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
Standard
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. / Hajek, André; Brettschneider, Christian; Lühmann, Dagmar; van den Bussche, Hendrik; Wiese, Birgitt; Mamone, Silke; Weyerer, Siegfried; Werle, Jochen; Leve, Verena; Fuchs, Angela; Röhr, Susanne; Stein, Janine; Bickel, Horst; Mösch, Edelgard; Heser, Kathrin; Wagner, Michael; Scherer, Martin; Maier, Wolfgang; Riedel-Heller, Steffi G; Pentzek, Michael; König, Hans-Helmut.
In: AGING CLIN EXP RES, Vol. 33, No. 11, 11.2021, p. 3109-3115.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
Harvard
APA
Vancouver
Bibtex
}
RIS
TY - JOUR
T1 - 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
AU - Hajek, André
AU - Brettschneider, Christian
AU - Lühmann, Dagmar
AU - van den Bussche, Hendrik
AU - Wiese, Birgitt
AU - Mamone, Silke
AU - Weyerer, Siegfried
AU - Werle, Jochen
AU - Leve, Verena
AU - Fuchs, Angela
AU - Röhr, Susanne
AU - Stein, Janine
AU - Bickel, Horst
AU - Mösch, Edelgard
AU - Heser, Kathrin
AU - Wagner, Michael
AU - Scherer, Martin
AU - Maier, Wolfgang
AU - Riedel-Heller, Steffi G
AU - Pentzek, Michael
AU - König, Hans-Helmut
PY - 2021/11
Y1 - 2021/11
N2 - BACKGROUND: It is almost unknown whether the driving status is associated with HRQOL among individuals in highest age.AIMS: Based on a multicenter prospective cohort study, the objective of this study was to examine whether the driving status is associated with health-related quality of life (HRQOL) among the oldest old in Germany.METHODS: Cross-sectional data from follow-up wave 9 (n = 544) were derived from the "Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe). Average age was 90.3 years (± 2.7; 86 to 101 years). The current driver status (no; yes) was used in our analysis. The EuroQoL EQ-5D questionnaire was used to assess HRQOL in this study.RESULTS: Regression analysis showed that being a current driver was associated with the absence of problems in 'self-care' [OR 0.41 (95%-CI 0.17 to 0.98)], and 'usual activities' [OR 0.48 (0.26 to 0.90)], whereas it was not significantly associated with problems in 'pain/discomfort' [OR 0.82 (0.47 to 1.45)] and 'anxiety/depression' [OR 0.71 (0.36 to 1.39)]. Being a current driver was marginally significantly associated with the absence of problems in 'mobility' [OR 0.60 (0.34 to 1.06)]. While being a current driver was not associated with the EQ-VAS in the main model, it was positively associated with the driving status (β = 5.00, p < .05) when functional impairment was removed from the main model.DISCUSSION: Our findings provide first evidence for an association between driving status and HRQOL among the oldest old.CONCLUSIONS: Future longitudinal studies are required to evaluate a possible causal relationship between driving status and HRQOL in very old individuals.
AB - BACKGROUND: It is almost unknown whether the driving status is associated with HRQOL among individuals in highest age.AIMS: Based on a multicenter prospective cohort study, the objective of this study was to examine whether the driving status is associated with health-related quality of life (HRQOL) among the oldest old in Germany.METHODS: Cross-sectional data from follow-up wave 9 (n = 544) were derived from the "Study on Needs, health service use, costs and health-related quality of life in a large sample of oldest-old primary care patients (85+)" (AgeQualiDe). Average age was 90.3 years (± 2.7; 86 to 101 years). The current driver status (no; yes) was used in our analysis. The EuroQoL EQ-5D questionnaire was used to assess HRQOL in this study.RESULTS: Regression analysis showed that being a current driver was associated with the absence of problems in 'self-care' [OR 0.41 (95%-CI 0.17 to 0.98)], and 'usual activities' [OR 0.48 (0.26 to 0.90)], whereas it was not significantly associated with problems in 'pain/discomfort' [OR 0.82 (0.47 to 1.45)] and 'anxiety/depression' [OR 0.71 (0.36 to 1.39)]. Being a current driver was marginally significantly associated with the absence of problems in 'mobility' [OR 0.60 (0.34 to 1.06)]. While being a current driver was not associated with the EQ-VAS in the main model, it was positively associated with the driving status (β = 5.00, p < .05) when functional impairment was removed from the main model.DISCUSSION: Our findings provide first evidence for an association between driving status and HRQOL among the oldest old.CONCLUSIONS: Future longitudinal studies are required to evaluate a possible causal relationship between driving status and HRQOL in very old individuals.
U2 - 10.1007/s40520-020-01482-7
DO - 10.1007/s40520-020-01482-7
M3 - SCORING: Journal article
C2 - 32006387
VL - 33
SP - 3109
EP - 3115
JO - AGING CLIN EXP RES
JF - AGING CLIN EXP RES
SN - 1594-0667
IS - 11
ER -