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"Quality of Life"

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Background
Obesity, sarcopenia, and sarcopenic obesity are increasingly prevalent in older adults and negatively affect health-related quality of life (HRQOL). While EuroQol-5 Dimension and Short Form-36 Health Survey are widely used HRQOL measures, they have limitations in sensitivity and cultural relevance. In contrast, the Health-related Quality of Life Instrument with 8 Items (HINT-8) is a preference-based instrument developed specifically for the Korean population, offering finer discrimination of physical, emotional, and social health domains.
Methods
This study analyzed data from 1,387 older adults (≥65 years) from the 2023 Korea National Health and Nutrition Examination Survey. Obesity was defined as body mass index ≥25 kg/m 2 , sarcopenia by Asian Working Group for Sarcopenia 2019 criteria, and sarcopenic obesity as having both conditions. Multiple linear regression was used to examine their independent effects on HRQOL, adjusting for potential confounders.
Results
Of the participants, 54.2% were classified as normal, 34.9% as obese, 9.8% with sarcopenia, and 1.1% with sarcopenic obesity. All three conditions were significantly associated with greater difficulty in stair climbing: obesity (B=0.223, P<0.001), sarcopenia (B=0.242, P<0.001), and sarcopenic obesity (B=0.338, P=0.048). Sarcopenia was also linked to impaired working ability and higher total HINT-8 scores. Sarcopenic obesity was associated with greater pain. And obesity was linked to slightly lower depression scores.
Conclusion
Obesity, sarcopenia, and sarcopenic obesity negatively impact HRQOL in older adults. Early detection and intervention are essential to improve quality of life and extend health-adjusted life expectancy.
  • 511 View
  • 26 Download
Association between Use of Combustible Cigarettes and Noncombustible Nicotine or Tobacco Products and Health-Related Quality of Life in Korean Men: A Nationwide Population-Based Study
Chae-Won Baek, Joo-Hyun Park, Do-Hoon Kim, Hyun-Jin Kim, An-Na Lee, Jung-Hwa Shin, Sung-Kwon Cho, Hye-In Kim, Ye-Ram Choi
Received September 1, 2023  Accepted May 23, 2024  Published online September 11, 2024  
DOI: https://doi.org/10.4082/kjfm.23.0179    [Epub ahead of print]
Background
Although the association between smoking and health-related quality of life (HRQoL) has been established, the effects of tobacco products, including combustible cigarettes (CCs) and non-combustible nicotine or tobacco products (NNTPs), on HRQoL remain unclear. This study examined the association between tobacco use and HRQoL in Korean men.
Methods
Data from the Korea National Health and Nutrition Examination Survey conducted between 2013 and 2020 were analyzed. A total of 16,429 male participants aged ≥19 years completed the European Quality of Life-5 Dimensions (EQ-5D). Impaired HRQoL was defined as scoring in the lowest 20% of the EQ-5D index and having some or extreme problems in the following five domains of the EQ-5D: mobility, self-care, usual activities, pain/ discomfort, and anxiety/depression. Multiple logistic regression was conducted to evaluate the risk of impaired HRQoL in current tobacco users.
Results
Current tobacco users exhibited a significantly higher risk of impaired HRQoL compared with never users (odds ratio [OR], 1.42; 95% confidence interval [CI], 1.05–1.92). Compared to never users, current tobacco users reported more problems with mobility and pain/discomfort (all P<0.05). Moreover, compared with former tobacco users, current tobacco users had a higher risk of impaired HRQoL (OR, 1.60; 95% CI, 1.18–2.17). Compared to former tobacco users, current tobacco users reported more problems with mobility and pain/discomfort (all P<0.05).
Conclusion
Use of CCs and NNTPs is associated with impaired HRQoL in Korean men. Therefore, further interventions for lifestyle modification and smoking cessation treatments are required to reduce the risk of impaired HRQoL among current tobacco users.
  • 1,384 View
  • 32 Download
Association between Weight Changes over a 4-Year Period and Health-Related Quality of Life in Middle-Aged and Older Adults in Korea: The Korean Genome and Epidemiology Study Cohort
Sinyoung Cho, Mun Young Yoo, Na Hyun Kim, Sooah Paik, Doyeon Won, Jong Soo Han, Hyejin Lee, Woo Kyung Bae
Received August 28, 2023  Accepted March 16, 2024  Published online June 14, 2024  
DOI: https://doi.org/10.4082/kjfm.23.0152    [Epub ahead of print]
Background
The relationship between weight change and quality of life remains controversial. This study aimed to investigate whether changes in body weight among participants in different baseline body mass index categories are associated with physical and mental health functioning.
Methods
We conducted an analysis involving 5,106 adults who participated in the Korean Genome and Epidemiology Study, a cohort comprising Korean adults aged 40 to 69 years. We categorized participants into three groups based on body weight change, and physical and mental health were assessed using the 12-Item Short-Form Health Survey in year 4. We employed logistic regression analysis to assess the association between body weight change and poor functioning at year 4. We also utilized a generalized estimating equation to determine the relationship between weight changes and mental component summary (MCS) scores over the study period for each weight group.
Results
Weight gain in both the normal weight (odds ratio [OR], 1.88; 95% confidence interval [CI], 1.13–3.11; P=0.01) and overweight groups (OR, 1.75; 95% CI, 1.05–2.91; P=0.03) was associated with poor MCS. Normal weight weight-losers were associated with a greater increase (2.69 points; 95% CI, 0.50–4.88) in MCS compared to weightmaintainers. Significant differences in mean MCS were observed for overweight weight-losers, obese weight-gainers, and underweight weight-gainers when compared to weight maintainers in each respective weight group.
Conclusion
Different patterns of relationships between weight change and mental health-related quality of life were observed. Hence, it is crucial to focus on the mental health of middle-aged and older adults when assessing body weight changes.
  • 1,243 View
  • 18 Download
Effectiveness of an informal home care support intervention program to reduce loneliness and improve quality of life among lonely community-dwelling older adults: a feasibility study
Ahmad Kousha, Elham Lotfalinezhad, Haidar Nadrian, Karen Andersen-Ranberg, Shannon Freeman, Fatemeh Barati, Hasan Mosazadeh, Mina Hashemiparast, Mohammed Asghari Jafarabadi, Ahmad Sohrabi, Mohammad Reza Honarvar
Korean J Fam Med 2025;46(3):185-194.   Published online June 7, 2024
DOI: https://doi.org/10.4082/kjfm.23.0269
Background
Establishing cost-effective informal care services for lonely older adults living at home in developing countries can be an innovative approach for improving their well-being. This study investigated the effectiveness of an informal home care support intervention program (HoSIP) reducing the loneliness and improving quality of life of lonely community-dwelling older adults.
Methods
This quasi-experimental pre-post study employed a non-randomized control group design with a 12-week intervention period and three follow-up points at the end of the HoSIP. Questionnaires were used to measure feelings of loneliness (20-item UCLA Loneliness Scale), quality of life (Control, Autonomy, Self‐Realization and Pleasure Scale), general health (12-item General Health Questionnaire), social network (six-item Lubben Social Network Scale), social support (12-item Multidimensional Scale of Perceived Social Support), and self-care ability (17-item Self-care Ability Scale for the Elderly). Repeated-measures analysis of variance was used to gauge the effect of the intervention program over time and in comparison to the control group. Data analyses were performed using the IBM SPSS Statistics software (IBM Corp.).
Results
We found a significant relationship between the outcome variables, including feelings of loneliness (P<0.001) and quality of life (P<0.001), at different stages of measurement. Despite the positive feasibility results, the implementation of the HoSIP faced challenges due to a lack of facilities (e.g., place restriction for holding educational classes, educational facilities like computers, video projector, and whiteboard at daycare center) and the absence of supporting organizations.
Conclusion
Utilizing the existing capabilities of older adults to provide online and face-to-face care services can be a cost-effective way to improve their quality of life and reduce loneliness. The process of facilitating such informal care services for lonely older adults should be managed by either governmental or non-governmental organizations to reduce the rate of social isolation among this vulnerable population.
  • 2,092 View
  • 106 Download
Factors Associated with Sleep Disorder among Korean Cancer Survivors: A Cross-Sectional Study
Hyeonjin Cho, Wonyoung Jung, Dong Wook Shin, Jinyoung Shin, Yun-Mi Song
Korean J Fam Med 2023;44(4):224-233.   Published online July 18, 2023
DOI: https://doi.org/10.4082/kjfm.22.0159
Background
The factors associated with sleep disorder are controversial. This study aimed to evaluate the prevalence of sleep disorder and the factors associated with sleep disorder among Korean adult cancer survivors.
Methods
In this cross-sectional study, we collected data on sleep problems as outcome variables, and sociodemographic and clinical information as predictor variables from cancer survivors at two university-affiliated hospitals. Sleep disorder was defined as “a difficulty in sleep initiation or sleep maintenance at least 3 times a week that started after a cancer diagnosis.” Multiple logistic regression analysis was performed with odds ratios (OR) and 95% confidence intervals (95% CI) to evaluate the factors associated with sleep disorder.
Results
The participants were 1,893 Korean cancer survivors (mean age, 58.1 years; females 68.0%). The prevalence of sleep disorder among male and female cancer survivors were 16.5% and 20.3%, respectively. An increase of age by 1-year was associated with a 1.04 (95% CI, 1.01–1.07; P=0.011) times higher risk of sleep disorder in males, while an inverse association was found in females. In female survivors, high fear of cancer recurrence (FCR), high anxiety, menopause, and high EuroQol Visual Analog Scale were associated with 1.45 (95% CI, 1.06–1.98; P=0.020), 1.78 (95% CI, 1.25–2.55; P=0.002), 1.70 (95% CI, 1.08–2.67; P=0.022), and 0.59 (95% CI, 0.43–0.82; P=0.002) times higher risk of sleep disorder, respectively. In male survivors, living with a spouse/or partner was associated with 57% (95% CI, 0.20–0.95; P=0.036) lower risk of sleep disorder. Analyses of cancer sites showed that the factors associated with sleep disorder varied across cancer sites.
Conclusion
One-fifth of adult cancer survivors had sleep disorder. Age, menopausal status, FCR, anxiety, living with a spouse or partner, and quality of life were independently associated with sleep disorder in Korean cancer survivors.

