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Background <p>Symptoms can negatively impact health-related quality of life (HrQoL) in older adults, yet data on their prevalence and impact in older men are limited. This study aimed to examine the prevalence of nine core symptoms and their associations with HrQoL in older men.</p> Methods <p>A cross-sectional, population-based study was conducted among 907 men aged 73 years in Sweden. Participants rated nine symptoms on a 0–10 scale: pain, tiredness, sleepiness, nausea, loss of appetite, depression, anxiety, shortness of breath, and overall well-being. Symptoms were considered present if scored ≥ 1. HrQoL was measured using the physical and mental component scores of the Short-Form 12 Health Survey (SF-12v2). Associations were analyzed using linear regression adjusted for confounders.</p> Results <p>Among participants, 16% reported respiratory diseases and 35% cardiovascular diseases. The most common symptoms were tiredness (78%), poor well-being (77%), and pain (73%). Depression and anxiety were reported by 46% and 32%, respectively. The strongest associations between symptoms and physical HrQoL were (beta coefficient; 95% confidence interval): pain (-2.05; -2.25 to -2.24), tiredness (-1.98; -2.22 to -1.74), and shortness of breath (-1.73; -1.97 to -1.49) and for mental HrQOL: depression (-3.50; -3.74 to -3.27), anxiety (-3.40; -3.70 to -3.11), drowsiness (-2.35; -2,64 to -2.07), and tiredness (-2.30; -2.56 to -2.03).</p> Conclusion <p>Symptoms are highly prevalent among older men and significantly associated with lower HrQoL and pain, tiredness, depression, and anxiety were the most impactful. These findings underscore the importance of targeted symptom screening and management to promote healthy aging and well-being.</p>

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Prevalence of symptoms and their association to health-related quality of life among older men in Sweden – a cross-sectional study

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2026年2月10日

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  • Emma Sjöberg,
  • Slavica Kochovska,
  • David C. Currow,
  • Magnus Ekström,
  • Max Olsson

摘要

Background

Symptoms can negatively impact health-related quality of life (HrQoL) in older adults, yet data on their prevalence and impact in older men are limited. This study aimed to examine the prevalence of nine core symptoms and their associations with HrQoL in older men.

Methods

A cross-sectional, population-based study was conducted among 907 men aged 73 years in Sweden. Participants rated nine symptoms on a 0–10 scale: pain, tiredness, sleepiness, nausea, loss of appetite, depression, anxiety, shortness of breath, and overall well-being. Symptoms were considered present if scored ≥ 1. HrQoL was measured using the physical and mental component scores of the Short-Form 12 Health Survey (SF-12v2). Associations were analyzed using linear regression adjusted for confounders.

Results

Among participants, 16% reported respiratory diseases and 35% cardiovascular diseases. The most common symptoms were tiredness (78%), poor well-being (77%), and pain (73%). Depression and anxiety were reported by 46% and 32%, respectively. The strongest associations between symptoms and physical HrQoL were (beta coefficient; 95% confidence interval): pain (-2.05; -2.25 to -2.24), tiredness (-1.98; -2.22 to -1.74), and shortness of breath (-1.73; -1.97 to -1.49) and for mental HrQOL: depression (-3.50; -3.74 to -3.27), anxiety (-3.40; -3.70 to -3.11), drowsiness (-2.35; -2,64 to -2.07), and tiredness (-2.30; -2.56 to -2.03).

Conclusion

Symptoms are highly prevalent among older men and significantly associated with lower HrQoL and pain, tiredness, depression, and anxiety were the most impactful. These findings underscore the importance of targeted symptom screening and management to promote healthy aging and well-being.