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BMC Geriatrics
Published in: BMC Geriatrics 1/2016

Open Access 01-12-2016 | Research Article

The association of multimorbidity and disability in a community-based sample of elderly aged 80 or older in Shanghai, China

Authors: Peng Su, Hansheng Ding, Wei Zhang, Guangfeng Duan, Yitong Yang, Rong Chen, Zengjie Duan, Lixia Du, Chunyan Xie, Chunlin Jin, Chaoqun Hu, Zixue Sun, Junrui Long, Lingling Gong, Wenhua Tian

Published in: BMC Geriatrics | Issue 1/2016

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Abstract

Background

Both multimorbidity and activities of daily living (ADL) disability and instrument activities of daily living (IADL) disability are common among elderly individuals. ADL/IADL disability may reduce individuals’ capacities for independent living and quality of life. This study aimed to examine the association between multimorbidity and ADL/IADL disability.

Methods

A multi-stage cluster sample of 2058 residents aged 80 or older was investigated in Shanghai, China. Multimorbidity was defined as the simultaneous presence of two or more chronic diseases with ten common chronic conditions under consideration. Subjects who responded that they “need partial or full assistance” to any ADL/IADL items were defined as having ADL/IADL disability. We examined the association of multimorbidity with ADL/IADL disability, adjusted for socio-demographic characteristics by using logistic regression.

Results

Of respondents, 23.23 % had ADL disability, 37.90 % had IADL disability, and 49.17 % had multimorbidity. After adjusted socio-demographic characteristics, a graded association was showed between ADL disability and the quantity of chronic conditions: odds ratio (OR) for 1 condition, 1.53(95 % confidence interval [CI], 1.04-2.24); OR for 2 conditions, 2.06(95 % CI, 1.43-2.96); OR for 3 conditions, 3.23(95 % CI, 2.14-4.86); OR for 4 or more conditions, 5.61(95 % CI, 3.26-9.66). Similar associations were also observed between the quantity of chronic conditions and IADL disability.

Conclusions

The quantity of chronic conditions had relatively strong association with both ADL and IADL disability. Initiating prevention of additional chronic conditions and interventions on clusters of diseases may decrease the potential risk of ADL/IADL disability. Additionally, more attention should been given to the older low-income women living with relatives/non-relatives with multimorbidity.
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Metadata
Title
The association of multimorbidity and disability in a community-based sample of elderly aged 80 or older in Shanghai, China
Authors
Peng Su
Hansheng Ding
Wei Zhang
Guangfeng Duan
Yitong Yang
Rong Chen
Zengjie Duan
Lixia Du
Chunyan Xie
Chunlin Jin
Chaoqun Hu
Zixue Sun
Junrui Long
Lingling Gong
Wenhua Tian
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Geriatrics / Issue 1/2016
Electronic ISSN: 1471-2318
DOI
https://doi.org/10.1186/s12877-016-0352-9

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