Citations

Citations to this article as recorded by  
  • Social support, fear of cancer recurrence and sleep quality in breast cancer: A moderated network analysis
    Yingting Jiang, Xinyu Wu, Hongman Li, Ying Xiong, M. Tish Knobf, Zengjie Ye
    European Journal of Oncology Nursing.2025; 74: 102799.     CrossRef
  • Subgroups of sleep quality and associated risk factors in patients with cancer undergoing radiotherapy: A cross-sectional study based on latent profile analysis
    Liuna Bi, Xian Zhang, Linlin Wang, Yanxiu Cai, Jing Han
    European Journal of Oncology Nursing.2024; 68: 102488.     CrossRef
  • 3,128 View
  • 149 Download
  • 2 Web of Science
  • 2 Crossref
Background
Cancer survivors experience decreased physical function and reduced muscle strength, which leads to lower quality of life (QOL). The hand grip strength (HGS) can be a predictor of poor health-related QOL as a parameter of sarcopenia. The purpose of this study was to investigate the relationship between low HGS and QOL in cancer survivors and healthy controls.
Methods
We analyzed 392 cancer survivors and 1,176 healthy controls from the Korea National Health and Nutrition Examination Survey, 2014–2017. We defined low HGS as 2 standard deviation values for healthy young Korean adults from a previous study. QOL was evaluated using the European Quality of Life Scale-Five Dimensions. A complex sample logistic regression model was used to assess the relationship between each dimension of low HGS and QOL.
Results
The odds ratios (ORs) for decreased QOL were significantly higher in male cancer survivors with low HGS on self-care (OR, 8.51; 95% confidence interval [CI], 1.69–42.83) and usual activities (OR, 6.63; 95% CI, 1.22–36.03). The ORs for problems in mobility (OR, 5.87; 95% CI, 2.04–16.91), usual activities (OR, 14.46; 95% CI, 3.84–54.44), pain/discomfort (OR, 4.90; 95% CI, 2.00–12.01), and anxiety/depression (OR, 6.43; 95% CI, 2.16–19.12) were significantly high in female cancer survivors with low HGS. However, healthy controls showed no significant relationship between low HGS and QOL.
Conclusion
For cancer survivors, low HGS was associated with poor QOL in some domains. Strategies to increase muscle strength must be considered to improve the QOL of cancer survivors.

Citations

Citations to this article as recorded by  
  • Association between handgrip strength, handgrip strength asymmetry, and anxiety in Korean older adults: The Korean National Health and Nutrition Examination Survey 2022
    Sang-Youn Choi, Su-Min Park, Eun-Cheol Park, Marina De Rui
    PLOS ONE.2025; 20(4): e0315256.     CrossRef
  • The quality of life impacting factors in malnourished patients with gastric cancer
    Hong Zhao, Chenan Liu, Guotian Ruan, Xin Zheng, Yue Chen, Shiqi Lin, Xiaoyue Liu, Jinyu Shi, Xiangrui Li, Shuqun Li, Hanping Shi
    Frontiers in Oncology.2024;[Epub]     CrossRef
  • Cardiovascular and metabolic determinants of quality of life in patients with cancer
    Ruben Evertz, Katharina Gödde, Christine Diehl, Miroslava Valentova, Tania Garfias‐Veitl, Friederike Braulke, Gerald G. Wulf, Tobias R. Overbeck, Annalen Bleckmann, Alexander O. König, Pia Weinländer, Sophia Potthoff, Sara Hadzibegovic, Alessia Lena, Ulri
    ESC Heart Failure.2023; 10(1): 167.     CrossRef
  • Understanding Heterogeneity in the Relationship Between Cancer and Hand Grip Strength: A Longitudinal Analysis
    Jinho Kim, Gum-Ryeong Park
    Research on Aging.2023; 45(7-8): 586.     CrossRef
  • Better Handgrip Strength Is Related to the Lower Prevalence of Pain and Anxiety in Community-Dwelling Older Adults
    Natalia Sosowska, Agnieszka Guligowska, Bartłomiej Sołtysik, Ewa Borowiak, Tomasz Kostka, Joanna Kostka
    Journal of Clinical Medicine.2023; 12(11): 3846.     CrossRef
  • Predictors of lower exercise capacity in patients with cancer
    Ruben Evertz, Christine Diehl, Katharina Gödde, Miroslava Valentova, Tania Garfias-Veitl, Tobias R. Overbeck, Friederike Braulke, Alessia Lena, Sara Hadzibegovic, Annalen Bleckmann, Ulrich Keller, Ulf Landmesser, Alexander O. König, Gerd Hasenfuss, Andrea
    Scientific Reports.2023;[Epub]     CrossRef
  • NEUROCANTRIAL: study protocol for a randomised controlled trial of a pain neuroscience education programme in adults with cancer pain
    Leidy Tatiana Ordoñez-Mora, Ilem D Rosero, Marco Antonio Morales-Osorio, Rocío Guil, Giancarlo Quintero Jordan, Julian Alberto Agudelo Jimenez, Katherine Gonzalez-Ruiz, Juan Carlos Avila-Valencia
    BMJ Open.2023; 13(9): e071493.     CrossRef
  • Differences in Health-Related Quality of Life in Older People with and without Sarcopenia Covered by Long-Term Care Insurance
    Masahiro Kitamura, Kazuhiro P. Izawa, Kodai Ishihara, Peter H. Brubaker, Hiroaki Matsuda, Soichiro Okamura, Koji Fujioka
    European Journal of Investigation in Health, Psychology and Education.2022; 12(6): 536.     CrossRef
  • Associations of Physical Activity and Handgrip Strength with Health-Related Quality of Life in Older Korean Cancer Survivors
    Jeonghyeon Kim, Seamon Kang, Donghyun Kim, Hyunsik Kang
    Cancers.2022; 14(24): 6067.     CrossRef
  • Differences in the Relationships Between Muscle Strength, Muscle Mass, Balance Function, and Quality of Life for Middle-Aged and Older Breast Cancer Survivors
    Shinichiro Morishita, Ryuichi Kasahara, Yuichi Yamamoto, Ryohei Jinbo, Aya Takano, Mitsuhiko Yasuda, Atsuhiro Tsubaki, Osamu Aoki, Jack B. Fu, Tetsuya Tsuji
    Integrative Cancer Therapies.2022;[Epub]     CrossRef
  • 4,665 View
  • 89 Download
  • 12 Web of Science
  • 10 Crossref
Association between Time to First Cigarette and Health-Related Quality of Life of Middle-Aged Male Current Smokers: A Nationwide Representative Study in Korea
Sung Eun Jo, Hye Rim Hwang, Yun Jin Kim, Sang Yeoup Lee, Jeong Gyu Lee, Yu Hyeon Yi, Young Hye Cho, Young Jin Tak, Seung Hun Lee, Eun Ju Park, Youngin Lee
Korean J Fam Med 2021;42(3):225-231.   Published online August 4, 2020
DOI: https://doi.org/10.4082/kjfm.19.0103
Background
Although many studies have demonstrated that the first cigarette in the morning increases the prevalence of smoking-related morbidity, limited studies have examined the impact of time to first cigarette (TTFC) on the health-related quality of life (HRQoL). Thus, we assessed this relationship using nationally-representative data from the Korea National Health and Nutrition Examination Survey VII-1 (2016).
Methods
We conducted a cross-sectional study using data from 577 current male smokers aged 30–59 years, after excluding those with a certain disease. Participants were divided into four categories according to TTFC (≤5 min, 6–30 min, 31–60 min, >60 min). HRQoL was measured using self-reported EuroQol-5 (EQ-5D). The relationship between TTFC and EQ-5D index was analyzed using a multivariate-adjusted generalized linear model to assess how HRQoL varies according to TTFC. After adjusting for confounders, a multivariate-adjusted logistic regression analysis was performed to identify which of the five dimensions of the EQ-5D affected the HRQoL according to TTFC.
Results
The generalized linear analysis indicated that as TTFC decreased (6–30 min, 31–60 min vs. >60 min), the EQ-5D index score decreased significantly (P=0.037). Shorter TTFC (≤5 min vs. >60 min) was associated with higher pain/discomfort (odds ratio [OR], 3.82; 95% confidence interval [CI], 1.39–10.48) and anxiety/depression (OR, 7.58; 95% CI, 1.75–32.88).
Conclusion
Higher nicotine dependence was associated with impaired HRQoL. These results may be used to improve smoking cessation treatment outcomes.

