changes that occurs with aging is the loss of muscle mass and strength, termed sarcopenia. Sarcopenia limits the activity of older people, reduces their quality of life, and increases the likelihood of their developing disease. In the present study, we aimed to evaluate the effects of the ingestion of acid-hydrolyzed silk peptide (SP) on the muscle mass and strength of mice of >22 months of age with naturally occurring sarcopenia, and to identify the mechanisms involved. The daily administration of SP for 8 weeks increased the activation of the Akt/mTOR/FoxO3a signaling pathways and increased the muscle mass and strength of the old mice. In addition, SP inhibited oxidative stress and inflammation in muscle, which are direct causes of sarcopenia. Therefore, SP represents a promising potential treatment for sarcopenia that may improve the healthy lifespan and quality of life of older people.

An integrated model for luminous environment and quality of life of older people in care and attention homes

The luminous environment (LE) impacts significantly on the Quality of Life (QoL) of residents of Care and Attention (C&A) homes, through multiple channels, but these have not been studied holistically. This paper develops an integrated model to explore the constructs and relationships underpinning LE dimensions and QoL variables through correlation analysis, regression and structural equation modelling. Data was collected through on-site observations and a questionnaire survey administered to 94 older people in purposively-selected C&A homes in Hong Kong. The observed C&A homes performed well in the spatial luminance distribution in the dining rooms and the corridors and natural light in the bedrooms, but performed poorly in lighting control. The results show that psychological health can be positively predicted by spatial luminance distribution, lighting for navigation and natural light, that independence is impacted by color and no extreme luminance contrasts, that navigation lighting, natural light, and that light level for work positively influences basic activities of daily living. The somewhat more surprising positive correlation between physical health and lighting control, and negative correlation between basic activities of daily living with the lack of extreme luminance contrasts are explored, and reveal further insights regarding methodological refinements. Practical recommendations are made based on these findings.

P09.06.B GAIT CHARACTERISTICS OF PROGRESSIVE DISEASE IN HIGH GRADE GLIOMA: THE BRAINWEAR STUDY

Abstract BACKGROUND Walking is a useful measure of overall health and walking speed has well-documented predictive value for health-related outcomes such as mortality, quality of life, physical and cognitive functional decline in older people. Wearable technology-based gait analysis is emerging as a powerful tool to detect early disease and monitor progression in areas such as Parkinson’s disease. We present an exploratory analysis of gait characteristics at the time of progressive disease from patients with high grade glioma (HGG) participating in the BrainWear Study which evaluates the use of free-living accelerometers in patients with brain tumours. MATERIAL AND METHODS All agreed to wear a wrist-worn Axivity AX3 triaxial accelerometer changed at 14-day intervals. Raw accelerometer data was processed using the UKBiobank OxWearables stepcount model v2.1.2 for Python and inclusion of high-quality wear time selected as ≥72 hours of data in a 7-day data collection and data in each 1-hour period of a 24-hour cycle over multiple days. 12 gait measures were characterised including total daily steps, cadence, cadence peak and minutes walking per day. We analysed variation in gait measures by patient demographics and MRI result. Wilcoxin-signed rank test was used to compare participant gait measures at timepoints of stable disease (SD) or progressive disease (PD). Mixed-effects models were used to evaluate longitudinal changes in gait measures. RESULTS 17 HGG patients (6 female; 11 male) provided 4654 days of accelerometer data across 49 MRI Head scan RESULTS , 32 labelled as PD and 17 as SD. Median age was 62 years (32-79) and mean study participation 273 days (41-550). 8 patients provided accelerometer data at timepoints of both PD and SD allowing for paired analysis. There were no differences in 12 gait measures between age (<60 and >60 years) and gender. In the 6 weeks surrounding an MRI scan, patients with PD walked on average 1856 steps less per day than those with SD, and spent 22 minutes less walking (p=0.0403). Peak 1-minute cadence was 77 steps/min in patients with SD versus 67 steps/min with PD. CONCLUSION The complexity of HGG treatment, recovery and survivorship creates a need for novel monitoring approaches. Wearable accelerometry is feasible and acceptable and evaluating gait measures captures objective evidence of significant differences in patients with PD versus SD. Physical activity measures can guide clinicians in optimising quality of life and may act as an alert system prior to events such as disease progression.

