Patterns of multimorbidity and risk of disability in community-dwelling older persons

Marengoni, Alessandra|||0000-0002-4851-1825; Akugizibwe, Roselyne|||0000-0003-0235-9722; Vetrano, Davide L.|||0000-0002-3099-4830; Roso-Llorach, Albert|||0000-0002-9264-0405; Onder, Graziano; Welmer, Anna-Karin; Calderón-Larrañaga, Amaia|||0000-0001-9064-9222

Patterns of multimorbidity and risk of disability in community-dwelling older persons

The aim was to analyze the association between specific patterns of multimorbidity and risk of disability in older persons. Data were gathered from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K); 2066 60 + year-old participants living in the community and free from disability a...

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Autores:	Marengoni, Alessandra\|\|\|0000-0002-4851-1825, Akugizibwe, Roselyne\|\|\|0000-0003-0235-9722, Vetrano, Davide L.\|\|\|0000-0002-3099-4830, Roso-Llorach, Albert\|\|\|0000-0002-9264-0405, Onder, Graziano, Welmer, Anna-Karin, Calderón-Larrañaga, Amaia\|\|\|0000-0001-9064-9222
Tipo de recurso:	artículo
Fecha de publicación:	2021
País:	España
Institución:	Universitat Autònoma de Barcelona
Repositorio:	Dipòsit Digital de Documents de la UAB
Idioma:	inglés
OAI Identifier:	oai:ddd.uab.cat:237941
Acceso en línea:	https://ddd.uab.cat/record/237941 https://dx.doi.org/urn:doi:10.1007/s40520-020-01773-z
Access Level:	acceso abierto
Palabra clave:	Multimorbidity patterns Disability Older persons