Citations

Citations to this article as recorded by  
  • Current status of tobacco use, cessation and control policy in Korea
    Cheol Min Lee
    Journal of the Korean Medical Association.2022; 65(12): 789.     CrossRef
  • 4,593 View
  • 110 Download
  • 1 Web of Science
  • 1 Crossref
The Effect of Continuous Care Model Implementation on the Quality of Life of Patients with Heart Failure: A Randomized Controlled Trial
Fatemeh Rezamand, Hossein Shahnazi, Akbar Hassanzadeh
Korean J Fam Med 2021;42(2):107-115.   Published online May 21, 2020
DOI: https://doi.org/10.4082/kjfm.20.0040
Background
Heart failure is an important chronic and progressive disease worldwide. Patients are faced with several stressors that decrease their quality of life (QoL). The present study aimed to determine the effectiveness of implementing a continuous care model on improving the QoL of patients with heart failure.
Methods
In the present randomized controlled trial, 72 patients with heart failure admitted to Shahid Chamran Hospital of Isfahan (in Central Iran) were randomly divided into 36-individual two groups: the experimental (continuous care model) and control (normal care) groups. In the experimental group, the continuous care model was implemented for 3 months. Data were collected using the standard Minnesota Living with Heart Failure Questionnaire for patients with heart failure. Subsequently, the collected data were entered into the IBM SPSS ver. 20.0 (IBM Corp., Armonk, NY, USA) and analyzed using the Mann-Whitney U-test, chi-square test, and independent and paired t-test at a significance level of α≤0.05.
Results
The results indicated that the mean scores of QoL before the implementation of continuous care model were 43.3±6.1 in the experimental group and 42.7±5.1 in the control group, indicating no statistically significant difference between the two groups. After the implementation of continuous care model, the mean score of QoL of the experimental group was significantly higher than that of the control group.
Conclusion
Considering the results obtained in the present study, model implementation could improve the overall scores of QoL in patients with chronic heart failure.

Citations

Citations to this article as recorded by  
  • INVESTIGATING THE EFFECT OF IMPLEMENTING THE CONTINUOUS CARE MODEL ON THE ATTITUDE RELATED TO ADHERENCE TO DIET AND FLUIDS IN PATIENTS TREATED WITH HEMODIALYSIS
    Ali Asghar Rahmanian Kushkaki, Mohsen Faseleh jahromi, Rasul Eslami Akbar
    Nursing and Midwifery Journal.2023; 21(6): 463.     CrossRef
  • 4,646 View
  • 119 Download
  • 1 Crossref
Repeated Dry Sauna Therapy Improves Quality of Life in Obese Korean People
Hoon Sung Choi, Hyuki Kwon, Keun-Hyok Cho, Le Cong Thuc, So Young Park, Nam-Hun Kim, Wae-Jung Kim, Yun-Ki Kim, Woo-Seok Jeon, Ju-Ah Lee, Hyoung-Chun Kim, Eun-Hee Cho
Korean J Fam Med 2020;41(5):312-317.   Published online May 21, 2020
DOI: https://doi.org/10.4082/kjfm.18.0160
Background
Dry sauna treatments improve the quality of life for chronic pain, congestive heart failure, and type 2 diabetes patients. This study aimed to determine whether dry sauna therapy improved the quality of life of obese people.
Methods
A total of 38 consecutive participants aged over 20 years with a body mass index of ≥25 kg/m2 were recruited for the study. The participants were treated with a 90°C dry sauna for 15 minutes, twice daily for 4 consecutive days. To assess the quality of life, all participants completed the 5 level EQ-5D questionnaires and the EQ-Visual Analog Scale. Study parameters were measured on the same day prior to commencing the sauna sessions in a fasted state and 2 days after the last sauna session.
Results
The average age was 62.3±9.5 years; 84.2% of the participants were female. The mean body mass index was 28.5±2.4 kg/m2. Dry sauna significantly improved the mean 5 level EQ-5D index scores from 0.83±0.12 to 0.89±0.11 and increased the mean EQ-Visual Analog Scale from 79.0±15.2 to 91.1±9.7. However, there were no significant changes in body mass index, blood pressure, heart rate, or body composition before and after the 8-session sauna therapy.
Conclusion
Dry sauna improved the health-related quality of life of obese patients without adverse events. Further clinical studies in larger study populations are needed to verify these findings and provide concrete evidence for obesity treatment.

Citations

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  • Clinical Implication of Korean Dry Sauna Therapy
    Teruhiko Imamura
    Korean Journal of Family Medicine.2021; 42(3): 257.     CrossRef
  • 5,314 View
  • 83 Download
  • 2 Web of Science
  • 1 Crossref
Effect of Prognosis Awareness on the Survival and Quality of Life of Terminally Ill Cancer Patients: A Prospective Cohort Study
Hanna Lee, Hae-Jin Ko, A-Sol Kim, Sung-Min Kim, Hana Moon, Hye-In Choi
Korean J Fam Med 2020;41(2):91-97.   Published online March 19, 2020
DOI: https://doi.org/10.4082/kjfm.18.0113
Background
Physicians and caregivers are conflicted over whether to inform patients that their disease is terminal. Studies examining the effect of awareness of prognosis on the survival and quality of life of terminally ill cancer patients report conflicting results. This study aimed to assess the effects of prognosis awareness on the survival time and psychological health of terminally ill cancer patients.
Methods
Patients in the hospice wards of two general hospitals were asked to complete a questionnaire. All were mentally alert and could express themselves clearly. Awareness of prognosis was defined as knowing both the diagnosis and exact prognosis. Survival time was defined as the time from hospital admission to death. Multiple psychological examinations were conducted to verify the effect of prognosis awareness on psychological health.
Results
Of the 98 subjects who met the inclusion criteria, 65 (66.3%) were aware of their terminal status. The patients’ awareness was significantly related to survival time after adjusting for clinical variables with a hazard ratio of 1.70 (95% confidence interval [CI], 1.01–2.86). Furthermore, the unaware group had a higher risk of cognitive impairment (Mini-Mental State Examination <24; adjusted odds ratio [aOR], 3.65; 95% CI, 1.26–10.59) and a poorer quality of life (physical component summary of the Short Form 36-item Health Survey <20; aOR, 3.61; 95% CI, 1.12– 11.60) than the aware group.
Conclusion
Knowledge of the exact prognosis might have a positive effect on the survival and quality of life of terminally ill cancer patients.

Citations

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  • Diagnostic awareness, psychosocial symptoms, and survival time in patients with advanced lung cancer
    Hulya Abali, Seda Tural Onur, Yusuf Baser, Dilara Demir, Asli Bicen
    The International Journal of Psychiatry in Medicine.2025; 60(4): 456.     CrossRef
  • To be aware or not to be aware of the prognosis in the terminal stage of cancer? A systematic review of the associations between prognostic awareness with anxiety, depression, and quality of life according to cancer stage
    Federica Luciani, Giorgio Veneziani, Emanuele Giraldi, Virginia Campedelli, Federica Galli, Carlo Lai
    Clinical Psychology Review.2025; 116: 102544.     CrossRef
  • What Have You Been Told? Awareness of Prognosis of Patients in an Italian Home Palliative Care Service
    Claudia Bolpagni, Federico Nicoli, Patrizia Borghetti, Matteo Rota, Giovanni Zaninetta, Michele Fortis
    Palliative Medicine Reports.2025; 6(1): 17.     CrossRef
  • The association of prognostic awareness with quality of life, spiritual well-being, psychological distress, and pain severity in patients with advanced cancer: Results from the APPROACH Study in Indonesia
    Rudi Putranto, Hamzah Shatri, Cosphiadi Irawan, Soehartati Gondhowiardjo, Eric Finkelstein, Chetna Malhotra, Semra Ozdemir, Irene Teo, Grace Meijuan Yang
    Palliative and Supportive Care.2024; 22(6): 1778.     CrossRef
  • Advanced statistical methods for hazard modeling in cardiothoracic surgery: a comprehensive review of techniques and approaches
    H. Shafeeq Ahmed
    Indian Journal of Thoracic and Cardiovascular Surgery.2024; 40(5): 633.     CrossRef
  • Psychosocial Interventions at the End-of-Life
    Nicolle Marie Chew, Ee Lynn Ting, Lucille Kerr, David J. Brewster, Philip L. Russo
    Cancer Nursing.2023; 46(6): 432.     CrossRef
  • Prognostic Awareness in Terminally Ill Cancer Patients: A Narrative Literature Review of the Processes Involved
    Mariam Chichua, Davide Mazzoni, Eleonora Brivio, Gabriella Pravettoni
    Cancer Management and Research.2023; Volume 15: 301.     CrossRef
  • The associations between prognostic awareness and health-related quality of life among patients with advanced cancer: A systematic review
    Sean Ng, Semra Ozdemir
    Palliative Medicine.2023; 37(6): 808.     CrossRef
  • What outcomes do studies use to measure the impact of prognostication on people with advanced cancer? Findings from a systematic review of quantitative and qualitative studies
    Caitlin Spooner, Bella Vivat, Nicola White, Andrea Bruun, Gudrun Rohde, Pei Xing Kwek, Patrick Stone
    Palliative Medicine.2023; 37(9): 1345.     CrossRef
  • Quality of life of the cancer patients receiving home-based palliative care in Dhaka city of Bangladesh
    Jheelam Biswas, Mithila Faruque, Palash Chandra Banik, Nezamuddin Ahmad, Saidur Rahman Mashreky, Tai-Heng Chen
    PLOS ONE.2022; 17(7): e0268578.     CrossRef
  • Prognostic disclosure and quality of life in palliative care: a systematic review
    Sanhapan Wattanapisit, Richard Wagland, Katherine Hunt
    BMJ Supportive & Palliative Care.2021; 11(4): 361.     CrossRef
  • 4,879 View
  • 95 Download
  • 11 Web of Science
  • 11 Crossref
Malnutrition, Its Attributes, and Impact on Quality of Life: An Epidemiological Study among β-Thalassemia Major Children
Bijit Biswas, Narendra Nath Naskar, Keya Basu, Aparajita Dasgupta, Rivu Basu, Bobby Paul
Korean J Fam Med 2021;42(1):66-72.   Published online January 20, 2020
DOI: https://doi.org/10.4082/kjfm.19.0066
Background
India is home to a large number of thalassemic children. Despite malnutrition being an essential determinant of their therapeutic goals and quality of life (QoL), it was hardly ever explored. With this background, this study aimed to estimate the proportion of β-thalassemia major (β-TM) children experiencing malnutrition, its attributes, and impact on their QoL.
Methods
This cross-sectional, hospital-based, analytical observational study was conducted among 328 β-TM children attending the thalassemia day care unit of a medical college from May 2016 to April 2017, with a structured schedule. Data were analyzed following appropriate statistical methods using SPSS statistical package ver. 16.0 (SPSS Inc., Chicago, IL, USA).
Results
Among the study participants, 48.2% were malnourished with a mean body mass index of 13.9 kg/m2 . In the multivariable logistic regression model, participants’ age (adjusted odds ratio [AOR], 1.15; 95% confidence interval [CI], 1.02–1.29), caste (AOR, 2.11; 95% CI, 1.23–3.60), mothers’ educational level (AOR, 2.05; 95% CI, 1.22– 3.44), blood transfusion frequency (AOR, 1.25; 95% CI, 1.16–1.31), and palpable spleen size (AOR, 1.22; 95% CI, 1.08–1.37) were significant predictors of malnutrition after adjusting for pre-transfusion hemoglobin level and hemolytic facies status. In multiple linear regression analysis, malnutrition negatively impacted total QoL (unstandardized beta [standard error], -4.4 [1.7]; P=0.009) and various domains of the study participants except the social and school domains adjusted for age, sex, caste, place of residence, parents’ educational level, and socioeconomic status.
Conclusion
Almost half of the study participants had malnutrition. Malnutrition had a negative impact on their QoL.

