Health and happiness among community-dwelling older adults in Domkhar valley, Ladakh, India

作者:Sakamoto Ryota*; Okumiya Kiyohito; Norboo Tsering; Tsering Norboo; Wada Taizo; Fujisawa Michiko; Imai Hissei; Nose Mitsuhiro; Ishimoto Yasuko; Kimura Yumi; Fukutomi Eriko; Chen Wenling; Matsubayashi Kozo
来源:Geriatrics and Gerontology International, 2017, 17(3): 480-486.
DOI:10.1111/ggi.12745

摘要

Aim: The aim of the present study was to show the status of objective geriatric functions and subjective quality of life in Ladakh, India, compared with Japanese controls. Methods: We analyzed data of 117 people aged 60 years or older in Domkhar, and age-and sex-specific Japanese controls. Variables measured included blood pressure, hemoglobin, timed up & go test, basic activities of daily living, Geriatric Depression Scale and the Visual Analog Scale for subjective quality of life. Results: People in Domkhar weremore likely to have difficulties in basic activities of daily living comparedwith Japanese controls. However, they were significantlymore likely to maintain social roles. The Visual Analog Scale scores in subjective friendship, economic satisfaction and happiness were higher in Domkhar compared with Japanese controls. Living alone (OR 9.92, 95% CI 2.13-46.26), high Geriatric Depression Scale score (6 or more; OR 8.45, 95% CI 1.65-43.35) and timed up& go test (17 s ormore; OR21.00, 95% CI 1.69-260.87) were significantly associated with a low score of subjective happiness (less than 50). Residence in Domkhar (OR 0.17, 95% CI 0.04-0.77) was a significant factor for low prevalence of a low score of subjective happiness by multivariate logistic regression analysis. Conclusions: Subjective quality of life among older adults in Domkhar was higher than Japanese controls despite a higher rate of difficulty in basic activities of daily living. We have to consider prevention, treatment, and care of not only diseases and disabilities, but also loneliness for the older adults.

  • 出版日期2017-3