Quality of life and related factors among older people living in rural areas in south-eastern Poland
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Institute of Physiotherapy, Medical Faculty, University of Rzeszow, Rzeszow, Poland
Centre for Innovative Research in Medical and Natural Sciences, University of Rzeszow, Rzeszow, Poland
Agnieszka Beata Ćwirlej-Sozańska   

Uniwersytet Rzeszowski, Warszawska 26 A, 35-205 Rzeszów, Poland
Ann Agric Environ Med. 2018;25(3):539–545
Quality of life (QOL) is an important aspect of life, reflecting health and conditioning the well-being of older adults. Maintaining the QOL is essential in times of demographic changes which resulting longer life spans, and consequently an increased proportion of older adults in society.

The aim of the study was to assess the quality of life and its basic determining factors in the elderly living in rural areas of south-eastern Poland.

Material and methods:
The study was conducted on 973 respondents aged 60–80 years living in rural areas of south-eastern Poland (Podkarpackie Region). The research tool used in the study was the WHOQOL-Bref and a questionnaire on personal characteristics and health. Statistical analysis was performed using Statistica version 10.

All quality of life domains assessed were above the median values of the scale. The highest values were found in the social domain (67.35 ± 17.31) and the lowest values in the physical domain (58.74 ± 14.80). All the quality of life values decreased with an increase in age and increase in number of chronic diseases in a given person. A higher quality of life was found in subjects who were physically and socially active.

