Impact of Chronic Conditions and Multimorbidity on the Disability Burden in the Older Population in Belgium

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Renata Tiene de Carvalho YokotaHerman Van Oyen

Abstract

The increase in longevity along with a high prevalence of chronic conditions contribute to increased disability burden. Despite the high occurrence of multimorbidity observed in advanced ages, most studies are restricted to the investigation of individual diseases. In this study, we assessed the impact of chronic conditions and multimorbidity on the disability burden in the older population in Belgium. Data from 9,482 participants in the 2001, 2004, or 2008 Belgian Health Interview Surveys aged 55 years or older were analyzed. Disability was defined based on the Global Activity Limitation Indicator (GALI). To attribute disability to single chronic conditions and disease pairs, a multiple additive hazard model was fitted. Musculoskeletal conditions (45.3%), chronic respiratory diseases (11.2%), and cardiovascular diseases (10.2%) diseases were the most frequent conditions. Cardiovascular diseases, the co-occurrence of chronic respiratory diseases and depression, neurological diseases, cancer, and the combination of diabetes and cardiovascular diseases were the top five disabling conditions. The disability prevalence in the older population in Belgium was 35.6% (confidence interval =35.0; 36.2%). The most important contributors t...Continue Reading

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Citations

Dec 23, 2017·Archives of public health = Archives belges de santé publique·Renata T C YokotaHerman Van Oyen
Sep 29, 2017·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Davide L VetranoLaura Fratiglioni
Dec 25, 2019·Journal of Surgical Oncology·Patrick KierkegaardJason Owen-Smith
Apr 28, 2020·Health Expectations : an International Journal of Public Participation in Health Care and Health Policy·Tu Ngoc NguyenMartin Fortin
Jul 12, 2020·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Befikadu L WubishetCarol Jagger
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Mar 20, 2018·European Journal of Nutrition·Marcos D Machado-FraguaEsther Lopez-Garcia
Nov 1, 2020·European Journal of Public Health·James MacinkoMaria Fernanda Lima-Costa

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