Effects of whole-body vibration training in static and dynamic semi-squat patterns on the lower limb muscle activity

The decline in physical function and the deterioration of the neuromusculoskeletal system in older people can easily lead to reduced muscle strength and slower mobility in the joints of the lower limbs, increasing the incidence of chronic diseases such as muscle wasting disorders, osteoporosis, debilitation and fall and fracture. It may also affect the quality of life and functional independence of older people, and in serious cases, even directly threaten their health. This study was conducted to determine the differences in lower limb muscle activation characteristics between static semi-squat (SSS) and dynamic semi-squat (DSS) training in middle-aged and old women at different frequencies and amplitudes and to explore a personalized whole-body vibration (WBV) training instruction program suitable for them. Fifteen healthy middle-aged and old women (60.8 ± 4.18 years old) were recruited for SSS and DSS WBV training. Their muscle activity of the rectus femoris (RF), vastus medialis (VM), vastus lateralis (VL), biceps femoris (BF) and gastrocnemius (GS) were calculated using the BTS FreeEMG300 wireless surface electromyography (EMG), which participants were completed that the two different contraction patterns of squats on WBV training. The knee flexion was maintained at 45° while the subjects were performing the SSS training, while during the DSS training, the knee flexion fluctuates between 10° and 45°. The SSS exercise requires the subject to remain stationary in the squatting position and the DSS to be performed at a rhythm of 4 s/repetition, with 2 s of squatting, 1 s of standing up, and 1 s intervals. The vibration frequencies and amplitudes were changed to the WBV training intensity, and the vibration frequencies were set to 0 Hz, 30 Hz and 40 Hz, and the amplitudes were set to 0 mm, 2 mm and 4 mm. Each subject is randomised to participate in WBV training with 5 combinations of frequency and amplitude in both static and dynamic semi-squat patterns. These were 0 Hz 0 mm, 30 Hz 2 mm, 30 Hz 4 mm, 40 Hz 2 mm, 40 Hz 4 mm for the static and dynamic demi-squat patterns of WBV training. A two-way repeated measures ANOVA was applied to compare the changes in surface EMG of the lower limb muscles in different modes of SSS and DSS with WBV training. (1) Our results showed significantly interaction effects in the frequency × amplitude of root mean square (EMGrms) in GS (P < 0.05), while no significant differences were observed in the interaction effects of SSS/DSS patterns, frequencies and amplitude of RF, VM, VL and BF (P > 0.05). (2) Comparisons between groups showed that the EMGrms of the RF were significantly higher for the DSS than the SSS (P < 0.05). Additionally, the EMGrms of VL and BF at 30 Hz and 40 Hz were greater than 0 Hz (P < 0.05). Also, The EMGrms at 4 mm for the VM, VL and BF were significantly higher than 0 mm, the EMGrms at 4 mm for the VM and VL were significantly higher than 2 mm (P < 0.05), and the EMGrms at 2 mm of VL and BF were significantly higher than 0 mm (P < 0.05). (3) The results showed that WBV stimulation significantly increased the EMGrms of the GS in the SSS compared with the vibration free semi-squat alone (P < 0.05). However, there were no significant differences between WBV training protocols for SSS patterns with different frequencies and amplitudes (frequencies and amplitudes not were 0 Hz and 0 mm) (P > 0.05). Comparison of EMGrms for WBV training of the GS in DSS patterns showed that 40 Hz/4 mm was significantly higher than 0 Hz/0 mm (P < 0.05), but there was no significant difference between the remaining vibration conditions (P > 0.05). WBV training for DSS can significantly improve the activation of the RF compared to SSS pattern. Compared with no vibration, WBV could significantly improv the activity of the lower limb muscles. Additionally, an increase in amplitude from 2 to 4 mm could significantly improve VM and VL activation, while no significant improvement on lower limb muscle activation was observed for increasing vibration frequency from 30 to 40 Hz.

Experiences of a Community-Based Digital Intervention Among Older People Living in a Low-Income Neighborhood: Qualitative Study.

