Challenges of Ageing in Portugal

Detalhes bibliográficos
Autor(a) principal: Maria Rodrigues, Ana
Data de Publicação: 2018
Outros Autores: Gregório, Maria João, Sousa, RD, Dias, Sara Simões, Santos, Maria José, Mendes, Jorge M., Coelho, Pedro S., Branco, Jaime, Canhão, Helena
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9817
Resumo: INTRODUCTION: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults. MATERIAL AND METHODS: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors. RESULTS: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 - 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. 'Fruit and vegetables dietary pattern' was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%). CONCLUSION: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly populationconstitutes a vulnerable group warranting dedicated intervention.
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spelling Challenges of Ageing in PortugalData from the EpiDoC CohortAgingComorbidityDelivery of Health CareOutcome Assessment (Health Care)PortugalQuality of LifeSDG 3 - Good Health and Well-beingINTRODUCTION: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults. MATERIAL AND METHODS: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors. RESULTS: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 - 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. 'Fruit and vegetables dietary pattern' was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%). CONCLUSION: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly populationconstitutes a vulnerable group warranting dedicated intervention.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)NOVA Information Management School (NOVA IMS)Information Management Research Center (MagIC) - NOVA Information Management SchoolRUNMaria Rodrigues, AnaGregório, Maria JoãoSousa, RDDias, Sara SimõesSantos, Maria JoséMendes, Jorge M.Coelho, Pedro S.Branco, JaimeCanhão, Helena2018-04-05T22:21:26Z2018-022018-02-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article14application/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9817eng1646-0758PURE: 3781512https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9817info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2024-03-11T04:18:38Zoai:run.unl.pt:10362/33926Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:30:06.316071Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Challenges of Ageing in Portugal
Data from the EpiDoC Cohort
title Challenges of Ageing in Portugal
spellingShingle Challenges of Ageing in Portugal
Maria Rodrigues, Ana
Aging
Comorbidity
Delivery of Health Care
Outcome Assessment (Health Care)
Portugal
Quality of Life
SDG 3 - Good Health and Well-being
title_short Challenges of Ageing in Portugal
title_full Challenges of Ageing in Portugal
title_fullStr Challenges of Ageing in Portugal
title_full_unstemmed Challenges of Ageing in Portugal
title_sort Challenges of Ageing in Portugal
author Maria Rodrigues, Ana
author_facet Maria Rodrigues, Ana
Gregório, Maria João
Sousa, RD
Dias, Sara Simões
Santos, Maria José
Mendes, Jorge M.
Coelho, Pedro S.
Branco, Jaime
Canhão, Helena
author_role author
author2 Gregório, Maria João
Sousa, RD
Dias, Sara Simões
Santos, Maria José
Mendes, Jorge M.
Coelho, Pedro S.
Branco, Jaime
Canhão, Helena
author2_role author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
Centro de Estudos de Doenças Crónicas (CEDOC)
NOVA Information Management School (NOVA IMS)
Information Management Research Center (MagIC) - NOVA Information Management School
RUN
dc.contributor.author.fl_str_mv Maria Rodrigues, Ana
Gregório, Maria João
Sousa, RD
Dias, Sara Simões
Santos, Maria José
Mendes, Jorge M.
Coelho, Pedro S.
Branco, Jaime
Canhão, Helena
dc.subject.por.fl_str_mv Aging
Comorbidity
Delivery of Health Care
Outcome Assessment (Health Care)
Portugal
Quality of Life
SDG 3 - Good Health and Well-being
topic Aging
Comorbidity
Delivery of Health Care
Outcome Assessment (Health Care)
Portugal
Quality of Life
SDG 3 - Good Health and Well-being
description INTRODUCTION: Portuguese adults have a long lifespan, but it is unclear whether they live a healthy life in their final years. We aimed to determine the prevalence of multimorbidity and characterize lifestyle and other health outcomes among older Portuguese adults. MATERIAL AND METHODS: We performed a cross-sectional evaluation of 2393 adults, aged 65 and older, during the second wave of follow-up of the EpiDoC cohort, a population-based study involving long-term follow-up of a representative sample of the Portuguese population. Subjects completed a structured questionnaire during a telephone interview. Socioeconomic, demographic, lifestyle behaviours, chronic diseases, and health resources consumption were assessed. Cluster analysis was done to identify dietary patterns. Descriptive and analytic analysis was performed to estimate multimorbidity prevalence and its associated factors. RESULTS: Multimorbidity prevalence among older adults was 78.3%, increased with age strata (72.8% for 65 - 69 years to 83.4% for ≥ 80 years), and was highest in Azores (84.9%) and Alentejo (83.6%). The most common chronic diseases were hypertension (57.3%), rheumatic disease (51.9%), hypercholesterolemia (49.4%), and diabetes (22.7%). Depression symptoms were frequent (11.8%) and highest in the oldest strata. The mean health-related quality of life (EQ-5D-3L) score was 0.59 ± 0.38. Hospitalization in the previous 12 months was reported by 25.8% of individuals. Overall, 66.6% of older adults were physically inactive. 'Fruit and vegetables dietary pattern' was followed by 85.4% of individuals; however, regional inequalities were found (69% in Azores). Obesity prevalence was 22.3% overall and was highest among Azoreans (33%). CONCLUSION: The high prevalence of multimorbidity, combined with unhealthy lifestyle behaviours, suggests that the elderly populationconstitutes a vulnerable group warranting dedicated intervention.
publishDate 2018
dc.date.none.fl_str_mv 2018-04-05T22:21:26Z
2018-02
2018-02-01T00:00:00Z
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https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/9817
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