Associations between Multimorbidity and Physical Performance in Older Chinese Adults
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Population and Data Collection
2.2. Socio-Demographic and Health-Related Variables
2.3. Chronic Conditions and Multimorbidity
2.4. Assessments of Physical Performance
2.5. Statistical Analysis
3. Results
4. Discussion
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Conflicts of Interest
References
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Characteristics | n (%) |
---|---|
Age (years) | |
60–69 | 7147 (68.0) |
70–79 | 2385 (25.0) |
≥80 | 580 (7.0) |
Sex, Women | 5089 (50.4) |
Body mass index (kg/m2) | |
<18.5 | 952 (9.3) |
18.5–23.9 | 5274 (50.6) |
24.0–27.9 | 2818 (28.9) |
≥28.0 | 1068 (11.2) |
Marital status | |
Married | 8174 (78.4) |
Others | 1938 (21.6) |
Education levels | |
Illiterate | 3414 (34.2) |
Can read/write or elementary school | 4222 (43.0) |
Middle school and above | 1952 (22.8) |
Residential regions | |
Rural | 6125 (52.8) |
Urban | 3987 (47.2) |
Smoking status | |
Nonsmokers | 5759 (57.7) |
Former smokers | 1524 (15.5) |
Current smokers | 2829 (26.8) |
Alcohol consumption | |
Nondrinkers | 5287 (52.7) |
Former drinkers | 3745 (37.4) |
Current drinkers | 1071 (9.9) |
Number of chronic conditions (n) | |
0 | 704 (7.0) |
1 | 1781 (17.9) |
2 | 2163 (21.9) |
3 | 1915 (18.8) |
≥4 | 3549 (34.4) |
Gait speed (m/s) | |
Fast | 2732 (27.2) |
Median | 3499 (33.6) |
Slow | 3881 (39.2) |
Chronic Conditions | Factor a | |||
---|---|---|---|---|
Cardio–Metabolic Pattern | Respiratory Pattern | Mental–Sensory Pattern | Visceral–Arthritic Pattern | |
Hypertension | 0.67 | 0.02 | 0.10 | −0.21 |
Dyslipidemia | 0.72 | 0.11 | −0.12 | 0.35 |
Diabetes | 0.74 | 0.14 | −0.08 | 0.15 |
Heart problems | 0.53 | 0.41 | 0.00 | 0.42 |
Stroke | 0.59 | 0.13 | 0.31 | 0.02 |
Chronic lung diseases | −0.06 | 0.90 | 0.09 | 0.11 |
Asthma | 0.04 | 0.91 | 0.07 | −0.06 |
Psychiatric conditions | 0.05 | 0.26 | 0.54 | 0.35 |
Cognition-related conditions | −0.04 | 0.11 | 0.78 | 0.02 |
Vision impairment | 0.09 | 0.25 | 0.70 | 0.15 |
Hearing loss | 0.06 | 0.20 | 0.70 | 0.13 |
Kidney diseases | 0.29 | 0.37 | 0.08 | 0.53 |
Liver diseases | 0.12 | 0.12 | 0.03 | 0.70 |
Digestive diseases | −0.11 | 0.31 | 0.20 | 0.70 |
Arthritis | −0.01 | 0.29 | 0.31 | 0.55 |
No. of Chronic Conditions | NGS a | Categorized Gait Speed b |
---|---|---|
Compared with no Chronic Condition | Adjusted β Coefficient (95% Confidence Interval) | Adjusted Odds Ratio (95% Confidence Interval) |
0 | Reference | Reference |
1 | −0.01 (−0.03–−0.003) | 1.23 (0.97–1.55) |
2 | −0.04 (−0.05–−0.03) | 1.50 (1.19–1.88) |
3 | −0.04 (−0.05–−0.03) | 1.73 (1.37–2.19) |
≥4 | −0.06 (−0.07–−0.05) | 2.06 (1.65–2.57) |
Compared with single chronic condition | ||
