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Quality of life and associations with health-related behaviours among older adults with increased cardiovascular risk

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dc.contributor.authorGovindaraju, T.
dc.contributor.authorMcCaffrey, T.A.
dc.contributor.authorMcNeil, J.J.
dc.contributor.authorReid, C.M.
dc.contributor.authorSmith, B.J.
dc.contributor.authorCampbell, D.J.
dc.contributor.authorLiew, D.
dc.contributor.authorOwen, A.J.
dc.date.issued2022
dc.description.abstractBackground and aims: A better understanding of the relationship between cardiovascular disease risk factors and quality of life (QoL) in older age is needed to inform development of risk reduction strategies. This cross-sectional study investigated the association of QoL with health-related behaviours in older adults at risk of heart failure. Methods and results: Older adults (N Z 328) at risk of heart failure residing in Melbourne, Australia, provided data on QoL and health-related behaviours including physical activity, diet, smoking and alcohol consumption. Multiple linear regression modelling was used to examine associations between health-related behaviours, QoL and its constituent domains. After adjustment for age, gender, body mass index and comorbidities, current smoking was found to have a negative association with the mental component score (MCS) of QoL (b = Z 0.174, p = 0.01), with a positive association seen between MCS and physical activity (b Z 0.130, p Z 0.01). Current alcohol use had a positive association with the physical component score (PCS) (b Z 0.120, p Z 0.02) and saturated fat intake consumption had a negative association with the physical functioning domain of QoL (b Z 0.105, p Z 0.03) but was not associated with either PCS or MCS. Conclusion: Engagement of older adults at increased cardiovascular risk with behavioural risk factor modification using QoL as a driver of change may offer new opportunities to promote healthy ageing. Development of such strategies should consider that for some behaviours which are cardiovascular risk factors (alcohol intake, in particular), the positive association to QoL is complicated and needs further deliberation.
dc.description.statementofresponsibilityThara Govindaraju, Tracy A. McCaffrey, John J. McNeil, Christopher M. Reid, Ben J. Smith, Duncan J. Campbell, Danny Liew, Alice J. Owen
dc.identifier.citationNutrition, Metabolism and Cardiovascular Diseases, 2022; 32(5):1146-1153
dc.identifier.doi10.1016/j.numecd.2022.01.025
dc.identifier.issn0939-4753
dc.identifier.issn1590-3729
dc.identifier.orcidLiew, D. [0000-0002-0131-623X] [0000-0003-2064-181X]
dc.identifier.urihttps://hdl.handle.net/2440/134889
dc.language.isoen
dc.publisherElsevier BV
dc.relation.grantNHMRC
dc.rights© 2022 The Italian Diabetes Society, the Italian Society for the Study of Atherosclerosis, the Italian Society of Human Nutrition and the Department of Clinical Medicine and Surgery, Federico II University. Published by Elsevier B.V. All rights reserved.
dc.source.urihttps://doi.org/10.1016/j.numecd.2022.01.025
dc.subjectPhysical activity; smoking; alcohol; consumption; health-related behaviour; chronic disease; quality of life
dc.subject.meshAged
dc.subject.meshCardiovascular Diseases
dc.subject.meshCross-Sectional Studies
dc.subject.meshHealth Behavior
dc.subject.meshHeart Disease Risk Factors
dc.subject.meshHeart Failure
dc.subject.meshHumans
dc.subject.meshQuality of Life
dc.subject.meshRisk Factors
dc.titleQuality of life and associations with health-related behaviours among older adults with increased cardiovascular risk
dc.typeJournal article
pubs.publication-statusPublished

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