Observational studyThe British journal of general practice : the journal of the Royal College of General Practitioners2015
Determinants of health-related quality of life in older primary care patients: results of the longitudinal observational AgeCoDe Study.
Observational study in The British journal of general practice : the journal of the Royal College of General Practitioners, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers.
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Who cites it
35 citing papers in PubMed, 66 citations in OpenAlex.
- Health-related quality of life trajectories and loss of independence among community-dwelling older adults.GeroScience · 2026Article
- Association Between Hearing Level and Mental Health and Quality of Life in Adults Aged >40 Years.Journal of audiology & otology · 2024Article
- The overall and domain-specific quality of life of Chinese community-dwelling older adults: the role of intrinsic capacity and disease burden.Frontiers in psychology · 2023Article
- Oral health and quality of life: findings from the Survey of Health, Ageing and Retirement in Europe.BMC oral health · 2022Article
- Measuring the quality of life of long-term care service users in Japan: a cross-sectional questionnaire study.BMC geriatrics · 2022Article
- Social support and health-related quality of life among the oldest old - longitudinal evidence from the multicenter prospective AgeCoDe-AgeQualiDe study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022Article
- Frequency and gender differences in the use of professional home care in late life. Findings from three German old-age cohorts.Frontiers in medicine · 2022Article
- Association Between Cognition, Health Related Quality of Life, and Costs in a Population at Risk for Cognitive Decline.Journal of Alzheimer's disease : JAD · 2022Article
- Driving status and health-related quality of life among the oldest old: a population-based examination using data from the AgeCoDe-AgeQualiDe prospective cohort study.Aging clinical and experimental research · 2021Article
- GPs' awareness of car driving among oldest patients: exploratory results from a primary care cohort.BJGP open · 2021Article
- Article
- The Onset of Falls Reduces Subjective Well-Being. Findings of a Nationally Representative Longitudinal Study.Frontiers in psychiatry · 2021Article
- Article
- Health-related quality of life in elderly people with hypertension and the estimation of minimally important difference using EQ-5D-5L in Hong Kong SAR, China.The European journal of health economics : HEPAC : health economics in prevention and care · 2020Article
- Does Treating Hearing Loss in Older Adults Improve Cognitive Outcomes? A Review.Journal of clinical medicine · 2020Review
- Non-Exercise Based Estimation of Cardiorespiratory Fitness Mediates Associations between Comorbidities and Health-Related Quality of Life in Older Korean Adults with Diabetes.International journal of environmental research and public health · 2020Article
- Benefits of Cochlear Implantation in Middle-Aged and Older Adults.Clinical interventions in aging · 2020Article
- Energy Balance and Active Lifestyle: Potential Mediators of Health and Quality of Life Perception in Aging.Nutrients · 2019Article
- Change in quality of life among community-dwelling older adults: population-based longitudinal study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2019Article
- Depression in elderly patients with hearing loss: current perspectives.Clinical interventions in aging · 2019Review
Corrections and comments
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Authors and funding
20 authors at 9 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn older patients with chronic diseases, focusing on subjective, patient-relevant outcomes, such as health-related quality of life (HRQoL), is more pertinent than pursuing clinical or laboratory target values.
aimTo investigate factors influencing the course of HRQoL in older (aged ≥78 years) primary care patients and to derive non-pharmacological recommendations for improving their quality of life. DESIGN AND
settingA population-based prospective longitudinal observational study featuring data analysis from waves 2 to 5 of the AgeCoDe study, which was conducted in six cities in Germany.
methodThe HRQoL of 1968 patients over the course of 4.5 years was observed. Patients were, on average, aged 82.6 (±3.4) years and their HRQoL was measured using the EQ-5D visual analogue scale in a face-to-face assessment. Fixed-effects regression models were calculated to examine impact of change in potential influencing factors. This method allows unobserved heterogeneity to be controlled.
resultsThe course of the participants' HRQoL declined with increasing age, walking and incident hearing impairment. Increasing the number of physical activities improved the HRQoL. These findings were modified by sex, education level, and depression. Especially in females and patients with rather low education levels, increased physical activity improved the subjects' HRQoL, while hearing impairment decreased it. Moving to an institution only improved the HRQoL in patients without depression or those with a low level of education (primary education).
conclusionMotivating patients to increase their weekly physical activity and to focus on preserving their ability to walk are promising approaches to improving HRQoL in older age. Less-educated patients and those without depression can also benefit from moving into an institution (for example, a care or retirement home).
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