Health-related quality of life among elderly patients with metabolic syndrome
DENG Tianrui1,2, WANG Zhiyong1,2, YE Qing1,2, TANG Wei3, YANG Bin4, XU Fei1,2
1. Nanjing Center for Disease Control and Prevention, Nanjing, Jiangsu 210003, China; 2. School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 211112, China; 3. Geriatric Hospital of Nanjing Medical University, Nanjing, Jiangsu 210024, China; 4. Gulou District Center for Disease Control and Prevention, Nanjing, Jiangsu 210015, China
Abstract：Objective To investigate the health-related quality of life and its influencing factors in elderly patients with metabolic syndrome (MS), so as to provide the evidence for improving health-related quality of life in older adults with chronic diseases. Methods In 2021, elderly MS patients aged ≥60 years from four districts in Nanjing City were selected as the study subjects using a multi-stage random sampling method. Data on social demographic information, lifestyle, disease history and blood biochemical indicators were collected through questionnaire surveys, physical examination and laboratory tests. Health utility value and EuroQol Visual Analog Scale (EQ-VAS) score were assessed using the EuroQol 5-dimension 3-level questionnaire. Factors affecting health-related quality of life were identified with the Tobit regression model and multiple linear regression model. Results A total of 3 378 elderly MS patients were included, with a median age of 67.00 (interquartile range, 7.00) years. There were 1 558 males (46.12%) and 1 820 females (53.88%). The median (interquartile range) of health utility value and EQ-VAS score were 1.00 (0.03) and 80.00 (15.00). Tobit regression and multiple linear regression analysis showed that gender (female, β=-0.034), education level (middle school, β=0.024; junior college and above, β=0.046), marital status (married, β=0.014), physical activity (sufficient, β=0.013), vegetable intake (meet standard, β=-0.009) and fruit intake (meet standard, β=0.016) were the influencing factors of health utility value. Residence (urban area, β=1.933) and alcohol consumption (yes, β=1.761) were influencing factors of EQ-VAS score. Age, cardiovascular and cerebrovascular diseases, malignant tumors and chronic respiratory diseases were the influencing factors of health utility value and EQ-VAS score. Conclusion Age, sex, marital status, residence, lifestyle and disease are mainly associatied with the health-related quality of life in elderly MS patients.
邓天瑞, 王志勇, 叶青, 唐伟, 杨斌, 徐斐. 老年代谢综合征患者健康相关生命质量研究[J]. 预防医学, 2025, 37(4): 325-330.
DENG Tianrui, WANG Zhiyong, YE Qing, TANG Wei, YANG Bin, XU Fei. Health-related quality of life among elderly patients with metabolic syndrome. Preventive Medicine, 2025, 37(4): 325-330.
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