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  • Health‐related quality of life with standard and curative therapies in thalassemia: A narrative literature review
    Richa Shah, Sherif M. Badawy
    Annals of the New York Academy of Sciences.2024; 1532(1): 50.     CrossRef
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    Teny Tjitra Sari, Pustika Amalia Wahidiyat, Ludi Dhyani Rahmartani, Stephen Diah Iskandar, Isyanaditta Agung Putri
    Journal of Pediatric Hematology/Oncology.2024; 46(6): e402.     CrossRef
  • Quality of life and thalassemia in India: A scoping review
    Saravanan Chinnaiyan, Jenifer Sylvia, Sowmiya Kothandaraman, Bharathi Palanisamy
    Journal of Family Medicine and Primary Care.2024; 13(4): 1183.     CrossRef
  • Association of age to nutritional status and muscle mass in children with transfusion-dependent β-thalassemia: a cross-sectional study
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    Ramadan A. Mahmoud, Ashraf Khodeary, Marwa S. Farhan
    Italian Journal of Pediatrics.2021;[Epub]     CrossRef
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Association of Thyroid Status with Health-Related Quality of Life in Korean Older Adults
Minjung Han, Seulggie Choi, Sarang Kim, Ahryoung Ko, Joung Sik Son, Sang Min Park
Korean J Fam Med 2020;41(1):38-44.   Published online January 6, 2020
DOI: https://doi.org/10.4082/kjfm.19.0054
Background
While hypothyroidism is associated with negative health effects in the general population, older adults with hypothyroidism have better physical function and comparable rates of depression and cognitive impairment relative to their euthyroid counterparts. The aim of this study was to investigate the association between thyroid status and health-related quality of life in Korean older adults.
Methods
In this population-based cross-sectional study, 1,060 adults aged over 60 years were classified by thyroid status into four groups based on their thyroid stimulating hormone (TSH) and free T4 values: overt hypothyroid, subclinical hypothyroid, euthyroid, and subclinical hyperthyroid. The main outcome measure was self-reported health-related quality of life based on the three-level version of the EuroQol-5 dimension (EQ-5D), with utility values of -0.171 and 1.000 corresponding to the worst and best health statuses, respectively. The adjusted means of the EQ-5D three-level version utility values according to thyroid status were determined using a linear regression analysis.
Results
In the adjusted analysis, the overt hypothyroid group showed significantly higher EQ-5D three-level version utility values than did the euthyroid group (0.998 vs. 0.908, P=0.000). In the subgroup analyses by sex, the overt hypothyroid group also showed significantly higher EQ-5D three-level version utility values for both men and women than did the euthyroid group (0.998 vs. 0.940, P=0.008; 0.983 vs. 0.882, P=0.001).
Conclusion
Asymptomatic Korean older adults aged over 60 years with TSH and free T4 values corresponding to overt hypothyroidism have better health-related quality of life than their euthyroid counterparts.

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    Marlena Krawczyk-Suszek, Arkadiusz Gaweł, Andrzej Kleinrok
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  • Prevalence and Risk Factors of Subclinical Hypothyroidism in Young and Middle‐Aged Patients With First‐Episode Drug‐Naïve Major Depressive Disorder
    Jiacheng Liu, Liying Yang, Chuanyi Kang, Xiaohong Wang, Na Zhao, Xiangyang Zhang, Drozdstoy Stoyanov
    Depression and Anxiety.2025;[Epub]     CrossRef
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    Petros Perros, Christina Van Der Feltz‐Cornelis, Enrico Papini, Endre V. Nagy, Anthony P. Weetman, Laszlo Hegedüs
    Clinical Endocrinology.2023; 98(4): 461.     CrossRef
  • The Impact of Subclinical Hypothyroidism on the Quality of Life During Pregnancy: Mapping 5-Level Version of EQ-5D and ThyPRO-39
    Jan Tuzil, Barbora Filkova Pilnackova, Torquil Watt, Jan Jiskra, Marcela Koudelkova, Eva Novotna, Klara Tuzilova, Tomas Dolezal, Jana Bartakova
    Value in Health.2023; 26(7): 1085.     CrossRef
  • The Impact of Hypothyroidism on the Quality of Life of Adults in Riyadh, Saudi Arabia
    May I AlAwaji, Rana H Alhamwy
    Cureus.2023;[Epub]     CrossRef
  • Assessment of Quality of Life Among Patients With Primary Hypothyroidism: A Case-Control Study
    Ranya Ghamri, Raghad Babaker, Salwan Ezzat, Haya Alsaedi, Muruj Alkhamisi, Ragad Arbaein, Rahaf Alyahya, Shahad Fayraq, Sultan Alamri
    Cureus.2022;[Epub]     CrossRef
  • Association between Subclinical Thyroidism and Health Related Quality of Life: Based on the 6th Korea National Health and Nutrition Examination Survey
    Ho Soo Nam, Yeong Sook Yoon, Yun Jun Yang, Eon Sook Lee, Jun Hyung Lee, Hyo Sang Kook, Hyuk Jin Kwon
    Korean Journal of Family Practice.2022; 12(5): 333.     CrossRef
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Comparison of Health Status in Primary Care Underserved Area Residents and the General Population in Korea
Min So Kim, Kyae Hyung Kim, Sang Min Park, Jong-goo Lee, Yeon Seo Ko, A Ra Cho, Yoon Su Ku
Korean J Fam Med 2020;41(2):119-125.   Published online December 19, 2019
DOI: https://doi.org/10.4082/kjfm.18.0130
Background
This study compared chronic diseases and health-related quality of life (HRQoL) in between primary care underserved areas residents and the general population.
Methods
Underserved areas were identified according to accessibility and the time relevance index for primary care. Overall, 279 participants aged ≥60 years from four counties enrolled voluntarily. A total of 1,873 individuals were assigned in the control group using the Korea National Health and Nutrition Examination Survey database. We assessed the differences in prevalence, awareness, and control of hypertension and diabetes and HRQoL using both subjective health status and the Korean version of the EuroQol-5D (EQ-5D) questionnaire using multivariate logistic regression analysis between the two groups.
Results
For hypertension, prevalence did not differ significantly between the two groups, whereas awareness and control were lower in the underserved areas than that in the general population; the adjusted odds ratios (95% confidence interval) were 0.40 (0.25–0.64) and 0.27 (0.18–0.41), respectively. For diabetes, differences in prevalence, awareness, and control were statistically insignificant. The proportion reporting poor subjective health status and problems in four EQ-5D indexes (ability to exercise, daily activities, pain/discomfort, anxiety/depression) was higher in the underserved areas, which also had a lower EQ-5D index, than that in the general population.
Conclusion
Primary care underserved area residents were underdiagnosed and under-controlled for hypertension and reported poorer subjective health and HRQoL compared to the general population. Primary care is the attributable factor to awareness and control of chronic diseases and subjective health and QoL in communities.