1 | Reference | Reference |
2 | −0.01 (−0.02–0.001) | 1.22 (1.03–1.43) |
3 | −0.02 (−0.03–−0.003) | 1.41 (1.19–1.67) |
≥4 | −0.04 (−0.06–−0.03) | 1.67 (1.44–1.95) |
Quartiles of Factor Scores | Multimorbidity Patterns | |||
---|---|---|---|---|
Cardio–Metabolic | Respiratory | Mental–Sensory | Visceral–Arthritic | |
Grip strength (kg) a | ||||
Q1 | 27.8 | 28.5 | 30.0 | 28.6 |
Q2 | 27.8 | 27.9 | 27.5 | 27.3 |
Q3 | 27.3 | 26.5 | 26.5 | 27.3 |
Q4 | 26.9 | 26.8 | 25.6 | 26.6 |
Gait speed (m/s) a | ||||
Q1 | 0.96 | 0.97 | 0.99 | 0.96 |
Q2 | 0.96 | 0.96 | 0.95 | 0.94 |
Q3 | 0.94 | 0.94 | 0.94 | 0.95 |
Q4 | 0.94 | 0.94 | 0.92 | 0.95 |
Measures of Multimorbidity Pattern | Multimorbidity Patterns | |||
---|---|---|---|---|
Cardio–Metabolic | Respiratory | Mental–Sensory | Visceral–Arthritic | |
Quartiles of factor scores | NGS a Adjusted β coefficient (95% confidence interval) | |||
Q1 | Reference | |||
Q2 | −0.01 (−0.01–0.003) | −0.02 (−0.04–−0.01) | −0.01 (−0.02–−0.01) | −0.02 (−0.04–−0.01) |
Q3 | −0.03 (−0.03–−0.02) | −0.02 (−0.03–−0.01) | −0.03 (−0.04–−0.02) | −0.02 (−0.03–−0.004) |
Q4 | −0.06 (−0.07–−0.05) | −0.03 (−0.05–−0.02) | −0.04 (−0.05–−0.03) | −0.04 (−0.05–−0.02) |
No. of chronic conditions | −0.03 (−0.03–−0.02) | −0.003 (−0.01–0.01) | −0.01 (−0.02–−0.01) | −0.01 (−0.01–−0.003) |
Quartiles of factor scores | Categorized gait speed b Adjusted odds ratio (95% confidence interval) | |||
Q1 | Reference | |||
Q2 | 1.02 (0.88–1.17) | 1.19 (1.03–1.38) | 1.25 (1.07–1.46) | 1.24 (1.06–1.45) |
Q3 | 1.01 (0.87–1.18) | 1.43 (1.24–1.65) | 1.52 (1.31–1.76) | 1.36 (1.17–1.57) |
Q4 | 1.26 (1.07–1.49) | 1.72 (1.48–1.99) | 2.01 (1.72–2.33) | 1.53 (1.31–1.78) |
No. of chronic conditions | 1.09 (1.02–1.17) | 1.20 (1.08–1.34) | 1.29 (1.23–1.36) | 1.09 (1.02–1.16) |
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Yao, S.-S.; Meng, X.; Cao, G.-Y.; Huang, Z.-T.; Chen, Z.-S.; Han, L.; Wang, K.; Su, H.-X.; Luo, Y.; Hu, Y.; et al. Associations between Multimorbidity and Physical Performance in Older Chinese Adults. Int. J. Environ. Res. Public Health 2020, 17, 4546. https://doi.org/10.3390/ijerph17124546
Yao S-S, Meng X, Cao G-Y, Huang Z-T, Chen Z-S, Han L, Wang K, Su H-X, Luo Y, Hu Y, et al. Associations between Multimorbidity and Physical Performance in Older Chinese Adults. International Journal of Environmental Research and Public Health. 2020; 17(12):4546. https://doi.org/10.3390/ijerph17124546
Chicago/Turabian StyleYao, Shan-Shan, Xiangfei Meng, Gui-Ying Cao, Zi-Ting Huang, Zi-Shuo Chen, Ling Han, Kaipeng Wang, He-Xuan Su, Yan Luo, Yonghua Hu, and et al. 2020. "Associations between Multimorbidity and Physical Performance in Older Chinese Adults" International Journal of Environmental Research and Public Health 17, no. 12: 4546. https://doi.org/10.3390/ijerph17124546