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International Journal of
Population Studies Health-related quality of life and mortality
While HRQoL measurement scales may exhibit a ceiling Conflict of interest
effect, the response categories of SF-36 version 2 have been
expanded to mitigate this issue. The authors declare that they have no competing interests
related to the conduct of this research.
5. Conclusions Author contributions
This retrospective cohort study, featuring a sample of non- Conceptualization: Donatila Barbieri de Oliveira Souza,
institutionalized older adults, reinforces the evidence that Margareth Guimarães Lima
higher HRQoL is associated with a reduced risk of all-cause Formal analysis: Donatila Barbieri de Oliveira Souza,
mortality, particularly in the physical dimension of health. Luciana Correia Alves, Margareth Guimarães Lima
Our findings provide further evidence of the predictive Investigation: All authors
capacity of SF-36 for mortality risk among older adults Methodology: All authors
in low- and middle-income countries. Future research is Writing – original draft: Donatila Barbieri de Oliveira
recommended to explore the mediating and moderating Souza
factors influencing the association between HRQoL and Writing – review & editing: Luciana Correia Alves,
mortality. These findings can inform policymakers about Margareth Guimarães Lima, Marilisa Berti de
the importance of integrating self-assessed QoL measures Azevedo Barros
into routine clinical practice, facilitating early detection of
health deterioration and increased mortality risk among Ethical approval and consent to participate
older adults. This approach would support targeted This study was performed in line with the principles of
interventions to enhance the health and well-being of
seniors in society. the Declaration of Helsinki. Approval was granted by
the Ethics Committee of the University of Campinas
Acknowledgments (Research Ethics Committee of the Faculty of Medical
Sciences - UNICAMP) (CAAE 72380223.5.0000.5404 –
The authors express their gratitude to Espaço da Escrita No. 6.276.539/2023). The ISACamp 2008/09 and ISACamp
– Pró-Reitoria de Pesquisa – University of Campinas Cohort projects received approval (certificate numbers:
(UNICAMP) – for the valuable language support. In 079/2007 and 1,650,093/2018, respectively). Informed
addition, the authors extend their appreciation to the consent was obtained from all participants.
team at the Collaborating Center for Health Situation
Analysis (CCAS), the National Council for Scientific and Consent for publication
Technological Development (CNPq), the Coordination for All participants signed the statement of informed consent,
the Advancement of Higher Education Personnel (CAPES), authorizing the use of their data for publication.
and the Municipal Secretary of Health of Campinas, and
the Ministry of Health. Availability of data
Funding The data are available through the following link: https://
www.synapse.org/#!Synapse: syn53072108
The 2008 ISACamp survey was financed by the National
Council for Scientific and Technological Development References
(CNPq; process number 409747/2006-8) and had Beller, J., & Wagner, A. (2018). Loneliness, social isolation, their
complementary funding from the Municipal Health synergistic interaction, and mortality. Health Psychology,
Department of Campinas and the Health Surveillance of 37(9):808-813.
the Ministry of Health (in partnership with UNICAMP/
FUNCAMP/SMS number 4300). The ISACamp-Cohort https://doi.org/10.1037/hea0000605
project was funded by the National Council for Scientific Brandão, D.J., Fontenelle, L.F., Da Silva, S.A., Menezes, P.R., &
and Technological Development (CNPq) under process Pastor-Valero, M. (2019). Depression and excess mortality
number 423934/2016. Donatila Barbieri de Oliveira Souza in the elderly living in low- and middle-income countries:
received a doctoral grant from the Coordination for the Systematic review and meta-analysis. International Journal
Advancement of Higher Education Personnel (CAPES) of Geriatric Psychiatry, 34(1):22-30.
(grant number 88887.498920/2020-00). Marilisa Berti https://doi.org/10.1002/gps.5008
de Azevedo Barros (grant number 303241/2019-5) and Brazil. (2020). Elderly people and family in Brazil Facts and
Luciana Correia Alves (grant number 304871/2020-6) Figures. In: National Family Secretariat. Ministry of Women,
received productivity scholarships from CNPq. Family and Human Rights. Available from: https://www.gov.
Volume 11 Issue 1 (2025) 69 https://doi.org/10.36922/ijps.1928

