Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study

Abstract

RationaleWith the accelerating process of population aging, the comorbidity of chronic disease (CCD) has become a major public health problem that threatens the health of older adults.ObjectiveThis study aimed to assess whether CCD is associated with basic activities of daily living (BADL) and explore the factors influencing BADL in older adults.MethodA cross-sectional community health survey with stratified random sampling among older residents (≥60 years old) was conducted in 2022. A questionnaire was used to collect information on BADL, chronic diseases, and other relevant aspects. Propensity score matching (PSM) was used to match the older adults with and without CCD. Univariate and multivariate logistic regression analyses were used to explore the factors influencing BADL. PSM was used to match participants with single-chronic disease (SCD) and CCD.ResultsAmong the 47,720 participants, those with CCD showed a higher prevalence of BADL disability (13.07%) than those with no CCD (6.33%) and SCD (7.39%). After adjusting for potential confounders with PSM, 6,513 pairs of cases with and without CCD were matched. The univariate analysis found that the older adults with CCD had a significantly higher prevalence of BADL disability (13.07%, 851 of 6,513) than those without CCD (9.83%, 640 of 6,513, P < 0.05). The multivariate logistic regression analysis revealed that CCD was a risk factor for BADL in older adults [OR = 1.496, 95% CI: 1.393–1.750, P < 0.001]. In addition, age, educational level, alcohol intake, social interaction, annual physical examination, retirement benefits, depression, weekly amount of exercise, and years of exercise were related to BADL disability (P < 0.05). PSM matching was performed on participants with CCD and SCD and showed that the older adults with CCD had a significantly higher prevalence of BADL disability (13.07%, 851 of 6,513) than those with SCD (11.39%, 742 of 6,513, P < 0.05).ConclusionThe older adults with CCD are at a higher risk of BADL disability than their counterparts with no CCD or SCD. Therefore, we advocate paying attention to and taking measures to improve the health and quality of life of these individuals.

Prevalence and influencing factors of malnutrition in stroke patients with bulbar paralysis: a cross-sectional study in China

“…Specifically, the patients BMI was assessed with the combination of height and body weight, where BMI < 18.5 kg/m 2 was classified as underweight, BMI ranging from 18.5 to 23.9 kg/m 2 was considered normal weight, BMI between 24.0 and 27.9 kg/m 2 was categorized as overweight, and BMI ≥ 28.0 kg/m 2 was classified as obesity ( 18 ). A patient who had smoked at least one cigarette per week for at least 6 months prior to the day of the investigation was regarded as smoking-Yes based on self-report ( 3 ). A patient who had consumed alcohol for at least 10 mL per week for at least 6 months was regarded as alcohol intake-Yes based on self-report ( 3 ).…”

“…A patient who had smoked at least one cigarette per week for at least 6 months prior to the day of the investigation was regarded as smoking-Yes based on self-report ( 3 ). A patient who had consumed alcohol for at least 10 mL per week for at least 6 months was regarded as alcohol intake-Yes based on self-report ( 3 ). A patient who was diagnosed with hypertension, diabetes, or coronary heart disease within 5 years was regarded as Yes.…”

“…Stroke is a prevalent neurological disorder typically caused by abrupt rupture or obstruction of blood vessels in the brain, resulting in cerebral tissue damage ( 1 ). It is the second leading cause of death worldwide and can result in permanent neurological injury, serious complications, and even mortality ( 2 , 3 ). According to the Global Burden of Disease Study, from 2005 to 2019, while there were fluctuations in the prevalence of hemorrhagic and ischemic strokes in China, the overall stroke prevalence has been on the rise ( 4 ).…”