Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients
Persons who have experienced traumatic brain injury (TBI) may encounter a range of changes in their physical, mental, and cognitive functions as well as high fatigue levels. To gain a comprehensive understanding of the challenges faced by persons after TBI, we conducted multi-domain assessments amon...
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2024-03-01
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| Series: | Neurotrauma Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/NEUR.2023.0113 |
| _version_ | 1797277344556122112 |
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| author | Yi-Chia Wei Chih-Ken Chen Chemin Lin Yu-Chiau Shyu Pin-Yuan Chen |
| author_facet | Yi-Chia Wei Chih-Ken Chen Chemin Lin Yu-Chiau Shyu Pin-Yuan Chen |
| author_sort | Yi-Chia Wei |
| collection | DOAJ |
| description | Persons who have experienced traumatic brain injury (TBI) may encounter a range of changes in their physical, mental, and cognitive functions as well as high fatigue levels. To gain a comprehensive understanding of the challenges faced by persons after TBI, we conducted multi-domain assessments among community-dwelling persons with a history of TBI and compared them with age- and sex-matched controls from the Northeastern Taiwan Community Medicine Research Cohort between 2019 and 2021. A total of 168 persons with TBI and 672 non-TBI controls were not different in terms of demographics, comorbidities, and physiological features. However, compared with the non-TBI group, the TBI group had a distinct lifestyle that involved increased reliance on analgesics (6.9% vs. 15.0%, respectively; p?=?0.001) and sleep aids (p?=?0.008), which negatively affected their quality of life. Moreover, they consumed more coffee (p?<?0.001), tea (p?<?0.001), cigarettes (p?=?0.002), and betel nuts (p?=?0.032) than did the non-TBI group. Notably, the use of coffee had a positive effect on the quality of life of the TBI group (F?=?4.034; p?=?0.045). Further, compared with the non-TBI group, the TBI group had increased risks of sarcopenia (p?=?0.003), malnutrition (p?=?0.003), and anxiety (p?=?0.029) and reduced blood levels of vitamin D (29.83???10.39 vs. 24.20???6.59?ng/mL, respectively; p?<?0.001). Overall, the TBI group had a reduced health-related quality of life, with significant challenges related to physical health, mental well-being, social interactions, pain management, and fatigue levels. Moreover, the TBI group experienced poorer sleep quality and efficiency than did the non-TBI group. In conclusion, persons who have sustained brain injuries that require comprehensive and holistic care that includes lifestyle modification, mental and physical healthcare plans, and increased long-term support from their communities.
ClinicalTrials.gov (identifier: NCT04839796) |
| first_indexed | 2024-03-07T15:48:16Z |
| format | Article |
| id | doaj.art-3b3aa1a0639241bea02446a0cae5e6ae |
| institution | Directory Open Access Journal |
| issn | 2689-288X |
| language | English |
| last_indexed | 2024-03-07T15:48:16Z |
| publishDate | 2024-03-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Neurotrauma Reports |
| spelling | doaj.art-3b3aa1a0639241bea02446a0cae5e6ae2024-03-05T04:00:32ZengMary Ann LiebertNeurotrauma Reports2689-288X2024-03-015115917110.1089/NEUR.2023.0113Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling PatientsYi-Chia WeiChih-Ken ChenChemin LinYu-Chiau ShyuPin-Yuan ChenPersons who have experienced traumatic brain injury (TBI) may encounter a range of changes in their physical, mental, and cognitive functions as well as high fatigue levels. To gain a comprehensive understanding of the challenges faced by persons after TBI, we conducted multi-domain assessments among community-dwelling persons with a history of TBI and compared them with age- and sex-matched controls from the Northeastern Taiwan Community Medicine Research Cohort between 2019 and 2021. A total of 168 persons with TBI and 672 non-TBI controls were not different in terms of demographics, comorbidities, and physiological features. However, compared with the non-TBI group, the TBI group had a distinct lifestyle that involved increased reliance on analgesics (6.9% vs. 15.0%, respectively; p?=?0.001) and sleep aids (p?=?0.008), which negatively affected their quality of life. Moreover, they consumed more coffee (p?<?0.001), tea (p?<?0.001), cigarettes (p?=?0.002), and betel nuts (p?=?0.032) than did the non-TBI group. Notably, the use of coffee had a positive effect on the quality of life of the TBI group (F?=?4.034; p?=?0.045). Further, compared with the non-TBI group, the TBI group had increased risks of sarcopenia (p?=?0.003), malnutrition (p?=?0.003), and anxiety (p?=?0.029) and reduced blood levels of vitamin D (29.83???10.39 vs. 24.20???6.59?ng/mL, respectively; p?<?0.001). Overall, the TBI group had a reduced health-related quality of life, with significant challenges related to physical health, mental well-being, social interactions, pain management, and fatigue levels. Moreover, the TBI group experienced poorer sleep quality and efficiency than did the non-TBI group. In conclusion, persons who have sustained brain injuries that require comprehensive and holistic care that includes lifestyle modification, mental and physical healthcare plans, and increased long-term support from their communities. ClinicalTrials.gov (identifier: NCT04839796)https://www.liebertpub.com/doi/full/10.1089/NEUR.2023.0113analgesicsanxietycommunity cohortnutritionquality of lifesarcopenia |
| spellingShingle | Yi-Chia Wei Chih-Ken Chen Chemin Lin Yu-Chiau Shyu Pin-Yuan Chen Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients Neurotrauma Reports analgesics anxiety community cohort nutrition quality of life sarcopenia |
| title | Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients |
| title_full | Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients |
| title_fullStr | Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients |
| title_full_unstemmed | Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients |
| title_short | Life After Traumatic Brain Injury: Effects on the Lifestyle and Quality of Life of Community-Dwelling Patients |
| title_sort | life after traumatic brain injury effects on the lifestyle and quality of life of community dwelling patients |
| topic | analgesics anxiety community cohort nutrition quality of life sarcopenia |
| url | https://www.liebertpub.com/doi/full/10.1089/NEUR.2023.0113 |
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