Older adults worldwide experienced heightened risks of depression, anxiety, loneliness, and poor mental well-being during the COVID-19 pandemic. During this period, digital technology emerged as a means to mitigate social isolation and enhance social connectedness among older adults. However, older adults' behaviors and attitudes toward the adoption and use of digital technology are heterogeneous and shaped by factors such as age, income, and education. Few empirical studies have examined how older adults experiencing social and economic disadvantages perceive the learning of digital tools. This study aims to examine the motivations, experiences, and perceptions toward a community-based digital intervention among older adults residing in public rental flats in a low-income neighborhood. Specifically, we explored how their attitudes and behaviors toward learning the use of smartphones are shaped by their experiences related to age and socioeconomic challenges. This study adopted a qualitative methodology. Between December 2020 and March 2021, we conducted semistructured in-depth interviews with 19 participants aged ≥60 years who had completed the community-based digital intervention. We asked participants questions about the challenges encountered amid the pandemic, their perceived benefits of and difficulties with smartphone use, and their experiences with participating in the intervention. All interviews were audio recorded and analyzed using a reflexive thematic approach. Although older learners stated varying levels of motivation to learn, most expressed ambivalence about the perceived utility and relevance of the smartphone to their current needs and priorities. While participants valued the social interaction with volunteers and the personalized learning model of the digital intervention, they also articulated barriers such as age-related cognitive and physical limitations and language and illiteracy that hindered their sustained use of these digital devices. Most importantly, the internalization of ageist stereotypes of being less worthy learners and the perception of smartphone use as being in the realm of the privileged other further reduced self-efficacy and interest in learning. To improve learning and sustained use of smartphones for older adults with low income, it is essential to explore avenues that render digital tools pertinent to their daily lives, such as creating opportunities for social connections and relationship building. Future studies should investigate the relationships between older adults' social, economic, and health marginality and their ability to access digital technologies. We recommend that the design and implementation of digital interventions should prioritize catering to the needs and preferences of various segments of older adults, while working to bridge rather than perpetuate the digital divide.

An Internet of Things-Based Home Telehealth System for Smart Healthcare by Monitoring Sleep and Water Usage: A Preliminary Study

Recently, the Internet of Things (IoT) has attracted wide attention from many fields, especially healthcare, because of its large capacities for information perception and collection. In this paper, we present an IoT-based home telehealth system for providing smart healthcare management for individuals, especially older people. Each client node of the system is mainly composed of an electronic water meter that records the user’s daily water usage, in order to analyze their living patterns and lifestyle as well as ascertain their well-being, and an unobtrusive sleep sensor that monitors the user’s physiological parameters during sleep, such as heart rate (HR), respiratory rate (RR), body movement (BM), and their states on the bed or outside the bed. The collected data can be transmitted to a remote centralized cloud service by a wireless home gateway for analyzing the living pattern and rhythm of users. Furthermore, the periodic feedback of results can be provided to users themselves, as well as their family and health advisers. In the present study, data was collected from a total of 18 older subjects for one year to evaluate the effectiveness of the proposed system. By analyzing living patterns and rhythm, preliminary results indicate the effectiveness of the telehealth system and suggest the potential of the system regarding improvement in the quality of life (QoL) of older people and promotion of their health.

The role of arts engagement in reducing cognitive decline and improving quality of life in healthy older people: a systematic review.

In recent years, arts engagement has been proposed as a non-pharmacological approach to reduce cognitive decline and increase well-being and quality of life in specific populations such as the elderly or patients with severe disease. The aim of this systematic review was to assess the effects of receptive or active arts engagement on reducing cognitive decline and improving quality of life and well-being in healthy populations, with a particular focus on the role of arts engagement in the long term. A comprehensive search strategy was conducted across four databases from February to March 2023. Ten studies with a total of 7,874 participants were incorporated in accordance with the PRISMA guidelines. Active and receptive arts engagement was found to be an effective approach to reduce cognitive decline and improve well-being and quality of life in healthy populations. The role of the positive effects of arts engagement could be determined by the combination of several factors such as exposure to cultural activities and the group effect. There is limited evidence of the protective effects of active arts engagement over a long period of time. Given the increasing demand for preventive programmes to reduce the negative effects of population ageing, more research on arts engagement should be conducted to identify its mechanisms and long-term effects.

