12th International Congress of the European Union Geriatric Medicine Society, Lisbon, Portugal, 5 - 07 October 2016, pp.152
Introduction: One-of-the-main-objective-of the geriatric approach is to provide a better quality of life. In-this-study, we-aimed-toinvestigate the factors associated-with-quality-of-life in community dwelling elders.
Methods: Community-dwelling-elders between 60 and 101 years of age included in the study. KATZ Activities of Daily Living (ADL) Scale and the Lawton-Brody Instrumental ADL scale, EQ5D (Euro-Qualityof- life five dimensions questionnaire), GDS-SF (Geriatric Depression Scale), MNA-SF (Mini Nutritional Assessment-Short-Form) and FRAIL scales were used to evaluate functional dependency, quality-of-life, depression, Malnutrition, and fragility, respectively.
Results: We included total of 204 elders (94 male-110 female). Mean age was 75 ± 7.2 years. Age, sex, number of diseases and medications, urinary incontinence, falls in last year, chronic pain, functionality score, MNA and GDS scores were adjusted in multivariate analysis. Worse quality of life score was independently associated with following factors: advanced age (OR = 0.047, P = 0.001), urinary incontinence (OR = 0.94, p < 0.001), chronic pain (OR = 1.02, p < 0.001), lower ADL scores (OR = −0.16, p = 0.001), lower MNA score (OR = −0.15, p = 0.001), high depression scores (OR = 0.24, p < 0.001). There was no association between neither number of disease nor number of medications.
Conclusions: We observed that functionality, chronic pain, mood disorders, malnutrition, urinary incontinence get more place than the number of drugs and disease with regard to quality of life in the elderly. Screening and management of geriathric syndromes should be the main principle in the geriatric evaluation.