Bidirectional association between functional disability and multimorbidity among middle-aged and older adults in Thailand

Bibliographic Data

ID22077571
AuthorsPengpid (0000-0002-7714-8869, Asia University), Karl Peltzer (0000-0002-5980-0876, Asia University, corresponding author), Dararatt Anantanasuwong (National Institute of Development Administration)
Year2022
Volume10
Pages1055699-1055699
Publication date2022-12-05
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.1055699
PMID36544805
OpenAlexW4311515040
LanguageEN
Citations received2
References cited49

Objectives: The 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. Methods: We 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. Results: The 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). Conclusion: Multimorbidity and functional disability were bidirectionally associated

Activities of daily living · Body mass index · Environmental health · Logistic regression · Longitudinal study · Marital status · Odds ratio · Physical therapy · Population · Chronic Disease Management Strategies · Demography · Frailty in Older Adults · Health disparities and outcomes · Medicine · Gerontology · Internal Medicine

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