Impact of multimorbidity on disability and quality of life in the Spanish older population
Financiación FP7 / Fp7 Funds
Resumen: Background
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.

Idioma: Inglés
DOI: 10.1371/journal.pone.0111498
Año: 2014
Publicado en: PLoS ONE 9, 11 (2014), e111498 [12 pp]
ISSN: 1932-6203

Factor impacto JCR: 3.234 (2014)
Categ. JCR: MULTIDISCIPLINARY SCIENCES rank: 9 / 57 = 0.158 (2014) - Q1 - T1
Financiación: info:eu-repo/grantAgreement/EC/FP7/223071/EU/COURAGE in Europe - COllaborative Research on AGEing in Europe/COURAGE IN EUROPE
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/CD12-00429
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PS09-00295
Financiación: info:eu-repo/grantAgreement/ES/ISCIII/PS09-01845
Financiación: info:eu-repo/grantAgreement/ES/MEC/FPU12-05661
Financiación: info:eu-repo/grantAgreement/ES/MICINN/ACI2009-1010
Tipo y forma: Artículo (Versión definitiva)
Área (Departamento): Area Psiquiatría (Dpto. Medicina, Psiqu. y Derm.)

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