The impact of the COVID-19 pandemic on the quality of life of the elderly population

Emine Dündar Ahi; Hülya Şirzai

doi:10.28982/josam.903246

Authors

Emine Dündar Ahi Private Medar Hospital https://orcid.org/0000-0001-6417-5406
Hülya Şirzai Private Romatem Hospital https://orcid.org/0000-0002-7320-3074

DOI:

https://doi.org/10.28982/josam.903246

Keywords:

COVID-19, Depression, Elderly, Geriatrics, Health-related quality of life, Lockdown, Physical activity

Abstract

Background/Aim: The elderly population were most exposed to lockdowns worldwide. Lockdown causes many disorders in people's daily routines, and the elderly suffer the most from these disorders. Our aim is to investigate the impact of the COVID-19 epidemic, which we do not know how long will last, on the psychological status and quality of life (QOL) of the elderly population. Methods: A total of 226 male and female volunteers over the age of 65 years and with a score above 21 in the Minimental test were included in this cross-sectional study. QOL scale SF-36 and Geriatrics Depression Scale were performed to the participants. Results: One hundred and twenty-five (55.3%) of the participants were male, 101 (44.7%) were female, and the mean age was 69.2 (4.4) years. A significant decrease was observed in all SF-36 QOL subscale scores during the pandemic compared to before (P<0.001). Compared to those not diagnosed with COVID-19, physical functioning, role limitations due to emotional problems and physical health, general health, and pain scores were decreased significantly among those diagnosed with COVID-19 (P<0.05 for all). In 67 of the 226 cases (29.6%), deterioration was observed in their health status in terms of depression during the pandemic compared to before (P<0.001). Conclusion: The pandemic should not be dealt with medical treatment only, but precautions should be taken to increase the QOL. For this, the factors that determine the QOL are important. Telemedicine should be widely used in the elderly, social and physical activity should be increased, and videoconferences should be made.

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References

WHO (1984) The uses of epidemiology in the study of the elderly. WHO, Technical Reports Series 706, Geneva:8-9

https://data.oecd.org/pop/elderly-population.htm (son erişim tarihi:10.05.2020)

Akyol Y, Durmuş D, Doğan C, Bek Y, Cantürk F. Quality of Life and Level of Depressive Symptoms in the Geriatric Population. Turk J Rheumatol. 2010;25:165-73.

Haraldstad K, Wahl A, Andenæs R, Andersen JR, Andersen MH, Beisland E, Borge CR et al. LIVSFORSK network. A systematic review of quality of life research in medicine and health sciences. Qual Life Res. 2019 Oct;28(10):2641-50.

The Whoqol Group. The World Health Organization quality of life assessment (WHOQOL): development and general psychometric properties. Soc Sci Med. 1998;46:1569-85.

Coronavirus Disease 2019 (Covid-19) Technical Guidance [https://www.who.int/health-topics/coronavirus#tab=tab_1] 29 March 2020

Richardson S, Hirsch JS, Narasimhan M, Crawford JM, McGinn T, Davidson KW et al. Presenting Characteristics, Comorbidities, and Outcomes Among 5700 Patients Hospitalized With COVID-19 in the New York City Area. JAMA. 2020 May 26;323(20):2052-9.

Omura T, Araki A, Shigemoto K, Toba K. Geriatric practice during and after the COVID-19 pandemic. Geriatr Gerontol Int. 2020 Jul;20(7):735-7.

Jiménez-Pavón D, Carbonell-Baeza A, Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people. Prog Cardiovasc Dis. 2020 May-Jun;63(3):386-8.

Armitage R, Nellums LB. COVID-19 and the consequences of isolating the elderly. Lancet Public Health. 2020 May;5(5):e256.

Petretto DR, Pili R. Ageing and COVID-19: What is the Role for Elderly People?. Geriatrics (Basel). 2020 Apr 26;5(2):25.

Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Reliability and validity of the standardized Mini Mental State Examination in the diagnosis of mild dementia in Turkish population. Turk Psikiyatri Derg. 2002;13(4):273-81.

Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kivircik B et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006 Oct 9;6:247.

Ertan T, Eker E, Şar V. Geriatric depresyon ölçeğinin türk yaşlı nüfusunda geçerlilik ve güvenilirliliği. Nöropsikiyatr arşivi 1997;34,2;62-71.

Haywood KL, Garratt AM, Fitzpatrick R. Quality of life in older people: a structured review of generic self-assessed health instruments. Qual Life Res. 2005;14:1651-68.

Günaydın R. Yaşlılarda yaşam kalitesinin değerlendirilmesi (derleme). Turkish Journal of Geriatrics. 2010;13(4):278-84.

Suzuki Y, Maeda N, Hirado D, Shirakawa T, Urabe Y. Physical Activity Changes and Its Risk Factors among Community-Dwelling Japanese Older Adults during the COVID-19 Epidemic: Associations with Subjective Wellbeing and Health-Related Quality of Life. Int J Environ Res Public Health. 2020 Sep 10;17(18):6591.

Rantanen T, Eronen J, Kauppinen M, Kokko K, Sanaslahti S, Kajan N et al. Life-Space Mobility and Active Aging as Factors Underlying Quality of Life among Older People before and during COVID-19 Lock-down in Finland - a Longitudinal Study. J Gerontol A Biol Sci Med Sci. 2020 Oct 30:glaa274.

Do BN, Nguyen PA, Pham KM, Nguyen HC, Nguyen MH, Tran CQ et al. Determinants of Health Literacy and Its Associations With Health-Related Behaviors, Depression Among the Older People With and Without Suspected COVID-19 Symptoms: A Multi-Institutional Study. Front Public Health. 2020 Nov 16;8:581746.

Alexandre Tda S, Cordeiro RC, Ramos LR. Factors associated to quality of life in active elderly. Rev Saude Publica. 2009 Aug;43(4):613-21.

Ausín B, Zamorano A, Muñoz M. Relationship between Quality of Life and Sociodemographic, Physical and Mental Health Variables in People over 65 in the Community of Madrid. Int J Environ Res Public Health. 2020 Nov 17;17(22):8528.

Murri MB, Ekkekakis P, Menchetti M, Neviani F, Trevisani F, Tedeschi S et al. Physical exercise for late-life depression: Effects on symptom dimensions and time course. J Affect Disord. 2018 Apr 1;230:65-70.

Hwa Hsu C, Tung HH, Clinciu DL, Chen LK, Yin WH, Iqbal U et al. Physical activity: A primary health quality determinant among community-dwelling geriatric women in Taiwan. Int J Qual Health Care. 2017 Oct 1;29(6):792-6.