Author:
Pengpid Supa,Peltzer Karl,Anantanasuwong Dararatt
Abstract
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.
Subject
Public Health, Environmental and Occupational Health
Reference59 articles.
1. 2011
2. Population ageing in Thailand: critical issues in the twenty-first century;Anantanasuwong;Education for the Elderly in the Asia Pacific, Education in the Asia-Pacific Region: Issues, Concerns and Prospects,2021
3. Prospects and contexts of demographic transitions in Thailand;Prasartkul;JPSS.,2019
4. Public health in Thailand: emerging focus on non-communicable diseases;Kaufman;Int J Health Plann Manage.,2011
5. The dementia and disability project in Thai elderly: rational, design, methodology and early results3
SenanarongV
HarnphadungkitK
PoungvarinN
VannasaengS
ChongwisalS
ChakornT
10.1186/1471-2377-13-323305293BMC Neurol.132013
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