Breathlessness dimensions association with physical and mental quality of life: the population based VASCOL study of elderly men.

Cristea, L; Olsson, M; Currow, D; Johnson, M; Sandberg, J; Ekström, M

Breathlessness dimensions association with physical and mental quality of life: the population based VASCOL study of elderly men.

Cristea, L Olsson, M Currow, D

Johnson, M Sandberg, J Ekström, M

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Publisher:: BMJ
Publication Type:: Journal Article
Citation:: BMJ open respiratory research, 2021, 8, (1), pp. e000990-e000990
Issue Date:: 2021-11

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Field	Value	Language
dc.contributor.author	Cristea, L
dc.contributor.author	Olsson, M
dc.contributor.author	Currow, D https://orcid.org/0000-0003-1988-1250
dc.contributor.author	Johnson, M
dc.contributor.author	Sandberg, J
dc.contributor.author	Ekström, M
dc.date.accessioned	2021-12-29T00:02:31Z
dc.date.available	2021-10-19
dc.date.available	2021-12-29T00:02:31Z
dc.date.issued	2021-11
dc.identifier.citation	BMJ open respiratory research, 2021, 8, (1), pp. e000990-e000990
dc.identifier.issn	2052-4439
dc.identifier.issn	2052-4439
dc.identifier.uri	http://hdl.handle.net/10453/152555
dc.description.abstract	<h4>Background</h4>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.<h4>Methods</h4>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.<h4>Results</h4>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.<h4>Conclusion</h4>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.
dc.format	Print
dc.language	eng
dc.publisher	BMJ
dc.relation.ispartof	BMJ open respiratory research
dc.relation.isbasedon	10.1136/bmjresp-2021-000990
dc.rights	info:eu-repo/semantics/openAccess
dc.title	Breathlessness dimensions association with physical and mental quality of life: the population based VASCOL study of elderly men.
dc.type	Journal Article
utslib.citation.volume	8
utslib.location.activity	England
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	open_access	*
dc.date.updated	2021-12-29T00:02:30Z
pubs.issue	1
pubs.publication-status	Published
pubs.volume	8
utslib.citation.issue	1

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 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.

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http://hdl.handle.net/10453/152555