期刊
JOURNALS OF GERONTOLOGY SERIES A-BIOLOGICAL SCIENCES AND MEDICAL SCIENCES
卷 70, 期 3, 页码 330-336出版社
OXFORD UNIV PRESS INC
DOI: 10.1093/gerona/glu113
关键词
Aging; Comorbidity; Physical functioning; Disability
资金
- EU's Era-Age 2 program (Academy of Finland) [264944]
- EU's Era-Age 2 program (Swedish Research Council for Health, Working Life and Welfare [Forte]) [2012-1661]
- Academy of Finland [273850]
- UK Medical Research Council [K013351]
- National Heart, Lung and Blood Institute [HL36310]
- National Institute of Aging [AG034454]
- Economic and Social Research Council [ES/K01336X/1]
- ESRC [ES/K01336X/1, ES/J023299/1] Funding Source: UKRI
- MRC [MR/K013351/1] Funding Source: UKRI
- Economic and Social Research Council [ES/J023299/1, ES/K01336X/1] Funding Source: researchfish
- Medical Research Council [MR/K013351/1] Funding Source: researchfish
Background. The number of diseases and physical functioning difficulties tend to increase with age. The aim of this study was to examine the trajectories of physical functioning across age groups and whether the trajectories differ according to disease status in different population subgroups. Methods. Repeat data from a nationally representative population sample, the Health and Retirement Study, was used. Participants were 10,709 men and 13,477 women aged 60-107 years at baseline with biennial surveys from 1992 to 2010. Average length of follow-up was 10.3 years ranging from 0 to 18 years. Disease status and physical functioning was asked about at all study phases and 10 items were summed to obtain a physical functioning score (0-10). Results. Age modified the relationship between number of chronic diseases and physical functioning with older participants having more physical functioning difficulties with increasing number of diseases. An average 70-year-old participant with no diseases had 0.89 (95% CI: 0.85-0.93) physical functioning difficulties, with one disease 1.72 (95% CI: 1.69-1.76) difficulties, with two diseases 2.57 (95% CI: 2.52-2.62) difficulties, and with three or more diseases 3.82 (95% CI: 3.76-3.88) difficulties. Of the individual diseases memory-related diseases, stroke, pulmonary diseases, and arthritis were associated with significantly higher physical functioning difficulties compared with other diseases. Conclusions. Comorbidity is associated with greater burden of physical functioning difficulties. Of the studied diseases, memory-related diseases, stroke, pulmonary diseases, and arthritis alone or in combination limit most physical functioning.
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