Multimorbidity and its associated risk factors among the older adults in India

Khan, Mohd Rashid; Malik, Manzoor Ahmad; Akhtar, Saddaf Naaz; Yadav, Suryakant

doi:10.1101/2021.11.12.21265083

Cited by 4 publications

(4 citation statements)

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“…The findings from the paper confirmed that older adults with multimorbidity have higher levels of functional disability, similar to the findings of other studies [ 37 , 38 ]. Therefore, given the significant association of morbidity with functional disability, there is a greater need for reducing the likelihood of chronic diseases through access to healthcare services and financing among the older adults in India [ 39 ].…”

Section: Discussionmentioning

confidence: 99%

Functional disability among older adults in India; a gender perspective

Malik

2022

PLoS ONE

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Introduction Older adults are always at a greater risk of physical and functional health challenges. These complications result into morbidity, disability and death making them more vulnerable at later ages. Therefore, this paper will examine the functional health status among older adults and its gender perspective, along with associated risk factors. Materials and methods Using the first round of Longitudinal ageing survey of India (2017–18). Functional disability was computed based on general and instrumental activities of daily living (ADL and IADL) (n = 20910). Functional disability was coined with individual having at least one of the limitations of these activities. Applying bivariate and multivariate analysis the present paper studied the association, gender perspective and risk factors of functional disability among older adults aged 50 and above in India. Results Our results clearly showed the gender bias in functional disability, with greater proportion of women (52%) at risk for functional disability then men (35%). Factors like multimorbidity, depression and life satisfaction are key risk factors identified by this study that increase the likelihood of disability. Conclusion Functional disability is key to healthy ageing and needs immediate attention given its greater concentration among the elderly, particularly women. The results reflect the substantial burden of functional disability than self-care among older adults in India and therefore indicates some significant policy interventions to reduce the likely impact of functional disability.

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Section: Discussionmentioning

confidence: 99%

Functional disability among older adults in India; a gender perspective

Malik

2022

PLoS ONE

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“…As medical conditions improve, NCDs will be effectively treated, thus the mortality would be reduced. Meanwhile, recent studies have found that rapid urbanization in India is causing a shift in lifestyle among urban residence, with poor dietary habits mainly depending on fast-or junk food and also lower participation in the physical activity leading to higher prevalence of chronic morbidities among older adults (Chauhan, Patel, et al, 2022; Chauhan, Srivastava, et al, 2022; Khan et al, 2022). Hence, our finding revealed that 45+ adults belonging to urban residences have greater odds of NCD & CVD-related mortality risks than rural.…”

Section: Discussionmentioning

confidence: 99%

Socio-economic and demographic determinants of all-cause, main-cause and sub-cause mortality among 45+ adults: Evidence from Longitudinal Ageing Study in India

Akhtar

Saikia

2022

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Background: Studies on cause-specific mortality among 45+ adults remain unknown in Indian settings. However, understanding the epidemiology of this public health problem can guide policy development for premature and old-age mortality prevention. Therefore, we intend to examine the socio-economic and demographic determinants of all-cause, main-cause and sub-cause mortality among 45+ adults in India. Methods: We adopted the cross-sectional data from the Longitudinal Ageing Study of India (LASI-wave-I) conducted in 2017-18. We performed descriptive, bivariate and multivariate analysis. Results: Females, young-old, middle-old, oldest-old showed lower odds of all-cause, main-cause and sub-cause mortality than males and middle-aged adults. Central region showed significantly greater odds of all-cause mortality risks than Northern region. Christians have lower odds of all-cause mortality risk than Hindus. With the increase in household income, the odds of NCD-related mortality risks also increase. Central (OR=1.54; p<0.01), Eastern (OR=1.28; p<0.01) and Western regions (OR=1.18; p<0.1) have greater odds of non-NCD-related mortality-risks than Northern regions. Urban residence (OR=01.34; p<0.05) has significantly higher odds of CVD-related mortality-risk than rural residence. OBC (OR=0.59; p<0.01) has lower odds of cancer-related mortality risks than general caste. North-eastern region (OR=2.00; p<0.01) has significantly greater odds of diabetes-related mortality risks. Conclusions: The premature and old-age mortality components would help formulate and execute integrated interventions aimed at specific age groups and causes-specific mortality. Medical care, pollution management, environmental control, more involvement in physical activity and a healthy lifestyle could assist in lowering the CVD, cancer & diabetes-related mortality. A new strategy is needed to avoid future deaths and burdens from ageing-related CVD. Keywords: Cause-specific mortality, NCDs-related mortality; CVD; cancer; diabetes; older adults

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“…Studies in in western countries report that many people live with two or more chronic diseases due to an increase in life expectancy [ 11 ]. Similarly, multimorbidity (62.6%) is shown to be very common than single (18.8%) morbidity among middle-aged and older adult in India (age 45 years and above) [ 12 ] Rather than being the exception, multimorbidity is becoming normal [ 13 ]. However, several factors such as socioeconomic and demographic characteristics, alongside health and behavioural aspects are considered critical determinants of multimorbidity [ 7 , 14 ].…”

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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Multimorbidity and its associated risk factors among the older adults in India

Cited by 4 publications

References 40 publications

Functional disability among older adults in India; a gender perspective

Functional disability among older adults in India; a gender perspective

Socio-economic and demographic determinants of all-cause, main-cause and sub-cause mortality among 45+ adults: Evidence from Longitudinal Ageing Study in India

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

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