Reflections on the Intersectionality of Gender and Ageing in the Middle East

he Middle East and North Africa (MENA) region has been traditionally characterised by young population demographics but is currently experiencing fast transitions into ageing societies. The region has strong narratives of respect and high regard towards the elderly that are embedded in cultural norms. However, such narratives appear to have limited practical applications as they contradict the experiences of older people. The experiences of older women and men are likely to be impacted by existing gender differentials across the life course including marriage patterns, societal expectations and access to opportunities. The COVID-19 pandemic and associated infection control restrictions have impacted the lives of older people globally, including in the Middle East. In this article, I reflect on the intersectionality of gender and ageing perception in the MENA region, drawing on qualitative data collected as part of the Middle East and North Africa Research on Ageing Healthy (MENARAH) Network between 2020 and 2022.

Hesperidin Ameliorates Sarcopenia through the Regulation of Inflammaging and the AKT/mTOR/FoxO3a Signaling Pathway in 22-26-Month-Old Mice.

Faced with a globally aging society, the maintenance of health and quality of life in older people is very important. The age-related loss of muscle mass and strength, known as sarcopenia, severely reduces quality of life and increases the risks of various diseases. In this study, we investigated the inhibitory effect of hesperidin (HES) on inflammaging, with the intention of evaluating its potential use as a treatment for sarcopenia. We studied 22-26-month-old mice, corresponding to humans aged ≥70 years, with aging-related sarcopenia, and young mice aged 3-6 months. The daily administration of HES for 8 weeks resulted in greater muscle mass and strength and increased the fiber size of the old mice. HES also restored the immune homeostasis that had been disrupted by aging, such as the imbalance in M1/M2 macrophage ratio. In addition, we found that HES ameliorated the sarcopenia by regulating AKT/mammalian target of rapamycin/forkhead box 3a signaling through an increase in insulin-like growth factor (IGF)-1 expression in the old mice. Therefore, HES represents a promising candidate inhibitor of sarcopenia in older people, and its effects are achieved through the maintenance of immune homeostasis.

Examining the Nonstationary Spatial Association Between International Migration and Vulnerable Older People Living Alone in Mexico

Examining the Nonstationary Spatial Association Between International Migration and Vulnerable Older People Living Alone in Mexico

Examining the Nonstationary Spatial Association Between International Migration and Vulnerable Older People Living Alone in Mexico

Research on the intersection of migration and ageing is becoming increasingly relevant as older populations grow in developing countries. Understanding the challenges faced by older people, who are often left behind due to their vulnerable position, is essential for policy-making. This research examines the geographical variation in the impact of international migration on the living alone status of older people in Mexico, particularly those most at risk. The following municipal-level information was obtained from the 2020 Census: international migration, living alone, receipt of remittances, and disability. Using geographically weighted regressions, we found geographical variations in the association between international migration and living alone or being more vulnerable. Controlling for socio-demographic factors, in the southern states international migration is associated with a reduction in the proportion of adults living alone and greater vulnerability due to disability or lack of support from other households. This relationship holds for both men and women. However, in some border regions the proportion of older adults living alone and experiencing greater vulnerability increases with increasing migration, especially for women.

Depression Situation of Older People Living in Residencial Care Facilities

Depression Situation of Older People Living in Residencial Care Facilities

Exclusion within exclusion: The experiences of internally displaced older adults in Lugbe camp, Abuja

As the Boko Haram insurgency-induced conflict in Northeast Nigeria lingers and more people are made homeless, Displaced older persons who have lost their social networks, support systems, status, and roles as a result may experience new challenges at the internally displaced persons (IDPs) camps. Our study explored older adults' experiences of exclusion in the Lugbe IDP camp in Abuja. Data was collected through semi-structured interviews with 14 displaced older adults aged 60 and above who have lived in the camp for five years. The collected data were subsequently transcribed and analysed thematically using NVivo 12. Findings showed that displaced older adults suffered social, economic, and political exclusions. They were also excluded from participating in training programmes that could equip them with the skills to survive in their new environment. Similarly, it was found that the displaced older adults in the study had difficulty connecting with friends and families outside the camp due to their lack of experience in utilising digital technology, resulting in feelings of increased loneliness. Poverty and lack of education were identified as the main predisposing factors for exclusion. Exclusion affected displaced older people's health and life satisfaction. We recommend that organisers/managers of IDP camps ensure that policies and programmes are sufficiently inclusive of and sensitive to the physical and mental well-being of older Internally Displaced Persons. This would be in accordance with the African culture of support and consistent with the United Nations Sustainable Development Goals.

