Breathlessness dimensions association with physical and mental quality of life : the population based VASCOL study of elderly men
Cristea, Lucas ; Olsson, Max LU
; Currow, David
; Johnson, Miriam
; Sandberg, Jacob
LU
and Ekström, Magnus
LU
(2021)
In BMJ Open Respiratory Research
8(1).
p.1-7
- Abstract
BACKGROUND: Breathlessness is a multidimensional symptom prevalent in elderly affecting many aspects of life. We aimed to determine how different dimensions of breathlessness are associated with physical and mental quality of life (QoL) in elderly men.
METHODS: This was a cross-sectional, population-based analysis of 672 men aged 73 years in a Swedish county. Breathlessness was assessed using Dyspnoea-12 (D-12) and Multidimensional Dyspnoea Profile (MDP), and QoL using the Short Form 12 physical and mental scores. Scores were compared as z-scores across scales and analysed using multivariable linear regression, adjusted for smoking, body mass index and the presence of respiratory and cardiovascular disease.
RESULTS: Worse... (More)
BACKGROUND: Breathlessness is a multidimensional symptom prevalent in elderly affecting many aspects of life. We aimed to determine how different dimensions of breathlessness are associated with physical and mental quality of life (QoL) in elderly men.
METHODS: This was a cross-sectional, population-based analysis of 672 men aged 73 years in a Swedish county. Breathlessness was assessed using Dyspnoea-12 (D-12) and Multidimensional Dyspnoea Profile (MDP), and QoL using the Short Form 12 physical and mental scores. Scores were compared as z-scores across scales and analysed using multivariable linear regression, adjusted for smoking, body mass index and the presence of respiratory and cardiovascular disease.
RESULTS: Worse breathlessness was related to worse physical and mental QoL across all the D-12 and MDP dimension scores. Physical QoL was most strongly associated with perceptional breathlessness scores, D-12 total and physical scores (95% CI -0.45 to -0.30). Mental QoL was more strongly influenced by affective responses, MDP emotional response score (95% CI -0.61 to -0.48). Head-to-head comparison of the instruments confirmed that D-12 total and physical scores most influenced physical QoL, while mental QoL was mostly influenced by the emotional responses captured by the MDP.
CONCLUSION: Breathlessness dimensions and QoL measures are associated differently. Physical QoL was most closely associated with sensory and perceptual breathlessness dimensions, while emotional responses were most strongly associated with mental QoL in elderly men. D-12 and MDP contribute complimentary information, where affective and emotional responses may be related to function, deconditioning and QoL.
(Less)
- author
- Cristea, Lucas
; Olsson, Max
LU
; Currow, David
; Johnson, Miriam
; Sandberg, Jacob
LU
and Ekström, Magnus
LU
- organization
- publishing date
- 2021
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Aged, Cross-Sectional Studies, Dyspnea/epidemiology, Humans, Male, Quality of Life, Smoking, Sweden/epidemiology
- in
- BMJ Open Respiratory Research
- volume
- 8
- issue
- 1
- article number
- e000990
- pages
- 1 - 7
- publisher
- BMJ Publishing Group
- external identifiers
-
- scopus:85119213065
- pmid:34740943
- ISSN
- 2052-4439
- DOI
- 10.1136/bmjresp-2021-000990
- language
- English
- LU publication?
- yes
- additional info
- © Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY. Published by BMJ.
- id
- 5831c4e8-cdec-46a6-9a91-6069ab1651f3
- date added to LUP
- 2022-01-11 11:46:46
- date last changed
- 2024-04-20 18:53:41
@article{5831c4e8-cdec-46a6-9a91-6069ab1651f3,
abstract = {{<p>BACKGROUND: Breathlessness is a multidimensional symptom prevalent in elderly affecting many aspects of life. We aimed to determine how different dimensions of breathlessness are associated with physical and mental quality of life (QoL) in elderly men.</p><p>METHODS: This was a cross-sectional, population-based analysis of 672 men aged 73 years in a Swedish county. Breathlessness was assessed using Dyspnoea-12 (D-12) and Multidimensional Dyspnoea Profile (MDP), and QoL using the Short Form 12 physical and mental scores. Scores were compared as z-scores across scales and analysed using multivariable linear regression, adjusted for smoking, body mass index and the presence of respiratory and cardiovascular disease.</p><p>RESULTS: Worse breathlessness was related to worse physical and mental QoL across all the D-12 and MDP dimension scores. Physical QoL was most strongly associated with perceptional breathlessness scores, D-12 total and physical scores (95% CI -0.45 to -0.30). Mental QoL was more strongly influenced by affective responses, MDP emotional response score (95% CI -0.61 to -0.48). Head-to-head comparison of the instruments confirmed that D-12 total and physical scores most influenced physical QoL, while mental QoL was mostly influenced by the emotional responses captured by the MDP.</p><p>CONCLUSION: Breathlessness dimensions and QoL measures are associated differently. Physical QoL was most closely associated with sensory and perceptual breathlessness dimensions, while emotional responses were most strongly associated with mental QoL in elderly men. D-12 and MDP contribute complimentary information, where affective and emotional responses may be related to function, deconditioning and QoL.</p>}},
author = {{Cristea, Lucas and Olsson, Max and Currow, David and Johnson, Miriam and Sandberg, Jacob and Ekström, Magnus}},
issn = {{2052-4439}},
keywords = {{Aged; Cross-Sectional Studies; Dyspnea/epidemiology; Humans; Male; Quality of Life; Smoking; Sweden/epidemiology}},
language = {{eng}},
number = {{1}},
pages = {{1--7}},
publisher = {{BMJ Publishing Group}},
series = {{BMJ Open Respiratory Research}},
title = {{Breathlessness dimensions association with physical and mental quality of life : the population based VASCOL study of elderly men}},
url = {{http://dx.doi.org/10.1136/bmjresp-2021-000990}},
doi = {{10.1136/bmjresp-2021-000990}},
volume = {{8}},
year = {{2021}},
}