000063325 001__ 63325
000063325 005__ 20190529115219.0
000063325 0247_ $$2doi$$a10.1371/journal.pone.0111498
000063325 0248_ $$2sideral$$a100174
000063325 037__ $$aART-2014-100174
000063325 041__ $$aeng
000063325 100__ $$aGarin, N.
000063325 245__ $$aImpact of multimorbidity on disability and quality of life in the Spanish older population
000063325 260__ $$c2014
000063325 5060_ $$aAccess copy available to the general public$$fUnrestricted
000063325 5203_ $$aBackground
Population aging is closely related to high prevalence of chronic conditions in developed countries. In this context, health care policies aim to increase life span cost-effectively while maintaining quality of life and functional ability. There is still, however, a need for further understanding of how chronic conditions affect these health aspects. The aim of this paper is to assess the individual and combined impact of chronic physical and mental conditions on quality of life and disability in Spain, and secondly to show gender trends.
Methods
Cross-sectional data were collected from the COURAGE study. A total of 3,625 participants over 50 years old from Spain were included. Crude and adjusted multiple linear regressions were conducted to detect associations between individual chronic conditions and disability, and between chronic conditions and quality of life. Separate models were used to assess the influence of the number of diseases on the same variables. Additional analogous regressions were performed for males and females.
Results
All chronic conditions except hypertension were statistically associated with poor results in quality of life and disability. Depression, anxiety and stroke were found to have the greatest impact on outcomes. The number of chronic conditions was associated with substantially lower quality of life [ß for 4+ diseases: -18.10 (-20.95,-15.25)] and greater disability [ß for 4+ diseases: 27.64 (24.99,30.29]. In general, women suffered from higher rates of multimorbidity and poorer results in quality of life and disability.
Conclusions
Chronic conditions impact greatly on quality of life and disability in the older Spanish population, especially when co-occurring diseases are added. Multimorbidity considerations should be a priority in the development of future health policies focused on quality of life and disability. Further studies would benefit from an expanded selection of diseases. Policies should also deal with gender idiosyncrasy in certain cases.
000063325 536__ $$9info:eu-repo/grantAgreement/ES/MICINN/ACI2009-1010$$9info:eu-repo/grantAgreement/ES/MEC/FPU12-05661$$9info:eu-repo/grantAgreement/ES/ISCIII/PS09-01845$$9info:eu-repo/grantAgreement/ES/ISCIII/PS09-00295$$9info:eu-repo/grantAgreement/ES/ISCIII/CD12-00429$$9info:eu-repo/grantAgreement/EC/FP7/223071/EU/COURAGE in Europe - COllaborative Research on AGEing in Europe/COURAGE IN EUROPE
000063325 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000063325 590__ $$a3.234$$b2014
000063325 591__ $$aMULTIDISCIPLINARY SCIENCES$$b9 / 57 = 0.158$$c2014$$dQ1$$eT1
000063325 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000063325 700__ $$aOlaya, B.
000063325 700__ $$aMoneta, M. V.
000063325 700__ $$aMiret, M.
000063325 700__ $$0(orcid)0000-0002-9098-655X$$aLobo, A.$$uUniversidad de Zaragoza
000063325 700__ $$aAyuso-Mateos, J.
000063325 700__ $$aHaro, J. M.
000063325 7102_ $$11007$$2745$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Psiquiatría
000063325 773__ $$g9, 11 (2014), e111498 [12 pp]$$pPLoS One$$tPLoS ONE$$x1932-6203
000063325 8564_ $$s201990$$uhttps://zaguan.unizar.es/record/63325/files/texto_completo.pdf$$yVersión publicada
000063325 8564_ $$s118099$$uhttps://zaguan.unizar.es/record/63325/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000063325 909CO $$ooai:zaguan.unizar.es:63325$$particulos$$pdriver
000063325 951__ $$a2019-05-29-11:41:33
000063325 980__ $$aARTICLE