Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand
ObjectivesThe purpose of this study was to assess the bidirectional association between multimorbidity (MM) and functional disability among middle-aged and older adults in a longitudinal study in Thailand.MethodsWe analyzed longitudinal data of participants aged 45 years and older from two consecuti...
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| Format: | Article |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1055699/full |
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| author | Supa Pengpid Supa Pengpid Supa Pengpid Karl Peltzer Karl Peltzer Karl Peltzer Dararatt Anantanasuwong |
| author_facet | Supa Pengpid Supa Pengpid Supa Pengpid Karl Peltzer Karl Peltzer Karl Peltzer Dararatt Anantanasuwong |
| author_sort | Supa Pengpid |
| collection | DOAJ |
| description | ObjectivesThe purpose of this study was to assess the bidirectional association between multimorbidity (MM) and functional disability among middle-aged and older adults in a longitudinal study in Thailand.MethodsWe analyzed longitudinal data of participants aged 45 years and older from two consecutive waves (in 2015 and 2017) of the Health, Aging, and Retirement in Thailand (HART). Functional disability was assessed with a 4-item activity of daily living (ADL) scale. Logistic regression analysis was conducted to assess the association between baseline functional disability and incident MM (≥2), and baseline morbidity and incident functional disability.ResultsThe results indicate that a total of 1,716 individuals without morbidity at baseline and 3,529 without functional disability at baseline were included. At follow-up, 16.7 and 20.0% of functional disability cases and 7.1 and 3.6% of nonfunctional disability cases developed 2 morbidities and 3 or more morbidities, respectively, and 6.6% of MM cases and 4.0% of non-MM cases developed a functional disability. In the final logistic regression model adjusted for education, income, age, marital status, sex, smoking tobacco, body mass index (BMI), alcohol use, physical activity, and social engagement, functional disability at baseline was positively associated with incident MM (≥2) (adjusted odds ratio [aOR]: 2.58, 95% CI: 1.42–4.72), and MM (≥3) at baseline was positively associated with incident functional disability (aOR: 1.97, 95% CI: 1.13–3.43).ConclusionMultimorbidity and functional disability were bidirectionally associated. |
| first_indexed | 2024-04-11T14:44:15Z |
| format | Article |
| id | doaj.art-a04417a8e31548029a864917d26ca681 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T14:44:15Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a04417a8e31548029a864917d26ca6812022-12-22T04:17:43ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.10556991055699Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in ThailandSupa Pengpid0Supa Pengpid1Supa Pengpid2Karl Peltzer3Karl Peltzer4Karl Peltzer5Dararatt Anantanasuwong6Department of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Public Health, Sefako Makgatho Health Sciences University, Pretoria, South AfricaDepartment of Healthcare Administration, College of Medical and Health Science, Asia University, Taichung, TaiwanDepartment of Health Education and Behavioral Sciences, Faculty of Public Health, Mahidol University, Bangkok, ThailandDepartment of Psychology, University of the Free State, Bloemfontein, South AfricaDepartment of Psychology, College of Medical and Health Science, Asia University, Taichung, TaiwanCenter for Aging Society Research (CASR) at National Institute of Development Administration (NIDA), Bangkok, ThailandObjectivesThe purpose of this study was to assess the bidirectional association between multimorbidity (MM) and functional disability among middle-aged and older adults in a longitudinal study in Thailand.MethodsWe analyzed longitudinal data of participants aged 45 years and older from two consecutive waves (in 2015 and 2017) of the Health, Aging, and Retirement in Thailand (HART). Functional disability was assessed with a 4-item activity of daily living (ADL) scale. Logistic regression analysis was conducted to assess the association between baseline functional disability and incident MM (≥2), and baseline morbidity and incident functional disability.ResultsThe results indicate that a total of 1,716 individuals without morbidity at baseline and 3,529 without functional disability at baseline were included. At follow-up, 16.7 and 20.0% of functional disability cases and 7.1 and 3.6% of nonfunctional disability cases developed 2 morbidities and 3 or more morbidities, respectively, and 6.6% of MM cases and 4.0% of non-MM cases developed a functional disability. In the final logistic regression model adjusted for education, income, age, marital status, sex, smoking tobacco, body mass index (BMI), alcohol use, physical activity, and social engagement, functional disability at baseline was positively associated with incident MM (≥2) (adjusted odds ratio [aOR]: 2.58, 95% CI: 1.42–4.72), and MM (≥3) at baseline was positively associated with incident functional disability (aOR: 1.97, 95% CI: 1.13–3.43).ConclusionMultimorbidity and functional disability were bidirectionally associated.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1055699/fullmultimorbidityfunctional disabilitylongitudinal studyThailandbidirectional |
| spellingShingle | Supa Pengpid Supa Pengpid Supa Pengpid Karl Peltzer Karl Peltzer Karl Peltzer Dararatt Anantanasuwong Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand Frontiers in Public Health multimorbidity functional disability longitudinal study Thailand bidirectional |
| title | Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand |
| title_full | Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand |
| title_fullStr | Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand |
| title_full_unstemmed | Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand |
| title_short | Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand |
| title_sort | bidirectional association between functional disability and multimorbidity among middle aged and older adults in thailand |
| topic | multimorbidity functional disability longitudinal study Thailand bidirectional |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1055699/full |
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