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  • Measuring the Burden of Disease in Korea Using Disability-Adjusted Life Years (2008–2020)
    Yoon-Sun Jung, Young-Eun Kim, Minsu Ock, Seok-Jun Yoon
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
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Evaluating the Effect of Educational Interventions on Health Literacy through Social Networking Services to Promote Students’ Quality of Life
Mahnaz Khaleghi, Farkhonde Amin Shokravi, Nooshin Peyman, Maryam Moridi
Korean J Fam Med 2019;40(3):188-193.   Published online April 18, 2019
DOI: https://doi.org/10.4082/kjfm.18.0060
Background
Studies have shown the health literacy effects on the general state of health and its related factors, as well as health outcomes, physical and mental health, and health-related quality of life. This study aimed to investigate the effect of training based on health literacy through social networking strategies to promote health-related quality of life among students of Islamic Azad University, Shahr Rey Branch, Iran.
Methods
This randomized controlled trial was conducted on 120 students with poor or average quality of life score. Participants were randomly assigned into experimental and control groups (60 participants each). Health literacy and quality of life data were collected at baseline, immediately after, and 3 months after intervention. The educational intervention was conducted online using social networking services. Data were analyzed using SPSS ver. 16.0 (SPSS Inc., Chicago, IL, USA).
Results
The results showed no significant differences between the two groups in terms of health literacy and quality of life at baseline (P=0.979 and 0.269, respectively). The mean score of health literacy and quality of life in the experimental group, compared with the control group, significantly increased immediately after and 3 months after the intervention (P<0.001).
Conclusion
The educational intervention administered by applying health literacy strategies online, through social networking services, can be effective in improving the quality of life of students.

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  • Intervenções em qualidade de vida com universitários
    Marina de Moraes e Prado Morabi, Sebastião Benício da Costa Neto
    Revista Internacional de Educação Superior.2024; 12: e026007.     CrossRef
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    Dalmacito A. Cordero Jr.
    Korean Journal of Family Medicine.2023; 44(2): 124.     CrossRef
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    Maryam Moridi, Farkhondeh Amin Shokravi, Farzaneh Pazandeh
    British Journal of Midwifery.2023; 31(6): 336.     CrossRef
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    Luke Sawyers, Claire Anderson, Parisa Aslani, Gregory Duncan, Sobia S. Janjua, Li Shean Toh
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    Mariam El Benny, Tamar Kabakian-Khasholian, Fadi El-Jardali, Marco Bardus
    Journal of Medical Internet Research.2021; 23(6): e23473.     CrossRef
  • Mental and physical health-related quality of life and their associated factors among students of a comprehensive allied health institution
    Khader A. Almhdawi, Saddam F. Kanaan, Yousef Khader, Zeid Al-Hourani, Muhammed D. Al-Jarrah, Fidaa Almomani, Mazin T. Alqhazo
    Work.2021; 70(1): 63.     CrossRef
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Comparison of Fatigue Severity and Quality of Life between Unexplained Fatigue Patients and Explained Fatigue Patients
Eun Hae Yoo, Eun Sil Choi, Soo Hyun Cho, Jae Hyuk Do, Suk Jeong Lee, Jung-Ha Kim
Korean J Fam Med 2018;39(3):180-184.   Published online May 18, 2018
DOI: https://doi.org/10.4082/kjfm.2018.39.3.180
Background
Recently, despite the high prevalence of fatigue in patients, there is a lack of research on the quality of life (QoL) in unexplained fatigue patients, indicating that they are not properly diagnosed and treated. The aim of this study was to compare fatigue severity and QoL between patients with explained and unexplained fatigue.
Methods
The study consisted of 200 Korean adults who complained of fatigue without underlying disease. Fatigue Severity Scale, Short Form Health Survey-36 version 2 (SF-36v2), and Beck Depression Inventory-II (BDI-II) selfquestionnaires were administered. Participants were dichotomized to two groups, namely, patients with unexplained or explained fatigue, sorted according to laboratory examination results. The chi-square test, t-test, and Wilcoxon rank-sum test were used, and analysis of covariance was calculated after adjusting for age, sex, body mass index, smoking status, and physical component summary (PCS) of SF-36v2 or BDI-II.
Results
PCS of SF-36v2 between the two groups showed significant difference. Compared to patients with explained fatigue, those with unexplained fatigue showed lower physical component scores of QoL.
Conclusion
QoL of patients with unexplained fatigue could largely diminish than those with explained fatigue. The primary clinician should be aware of poor QoL in patients with unexplained fatigue to identify who is in need of more attention and intervention.

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    Giuseppe Di Lorenzo, Carlo Buonerba, Raffaele Baio, Eleonora Monteleone, Francesco Passaro, Antonio Tufano, Vittorino Montanaro, Vittorio Riccio, Ilaria Gallo, Francesca Cappuccio, Federica Fortino, Anna Buonocore, Federica Monaco, Antonio Verde, Anna Rit
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    Lotte Habermann-Horstmeier, Lukas M. Horstmeier
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    Chaitanya R Patil, Nilesh A Dhamne, Prasad K Tanawade, Namrata B Mestri
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  • Physical and Mental Health Related Quality of Life and Their Influencing Factors on Sexual Minority Women in Korea
    Ssirai Kim, Smi Choi-Kwon
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    Tahereh JALALI, Zahra BOSTANI KHALESI, Fatemeh JAFARZADEH-KENARSARI
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    Siyun Zou, Zi-Han Liu, Xiaona Yan, Huan Wang, Yulong Li, Xiuying Xu, Xiangdong Du, Lan Zhang, Qinge Zhang, Todd Jackson, Gabor S. Ungvari, Yu-Tao Xiang
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Osteoarthritis Affects Health-Related Quality of Life in Korean Adults with Chronic Diseases: The Korea National Health and Nutritional Examination Surveys 2009–2013
Ji Hye Yang, Kiheon Lee, Se Young Jung, Woo Kyung Bae, Hye Jin Ju, In Young Cho, Jae Kyeong Song, Hwa Yeon Park, Jong-Soo Han, Ga-Hye Lee, Ye Seul Bae
Korean J Fam Med 2017;38(6):358-364.   Published online November 14, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.6.358
Background

Osteoarthritis (OA) is a chronic disease that commonly afflicts the elderly. This disease reduces the health-related quality of life (HRQoL) and causes a significant social burden. Whether the effect of coexisting chronic conditions on HRQoL varies according to the presence of OA remains unclear. Therefore, this study aimed to investigate this notion.

Methods

A total of 13,395 participants were identified from the 2009–2013 Korean National Health and Nutrition Examination Survey for analysis. HRQoL was assessed using the European quality of life-5 dimensions (EQ-5D) index. Patients with OA were defined as those diagnosed by a physician or those who displayed both, symptoms and radiological findings consistent with OA at the time of the survey. Associations between OA and 8 chronic conditions were tested using regression analysis.

Results

The EQ-5D index was lower in patients with OA than in those without (mean difference, −0.145; 95% confidence interval [CI], −0.138 to −0.151; P<0.001). Most patients with OA and chronic conditions showed a lower score than those without. EQ-5D was particularly lower in OA patients with hypertension, dyslipidemia, stroke, and renal failure. The estimated β coefficient for the interaction term was significant in renal failure (−0.034; 95% CI, −0.055 to −0.012), after adjusting for demographic and socio-economic variables.

Conclusion

OA significantly affects HRQoL of Korean elderly individuals alone or when combined with other conditions. OA combined with renal failure is particularly detrimental. These results indicate the importance of managing OA, which is an underestimated disease in public health surveys.

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  • Effect of Aerobic Physical Activity on Health-Related Quality of Life in Middle Aged Women with Osteoarthritis: Korea National Health and Nutrition Examination Survey (2016–2017)
    Mikyung Ryu, Sol Lee, Ho Kim, Weon-Chil Baek, Heejin Kimm
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Association between Body Mass Index and Quality of Life in Elderly People over 60 Years of Age
Gyeongsil Lee, Jiyoung Park, Seung-Won Oh, Hee-Kyung Joh, Seung-Sik Hwang, Jeehyun Kim, Danbee Park
Korean J Fam Med 2017;38(4):181-191.   Published online July 20, 2017
DOI: https://doi.org/10.4082/kjfm.2017.38.4.181
Background

The Korean population is aging rapidly and the number of health threats is increasing. The elderly obese population is also increasing and this study aimed to evaluate the association between body mass index (BMI) and health-related quality of life in the elderly Korean population.

Methods

The Korean version Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36) was administered to elderly subjects (≥60 years) selected from welfare and health centers, and university hospitals. Sociodemographic information and subjects' height and weight were also recorded.

Results

The study population's mean age was 74.2±7.1 years, and the average BMI was 24.5±3.2 kg/m2. The 542 participants were segregated based on BMI quartiles. The SF-36 scores were compared among the sex-stratified quartile groups after adjusting for age, education level, income, smoking, alcohol, and arthritis diagnosis. The SF-36 scores were compared for four BMI quartiles stratified by sex, after adjusting for age, education level, income, smoking, alcohol consumption, and arthritis diagnosis. Men in the Q3 and Q4 groups had higher mental health scores than men in Q2 group. Additionally, men in the Q3 group had higher social function scores than those in the Q2 and Q4 groups. No differences were observed for the remaining six domains; no significant score differences were observed in any of the survey domains for the female subjects.

