Dyspnoea and quality of life in older people at home
Abstract
Objectives To determine the prevalence of dyspnoea in older people at home, measure its impact on function and quality of life, and identify associated cardio-respiratory diseases. Design Cross-sectional population-based study. Methods We sent a modified Medical Research Council (MRC) dyspnoea questionnaire to identify breathlessness in 1404 randomly selected subjects from general practitioner lists of 5002 subjects aged 70 years and over living at home. We visited a further random sample of 500 of these subjects at home and at a study centre. Setting Community-based study in South Wales. Main outcome measures Prevalence of dyspnoea (MRC grades 3-5) and its effect on psychological and functional status, and quality of life as measured by Hospital Anxiety and Depression, Nottingham Extended Activities of Daily Living and SF-36 questionnaires. Results The prevalence of dyspnoea as defined was 32.3% (95% confidence intervals: 30.3, 34.3). Breathless subjects had poorer functional status than non-breathless subjects. They also had poorer physical and mental health and were more likely to be anxious and depressed. The prevalence of left ventricular systolic dysfunction, reversible airways disease and obesity were all higher in those with dyspnoea. Conclusions Dyspnoea is common in older people. Given its profound adverse effect on people's lives, dyspnoea is an important public health issue.
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Multiple observational studies link breathlessness with anxiety and depression.
“Multiple observational studies link breathlessness with anxiety and depression.”
From The Breathing, Thinking, Functioning clinical model: a proposal to facilitate evidence-based breathlessness management in chronic respiratory disease (2017) · cites this paper as [4]
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- Authors
- Ho, S. F.
- Affiliations
- University Hospital Llandough (GB)
- Corresponding author
- Ho, S. F.
- ORCID
- Ho, S. F.
- Venue
- Age and Ageing
- Publisher
- Oxford University Press (OUP)
- Published
- 2001-03-01
- Volume
- 30
- Issue
- 2
- Pages
- 155-159
- ISSN
- 0002-0729 (ISSN-L)
- 1468-2834
- OpenAlex
- W2042967298
- Cited by
- 137
- References
- 13
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 6 · 2023: 7 · 2022: 10 · 2021: 4 · 2020: 6 · 2019: 10 · 2018: 5 · 2017: 7 · 2016: 13 · 2015: 7 · 2014: 10 · 2013: 3 · 2012: 7
- FWCI
- 2.02
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Age and Ageing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Chronic Obstructive Pulmonary Disease (COPD) Research
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- dyspnea, older adults, quality of life, functional status, cardiopulmonary disease, left ventricular systolic dysfunction, obesity, anxiety, depression, prevalence, community-dwelling older adults
- MeSH terms
- Aged, Aged, 80 and over, Arthritis, Cross-Sectional Studies, Diabetes Mellitus, Dyspnea, Female, Geriatric Psychiatry, United Kingdom, Housing, Humans, Male, Obesity, Population Surveillance, Quality of Life, Surveys and Questionnaires, Geriatric Assessment, Stroke
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