An examination of manifestations of Ageism among the elderly populations in Kenya

This study examined the manifestations of ageism among the elderly populations in Kenya. Ageism is a form of discrimination that is based on age. It can manifest in many ways, including negative stereotypes, prejudice, and discrimination. Ageism can have a significant impact on the lives of older people, leading to social isolation, decreased self-esteem, and poorer health outcomes. The study used a qualitative methodology, and it involved interviews with 30 elderly people from different parts of Kenya. The findings of the study suggest that ageism is a widespread problem in Kenya, and it manifests in a number of ways. Some of the manifestations of ageism that were identified in the study include: Negative stereotypes: Older people are often stereotyped as being frail, dependent, and a burden to society. Prejudice: Older people are often treated with prejudice, and they are often excluded from social and economic opportunities. Discrimination: Older people are often discriminated against in employment, housing, and healthcare. The findings of this study concludes that ageism is a serious problem in Kenya, and it has a significant impact on the lives of older people. The study recommends that there is a need for interventions to reduce ageism and to promote positive attitudes towards older people in Kenya.

Personalized Integrated Care Promoting Quality of Life for Older People: Protocol for a Multicenter Randomized Controlled Trial.

Alzheimer disease (AD) and Parkinson disease (PD) are the 2 most common neurodegenerative diseases affecting millions of people worldwide. The Personalized Integrated Care Promoting Quality of Life for Older People (PC4L) project proposes an integrated, scalable, and interactive care ecosystem that can be easily adapted to the needs of several neurodegenerative and chronic diseases, care institutions, and end user requirements. The study protocol developed within the framework of the PC4L project aims to iteratively test the integrated platform and its modules, and focuses primarily on assessing the impact of the proposed solution (ie, the PC4L platform) on patients' quality of life, as well as its usability and feasibility on a large-scale sample size in 3 different scenarios (home, neurorehabilitation, and day care centers). A prospective multicenter clinical study is conducted in 5 European countries (Germany, Italy, Portugal, Romania, and Spain) at 6 different pilot centers, for 3 months, in patients with PD, Parkinsonism, AD, and other dementias (ODs). Patients were randomized in a ratio of 1:1 to the intervention group (use of the PC4L system) or the control group (no intervention). The PC4L system consists mainly of a wristband for monitoring parameters such as steps and levels of physical activity, and the PC4L app, which includes different engaging functionalities. Both groups are assessed through baseline and end-of-study clinical evaluations, including assessment of quality of life through the EQ-5D-3L scale. The study protocol is part of a project approved and funded by the European Commission Horizon 2020 (grant agreement number 875221). The ethics committees of all involved centers reviewed and approved the study protocol. The study began with the recruitment phase in September 2022, and enrollment ended in February 2023. Recruitment is now closed (April 2023). The results of this study are expected to be published in summer 2023. A total of 558 patients, 279 per study group, were recruited. The results will allow to clarify the impact of PC4L on quality of life, will assess the empowerment of patients and the medical resources use, as well as the usability of the final version of the PC4L system. It will also provide information on the support of the system as a tool to facilitate the decision-making process. The PC4L project intends to test a technology-based, integrated, scalable, and interactive care platform on patients with neurodegenerative diseases and proposes a good coordinated care model between all involved actors. Future developments of the PC4L solution may involve caregivers and socio-health professionals in the decision-making process in order to facilitate efficient communication between all stakeholders and ensure reliable and protected access to data within Europe. ClinicalTrials.gov NCT05538455; https://clinicaltrials.gov/study/NCT05538455. DERR1-10.2196/47916.

The effect of acupressure on constipation symptoms and quality of life among older people: a mixed-methods study.

