Physical func on measures and health-related quality of life in primary care medicine: cross-sec onal study
Journal Title: Family Medicine & Primary Care Review - Year 2017, Vol 19, Issue 2
Abstract
Background. Health-related quality of life (HRQoL) is an important component of comprehensive management in primary care. Objec ves. The purpose of this study was to inves gate the rela onships between physical performance measures and self-reported HRQoL and to fi nd op mal values of muscle func on tests associated with lower HRQoL. Material and methods. From a single primary health care center pa ent list, 330 subjects were randomly selected. Informa on about the pa ent’s age, gender, body mass index and presence of self-reported chronic diseases was collected, as well as analyses for systemic infl amma on and vitamin D. Physical performance was measured by dominant hand grip strength (GS) and a 30-second chair stand test (30-CST). The physical (PCS) and mental (MCS) component scores of the Short-Form-36 Ques onnaire (SF-36) were used to evaluate HRQoL. The predic ve power of physical func on measures were tested with mul variate linear regression analyses. Threshold values for physical func on tests were calculated by receiver opera ng characteris c curves. Results. Mul variate analyses demonstrated that 30-CST was signifi cantly (p < 0.0001) associated with SF-36 summary scores for both genders. Males with 30-CST results under 7 stands and females with results of fewer than 13 stands were in the risk group for having the lowest PCS scores. Results in 30-CST under 12 stands in males and under 13 stands in females were associated with the lowest scores of MCS. Conclusions. 30-CST had the most expressed associa on with the outcomes of HRQoL in the Estonian popula on. Subjects with physical performance results under threshold values are at risk of lower HRQoL; therefore, 30-CST is a poten al screening indicator for HRQoL assessment.
Authors and Affiliations
Ann Starkopf, Raili MÜLLER, Anu Starkopf, Annika Aart, Mart Kull, Kaja PÕLLUSTE, Margus Lember, Riina Kallikorm
Keywords
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