Highlights
- •There is a paucity of data regarding lifestyles, quality of life, and psychiatric symptoms in men.
- •Independent of age, low mobility decreases quality of life.
- •Anxiety and depression decrease quality of life.
- •Smoking and low mobility are most strongly associated with a lower quality of life.
Abstract
Objectives
Despite their public health importance, little is known about associations between
modifiable lifestyles, quality of life (QOL), and psychiatric symptoms in men. We
investigated relationships between QOL, obesity, mobility and lifestyle in Australian
men, including whether associations were mediated by anxiety and depression.
Study design
A cross-sectional study of 893 men (aged 24–92 yrs) participating in the Geelong Osteoporosis
Study: an age-stratified, population-based sample of men randomly recruited from the
Barwon Statistical Division (BSD), in south-eastern Australia.
Main outcome measures
Using a validated tool, QOL was measured in the domains of physical health, psychological
health, social relationships and the environment. Anxiety and depression were ascertained
using the Hospital Anxiety and Depressive Scale. Models were adjusted for age, clinical
measures of obesity and mobility, and self-reported lifestyles, with adjustment made
for anxiety and depression.
Results
Associations were observed between low mobility and lower psychological-related QOL
(OR 0.70, 95%CI 0.53–0.93), and for smoking and low mobility with lower environment-related
QOL (OR 0.48, 95%CI 0.27–0.84; OR 0.67, 95%CI 0.50–0.90, respectively). Age, anxiety
and depression were independently associated with QOL in each domain.
Conclusions
Independent of age, anxiety and depression, smoking and low mobility showed particularly
strong effects on the likelihood of men reporting a lower satisfaction with their
QOL. This information will inform the design of effective and equitable health policies,
the allocation of resources toward unmet needs, and the development of strategic health-related
plans.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to MaturitasAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Development and psychometric properties.Soc. Sci. Med. 1998; 46: 1569-1585
- Quality of life in men undergoing active surveillance for localized prostate cancer.J. Natl. Cancer Inst. Monogr. 2012; 45: 242-249
- Do impotent men with diabetes have more severe erectile dysfunction and worse quality of life than the general population of impotent patients? Results from the Exploratory Comprehensive Evaluation of Erectile Dysfunction (ExCEED) database.Diabetes Care. 2003; 26: 1093-1099
- Cohort profile: Geelong osteoporosis study.Int. J. Epidemiol. 2012; 41: 1565-1575
- 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: 299-310
- AUSDRISK: an Australian Type 2 Diabetes Risk Assessment Tool based on demographic, lifestyle and simple anthropometric measures.Med. J. Aust. 2010; 192
- Dietary Questionnaire for Epidemiological Studies (Version 2).The Cancer Council of Victoria, Melbourne1996
- Australian Guidelines to Reduce Health Risks from Drinking Alcohol.NHMRC, Canberra2009
- Reference values for the timed up and go test: a descriptive meta-analysis.J. Geriatr. Phys. Ther. 2006; 29: 64-68
- The hospital anxiety and depression scale.Acta Psychiatr. Scand. 1983; 67: 361-370
- The association between depressive and anxiety symptoms and bone mineral density in the general population: the HUNT study.J. Affect. Disord. 2011; 131: 164-171
- Assessing positive mental health in people with chronic physical health problems: correlations with socio-demographic variables and physical health status.BMC Public Health. 2013; 13: 928
- Psychiatric disorders and body composition: a population based study.J. Affect. Dis. 2009; 118: 173-179
- Overweight, obesity and depression: a systematic review and meta-analysis of longitudinal studies.JAMA Psychiatry. 2010; 67: 220-229
- Determinants of disparities between perceived and physiological risk of falling among elderly people: cohort study.Br. Med. J. 2010; 341: c4165
- Facility based cross-sectional study of self-stigma among people with mental illness: towards patient empowerment approach.Int. J. Mental Health Syst. 2013; 7: 21
- A systematic review of help-seeking interventions for depression, anxiety and general psychological distress.BMC Psychiatry. 2012; 12: 81
- Reviewing the assumptions about men's mental health: an exploration of the gender binary.Am. J. Mens Health. 2016;
- The changing male breadwinner model in Australia: a new gender order?.Labour Ind. 2004; 15: 1-23
- Men and health help-seeking behaviour: literature review.J. Adv. Nurs. 2005; 49: 616-623
- Spanner in the Works? When Was Your Last Service?.Australian Mens Shed Association, Newcastle, NSW, Australia2011
- What public health strategies are needed to reduce smoking initiation.Tob. Control. 2012; 21: 258-264
- Effect of smoke-free workplaces on smoking behaviour: systematic review.Br. Med. J. 2002; 325: 188
- It’s Good to Talk: Distress Disclosure and Psychological Wellbeing.HHR Board Health Research Board, Dublin, Ireland2007
- Use of clinical and impairment-based tests to predict falls by community-dwelling older adults.Phys. Ther. 2003; 83: 328-339
Article info
Publication history
Published online: June 16, 2017
Accepted:
June 8,
2017
Received in revised form:
May 24,
2017
Received:
January 5,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
