Is multimorbidity associated with higher risk of falls among older adults in India?

Barik, Manish; Panda, Sushree Nibedita; Tripathy, Sweta Sulagna; Sinha, Abhinav; Ghosal, Shishirendu; Acharya, Ardhendhu Sekhar; Kanungo, Srikanta

doi:10.1186/s12877-022-03158-5

Cited by 12 publications

(9 citation statements)

References 23 publications

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“…It could be considered that having more than one chronic disease is a fall risk factor for the older persons. Numerous studies have confirmed that an increased types of chronic diseases may increase the risk of falls (28,32).It was suggested that strengthening the management of chronic diseases in the elderly community is an important part of home care; furthermore, communities with more older people could often hold the corresponding health management activities to provide nursing services for those with chronic diseases. In the process of home care for the Alzheimer's patients, it is not only necessary to pay attention to the situation of dementia, but also treat and prevent chronic diseases and improve the elderly's physical fitness.…”

Section: E Ects Of Underlying Health Problems On the Risk Of Falls Am...mentioning

confidence: 99%

Fall risks and the related factors for the homebound older people with dementia: Evidence from East China

Dong

Liu

Yin

et al. 2022

Front. Public Health

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PurposeFalls are a major public health problem, especially for older people. This research aimed to provide a direct illustration of fall risks among the homebound older people with dementia in China, and to identify the risk factors associated with it.MethodsIn 2020, a questionnaire-based field survey was used to assess 1,042 people aged over 60 years in Ningbo, Eastern China. The Morse Fall Risk Scale's result was employed as the dependent variable, while the basic health problems, living environment difficulties, social support problems, and behavioral awareness issues were utilized as the independent variables; subsequently, chi-squared tests and four multivariate ordinarily ordered logistic regression models were performed.ResultsOverall, nine hundred and thirty-one older people with dementia were included in this study (the effective rate was 89.34%), with the majority of them having severe dementia (27.9%). Furthermore, 16.2% had fallen in the past 3 months, and 16.8% were at a high risk of falling. The risk factors for the older people's cognitive function included 80–90 years old, vascular dementia, marital status, and history of falls (P < 0.05); the kinds of chronic diseases, the activities of daily living, living environment, caregiver burden, caregiver knowledge, the Cohen Mansfield Agitation Inventory results, and the Clinical Dementia Rating were the protective factors for the risk of falls in them (P < 0.05).ConclusionThe risk of falling of the Chinese homebound older people with dementia was high. Their caregivers, such as relatives, need to pay attention to these risk factors and perform appropriate measures to prevent falls.

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Section: E Ects Of Underlying Health Problems On the Risk Of Falls Am...mentioning

confidence: 99%

Fall risks and the related factors for the homebound older people with dementia: Evidence from East China

Dong

Liu

Yin

et al. 2022

Front. Public Health

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“…As a result of higher lifespan and higher exposure to risk factors for chronic diseases, the burden of multimorbidity is quickly rising in India. [ 5 , 6 ] Multimorbidity, identified as two or more chronic conditions occurring in the same individual at the same time, is becoming more of an issue, particularly in countries where the population is rapidly ageing [ 7 , 8 ], and it has been linked to a decrease in physical and mental functioning [ 7 , 9 ] and reduced quality of life [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The burden of disease-specific multimorbidity among older adults in India and its states: evidence from LASI

2023

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Background Around the world, advances in public health and changes in clinical interventions have resulted in increased life expectancy. Multimorbidity is becoming more of an issue, particularly in countries where the population is rapidly ageing. We aimed to determine the prevalence of multimorbidity and disease-specific multimorbidity and examine its association with demographic and socioeconomic characteristics among older adults in India and its states. Methods The individual data from the longitudinal ageing study in India (LASI) were used for this study, with 11 common chronic conditions among older adults aged 60 and above years (N = 31,464). Descriptive statistics were used to report the overall prevalence of multimorbidity and disease-specific burden of multimorbidity. Multinomial logistic regression has been used to explore the factors associated with multimorbidity. Results Prevalence of single morbidity was 30.3%, and multimorbidity was 32.1% among older people in India. Multimorbidity was higher among females and in urban areas and increased with age and among those living alone. Hypertension, arthritis and thyroid were highly prevalent among females and chronic lung diseases and stroke were highly prevalent among males. The older people in the state of Kerala had a high prevalence of multimorbidity (59.2%). Multimorbidity was found to be more likely in older age groups of 75–79 years (RR-1.69; CI: 1.53–1.87) and 80 years and above (RR-1.40; CI: 1.27–1.56) and in the Western (RR-2.16; CI: 1.90–2.44) and Southern regions (RR-2.89; CI: 2.57–3.24). Those who were living with a spouse (RR-1.60; CI: 1.15–2.23) were more likely to have multimorbidity. Disease-specific multimorbidity was high in chronic heart disease (91%) and low in angina (64.8%). Conclusions The findings suggest that multimorbidity has a positive relationship with advancing age, and disease-specific burden of multimorbidity is higher among chronic heart patients. Comorbidity, especially among those who already have chronic heart disease, stroke, cholesterol or thyroid disorder can have severe consequences on physical functioning, therefore, disease-specific health management needs to be enhanced.

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“…The burden of multimorbidity in India is rapidly increasing due to increased longevity and exposure to chronic disease risk factors [ 10 , 11 ]. However, there is a lack of data on the prevalence and impact of complex multimorbidity in India.…”

Section: Introductionmentioning

confidence: 99%

Multimorbidity and Complex Multimorbidity in India: Findings from the 2017–2018 Longitudinal Ageing Study in India (LASI)

Sinha

Kerketta

Ghosal

et al. 2022

IJERPH

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Complex multimorbidity refers to the co-occurrence of three or more chronic illnesses across >2 body systems, which may identify persons in need of additional medical support and treatment. There is a scarcity of evidence on the differences in patient outcomes between non-complex (≥2 conditions) and complex multimorbidity groups. We evaluated the prevalence and patient outcomes of complex multimorbidity and compared them to non-complex multimorbidity. We included 30,489 multimorbid individuals aged ≥45 years from the Longitudinal Ageing Study in India (LASI) from wave-1 conducted in 2017–2018. We employed a log link in generalised linear models (GLM) to identify possible risk factors presenting the adjusted prevalence–risk ratio (APRR) and adjusted prevalence–risk difference (APRD) with 95% confidence interval. The prevalence of complex multimorbidity was 34.5% among multimorbid individuals. Participants residing in urban areas [APRR: 1.10 (1.02, 1.20)], [APRD: 0.04 (0.006, 0.07)] were more likely to report complex multimorbidity. Participants with complex multimorbidity availed significantly higher inpatient department services and had higher expenditure as compared to the non-complex multimorbidity group. Our findings have major implications for healthcare systems in terms of meeting the requirements of people with complicated multimorbidity, as they have significantly higher inpatient health service utilisation, higher medical costs, and poorer self-rated health.

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Is multimorbidity associated with higher risk of falls among older adults in India?

Cited by 12 publications

References 23 publications

Fall risks and the related factors for the homebound older people with dementia: Evidence from East China

Fall risks and the related factors for the homebound older people with dementia: Evidence from East China

The burden of disease-specific multimorbidity among older adults in India and its states: evidence from LASI

Multimorbidity and Complex Multimorbidity in India: Findings from the 2017–2018 Longitudinal Ageing Study in India (LASI)

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