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spelling	Patterns of multimorbidity and risk of disability in community-dwelling older personsMarengoni, Alessandra\|\|\|0000-0002-4851-1825Akugizibwe, Roselyne\|\|\|0000-0003-0235-9722Vetrano, Davide L.\|\|\|0000-0002-3099-4830Roso-Llorach, Albert\|\|\|0000-0002-9264-0405Onder, GrazianoWelmer, Anna-KarinCalderón-Larrañaga, Amaia\|\|\|0000-0001-9064-9222Multimorbidity patternsDisabilityOlder personsThe aim was to analyze the association between specific patterns of multimorbidity and risk of disability in older persons. Data were gathered from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K); 2066 60 + year-old participants living in the community and free from disability at baseline were grouped according to their multimorbidity patterns and followed-up for six years. The association between multimorbidity patterns and disability in basic (ADL) and instrumental (IADL) activities of daily living was examined through multinomial models. Throughout the follow-up, 434 (21.0%) participants developed at least one ADL and 310 (15.0%) at least one IADL. Compared to the unspecific pattern, which included diseases not exceeding their expected prevalence in the total sample, belonging to the cardiovascular/anemia/dementia, the sensory impairment/cancer and the musculoskeletal/respiratory/gastrointestinal patterns was associated with a higher risk of developing both ADL and IADL, whereas subjects in the metabolic/sleep disorders pattern showed a higher risk of developing only IADL. Multimorbidity patterns are differentially associated with incident disability, which is important for the design of future prevention strategies aimed at delaying functional impairment in old age, and for a better healthcare resource planning.Universitat Autònoma de Barcelona 22021-01-0120212021-01-01Articlehttp://purl.org/coar/resource_type/c_6501VoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85info:eu-repo/semantics/articleapplication/pdfhttps://ddd.uab.cat/record/237941https://dx.doi.org/urn:doi:10.1007/s40520-020-01773-zreponame:Dipòsit Digital de Documents de la UABinstname:Universitat Autònoma de BarcelonaInglésengopen accesshttp://purl.org/coar/access_right/c_abf2Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.https://creativecommons.org/licenses/by/4.0/info:eu-repo/semantics/openAccessoai:ddd.uab.cat:2379412026-06-06T12:50:31Z
dc.title.none.fl_str_mv	Patterns of multimorbidity and risk of disability in community-dwelling older persons
title	Patterns of multimorbidity and risk of disability in community-dwelling older persons
spellingShingle	Patterns of multimorbidity and risk of disability in community-dwelling older persons Marengoni, Alessandra\|\|\|0000-0002-4851-1825 Multimorbidity patterns Disability Older persons
title_short	Patterns of multimorbidity and risk of disability in community-dwelling older persons
title_full	Patterns of multimorbidity and risk of disability in community-dwelling older persons
title_fullStr	Patterns of multimorbidity and risk of disability in community-dwelling older persons
title_full_unstemmed	Patterns of multimorbidity and risk of disability in community-dwelling older persons
title_sort	Patterns of multimorbidity and risk of disability in community-dwelling older persons
dc.creator.none.fl_str_mv	Marengoni, Alessandra\|\|\|0000-0002-4851-1825 Akugizibwe, Roselyne\|\|\|0000-0003-0235-9722 Vetrano, Davide L.\|\|\|0000-0002-3099-4830 Roso-Llorach, Albert\|\|\|0000-0002-9264-0405 Onder, Graziano Welmer, Anna-Karin Calderón-Larrañaga, Amaia\|\|\|0000-0001-9064-9222
author	Marengoni, Alessandra\|\|\|0000-0002-4851-1825
author_facet	Marengoni, Alessandra\|\|\|0000-0002-4851-1825 Akugizibwe, Roselyne\|\|\|0000-0003-0235-9722 Vetrano, Davide L.\|\|\|0000-0002-3099-4830 Roso-Llorach, Albert\|\|\|0000-0002-9264-0405 Onder, Graziano Welmer, Anna-Karin Calderón-Larrañaga, Amaia\|\|\|0000-0001-9064-9222
author_role	author
author2	Akugizibwe, Roselyne\|\|\|0000-0003-0235-9722 Vetrano, Davide L.\|\|\|0000-0002-3099-4830 Roso-Llorach, Albert\|\|\|0000-0002-9264-0405 Onder, Graziano Welmer, Anna-Karin Calderón-Larrañaga, Amaia\|\|\|0000-0001-9064-9222
author2_role	author author author author author author
dc.contributor.none.fl_str_mv	Universitat Autònoma de Barcelona
dc.subject.none.fl_str_mv	Multimorbidity patterns Disability Older persons
topic	Multimorbidity patterns Disability Older persons
description	The aim was to analyze the association between specific patterns of multimorbidity and risk of disability in older persons. Data were gathered from the Swedish National Study on Aging and Care in Kungsholmen (SNAC-K); 2066 60 + year-old participants living in the community and free from disability at baseline were grouped according to their multimorbidity patterns and followed-up for six years. The association between multimorbidity patterns and disability in basic (ADL) and instrumental (IADL) activities of daily living was examined through multinomial models. Throughout the follow-up, 434 (21.0%) participants developed at least one ADL and 310 (15.0%) at least one IADL. Compared to the unspecific pattern, which included diseases not exceeding their expected prevalence in the total sample, belonging to the cardiovascular/anemia/dementia, the sensory impairment/cancer and the musculoskeletal/respiratory/gastrointestinal patterns was associated with a higher risk of developing both ADL and IADL, whereas subjects in the metabolic/sleep disorders pattern showed a higher risk of developing only IADL. Multimorbidity patterns are differentially associated with incident disability, which is important for the design of future prevention strategies aimed at delaying functional impairment in old age, and for a better healthcare resource planning.
publishDate	2021
dc.date.none.fl_str_mv	2 2021-01-01 2021 2021-01-01
dc.type.none.fl_str_mv	Article http://purl.org/coar/resource_type/c_6501 VoR http://purl.org/coar/version/c_970fb48d4fbd8a85
dc.type.openaire.fl_str_mv	info:eu-repo/semantics/article
format	article
dc.identifier.none.fl_str_mv	https://ddd.uab.cat/record/237941 https://dx.doi.org/urn:doi:10.1007/s40520-020-01773-z
url	https://ddd.uab.cat/record/237941 https://dx.doi.org/urn:doi:10.1007/s40520-020-01773-z
dc.language.none.fl_str_mv	Inglés eng
language_invalid_str_mv	Inglés
language	eng
dc.rights.none.fl_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
dc.rights.openaire.fl_str_mv	info:eu-repo/semantics/openAccess
rights_invalid_str_mv	open access http://purl.org/coar/access_right/c_abf2 https://creativecommons.org/licenses/by/4.0/
eu_rights_str_mv	openAccess
dc.format.none.fl_str_mv	application/pdf
dc.source.none.fl_str_mv	reponame:Dipòsit Digital de Documents de la UAB instname:Universitat Autònoma de Barcelona
instname_str	Universitat Autònoma de Barcelona
reponame_str	Dipòsit Digital de Documents de la UAB
collection	Dipòsit Digital de Documents de la UAB
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repository.mail.fl_str_mv
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Patterns of multimorbidity and risk of disability in community-dwelling older persons

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