Objectives: This study investigated the association of health status, health/dietary habits, dietary environment, psychological aspects, and interpersonal contact with quality of life (QOL) among older adults in the Republic of Palau.
Methods: Participants were 62 community-dwelling older adults, aged 55 years and above, who congregated in a senior citizen center. Of the 62 adults, data from 58 participants were used for analysis. At the senior citizen center, 42 participants were administrated the anthropometric and physical fitness measurements and completed an original questionnaire on health and dietary habits, dietary environment, psychological aspects, and interpersonal contact, and the abbreviated World Health Organization Quality of Life questionnaire (WHOQOL-BREF). Of the participants, 16 completed the questionnaires at their homes.
Results: Overall, 81% of the participants were in the pre-obese or obese category based on Body Mass Index. The participants’ average systolic blood pressure indicated hypertension. However, most participants practiced good health/dietary habits, were satisfied with their dietary habits, and ate meals with their family members. Additionally, they considered their family members to be the best counselors and the most important people, and approximately 32% met their children almost daily. However, some participants indicated that they were not distressed/concerned and that they did not consult anyone. The median of the total WHOQOL-BREF score was 3.7/4, indicating a high overall perception of QOL, health, and social relationships, while the physical health scores were the lowest. The most significant factor affecting the WHOQOL scores was eating meals with family members, which was analyzed using logistic regression analysis.
Conclusion: Health/nutrition education programs for older adults in Palau should consider the Palauan cultural background. The present study is expected to contribute to the development of nutritional care services for older adults in Palau.
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