بررسی ارتباط کیفیت زندگی سالمندان با افسردگی و سطح فعالیت فیزیکی روزانه در شهر تبریز

نوع مقاله: مقاله پژوهشی

نویسندگان

1 1- دانشجوی کارشناسی ارشد علوم تغذیه، مرکز تحقیقات دانشجویی، دانشکده بهداشت و تغذیه، دانشگاه علوم پزشکی تبریز

2 2- دانشجوی کارشناسی ارشد علوم بهداشتی در تغذیه، مرکز تحقیقات دانشجویی، دانشکده بهداشت و تغذیه، دانشگاه علوم پزشکی تبریز

3 3- دانشیار علوم تغذیه، مرکز تحقیقات دانشجویی، گروه تغذیه و بیوشیمی، دانشکده بهداشت و تغذیه، دانشگاه علوم پزشکی تبریز

4 4- مرکز تحقیقات آموزش علوم پزشکی ، دانشکده تغذیه، دانشگاه علوم پزشکی تبریز

5 5- کارشناس علوم تغذیه، مرکز تحقیقات علوم تغذیه، دانشکده بهداشت و تغذیه، دانشگاه علوم پزشکی تبریز

10.22037/jrm.2013.1100142

چکیده

مقدمه و اهداف: سالمندی به عنوان یکی از حساسترین دوران زندگی، با تغییرات فیزیولوژیک همراه است. چالش اصلی قرن حاضر، زندگی با کیفیت بهتر است، از این رو تعیین فاکتورهای تاثیر گذار بر کیفیت زندگی سالمندان مهم می باشد. مطالعه حاضر با هدف بررسی ارتباط کیفیت زندگی سالمندان با افسردگی و سطح فعالیت فیزیکی روزانه در شهر تبریز در سال 1391 انجام شد.
مواد و روش ها: این مطالعه توصیفی-تحلیلی بر روی 184 سالمند (97 مرد و 87 زن) سنین 60 سال و بالاتر انجام شد. نمونه گیری بصورت تصادفی از میان سالمندان مراجعه کننده به مراکز روزانه نگهداری شهر تبریز انجام شد. از پرسشنامه کیفیت زندگی سازمان بهداشت جهانی(World Health Organization Quality Of Life-BREF: WHOQOL-BREF) برای بررسی کیفیت زندگی، از پرسشنامه دو بخشی فعالیت فیزیکی با ابزار (Instrumental Activities of Daily Living: IADL) و بدون ابزار (Activities of Daily Living: ADL) برای تعیین سطح فعالیت فیزیکی و از پرسشنامه مقیاس افسردگی سالمندان (Geriatric Depression Scale: GDS)، برای سنجش میزان افسردگی استفاده شد. تحلیل رگرسیون چندگانه برای بررسی ارتباط کیفیت زندگی با متغیرهای فعالیت فیزیکی و مقیاس افسردگی بکار رفت.
یافته ها: ارتباط مثبت معنی داری بین فعالیت روزانه با ابزار و بدون ابزار با متغیر کیفیت زندگی ارایه داد (به ترتیب426/0r=،001/0p < و 147/0 r=،041/ 0p=). همچنین ارتباط معکوس معنی داری بین متغیر GDS با کیفیت زندگی وجود داشت (013/0=p، 180/0- r=).
نتیجه گیری: به دلیل اثرات مفید فعالیت فیزیکی در ارتقای کیفیت زندگی سالمندان، تشویق سالمندان برای شرکت در برنامه های ورزشی دسته جمعی و ارایه راهکارهایی در جهت ارتقای سایر ابعاد کیفیت زندگی پیشنهاد می شود.

کلیدواژه‌ها


عنوان مقاله [English]

The survey of the relationship between quality of life of elderly with depression and physical activity in Tabriz, Iran

نویسندگان [English]

  • Laleh Payahoo 1
  • Yaser Khaje-bishak 2
  • Bahram Pourghasem 3
  • Mohammad Asghari jafarabadi 4
  • Kabir-alavi Mohammad-bagher 5
1 1. MSc Student in Nutrition. Student`s Research Committee, Faculty of Nutrition. Tabriz University of Medical Science. Tabriz. Iran.
2 2. MSc Student in Nutrition, Student`s Research Committee, Faculty of Nutrition. Tabriz University of Medical Science Tabriz. Iran.
3 3. Associate Professor in Nutrition, Student`s Research Committee, Faculty of Nutrition. Tabriz University of Medical Science. Tabriz. Iran.
4 5. Nutritionist, Student`s Research Committee. Faculty of Nutrition. Tabriz University of Medical Science. Tabriz. Iran.
5 5. Nutritionist, Student`s Research Committee. Faculty of Nutrition. Tabriz University of Medical Science. Tabriz. Iran.
چکیده [English]

