Association between cardiopulmonary function, health-related quality of life and cognitive impairment among the older nursing home residents in Shanghai, China. (15th March 2023)

• Record Type: Journal Article
• Authors: Zhou, Zhitong; Ren, Longbing; Zhang, Ziyan; Sun, Xiaoting; Zheng, Yongtao; Gu, Yijun; Wu, Hengjing; Li, Jue; Zhang, Lijuan
• Is Part Of: Primary health care research & development. Volume 24(2023)
• Publication Date: 2023-03-15
• Subjects: cognitive impairment -- health-related quality of life -- left ventricular ejection fractions -- vital capacity; Family medicine -- Great Britain -- Periodicals; Primary care (Medicine) -- Great Britain -- Periodicals; 362.1094105
• DOI: 10.1017/S1463423623000075
• Languages: English
• ISSNs: 1463-4236

Abstract

Abstract: Background: This study aimed to examine the association between cardiopulmonary function, health-related quality of life (HRQOL) and cognitive function among nursing home residents aged 80 years and over. Methods: A nursing home-based, cross-sectional study was implemented among 677 aged over 80 years in Shanghai, China. A total of 197 participants underwent effective cardiopulmonary function examinations. Mini-Mental Status Examination (MMSE) and Short Form-36 scales (SF-36) were used to assess cognitive function and HRQOL, respectively. Results: Decline in left ventricular ejection fractions (LVEF) [adjusted odds ratio (AOR), 1.98; 95% confidential interval (CI), 1.03–3.81)] and vital capacity (VC) (AOR, 2.08; 95%CI, 1.07–4.04) was associated with cognitive impairment. After adjusting confounding factors, relationships between cognitive function and physical functioning (PF) (AOR, 0.98; 95%CI, 0.97–0.99) still existed. Conclusions: Healthcare professionals should pay more attention to cardiopulmonary health and HRQOL in the nursing home residents. Actions of public health strategies focus on the improvement of cardiopulmonary function, and PF among older nursing home residents with cognitive impairment is required.