Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging
ObjectiveThere has been a growing interest in examining why some individuals adapt and bounce back from multimorbidity (resilience) better than others. This paper investigates the positive role of protective health behaviors on multimorbidity resilience (MR) among older adults focusing on older pers...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.896312/full |
| _version_ | 1811265952312983552 |
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| author | Andrew Wister Lun Li Carly Whitmore Jennifer Ferris Jennifer Ferris Katarzyna Klasa Igor Linkov Igor Linkov |
| author_facet | Andrew Wister Lun Li Carly Whitmore Jennifer Ferris Jennifer Ferris Katarzyna Klasa Igor Linkov Igor Linkov |
| author_sort | Andrew Wister |
| collection | DOAJ |
| description | ObjectiveThere has been a growing interest in examining why some individuals adapt and bounce back from multimorbidity (resilience) better than others. This paper investigates the positive role of protective health behaviors on multimorbidity resilience (MR) among older adults focusing on older persons with two or more concurrent chronic conditions, and separately for three multimorbidity chronic illness clusters.MethodsUsing Baseline and Follow-up One data from the Comprehensive Cohort of the Canadian Longitudinal Study on Aging, we studied 10,628 participants aged 65 years and older who reported two or more of 27 chronic conditions, and three multimorbidity clusters: Cardiovascular/metabolic, Musculoskeletal, and Mental health. Associations between health behaviors and MR were evaluated using Linear Mixed Models, adjusting for socio-demographic, social/environmental, and illness context social determinants of health.ResultsAmong older adults with two or more illnesses, smoking, satisfaction with sleep, appetite, and skipping meals were associated with MR in the expected direction. Also, obesity (compared to normal weight) and skipping meals showed longitudinal interaction effects with survey wave. Most of the results were replicated for the physical multimorbidity clusters (Cardiovascular/metabolic and Musculoskeletal) compared to the full 2+ multimorbidity analyses; however, for the Mental health cluster, only satisfaction with sleep was supported as a lifestyle predictor of MR.DiscussionSeveral modifiable health behaviors identified in the broader health and aging literature are important in affecting levels of multimorbidity resilience in older age. These factors are important strength-based areas to target. Additionally, several social determinants of health are also supported and parallel research on multimorbidity risk. The effects of lifestyle factors for resilience among older adults is dependent on the type of multimorbidity measured. We conclude that the results have significant public health, program intervention, and clinical implications for healthy aging among persons coping with multimorbidity. |
| first_indexed | 2024-04-12T20:33:14Z |
| format | Article |
| id | doaj.art-d14eda66104a42328acc1f9251925f37 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-12T20:33:14Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d14eda66104a42328acc1f9251925f372022-12-22T03:17:41ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-09-011010.3389/fpubh.2022.896312896312Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on AgingAndrew Wister0Lun Li1Carly Whitmore2Jennifer Ferris3Jennifer Ferris4Katarzyna Klasa5Igor Linkov6Igor Linkov7Department of Gerontology, Gerontology Research Centre, Simon Fraser University, Vancouver, BC, CanadaSchool of Social Work, MacEwan University, Edmonton, AB, CanadaSchool of Nursing, McMaster University, Hamilton, ON, CanadaGerontology Research Centre, Simon Fraser University, Vancouver, BC, CanadaBC Observatory for Population and Public Health, BC Centre for Disease Control, Vancouver, BC, CanadaUniversity of Michigan School of Public Health, Ann Arbor, MI, United StatesUnited States Army Corps of Engineers, Engineering Research and Development Center, Vicksburg, MS, United StatesCarnegie Mellon University, Pittsburg, PA, United StatesObjectiveThere has been a growing interest in examining why some individuals adapt and bounce back from multimorbidity (resilience) better than others. This paper investigates the positive role of protective health behaviors on multimorbidity resilience (MR) among older adults focusing on older persons with two or more concurrent chronic conditions, and separately for three multimorbidity chronic illness clusters.MethodsUsing Baseline and Follow-up One data from the Comprehensive Cohort of the Canadian Longitudinal Study on Aging, we studied 10,628 participants aged 65 years and older who reported two or more of 27 chronic conditions, and three multimorbidity clusters: Cardiovascular/metabolic, Musculoskeletal, and Mental health. Associations between health behaviors and MR were evaluated using Linear Mixed Models, adjusting for socio-demographic, social/environmental, and illness context social determinants of health.ResultsAmong older adults with two or more illnesses, smoking, satisfaction with sleep, appetite, and skipping meals were associated with MR in the expected direction. Also, obesity (compared to normal weight) and skipping meals showed longitudinal interaction effects with survey wave. Most of the results were replicated for the physical multimorbidity clusters (Cardiovascular/metabolic and Musculoskeletal) compared to the full 2+ multimorbidity analyses; however, for the Mental health cluster, only satisfaction with sleep was supported as a lifestyle predictor of MR.DiscussionSeveral modifiable health behaviors identified in the broader health and aging literature are important in affecting levels of multimorbidity resilience in older age. These factors are important strength-based areas to target. Additionally, several social determinants of health are also supported and parallel research on multimorbidity risk. The effects of lifestyle factors for resilience among older adults is dependent on the type of multimorbidity measured. We conclude that the results have significant public health, program intervention, and clinical implications for healthy aging among persons coping with multimorbidity.https://www.frontiersin.org/articles/10.3389/fpubh.2022.896312/fullmultimorbidityresilienceaginghealth behaviorsCLSA |
| spellingShingle | Andrew Wister Lun Li Carly Whitmore Jennifer Ferris Jennifer Ferris Katarzyna Klasa Igor Linkov Igor Linkov Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging Frontiers in Public Health multimorbidity resilience aging health behaviors CLSA |
| title | Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging |
| title_full | Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging |
| title_fullStr | Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging |
| title_full_unstemmed | Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging |
| title_short | Multimorbidity resilience and health behaviors among older adults: A longitudinal study using the Canadian Longitudinal Study on Aging |
| title_sort | multimorbidity resilience and health behaviors among older adults a longitudinal study using the canadian longitudinal study on aging |
| topic | multimorbidity resilience aging health behaviors CLSA |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.896312/full |
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