Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study
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 explo...
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| Format: | Article |
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Frontiers Media S.A.
2024-04-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1292289/full |
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| author | Hongji Zeng Chen Miao Rui Wang Weijia Zhao Wenjuan Wang Yahui Liu Shufan Wei Anqi Liu Huibing Jia Guoxin Li Junge Zhou Xuejiao Chen Qingfeng Tian |
| author_facet | Hongji Zeng Chen Miao Rui Wang Weijia Zhao Wenjuan Wang Yahui Liu Shufan Wei Anqi Liu Huibing Jia Guoxin Li Junge Zhou Xuejiao Chen Qingfeng Tian |
| author_sort | Hongji Zeng |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-24T13:48:21Z |
| format | Article |
| id | doaj.art-86b964f3148d40e5a58c46eeeea08cf6 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-24T13:48:21Z |
| publishDate | 2024-04-01 |
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| series | Frontiers in Public Health |
| spelling | doaj.art-86b964f3148d40e5a58c46eeeea08cf62024-04-04T05:06:32ZengFrontiers Media S.A.Frontiers in Public Health2296-25652024-04-011210.3389/fpubh.2024.12922891292289Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched studyHongji Zeng0Chen Miao1Rui Wang2Weijia Zhao3Wenjuan Wang4Yahui Liu5Shufan Wei6Anqi Liu7Huibing Jia8Guoxin Li9Junge Zhou10Xuejiao Chen11Qingfeng Tian12School of Public Health, Zhengzhou University, Zhengzhou, ChinaHenan Medical College, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaSchool of Public Health, Zhengzhou University, Zhengzhou, ChinaRationaleWith 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.https://www.frontiersin.org/articles/10.3389/fpubh.2024.1292289/fullbasic activities of daily livingcomorbidities of chronic diseasechronic diseaseolder adultsquality of life |
| spellingShingle | Hongji Zeng Chen Miao Rui Wang Weijia Zhao Wenjuan Wang Yahui Liu Shufan Wei Anqi Liu Huibing Jia Guoxin Li Junge Zhou Xuejiao Chen Qingfeng Tian Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study Frontiers in Public Health basic activities of daily living comorbidities of chronic disease chronic disease older adults quality of life |
| title | Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study |
| title_full | Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study |
| title_fullStr | Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study |
| title_full_unstemmed | Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study |
| title_short | Influence of comorbidity of chronic diseases on basic activities of daily living among older adults in China: a propensity score-matched study |
| title_sort | influence of comorbidity of chronic diseases on basic activities of daily living among older adults in china a propensity score matched study |
| topic | basic activities of daily living comorbidities of chronic disease chronic disease older adults quality of life |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2024.1292289/full |
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