Multimorbidity and functional status in community-dwelling older adults

Marventano, Stefano; Ayala, Alba; González, Nerea; Rodríguez‐Blázquez, Carmen; García-Gutiérrez, Susana; Forjaz, Maria João

doi:10.1016/j.ejim.2014.06.018

Cited by 47 publications

(37 citation statements)

References 39 publications

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“…Individuals who experienced higher cumulative SLEs had higher odds of reporting specific health problems such as frequent back pain, diseases of lungs, joint, and gout; vidual and hearing impairment, fatigue, depression, insomnia, and memory decline by more than two folds. These findings were consistent with the previous studies where strong association was shown between severe stressful events with poor physical functioning, higher risk of disabilities, and poor mental health [6][7][8][9][10][11][12][13][14][15][16][17]. Likewise, as observed in the past study [18,19], a significant positive relationship was also found between cumulative SLEs and psychological distress in this study.…”

Section: Discussionsupporting

confidence: 82%

“…Health problems such as frequent back pain, memory decline, visual impairment, disease of the joints, fatigue, depression, insomnia, elevated blood pressure reported were consistent with findings from earlier researches [15,16]. Such complaints indicate healthcare providers to be mindful of the need to adopt comprehensive approach while delivering health services to older adults.…”

Section: Discussionsupporting

confidence: 79%

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Stressful Life Events: Association with Physical and Mental Health Conditions among Older Adults in Bhutan

Dorji¹

2017

MOJPH

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This cross-sectional study explored the prevalence of stressful life experiences (SLEs) and their relationship with health conditions among older adults in Bhutan. A faceto-face interview was completed at homes and community settings. A total of 337 people aged 60 to 101 years were recruited from stupas, temples and local markets in four geographic regions. Measurements included checklists of Stressful Life Events (SLEs) and chronic health conditions, Kessler psychological distress scale (K10) and WHO-5 Wellbeing Index. Frequent back pain, memory decline, depression, mobility impairment, insomnia, and disease of the lungs were most common significantly different between the genders. Older adults in Bhutan had a complex variety of health conditions influenced by SLEs. Compared to participants with 1-5 SLEs, those with 8-14 SLEs had the higher odds of self-rating poor health by twofold (OR=2.07; 95%CI: 1.22-3.52). Comprehensive healthcare should address SLEs to mitigate their impact on health and improve overall quality of life and wellbeing of the person.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 79%

Stressful Life Events: Association with Physical and Mental Health Conditions among Older Adults in Bhutan

Dorji¹

2017

MOJPH

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“…Differences might be due to the sample characteristics: while our analysis provides data only for older adults with multimorbidity, other studies reported prevalence in the general population. This is especially important taking into consideration that there are several chronic health conditions that tend to appear in clusters in the general population [27], but particularly in older adults [15,28]. Since diabetes, cardiac, and hypertension conditions have been commonly described in the literature as forming a cluster [15,27], we analyzed the interaction between them, but it was non-significant.…”

Section: Discussionmentioning

confidence: 99%

“…Any health condition that results in deficits in body function, activity limitation, or participation restriction can have a negative influence on QoL [12]. Multimorbidity has been directly related to disability [2,5], some studies showing not only additive effects of combination of diseases on disability but also multiplicative ones [13][14][15]. The purpose of this study is to determine the impact of chronic conditions within multimorbidity on disability and QoL.…”

Section: Introductionmentioning

confidence: 99%

Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain

Forjaz

Rodríguez‐Blázquez

Ayala

et al. 2015

European Journal of Internal Medicine

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“…This may be due to the fact that Barthel G, quantifying disability in daily life activities, is strongly conditioned by the pathology where the disability is greater 35 and Cases 1–1 were all neurological patients. These cases could have obtained a better recovery prolonging the rehabilitation period (LOS of the present study was 28 days) through an intermediate evaluation of the normalized FRI.…”

Section: Discussionmentioning

confidence: 99%

Biodex Fall Risk Assessment in the Elderly With Ataxia

et al. 2016

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The aim of this study was to evaluate if the Biodex Fall Risk Assessment could provide an age-adjusted index useful for classifying patients at “risk of fall.”This was a cohort study conducted on 61 chronic patients, in stable conditions, having a history of ataxia, difficulty in walking or loss of balance, and aged >64 years. These patients were coming from home to our Institute undergoing a period of in-hospital standard rehabilitation. Assessment of clinical parameters was performed at entry. Functional scales (Functional Independence Measure [FIM] for motor and cognitive function, Barthel G, Tinetti POMA), and the Biodex Fall Risk Index (FRI) were performed at entry and discharge. The Normalized FRI, obtained adjusting FRI to the reported maximum predictive FRI for the relevant age, identified 2 types of patients: those with a greater risk of fall than expected for that age, labeled Case 1 (Normalized FRI>1); and those with an equal or even lesser risk of fall than expected for that age, labeled Case 0 (Normalized FRI≤1).FRI, Normalized FRI as well as independent variables as age, sex, pathology group, FIM, BarthelG, were considered in a multiple regression analysis to predict the functional improvement (i.e., delta Tinetti Total score) after rehabilitation.Normalized FRI is useful in assessing patients at risk of falls both before and after rehabilitation. At admission, the Normalized FRI evidenced high fall risk in 46% of patients (Case 1) which decreased to 12% after rehabilitation, being greater than age-predicted in 7 patients (Case 1–1) despite the functional improvement observed after the rehabilitation treatment. Normalized FRI evidenced Case 1–1 patients as neurological, “very old” (86% in age-group 75–84 years), and with serious events at 18 to 24 months’ follow-up. Normalized FRI, but not FRI, at admission was a predictor of improvement in Tinetti Total scores.The normalized FRI effectively indicated patients at higher risk of fall, in whom health deterioration, falls, or cognitive decline was later documented at follow-up. The normalized FRI could be a standardized measure for identifying frailer patients becoming a further criterium of discharge home and marker of fall risk at home.

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Multimorbidity and functional status in community-dwelling older adults

Cited by 47 publications

References 39 publications

Stressful Life Events: Association with Physical and Mental Health Conditions among Older Adults in Bhutan

Stressful Life Events: Association with Physical and Mental Health Conditions among Older Adults in Bhutan

Chronic conditions, disability, and quality of life in older adults with multimorbidity in Spain

Biodex Fall Risk Assessment in the Elderly With Ataxia

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