Conclusion

There was no significant association between a high BMI and a low quality of life in the elderly Korean population selected from hospitals and welfare centers, as assessed using the SF-36 scores.

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    Guozhi Luo, Weiping Li, Donghai Wu, Xinyue Wei, Yanpeng Zang, Jing-Dong Liu
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The Association between Vitamin D and Health-Related Quality of Life in Korean Adults
Ji Sun Kim, Young Eun Choi, Jin Kyung Baek, Ho Jin Cho, Ye Seul Kim
Korean J Fam Med 2016;37(4):221-227.   Published online July 21, 2016
DOI: https://doi.org/10.4082/kjfm.2016.37.4.221
Background

We examined the relationship between vitamin D status and health-related quality of life, and explored other related factors in the general Korean population.

Methods

We used data from the 2007–2012 Korea National Health and Nutrition Examination Survey on 14,104 adults, aged 20–49 years, who had consented to serum vitamin D measurement and answered health-related quality of life questions. EuroQol-5 was used for measurement. Serum vitamin D levels were measured at intervals of 0–9.99, 10–19.99, 20–29.99, and ≥30 ng/mL.

Results

Participants with higher serum vitamin D (serum 25-hydroxyvitamin D) levels were significantly less likely to report problems with depression and anxiety. After adjustment for age, gender, income level, education level, marital status, alcohol consumption, smoking status, and the existence of depressive disorders, the odds ratio for reporting a problem with depression and anxiety was 0.60 (95% confidence interval [CI], 0.39–0.91). The odds ratio for the prevalence of any problem was 0.69 (95% CI, 0.53–0.89) before adjustment, but was not statistically significant after adjustment. No significant associations were observed for problems with mobility, self-care, usual activity, or pain and discomfort.

Conclusion

This is the first study to examine the associations between vitamin D and health-related quality of life for the general Korean population. Vitamin D status was not significantly associated with the dimensions of EuroQol-5 except for depression and anxiety problems.

Citations

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  • Higher Intakes of Nutrients are Associated with Improved Health-Related Quality of Life among Individuals with Comorbidities
    Hai Duc Nguyen
    American Journal of Lifestyle Medicine.2023; : 155982762311680.     CrossRef
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    Soo Young Kim
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    Hai Duc Nguyen
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    Laura M. Huiberts, Karin C.H.J. Smolders
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    Lena E Granlund, Anna K Ramnemark, Christer Andersson, Marie C Lindkvist, Margareta Norberg, Eva M Fhärm
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    Seung-Won Oh
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  • 7 Crossref
Health-Related Quality of Life and Cardiovascular Disease Risk in Korean Adults
Hyeon-Young Ko, Jung-Kwon Lee, Jin-Young Shin, Euni Jo
Korean J Fam Med 2015;36(6):349-356.   Published online November 20, 2015
DOI: https://doi.org/10.4082/kjfm.2015.36.6.349
Background

Health-related quality of life (HRQoL) is considered an important outcome measure in chronic diseases, in particular cardiovascular disease (CVD), which is known to be associated with impaired HRQoL. However, few studies have examined HRQoL in individuals at high risk of CVD.

Methods

Using the Fifth Korea National Health and Nutrition Examination Survey 2010-2012, we analyzed data from 10,307 adults aged ≥30 years. The study subjects were stratified into 3 groups on the basis of their Framingham risk score-a 10-year estimate of CVD risk: <10.0% (low risk), 10.0%-19.9% (moderate risk), and ≥20.0% (high risk). The EuroQol-5D (EQ-5D) was used to evaluate HRQoL.

Results

A significantly higher proportion of high-risk subjects than low-risk participants had impaired HRQoL (defined as the lowest quartile of the EQ-5D index); this held true even after adjustment for confounding factors in multivariable logistic regression analysis (men: odds ratio [OR], 1.62; 95% confidence interval [CI], 1.24-2.11; women: OR, 1.46; 95% CI, 1.02-2.08). In terms of the 5 EQ-5D dimensions, a 10-year CVD risk ≥20.0% was significantly associated with self-reported problems of mobility in men (OR, 3.15; 95% CI, 2.02-4.90), and of mobility (OR, 1.56; 95% CI, 1.09-2.24), self-care (OR, 2.14; 95% CI, 1.09-4.22), and usual activity problems (OR, 1.80; 95% CI, 1.17-2.78) in women.

Conclusion

A high CVD risk is associated with impaired HRQoL. After adjustment for demographic and clinical factors, a 10-year CVD risk ≥20.0% is an independent predictor of impaired HRQoL in the general population; in particular, of mobility problems in men, and of mobility, self-care, and usual activity problems in women.

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Factors Associated with Hemorrhoids in Korean Adults: Korean National Health and Nutrition Examination Survey
Jong-Hyun Lee, Hyo-Eun Kim, Ji-Hun Kang, Jin-Young Shin, Yun-Mi Song
Korean J Fam Med 2014;35(5):227-236.   Published online September 24, 2014
DOI: https://doi.org/10.4082/kjfm.2014.35.5.227
Background

Although hemorrhoids are one of the most common anal diseases among Koreans, risk factors for hemorrhoids have not been well identified.

Methods

We analyzed the data from the 4th Korean National Health and Nutrition Examination Survey (KNHANES) between 2007 and 2009. Study subjects were 17,228 participants of KNHANES who were aged 19 years or older. Logistic regression analysis was conducted to evaluate associations between hemorrhoids and probable risk factors.

Results

Overall prevalence of hemorrhoids among study subjects was 14.4%, being more prevalent among women (15.7%) than among men (13.0%). Obesity and abdominal obesity were associated with a higher risk of hemorrhoids with odds ratio (OR) (95% confidence intervals, 95% CI) of 1.13 (1.01 to 1.26) and 1.16 (1.04 to 1.30), respectively. Both self-reported depression (OR, 1.83; 95% CI, 1.62 to 2.08) and physician diagnosed depression (OR, 1.71; 95% CI, 1.35 to 2.17) were associated with significantly higher risk of hemorrhoids. No regular walking (OR, 1.11; 95% CI, 1.00 to 1.23) and experience of pregnancy (OR, 1.62; 95% CI, 1.17 to 2.25) for women were also associated with higher risk of hemorrhoids. However, educational level, alcohol consumption, physical activities, diabetes mellitus, hypertension, fiber, fat intake, and energy intake were not associated with a risk of hemorrhoids. Low quality of life assessed with EuroQol-5 Dimension and EuroQol-Visual Analogue Scale was significantly associated with hemorrhoids.

Conclusion

This nationwide cross-sectional study of Korean adults suggests that obesity, abdominal obesity, depression, and past pregnancy may be risk factors for hemorrhoids and hemorrhoids affect quality of life negatively.

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Background

Numerous studies have identified that physical activity (PA) has positive influences on quality of life. However, there has been little domestic research about the relation of PA to health-related quality of life (HRQoL) among the general population. The purpose of this study was to evaluate the effect of PA on HRQoL in Korean adults aged 40 years or over.

Methods

This cross-sectional study was based on data acquired from the Korean National Health and Nutrition Examination Survey IV. Final study subjects were 10,392 adults aged 40 years or over. According to the severity and frequency of PA, the subjects were divided into three PA groups as follows: high-activity, mid-activity, and low-activity group. We compared the HRQoL estimated by the EuroQoL 5-dimension (EQ-5D), the EQ visual analogue scale (EQ-VAS), and EQ-5D index between three PA groups.

Results

The odds ratios for mid-activity group and high activity group compared with low activity group were significantly decreased in the dimension of mobility of EQ-5D (mid-activity group, 0.81 [0.69-0.94]; high activity group, 0.81 [0.67-0.99]). EQ-VAS was decreased as PA level was lowered from high activity group and mid-activity to low activity group. EQ-5D index was the highest in mid-activity group and the lowest in low activity group.

Conclusion

PA above mid-activity group showed better HRQoL compared than low activity group.

Citations

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Association between Sarcopenia, Bone Density, and Health-Related Quality of Life in Korean Men
Seon Won Go, Young Hwa Cha, Jung A Lee, Hye Soon Park
Korean J Fam Med 2013;34(4):281-288.   Published online July 24, 2013
DOI: https://doi.org/10.4082/kjfm.2013.34.4.281
Background

Sarcopenia is the loss of muscle mass leading to decreased muscle strength, physical disability, and increased mortality. The genesis of both sarcopenia and osteoporosis is multifactorial, and several factors that play a role in osteoporosis are thought to contribute to sarcopenia. This study evaluated the association between sarcopenia and bone density and health-related quality of life in Korean men.

Methods

We used the data of 1,397 men over 50 years of age from the 2009 Korean National Health and Nutrition Examination Survey. Sarcopenia was defined as the appendicular skeletal muscle mass divided by height2 (kg/m2) < 2 standard deviations below the sex-specific mean for young adults. Health-related quality of life was measured by the EuroQol-5 dimension (EQ-5D) instrument. Logistic regression analysis was performed to evaluate the relationship between sarcopenia, bone density, and health-related quality of life.

