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Sex differences in health-related quality of life among individuals at high risk of dementia

dc.contributor.authorOliveira, Ana Sofia
dc.contributor.authorLopes, Sílvia
dc.contributor.authorFerreira, Lara
dc.contributor.authorCruz, Vítor Tedim
dc.contributor.authorCosta, Ana Rute
dc.date.accessioned2025-10-10T08:54:22Z
dc.date.available2025-10-10T08:54:22Z
dc.date.issued2025-08-01
dc.description.abstractPurpose Dementia represents an increasing challenge to health systems globally, with a notable impact on health-related quality of life (HRQoL). Nevertheless, the potential effect of sex on the relation between individuals’ characteristics and HRQoL, particularly in the early stages of this disease, remains unclear. Therefore, the present study aims to evaluate the association between sociodemographic, lifestyle and health-related factors with HRQoL among individuals at high risk of dementia, according to sex.Methods This cross-sectional study was based on baseline data from the MIND-Matosinhos randomized controlled trial, targeting Portuguese adults at high risk of dementia [n=207; 59.9% female; median age=70.0 (interquartile range: 11)]. HRQoL was measured using the EQ-5D-5L. The associations between explanatory variables and HRQoL scores (dichotomized by the median) were quantified through odds ratios (OR) and 95% confidence intervals (CI), stratified by sex. Results Overall, females reported lower HRQoL when compared with males [median (interquartile range): 0.875 (0.190) vs. 0.923 (0.129); p=0.004]. Problems in mobility (43.6% vs. 27.7%; p=0.021), pain/discomfort (71.8% vs. 44.6%; p for interaction=0.020). Conclusion Health status is associated with HRQoL, distinctively amongst males and females. These findings emphasize the need for sex-specific public health strategies to improve HRQoL in a vulnerable population of individuals at high risk of dementia.eng
dc.description.sponsorshipUIDB/04750/2020; UID/04020/2020; CEECIND/CP1732/CT0002
dc.identifier.doi10.1007/s41999-025-01278-w
dc.identifier.issn1878-7657
dc.identifier.urihttp://hdl.handle.net/10400.1/27814
dc.language.isoeng
dc.peerreviewedyes
dc.publisherSpringer
dc.relationLaboratory for Integrative and Translational Research in Population Health
dc.relationCenter for Innovative Biomedicine and Biotechnology
dc.relation.ispartofEuropean Geriatric Medicine
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectQuality of life
dc.subjectCognitive decline
dc.subjectDementia
dc.subjectGender
dc.subjectRisk factors
dc.titleSex differences in health-related quality of life among individuals at high risk of dementiaeng
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitleLaboratory for Integrative and Translational Research in Population Health
oaire.awardTitleCenter for Innovative Biomedicine and Biotechnology
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/LA%2FP%2F0064%2F2020/PT
oaire.awardURIinfo:eu-repo/grantAgreement/FCT/6817 - DCRRNI ID/UIDP%2F04539%2F2020/PT
oaire.citation.titleEuropean Geriatric Medicine
oaire.fundingStream6817 - DCRRNI ID
oaire.fundingStream6817 - DCRRNI ID
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameFerreira
person.givenNameLara
person.identifier.ciencia-id761A-3037-8E22
person.identifier.orcid0000-0003-2378-7750
person.identifier.ridB-7575-2019
person.identifier.scopus-author-id24491766400
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
project.funder.nameFundação para a Ciência e a Tecnologia
relation.isAuthorOfPublicatione93501ac-9707-4e92-bb2c-cc91bc09b428
relation.isAuthorOfPublication.latestForDiscoverye93501ac-9707-4e92-bb2c-cc91bc09b428
relation.isProjectOfPublication69749040-5262-485a-a499-40fbd4d87651
relation.isProjectOfPublication76a995f7-ba64-4ff6-956d-13e4b12d8234
relation.isProjectOfPublication.latestForDiscovery69749040-5262-485a-a499-40fbd4d87651

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