The association between single and multiple chronic conditions and depression among older population in India: A comparative study between men and women

Meher, Trupti; Muhammad, T.; Gharge, Shivani

doi:10.1002/gps.5639

Cited by 27 publications

(15 citation statements)

References 50 publications

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“…Chronic conditions included hypertension, diabetes, neurological/psychiatric disease, lung disease, heart diseases, stroke, and bone-related disease [20]. Further, the number of chronic diseases was categorized into no disease, single, two and three plus based on number of reported disease [23].…”

Section: Key Explanatory Variablementioning

confidence: 99%

Number of chronic conditions and associated functional limitations among older adults: cross-sectional findings from the longitudinal aging study in India

2021

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Background Chronic conditions reduce the likelihood of physical functioning among older adults. However, the contribution of most prevalent diseases and multimorbidity to different measures of functional limitations is relatively underexplored among Indian older adults. The present study explores the prospective association between number of chronic conditions and limitations in activities of daily living (ADL) and instrumental activities of daily living (IADL) among older adults in India. Methods This study utilized data from the nationally representative Longitudinal Ageing Study in India (LASI-2017-18). The effective sample size was 31,464 older adults aged 60 years and above. Descriptive statistics along with cross-tabulation were presented in the study. Additionally, binary logistic regression analysis was used to fulfil the objectives. The outcome variables were dichotomized; high representing no difficulty in ADL/IADL and low representing a difficulty in at least one ADL/IADL. The chronic conditions included hypertension, diabetes, neurological/psychiatric disease, lung disease, heart diseases, stroke, and bone-related disease. The number of chronic diseases was categorized into no disease, single, two and three plus based on number of reported disease. Results 26.36% of older women and 20.87% of older men had low ADL and the figures for low IADL were 56.86 and 38.84% for older men and women respectively. The likelihood of low ADL (AOR: 1.698, CI:1.544, 1.868) and low IADL (AOR: 1.197; CI: 1.064, 1.346) was higher among womenthan men. With increasing age, the prevalence of low ADL increased among older adults. Respondents with pre-existing chronic conditions had higher likelihood of low ADL and IADL. Older adults with hypertension, psychiatric disease, heart disease, stroke and bone-related disease had significantly higher odds of reporting low IADL. The chances of low ADL and IADL were 2.156 (CI: 1.709, 2.719) and 2.892 (CI: 2.067, 4.047) times respectively higher among older adults with more than three chronic conditions. After controlling for socio-economic and health-related covariates, it was found that men with more than three pre-existing chronic conditions had higher odds of low ADL than women. On the other hand, low IADL were found higher among women with more than three pre-existing chronic conditions. Conclusions The present study demonstrates a significant burden of functional limitations among older individuals and that there is a strong association between pre-existing chronic conditions and functional disability. Those with hypertension, diabetes, psychiatric disorders, heart disease, stroke, lung disease or bone-related diseases should be effectively monitored to predict future functional limitations, which may lead to worsening health.

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Section: Key Explanatory Variablementioning

confidence: 99%

Number of chronic conditions and associated functional limitations among older adults: cross-sectional findings from the longitudinal aging study in India

2021

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“…This scale estimates a probable psychiatric diagnosis of major depression and has been validated in field settings and widely used in population-based health surveys. The lowest 10th percentile is used as a proxy measure of severe depression among older adults 35 , 40 , 41 . Self-rated health was coded as good which includes excellent, very good, and good whereas poor includes fair and poor.…”

Section: Methodsmentioning

confidence: 99%

Relationship between physical activity and cognitive functioning among older Indian adults

Kumar

Srivastava

Muhammad

2022

Sci Rep

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In a culturally different and low-resource setting, where lifestyle habits, including dietary pattern and physical activities differ from those in high-income countries, the association between physical activity and cognition is expected to differ. We aimed to investigate the association between physical activity and cognitive functioning after controlling for potential confounders among older adults in India. Furthermore, gender differences in this relationship were analyzed. Using a national-level data from the Longitudinal Ageing Study in India (2017–2018), this paper employed propensity score matching (PSM) approach to examine the association between physical activities and cognitive functioning among Indian older adults. Cognitive impairment was measured through five broad domains (memory, orientation, arithmetic function, executive function, and object naming). We limit our sample to older adults aged 60 + years, and our final dataset contains 31,464 participants (men = 16,366, and women = 15,098). The results indicated that older adults who engaged in frequent physical activity have greater cognitive functioning than older adults without physical activity after adjusting for various individual, health, lifestyle, and household factors. This association holds true for both older men and older women. The results from the PSM revealed that the cognitive function score was increased by 0.98 and 1.32 points for the frequently physically active older men and women population, respectively. The results demonstrate the possible beneficial effects of frequent physical activity on cognitive functioning among older adults. Thus, regular physical activity can be considered as an effective lifestyle factor to promote healthy cognitive aging.

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“…About 97.5% of city population was from urban areas. Difference Distribution method was used to study population on the verge of risk of breast cancer in 2022 (Meher et al, 2022). The hospital has an Excellency in diagnosing and treating cancer, chemotherapy, radiotherapy, surgery and research in the field of all types of cancers.…”

Section: Methodsmentioning

confidence: 99%

Psychological stress and quality of life among Indian patients after breast cancer surgery

Roy¹

2022

ijhs

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Background: Breast cancer (BC) is the type of cancer that affects women most often all over the world. The patient's health is affected by stress as well as a bad quality of life (QOL).The purpose of the research being carried out is to evaluate the QOL of patients suffering from BC by determining the extent to which demographic and other important factors have an influence on their lives. Method: Study was conducted with total of 316 female breast cancer patients of R G Kar Medical College, Kolkata, West Bengal. Data was collected from the patients through interview and questions related to socio-demographics of patients. WHOQOL (World health organization Quality of life) – BREF was another tool used for calculating QOL of BC patients based on 4 domains: physical health, psychological health, social relationship and environment. Result: It was found that women in the age group of 51 -60 have high quality of life and mean score was 59.3. The mean score in four areas were: for social relationship was 60.1, for psychological health was 61.3, for physical health was 56.5, as well as for environmental domain was 58.1.

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The association between single and multiple chronic conditions and depression among older population in India: A comparative study between men and women

Cited by 27 publications

References 50 publications

Number of chronic conditions and associated functional limitations among older adults: cross-sectional findings from the longitudinal aging study in India

Number of chronic conditions and associated functional limitations among older adults: cross-sectional findings from the longitudinal aging study in India

Relationship between physical activity and cognitive functioning among older Indian adults

Psychological stress and quality of life among Indian patients after breast cancer surgery

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