Challenges of Ageing in Portugal: Data from the EpiDoC Cohort
Introduction: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults. Material and Methods: We performed...
| Main Authors: | , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Ordem dos Médicos
2018-02-01
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| Series: | Acta Médica Portuguesa |
| Subjects: | |
| Online Access: | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9817 |
| _version_ | 1818140360291909632 |
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| author | Ana Maria Rodrigues Maria João Gregório Rute Dinis Sousa Sara S Dias Maria José Santos Jorge M Mendes Pedro Simões Coelho Jaime C Branco Helena Canhão |
| author_facet | Ana Maria Rodrigues Maria João Gregório Rute Dinis Sousa Sara S Dias Maria José Santos Jorge M Mendes Pedro Simões Coelho Jaime C Branco Helena Canhão |
| author_sort | Ana Maria Rodrigues |
| collection | DOAJ |
| description | Introduction: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults.
Material and Methods: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors.
Results: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 – 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. ‘Fruit and vegetables dietary pattern’ was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%).
Conclusion: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly population
constitutes a vulnerable group warranting dedicated intervention. |
| first_indexed | 2024-12-11T10:42:45Z |
| format | Article |
| id | doaj.art-b47f163d2ef746ca8190cc69f652058f |
| institution | Directory Open Access Journal |
| issn | 0870-399X 1646-0758 |
| language | English |
| last_indexed | 2024-12-11T10:42:45Z |
| publishDate | 2018-02-01 |
| publisher | Ordem dos Médicos |
| record_format | Article |
| series | Acta Médica Portuguesa |
| spelling | doaj.art-b47f163d2ef746ca8190cc69f652058f2022-12-22T01:10:33ZengOrdem dos MédicosActa Médica Portuguesa0870-399X1646-07582018-02-01312809310.20344/amp.98174653Challenges of Ageing in Portugal: Data from the EpiDoC CohortAna Maria Rodrigues0Maria João Gregório1Rute Dinis Sousa2Sara S Dias3Maria José Santos4Jorge M Mendes5Pedro Simões Coelho6Jaime C Branco7Helena Canhão8EpiDoC Unit. Centro de Estudos de Doenças Crónicas. NOVA Medical School. Universidade Nova de Lisboa. Lisboa. Sociedade Portuguesa de Reumatologia. Lisboa. Rheumatology Research Unit. Instituto de Medicina Molecular. Lisboa. EpiSaúde – Associação Científica. Évora.EpiDoC Unit. Centro de Estudos de Doenças Crónicas. NOVA Medical School. Universidade Nova de Lisboa. Lisboa. EpiSaúde – Associação Científica. Évora. Faculdade de Ciências da Nutrição e Alimentação. Universidade do Porto. Porto. Programa Nacional para a Promoção da Alimentação Saudável. Direção-Geral da Saúde. Lisboa.EpiDoC Unit. Centro de Estudos de Doenças Crónicas. NOVA Medical School. Universidade Nova de Lisboa. Lisboa. EpiSaúde – Associação Científica. Évora.EpiDoC Unit. Centro de Estudos de Doenças Crónicas. NOVA Medical School. Universidade Nova de Lisboa. Lisboa. EpiSaúde – Associação Científica. Évora. Unidade de Investigação em Saúde. Escola Superior de Saúde. Instituto Politécnico de Leiria. Leiria.Sociedade Portuguesa de Reumatologia. Lisboa. Rheumatology Research Unit. Instituto de Medicina Molecular. Lisboa.Hospital Garcia de Orta. Almada.NOVA Information Management School. Universidade Nova de Lisboa. Lisboa.NOVA Information Management School. Universidade Nova de Lisboa. Lisboa.EpiDoC Unit. Centro de Estudos de Doenças Crónicas. NOVA Medical School. Universidade Nova de Lisboa. Lisboa. Sociedade Portuguesa de Reumatologia. Lisboa. EpiSaúde – Associação Científica. Évora. Serviço de Reumatologia. Centro Hospitalar Lisboa Ocidental. Hospital Egas Moniz. Lisboa.EpiDoC Unit. Centro de Estudos de Doenças Crónicas. NOVA Medical School. Universidade Nova de Lisboa. Lisboa. Sociedade Portuguesa de Reumatologia. Lisboa. EpiSaúde – Associação Científica. Évora. Escola Nacional de Saúde Pública. Universidade Nova de Lisboa. Lisboa.Introduction: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults. Material and Methods: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors. Results: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 – 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. ‘Fruit and vegetables dietary pattern’ was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%). Conclusion: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly population constitutes a vulnerable group warranting dedicated intervention.https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9817AgingComorbidityDelivery of Health CareOutcome Assessment (Health Care)PortugalQuality of Life |
| spellingShingle | Ana Maria Rodrigues Maria João Gregório Rute Dinis Sousa Sara S Dias Maria José Santos Jorge M Mendes Pedro Simões Coelho Jaime C Branco Helena Canhão Challenges of Ageing in Portugal: Data from the EpiDoC Cohort Acta Médica Portuguesa Aging Comorbidity Delivery of Health Care Outcome Assessment (Health Care) Portugal Quality of Life |
| title | Challenges of Ageing in Portugal: Data from the EpiDoC Cohort |
| title_full | Challenges of Ageing in Portugal: Data from the EpiDoC Cohort |
| title_fullStr | Challenges of Ageing in Portugal: Data from the EpiDoC Cohort |
| title_full_unstemmed | Challenges of Ageing in Portugal: Data from the EpiDoC Cohort |
| title_short | Challenges of Ageing in Portugal: Data from the EpiDoC Cohort |
| title_sort | challenges of ageing in portugal data from the epidoc cohort |
| topic | Aging Comorbidity Delivery of Health Care Outcome Assessment (Health Care) Portugal Quality of Life |
| url | https://actamedicaportuguesa.com/revista/index.php/amp/article/view/9817 |
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