Population structure and ageing. Eurostat. (access: 2018.02.20).
Preventing chronic diseases: a vital investment. (access: 2018.02.24).
Ola M, Mathur R. Various environmental factors and their impact on subjective well-being on the older adults. Indian J Health Wellbeing. 2018; 9(1): 89–92.
Gobbens R. Associations of Environmental Factors With Quality of Life in Older Adults. Gerontol. 2018; 58(1): 101–110.
Pedersen M, Vorup J, Bangsbo J, Wikman JM, Alstrøm JM, Melcher PS, et al. Effect of team sports and resistance training on physical function, quality of life, and motivation in older adults. Scand J Med Sci Sports. 2017; 27(8): 852–864.
Guler N, Guler Z, Özel D. Ageing in the rural area:quality of life and associated factors in Sivas/Turkey. Turkish J Geriatr. 2016; 19(4): 245–252.
Kritika, Kakkar R, Aggarwal P, Semwal J. Quality of Life (QOL) among the Elderly in Rural Dehradun. Indian J Com Health. 2017; 29(1): 39–45.
Höfelmann D, Gonzalez-Chica D, Peres K, Boing AF, Peres MA. Chronic diseases and socioeconomic inequalities in quality of life among Brazilian adults: findings from a population-based study in Southern Brazil. Eur J Public Health. 2017; doi: 10.1093/eurpub/ckx224.
Mossakowska M, Więcek A, Błędowski P. Aspekty medyczne, psychologiczne, socjologiczne i ekonomiczne starzenia się ludzi w Polsce, część III. Termedia Wydawnictwa Medyczne, 2012.
Skevington SM, Lotfy M, WHOQOL Group.. The World Health Organization’s WHOQOL-BREF quality of life assessment: psychometric properties and results of the international field trial. A report from the WHOQOL group. Qual Life Res. 2004; 13(2): 299–310.
Soósová MS. Determinants of quality of life in the elderly. Cent Eur J Nurs Midw. 2016; 7: 484–493.
Trentini C, Wagner G, Fleck M, Figueiredo M, da Silva L, Hirakata V, et al. Subjective perception of health in elderly inpatients. Int J Psychol. 2012; 47(4): 279–286.
Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clin Interv Aging. 2013; 8: 549–56.
Klima E, Janiszewska A, Mordwa S. Elderly people and their quality of life – challenges for geography. In: Klima E, editor. Population, Housing, Services – 70th Anniversary of Professor Jerzy Dzieciuchowicz, „Space‒Society‒Economy” 13, Department of Population and Services Studies, Wydawnictwo Uniwersytetu Łódzkiego; Łódź. p173‒189.
Borowiak E, Kostka T. Predictors of quality of life in older people living at home and in institutions. Aging Clin Exp Res. 2004; 16(3): 212–20.
Population Aging in Europe. European Commission. (access: 2018.07.20).
Kumar S, Majumdar A, Pavithra G. Quality of Life (QOL) and Its Associated Factors Using WHOQOL-BREF Among Elderly in Urban Puducherry, India. J Clin Diagn Res. 2014; 8(1): 54–57.
Raggi A, Corso B, Minicuci N, Quintas R, Sattin D, De Torres L, et al. Determinants of Quality of Life in Ageing Populations: Results from a Cross-Sectional Study in Finland, Poland and Spain. PLoS ONE. 2016; 11(7): e0159293.
Parker L, Moran G, Roberts L, Calvert M, McCahon D. The burden of common chronic disease on health-related quality of life in an elderly community-dwelling population in the UK. Fam Pract. 2014; 31(5): 557–563.
Hunger M, Thorand B, Schunk M, Döring A, Menn P, Peters A, et al. Multimorbidity and health-related quality of life in the older population: results from the German KORA-age study. Health Qual Life Outcomes. 2011; 9: 53.
Garin N, Olaya B, Haro J, Miret M, Lobo A, Ayuso-Mateos JL, et al. Impact of multimorbidity on disability and quality of life in the Spanish older population. Plos One. 2014; 9(11): e111498.
Low G, Molzahn A, Schopflocher D. Attitudes to aging mediate the relationship between older peoples’ subjective health and quality of life in 20 countries. Health Qual Life Outcomes. 2013; 11: 146.
Provencher V, Carbonneau H, Filion-Trudeau M, Puolin J, Filiatrault D, Giroux D, et al. Exploring the Impact of a New Intervention to Increase Participation of Frail Older Adults in Meaningful Leisure Activities. Activ Adap Aging. 2018; 42(1): 1.
Tóthová V, Bártlová S, Olišarová V, Kaas J, Kimmer D, Maňhalová J, et al. Quality of life in patients with chronic diseases. Neuro Endocrinol Letters. 2014; 35: 11–18.
Campos A, Ferreira E, Vargas A, Albala C. Aging, Gender and Quality of Life (AGEQOL) study: factors associated with good quality of life in older Brazilian community-dwelling adults. Health Qual Life Outcomes. 2014; 12: 166.
Bottan G, Morais E, Schneider J, Trentini C, Heldt E. Determinants of quality of life in elderly patients of a psychosocial care center in Brazil. Issues Ment Health Nurs. 2014; 35(3): 181–188.
Pan C, Cong X, Wang P, Wang XZ, Sun HP, Xu Y, et al. Evaluating health-related quality of life impact of chronic conditions among older adults from a rural town in Suzhou, China. Arch Gerontol Geriatr. 2018; 76: 6–11.
Taube E, Jakobsson U, Midlöv P, Kristensson J. Being in a bubble: the experience of loneliness among frail older people. J Adv Nurs. 2015; 72: 631–640.
Ćwirlej-Sozańska A, Sozański B, Wiśniowska-Szurlej A, Wilmowska-Pieturuszyńka A. An assessment of factors related to disability in ADL and IADL in elderly inhabitants of rural areas of south-eastern Poland. Ann Agr Env Med. 2018; doi: 10.26444/aaem/81311.
Tamai S, Paschoal S, Jacob-Filho W, Machado, Curiati P, Prada L, et al. Impact of a program to promote health and quality of life of elderly. Einstein. 2011; 9(1): 8–13.
Araújo A, Rebouças Barbosa R, de Medeiros II, de Araújo RF Jr, de Medeiros CA. Quality of Life, Family Support, and Comorbidities in Institutionalized Elders With and Without Symptoms of Depression. Psychiatr Q. 2016; 87(2): 281–2.
Ishikawa M, Yokoyama T, Murayama N, Takemi Y, Nakaya T, Fukuda Y, et al. Subjective Well-Being Is Associated with Food Behavior and Demographic Factors in Chronically Ill Older Japanese People Living Alone. J Nutr Health Aging. 2018; 22(3): 341–353.
Noro A, Aro S. Health-related quality of life among the least dependent institutional elderly compared with the non-institutional elderly population. Qual Life Res. 1996; 5: 355–366.
Gill DL, Hammond CC, Reifsteck EJ, Jehu CM, Williams RA, Adams MM, et al. Physical activity and quality of life. J Prev Med Public Health. 2013; 46: 28–34.
Sampaio PY, Ito E. Activities with higher influence on quality of life in older adults in Japan. Occup Ther Int. 2013; 20: 1–10.
Dumitrache CG, Rubio L, Bedoya I, Rubio Herra R. Promoting Active Aging in rural Settings: an Intervention Program Implemented in Orense, Spain. Univers Psychol. 2017; 16(3): 1–12.