Results

The T-score of the lumbar spine, total femur, and femur neck in bone mineral density in subjects with sarcopenia were lower than those in subjects without sarcopenia. The score of the EQ-5D index was significantly lower and the rate of having problems with individual components of health-related quality of life was higher in the sarcopenic group. After adjustment for age and body mass index, the odds ratios (ORs) (95% confidence interval [CI]) for sarcopenia were 2.06 (1.07-3.96) in osteopenic subjects and 3.49 (1.52-8.02) in osteoporotic subjects, respectively. After adjustment, the total score of the EQ-5D index was significantly lower in the sarcopenic subjects. The ORs (95% CI) for having problems of mobility and usual activity of the EQ-5D descriptive system were 1.70 (1.02-2.84) and 1.90 (1.09-3.31), respectively.

Conclusion

Sarcopenia was associated with decreased bone mineral density in Korean men. In addition, sarcopenia was related to poor quality of life, especially with regard to mobility and usual activity. Greater attention to and evaluation for sarcopenia are needed in subjects showing low bone mineral density to prevent and manage poor quality of life.

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Health-related Quality of Life and Related Factors in Full-time and Part-time Workers
Byungsung Kim, Wonjoon Kim, Hyunrim Choi, Changwon Won, Youngshin Kim
Korean J Fam Med 2012;33(4):197-204.   Published online July 25, 2012
DOI: https://doi.org/10.4082/kjfm.2012.33.4.197
Background

There has been a rapid increase in the number of part-time workers in Korea with little information available on associated changes in quality of life. This study was designed to compare part-time and full-time workers in terms of the quality of life and related factors.

Methods

Data were extracted from the 4th Korea National Health and Nutrition Examination Survey, conducted in 2008. Of the 1,284 participants selected, 942 were females (range, 20 to 64 years). Based on the information provided by self-administered questionnaire, subjects were categorized according to the working pattern (full-time and part-time) and working hours (<30 and ≥30 hours). Differences in socio-demographic characteristics, health-related behaviors, and job characteristics were assessed by t-test and chi-square test. EuroQol-five dimensions (EQ-5D) index was implemented in order to measure the quality of life. Differences in the EQ-5D index scores between the groups were compared by t-test, stepwise multivariate logistic regression analyses.

Results

Quality of life did not differ by work patterns. In males, the Organization for Economic Cooperation and Development part-time group was associated with poorer quality of life (odds ratio [OR], 0.49; P = 0.028). For both sexes, the non-stress group was linked with superior quality of life in comparison to the stress group (OR, 2.64; P = 0.002; OR, 2.17; P < 0.001). Female employees engaged in non-manual labor had superior quality of life than those engaged in manual labor (OR, 1.40; P = 0.027).

Conclusion

This study concludes that working less than 30 hours per week is related to lower quality of life in comparison to working 30 hours or more in male employees in Korea.

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    Xiaofang Liu, Shuyan Gu, Shengnan Duan, Yuan Wu, Chiyu Ye, Jing Wang, Hengjin Dong
    Value in Health Regional Issues.2017; 12: 123.     CrossRef
  • Impact of caring for patients with severe and complex disabilities on health care workers’ quality of life: determinants and specificities
    Marie‐Christine Rousseau, Karine Baumstarck, Tanguy Leroy, Cherazad Khaldi‐Cherif, Catherine Brisse, Laurent Boyer, Noémie Resseguier, Claire Morando, Thierry Billette De Villemeur, Pascal Auquier
    Developmental Medicine & Child Neurology.2017; 59(7): 732.     CrossRef
  • Relación entre la calidad de vida de los pacientes, mediante el cuestionario EuroQol-5D, y la clasificación de morbilidad Clinical Risk Groups
    Daniel Ríos García, Meritxell Calderó Solé, Manuel Pena Arnaiz, Virginia Sánchez Fernández, Jordi Real Gatius, Rosa Llovet Font, Gemma Pascual Sol
    Medicina General y de Familia.2015; 4(2): 47.     CrossRef
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Obesity Indices and Obesity-Related Quality of Life in Adults 65 Years and Older.
Kyu Hee Chae, Chang Won Won, Hyunrim Choi, Byung Sung Kim
Korean J Fam Med 2010;31(7):540-546.   Published online July 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.7.540
Background
Obesity is known to influence on physical, mental, functional health problems but there have been no study of relationship between body mass index (BMI) and quality of life (QOL) in Korean elderly. Methods: A total of 216 elderly who had been attending two geriatric welfare facilities in Seoul answered the Korean version of obesity-related quality of life (KOQOL) questionnaire. Height, weight, waist circumference were measured. Body fat (%) was measured with HTM20 by impedance technique. Sociodemographic and medical factors were interviewed. QOL was assessed using KOQOL (ver.1) after excluding two sexual life related questions and one work related question. The total score is 48 points. The higher is the score, the poorer is the QOL. Results: In multivariable analysis, BMI, age, history of diabetes mellitus, history of osteoarthritis were associated with KOQOL score. Especially, BMI was significantly associated with KOQOL score after adjusting for waist circumference, body fat (%) (P = 0.002). Conclusion: The more BMI increases, the worse the obesity related QOL is in Korean ambulatory elderly.

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  • Affecting Factors for Dietary, Exercise and Behavioral Modification of Women on Diet Improvement through Mediating Effects of Improve the Quality of Life
    Yoojin Oh
    Asian Journal of Beauty and Cosmetology.2023; 21(1): 29.     CrossRef
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    Jongsun Ok, Kyonghwa Kang, Hyeongsu Kim
    International Journal of Environmental Research and Public Health.2022; 19(6): 3429.     CrossRef
  • Efficacy and safety of Euiiyin-tang in Korean women with obesity: A randomized, double-blind, placebo-controlled, multicenter trial
    Chunhoo Cheon, Yun-Kyung Song, Seong-Gyu Ko
    Complementary Therapies in Medicine.2020; 51: 102423.     CrossRef
  • The associations between body mass index (BMI) and life satisfaction among older adults: Focusing on mediating effects of depressive symptoms
    Hae Sook Jeon
    Korean Journal of Health Education and Promotion.2019; 36(3): 83.     CrossRef
  • Association between body mass index and health-related quality of life among Chinese elderly—evidence from a community-based study
    Hua You, Xiao-lu Li, Kang-zhen Jing, Zhi-guang Li, Hong-mei Cao, Jin Wang, Lan Bai, Jing-hong Gu, Xiaoman Fan, Hai Gu
    BMC Public Health.2018;[Epub]     CrossRef
  • Euiiyin-tang in the treatment of obesity: study protocol for a randomised controlled trial
    Chunhoo Cheon, Soobin Jang, Jeong-Su Park, Youme Ko, Doh Sun Kim, Byung Hoon Lee, Hyun Jong Song, Yun-Kyung Song, Bo-Hyoung Jang, Yong-Cheol Shin, Seong-Gyu Ko
    Trials.2017;[Epub]     CrossRef
  • Factors affecting aging cognitive function among community‐dwelling older adults
    Chun‐Ja Kim, JeeWon Park, Se‐Won Kang, Elizabeth A. Schlenk
    International Journal of Nursing Practice.2017;[Epub]     CrossRef
  • Association between Body Mass Index and Quality of Life in Elderly People over 60 Years of Age
    Gyeongsil Lee, Jiyoung Park, Seung-Won Oh, Hee-Kyung Joh, Seung-Sik Hwang, Jeehyun Kim, Danbee Park
    Korean Journal of Family Medicine.2017; 38(4): 181.     CrossRef
  • Body Mass Index (BMI)-Related Factors of Community-Dwelling Elders: Comparison between Early and Late Elderly People
    Hye Sun Hyun, In Sook Lee
    Journal of Korean Academy of Community Health Nursing.2013; 24(1): 62.     CrossRef
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The Impact of Functional Constipation on the Quality of Life in the Elderly over 60 Years.
Hyeok Kyu Kwon, Hyun Jin Do, Hye Jung Kim, Seung Won Oh, Youl Lee Lym, Jae Kyung Choi, Hee Kyung Joh, Hyuk Jung Kweon, Dong Yung Cho
Korean J Fam Med 2010;31(1):35-43.   Published online January 20, 2010
DOI: https://doi.org/10.4082/kjfm.2010.31.1.35
Background
Constipation is one of the most common digestive complaints. Although, there are increased interest on the socioeconomic effect of constipation and studies associated with quality of life on constipation, there is no study about the infl uence of constipation onto quality of life (QOL) in Korea. We studied the impact of functional constipation on QOL. Methods: Between March to June 2008, person to person survey with 844 elderly aged over 60 years was performed at two senior care centers, a public health center, and secondary hospital in Seoul metrocity and Chung-ju city. The diagnosis of functional constipation was based on the Rome III criteria and QOL was measured by the Medical Outcomes Study (MOS) 36-Item Short-Form Health Survey (SF-36). Results: The average age was 73.6 years and the prevalence rate of constipation was 20.3%. The average SF-36 score was 63.5 in total population, 57.9 in constipation group, and 64.9 in normal group. Conclusion: These results suggest that the constipation lowers QOL in adults aged over 60 years old. Further study will be necessary to explore if QOL changes according to the severity of constipation and its treatment and to assess QOL using a disease-specifi c measurement tool that can be used for Korean environment.