Background and Aim: Aging as one of the most critical period of life is faced with many physiological changes. A main challenge of this century is a better quality of life. Therefore, determining factors that affect quality of life in elderly people is important. This study designed to determine relationship between depression disorders and physical activity level with quality of life in free-living elderly in Tabriz in 2012.
Materials and Methods: This descriptive-analytical study was carried out on 184 elderly people (97 male and 87 female) with the age of 60 years and above. All subjects were selected from daily care centers of elderly people in Tabriz. Validated Persian self-reported version of World Health Organization Quality of Life-Brief (WHOQOL) questionnaire was used to determine the quality of life in free-living elderly. Instrumental Activities of Daily Living (IADL) and Activities of Daily Living (ADL) and Geriatric Depression Scale (GDS) questionnaires were used to assess the level of physical activity and depression status, respectively. Correlations of variables were analyzed by multiple logistic regressions. 
Results: There was a significant positive correlation between IADL and ADL with quality of life (r=0.426; pConclusion: Since physical activity has beneficial effects on quality of life in elderly people, encouraging them to participate in social exercise programs and presenting guidelines to improve other aspects of quality of life are suggested.

کلیدواژه‌ها [English]

  • Elderly
  • Quality of life
  • physical activity
  • depression
1.    Vahdaninia MS, Gashtasbi A, Montazeri A, Mafton F. Health quality of life in elderly: population based

survey. Payesh. 2005; 4: 113-120. [In Persian]

2.    Hatami H, Eftekhar H,  Razavi A, Majlesi H. Text book of public health, Third edition. Tehran, Arjemand

Co. 2004; 1522-80.

3.    Islamic republic news agency. Social: elderly [online]. Available:   http//www2.irna.comlen/news/line -

8.html. Accessed June 3, 2007.

4.    Tajvar M, Farziyanpour F. Elderly Health and a Review on Different Aspects of Their Life, Nasle Farda and Arjmand Press, Tehran. 2004.

5.    Canbaz S, Sunter AT, Dabak S, Peksen Y. The prevalence of chronic diseases and quality of life in elderly

people in Samsun. Turk J Med Sci. 2003; 33(5): 335-340.

 

 

 

6.    Rocha FL, Uchoa E, Guerra HI, Firmo JO, Vidigal PG, Lima-Costa MF. Prevalence of sleep somplaints and associated factors in community-dwelling older people in Brazil: the Bambui Health and Ageing Study (BHAS)". Sleep Med. 2002; 3(3): 231-238.

7.    Conger SA, Moore KD. Chronic illness and Quality of life: the social workers role. TSAO foundation.

2002. P16-17 .

8.    Barry pp. An overview of special considerations in the evaluation and management of the geriatric patient.

Am J Gastroenterol. 2000; 95(1): 8-10.

9.    Coats AJ. Life, quality of life and choice in an ageing society. Intl J Cardiol. 2001; 78(1):1-3.

10.   Kusumaratna RK. Impact of physical activity on quality of life in the elderly. Univ Med. 2008; 27 (2): 57 -

64.

11.  Habibi A, Nikpour S, Seiedeoshohadaei M, Haghani H. Quality of life and status of physical functioning among elderly people in west region of Tehran: A cross-sectional survey. Iran J Nursing. 2008; 21 (53):

28-39. [In Persian]

12.  American Psychological Association. Aging and depression. Washington DC: Author; 2004.

13.  Lam CL, Leuder IJ. The impact of chronic disease on the Health related quality of life (HRQoL). Fam

Pract. 2000; 17(2): 159-166.

14.  McNaughton SA,  Crawford D,  Ball K,  Salmon J.  Understanding determinants of  nutrition, physical activity and quality of life among older adults: the Wellbeing, Eating and Exercise for a Long Life (WELL) study. HQL. 2012; 10:109.

15.  Nelson ME, Rejeski WJ, Blair SN, Duncan PW, Judge JO, King AC, et al. Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. Circulation. 2007; 116:1094–1105.