This study aims to evaluate the effect of acupressure on constipation symptoms and quality of life in older people. The study was a double-blind, randomized, sham-controlled, qualitative and quantitative mixed-method study. Individuals in the acupressure group received acupressure for 21min per day for a total of 12 sessions. The other group received sham acupressure for the same duration. Constipation Assessment Scale (CAS), Constipation Quality of Life Scale (PAC-QOL), Visual Analogue Scale (VAS) and individual follow-up form were used to evaluate quantitative data, and semi-structured interview form was used to evaluate qualitative data. A total of 81 participants were randomized to acupressure (n = 41, mean age: 70.56 ± 4.76, 70.7% female) or sham acupressure (n = 40, mean age: 71.17 ± 5.19, 67.5% female). Repeated measurements of the participants showed that CAS scores differed significantly between acupressure applications (p < 0.001). There were also statistically significant differences between the two groups in PAC-QOL and VAS after the application, number of defecations and laxative use (p < 0.001). Compared to the placebo group, the acupressure group had significantly lower mean post-test scores in all constipation rating scales. Qualitative findings from the study also support the quantitative findings. For older people seeking evidence-based alternative therapy, acupressure may be a solution to reduce the constipation symptoms. Future studies with larger sample sizes are needed to confirm our study findings. ClinicalTrials.gov: NCT05506397, 17 August 2022, retrospectively registered.

Feasibility of self-reported health related quality of life assessment with older people in residential care: insights from the application of eye tracking technology

PurposeIncreasingly there are calls to routinely assess the health-related quality of life (HRQoL) of older people receiving aged care services, however the high prevalence of dementia and cognitive impairment remains a challenge to implementation. Eye-tracking technology facilitates detailed assessment of engagement and comprehension of visual stimuli, and may be useful in flagging individuals and populations who cannot reliably self-complete HRQoL instruments. The aim of this study was to apply eye-tracking technology to provide insights into self-reporting of HRQoL among older people in residential care with and without cognitive impairment.MethodsResidents (n = 41), recruited based on one of three cognition subgroups (no, mild, or moderate cognitive impairment), completed the EQ-5D-5L on a computer with eye tracking technology embedded. Number and length of fixations (i.e., eye gaze in seconds) for key components of the EQ-5D-5L descriptive system were calculated.ResultsFor all dimensions, participants with no cognitive impairment fixated for longer on the Area of Interest (AOI) for the response option they finally chose, relative to those with mild or moderate cognitive impairment. Participants with cognitive impairment followed similar fixation patterns to those without. There was some evidence that participants with cognitive impairment took longer to complete and spent relatively less time attending to the relevant AOIs, but these differences did not reach statistical significance generally.ConclusionsThis exploratory study applying eye tracking technology provides novel insights and evidence of the feasibility of self-reported HRQoL assessments in older people in aged care settings where cognitive impairment and dementia are highly prevalent.

Assessing quality of life with SarQol is useful in screening for sarcopenia and sarcopenic obesity in older women

BackgroundHealth-related quality of life (HRQoL) may be impaired in the presence of sarcopenia. Since a specific quality of life questionnaire became available for sarcopenia (SarQol), cutoffs to screen for this condition have been proposed, prompting the need to assess them in different populations. Due to the lack of consensus on diagnostic criteria, the tool has not yet been analyzed in screening for sarcopenic obesity.AimOur aim is to measure the SarQoL’s metric properties and establish a cutoff in QoL assessments that could be used along the diagnostic pathway for sarcopenia and sarcopenic obesity in community-dwelling older women.MethodsThis cross-sectional study assessed women aged ≥ 70 years using the SarQol, sarcopenia criteria (EWGSOP2) and sarcopenic obesity criteria (ESPEN/EASO). Cutoffs for the SarQol were defined with a receiver-operating characteristics (ROC) curve, and sensitivity and specificity were analyzed.ResultsOf the 95 included women (mean age 76.0 years, standard deviation [SD] 5.7), 7.3% (n = 7) were classified as having sarcopenic obesity, 22.1% (n = 21) as having sarcopenia, and 70.5% (n = 67) as not having sarcopenia. The total SarQol score was higher in women without sarcopenia (66.5 SD 16.2) versus those with sarcopenia (56.6 SD 15.6) and sarcopenic obesity (45.1 SD 7.9). A cutoff of ≤ 60 points is proposed for sarcopenia screening (area under the ROC curve [AUC] 0.67; 95% confidence interval [CI] 0.53–0.80; sensitivity 61.9%; specificity 62%), and ≤ 50 points for sarcopenic obesity (AUC 0.85; 95% CI 0.74–0.95; sensitivity 71.4%; specificity 76.9%).ConclusionsQuality of life is compromised in women with sarcopenia and especially in those with sarcopenic obesity. The SarQol could be useful in screening for these conditions, providing insight into health-related quality of life in older people with sarcopenia.