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  • Beyond the gut: The overlooked impact of constipation on functional mobility and quality of life in community‐dwelling elders – a cross‐sectional study
    Mucahit Oztop, Nesrin Yagcı
    Geriatrics & Gerontology International.2025;[Epub]     CrossRef
  • Constipation among Korean older adults in long-term care facilities: A scoping review
    Yuseon Jeong, Dukyoo Jung, Eunju Choi
    Journal of Korean Gerontological Nursing.2024; 26(1): 4.     CrossRef
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    Jae-Hwan Lee, Geun-Bae Kim, Kisoo Han, Eun-Jin Jung, Hyung Joo Suh, Kyungae Jo
    Food & Function.2024; 15(12): 6374.     CrossRef
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    Munjin Ju, Nayoung Kim, Cheol Min Shin, Young Soo Park, Hyuk Yoon, Yonghun Choi, Dong Ho Lee
    The Korean Journal of Gastroenterology.2022; 80(1): 17.     CrossRef
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    Yu Hyun Lim, Dong Hyun Kim, Moon Young Lee, Min Cheol Joo
    Annals of Rehabilitation Medicine.2012; 36(3): 371.     CrossRef
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    Jeong Soon You, Ji Yeon Park, Kyung Ja Chang
    The Korean Journal of Nutrition.2010; 43(6): 620.     CrossRef
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The Relating Factor and Quality of Life of Overactive Bladder in Adults.
Seun Ah Kim, Eun Hae Kim, Hyun Jin Do, Youl Lee Lym, Jae Kyung Choi, Hee Kyung Joh, Hyuk Jung Kweon, Dong Yung Cho, Tong Wook Kim
Korean J Fam Med 2009;30(11):872-879.   Published online November 20, 2009
DOI: https://doi.org/10.4082/kjfm.2009.30.11.872
Background
Overactive bladder syndrome (OAB) is a common disorder in primary care that affects negatively on the quality of life of outpatients. However, little information is available on related factors and the quality of life in adults with overactive bladder. The purpose of this study was to fi nd related factors of overactive bladder and to measure the quality of life in adults with overactive bladder. Methods: Among the people who visited a hospital in Seoul and Chung-ju for a health xamination or primary care between October 1 and December 31, 2008, we selected 327 participants over 20 years old. We measured their Overactive Bladder Questionnaire (OAB-q), took medical history and reviewed their demographic data. The relationship between OAB, other independent variables and health related quality of life (HRQL) were analyzed. Results: Of 327 respondents, the prevalence of OAB in adults was 38 (11.6%). The factors related to OAB were age (P = 0.007), history of prescription for congestive heart failure (P = 0.023), benign prostatic hyperplasia (BPH) (P = 0.002), and depression (P = 0.008). OAB was signifi cantly associated with BPH medication (P = 0.042; OR = 8.757) and depression medication (P = 0.005; OR = 9.977) in multivariable logistic regression analysis. In each T-test analysis, OAB decreased in HRQL. Conclusion: OAB is a common disorder in adults, history of BPH medication and depression medication is more common in OAB. The symptoms that were suggestive of OAB were affected negatively on the quality of life in adults. Effective health care polices and prompt management of OAB should be implemented.

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    Ju-hyun Oh, Yu-ra Lee, Jin-young Song, Geon-sik Kong, Jin-hun Park, So-won Kim, Man-ho Kang, Hyung-chul Lee, Guk-hyeon Eom, Woo-sub Song
    The Journal of Internal Korean Medicine.2020; 41(5): 724.     CrossRef
  • Sex Difference in Associations between Severity Level of Overactive Bladder and Perceived Stress, Depression in Korean Patients
    Ji-Young Ji-Young, So-Yeon Ryu, Jong Park, Seong-Woo Choi
    Journal of Health Informatics and Statistics.2019; 44(1): 14.     CrossRef
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    Eun Hui Choi, Eun Nam Lee, Jeong Lim Cho, Moon Jung Jang
    Journal of muscle and joint health.2016; 23(1): 39.     CrossRef
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Review

Health Economics and Outcomes Research.
Chul Min Kim
Korean J Fam Med 2009;30(8):577-587.   Published online August 20, 2009
DOI: https://doi.org/10.4082/kjfm.2009.30.8.577
Health conomics refers to the scientific discipline that compares the value of one healthcare program to another. It is a sub-discipline of Micro-economics. A health economic study evaluates the cost (expressed in monetary terms) and effects (expressed in terms of monetary value, effi cacy or enhanced quality of life) of a healthcare program or product. We can distinguish several types of health economic evaluation: cost-minimization analysis, cost-benefi t analysis, cost-effectiveness analysis and cost-utility analysis. Health economics studies serve to guide optimal healthcare resource allocation, in a standardized and scientifi cally grounded manner. Health economics research facilitates the translation of health technology assessment into useful information for healthcare decision-makers to ensure that society allocates scarce health care resources wisely, fairly and effi ciently. Health economics usually evaluate the outcomes like clinical, economics and humanistic outcomes per costs. Health economics research include pharmacoeconomics, clinical epidemiology, decision analysis, modeling, risk assessment, patient-reported outcomes (quality of life), database analyses, observational studies, and patients registries.

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Original Articles
Association of Premenstrual Syndrome with Quality of Life in Young Korean Women.
Bo Mi Kim, Ji In Jung, Yun Mi Song, Jung Kwon Lee, Jun Hyun Yoo
J Korean Acad Fam Med 2008;29(2):108-113.   Published online February 10, 2008
Background
Menstruation is often regarded as a privilege for women allowing reproductive activity. However, abrupt hormonal fluctuations in menstrual cycle may cause distressing physical and psychological symptoms such as premenstrual syndrome (PMS). PMS is known to have a great impact on daily life activities and social functions, and might result in significantly decreased quality of life (QOL). In this study, we aimed to evaluate a relation between PMS and QOL in young adult Korean women. Methods: Self-administered questionnaires were distributed to a total of 514 women who were aged 16∼35 years and who were employed in an industrial complex located in Gyeonggi-do, Korea. PMS was assessed using diagnostic criteria recommended by the American Psychiatric Association. QOL was assessed using Korean health related Quality of Life Scale. The association between PMS and QOL was examined in 440 women using the two-sample t-test after excluding 74 women who were missing for variables essential for the assessment of PMS and QOL. Results: The prevalence of PMS was 7.3% (32 out of 440 women). Women with PMS had the worse QOL score in almost all domains of QOL except for spiritual health (physical function, psychological health, social function, pain, vitality, role limitation, health status perception, and health status change). Conclusion: There was a significant relation between PMS and QOL. The finding of significantly lower QOL in women with PMS suggests that PMS should be evaluated and treated actively in primary care. (J Korean Acad Fam Med 2008;29:108-113)
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The Relation of Physical Activity to Helath Related Quality of Life.
Gye Hwa Lee, Cheol Hwan Kim, Ho Cheol Shin, Yong Woo Park, Eun Ju Sung
J Korean Acad Fam Med 2007;28(6):451-459.   Published online June 10, 2007
Background
Numerous studies have identified that physical activity influences decrements of both mortality and morbidity. Besides these objective indices, positive influences of physical activity on individuals' lives are being studied upon various populations. The purpose of this study was to evaluate the association of physical activity on health-related quality of life (HRQOL) in relatively healthy adults of Korea. Methods: Questionnaires were sent by mail to one thousand examinees who were scheduled for health check-up. We analyzed data from 214 men and 195 women. The physical activities were measured using the International Physical Activity Questionnaraire (IPAQ)-short form and the HRQOL was assessed by the CMCHS ver 1.0. The subjects were separated by gender and into either a recommended level of physical activity group or a lower physical activity group according to the physical activity scale. Results: The group with physical activity beyond the recommended level had better HRQOL measures than those who did not. After revising the factors that affected the HRQOL, cognition of present heath status, satisfaction for health status, bodily pain, physical function, emotional function, social function and general health measure scores were significantly higher in the female group with physical activity beyond recommended quantity than those who did not. However, there were no statical significance in the male group. Conclusion: Physical activity was associated with health related quality of life in middle aged women.
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The Relationship between Health Risk Appraisal and Health-related Quality of Life among Middle-aged Men.
Jung Il Jang, Cheol Hwan Kim, Ho Cheol Shin, Yong Woo Park, Eun Ju Sung, Eun Jung Lee, Da Hye Choi, Yu Jin Paik, Ae Jung Kim
J Korean Acad Fam Med 2006;27(7):534-539.   Published online July 10, 2006
Background
: Recently, several health risk appraisal programs have been developed to suit Korean character which is currently implemented. This study was conducted to find out the correlation with health age and health- related quality of life through health risk appraisal.

Methods : From March 1, 2004 to July 30, 2004, 107 male patients aged 30 to 59 who visited the family medicine clinic in a university hospital and had agreed to participate in the study have been assessed to determine the correlation between health age and health-related quality of life by measuring tools of health risk appraisal, CMCHS V1.0 questionnaire and Yangseng measurement questionnaire.

Results : Among the total 107 subjects, 3 were excluded because of incomplete questionnaire. There were 28 people aged in their thirties, 36 in forties, and 40 in fifties. The health age and health-related quality of life showed a negative correlation. The correlation in men in their life showed the strongest. Indexes between the health age and health perception, changes in health, vitality, morality Yangseng, diet Yangseng, sleep Yangseng and active and rest Yangseng have shown a strong negative correlation (P<0.05).

Conclusion : The lower the health age is, the better health- related quality of life in several domains of CMCHS V1.0 and Yangseng in middle aged Korean men.
  • 1,610 View
  • 19 Download
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