16.  Mokhtari F, Ghasemi N. Comparison of Elderlys “Quality of life and mental health living in nursing homes

and members of retiered club of Shiraz city. Iranian J Aging 2009; 5 (18): 53-63. [In Persian]

17.  Sajadian H, Bighlarian A. Quality of life in women elderly in Kahrizak elderly home. Payesh. 2005; 5 (2):

105-108. [In Persian]

18.  Ahmadi F, Salar A. Faghihzadeh S. Assessing quality of life among elderly people in Zahedan. Hayat

2004; 10(22): 61-67. [In Persian]

19.  Saka B, Kaya O, Ozturk GB, Erten N, Karan MA. Malnutrition in the elderly and its relationship with other geriatric syndromes. Clin Nutr 2010; 29: 745-748.

20.  Usefy AR, Mallik S, Ghassemi GR, Baghaei AM, Sarrafzadegan N, Rabiei K. Psychometric Properties of

the WHOQOL-BREF in an Iranian Adult Sample. Community Ment Health J. 2010; 46(2): 139-147.

22.  Malakoti K, Fatolahi P, Mirabzade A, Salavati M, Kahani SH. Standardization of geriatric depression scale in elderly population of Iran –SF -15. J Reas Med Sci. 2005; 30 (4): 361-368.

23.  Wilson LA. A comparison of the effects of reminiscence therapy and transmissive reminiscence therapy on levels of depression in nursing home residents. USA: proQuset Information and Learning Company; 2006.

24.  Ghasemi S, Moosavi N. Health guide for geriarics. Tehran: Sadr library. 2000; 1-30, 65-72.

25.  Hegbom F, Stavem K, Sire S, Heldal M, Oring OM, Gjesdal K. Effect of short term exercise training on symptoms and quality of life in patients with chronic atrial fibrillation. Int J Cardiology. 2007; 116(1): 86 -

92.

26.  Elavsky S, Maculey E, Motl RW, Konopack JF, Marquez Dx, Hue L, et al. Physical activity enhances long term quality of life in older adults: efficacy-esteem and affective influences. Ann Behav Med. 2005; 30(2):

138-145.

27.  Netz Y, Wu MJ, Becker Bj, Tenenbaum G. Physical activity and psychological well-being in advanced age: A meta analysis of intervention studies. Psychol Aging. 2005; 20(2): 272-284.

28.  Meyer K, Laederach-Hofmann K. Effect of a comprehensive rehabilitation program on quality of life in patients with chronic heart failure. Prog Cardiovasc Nurs. 2003; 18 (4): 169-176.

29.  Elia M. Obesity in the Elderly. Obes Res. 2001; 9(4): 244- 248.

 

 

 

30.  Abete P, Ferrara Ni, Cacciatore F, Sagnelli E, Manzi M,   Carnovale V, et al.,   High level of physical activity preserves the cardio protective effect of preinfarction angina in elderly patients FREE. J Am Coll Cardiol. 2001;38(5):1357-1365.

31.  Wong SY, Lau EM, Hyne H, Leung PC, Woo J, Cumming SR, et al. Depression and bone mineral density:

is there a relationship in elderly Asian men? Results from Mr. Os (Hong Kong). Osteoporos Int. 2005; 16:

610–615.

32.  Ruuskanen JM, Ruoppila I. Physical activity and psychological well-being among people aged 65 to 84 years. Age Ageing. 1995; 24: 292– 296.

33.  Nied R J, Barry F. Promoting and Prescribing Exercise for the Elderly. Am fam physician. 2002; 65 (3):

419- 427.

34.  Leinonen R, Heikkinen E, Hirvensalo M, Lintunen T, Rasinaho M, Sakari-Rantala R, et al,. Customer- oriented counseling for physical activity in older people: study protocol and selected baseline results of a randomized- controlled trial. Scand J Med Sci sports. 2007; 17(2):156-164.

35.  Lee Tw, Ko IS, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea. Int J Nurs Stud. 2006; 43(3): 293-300.

36.  Hamidzadeh S, Ahmadi F, Aslani Y, Etemadifar Sh, Salehi K, Kordeyazdi R. Study effect of group- based exercise program on the quality of life in older man and women in 2006-2007. Shahis Sadoughi Univ Med Sci. 2008; 16(1): 167-167. [In Persian]

37.  Geriatric Medicine in general. Iran's First International Conference on Aging, Department of charitable ladies, First Edition, Volume 2,1999, 239.

38.  Orley J, Saxena S, Herrman H. Quality of life and mental illness: reflections from the perspective of the

WHOQOL. British J Psych. 1998; 172: 291-293.

39.  Chang YS, Liang SC, Chen MC, Lu MR. Quality of Life in Elderly with Depressive Disorder. Taiwan

Geriatr Gerontol. 2006; 2(1):21-31.

40.  Marom-kibansky R, Drory Y. Physical activity for the elderly. Harefuah. 2002; 141 (7): 646-650, 664, 665.