Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal

Detalhes bibliográficos
Autor(a) principal: Duarte, Natália
Data de Publicação: 2017
Outros Autores: Rodrigues, Ana Maria, Branco, Jaime, Canhão, Helena, Hughes, Susan L, Paúl, Constança
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10362/25817
Resumo: Objective: This study aimed to identify independent associations of sociodemographic, functionality, physical activity, physical and mental health, and osteoarthritis (OA), among older adults. Methods: A sample of 1,645 older adults (50+ years) observed by rheumatologists, from EpiReumaPt, a population-based study was analyzed. A structured interview included sociodemographic data, chronic non-communicable disease, and physical activity. Functional ability was assessed by the Health Assessment Questionnaire Disability Index; depression and anxiety were assessed by Hospital Anxiety and Depression Scale. OA (knee OA and/or hip OA and/or hand OA) was defined after medical evaluation by rheumatologists according to expert opinion combined with the fulfillment of the American College of Rheumatology classification criteria. Results: 1,059 participants (64.9%) met the OA classification criteria. Statistically significant differences were found between persons with and without OA in all sociodemographic variables, non-communicable diseases, functional status, physical activity, depression, and anxiety. In the unadjusted logistic regression models, all variables were associated with OA. The final adjusted model explained 32% of the variance. Those who are female with higher age, have more than five comorbidities, and lower levels of function and physical activity were more likely to meet the criteria for a diagnosis of OA. Discussion: We have analyzed data from a population-based study and found that a diagnosis of OA was independently associated with age, female gender, higher number of comorbidities, physical disability, and low levels of physical activity. These results reinforce the usefulness of the development of a multidimensional assessment to design and test effective interventions for this population.
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spelling Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugalagingcomorbiditydisabilitypredictorsrheumatic diseasewomenSDG 3 - Good Health and Well-beingObjective: This study aimed to identify independent associations of sociodemographic, functionality, physical activity, physical and mental health, and osteoarthritis (OA), among older adults. Methods: A sample of 1,645 older adults (50+ years) observed by rheumatologists, from EpiReumaPt, a population-based study was analyzed. A structured interview included sociodemographic data, chronic non-communicable disease, and physical activity. Functional ability was assessed by the Health Assessment Questionnaire Disability Index; depression and anxiety were assessed by Hospital Anxiety and Depression Scale. OA (knee OA and/or hip OA and/or hand OA) was defined after medical evaluation by rheumatologists according to expert opinion combined with the fulfillment of the American College of Rheumatology classification criteria. Results: 1,059 participants (64.9%) met the OA classification criteria. Statistically significant differences were found between persons with and without OA in all sociodemographic variables, non-communicable diseases, functional status, physical activity, depression, and anxiety. In the unadjusted logistic regression models, all variables were associated with OA. The final adjusted model explained 32% of the variance. Those who are female with higher age, have more than five comorbidities, and lower levels of function and physical activity were more likely to meet the criteria for a diagnosis of OA. Discussion: We have analyzed data from a population-based study and found that a diagnosis of OA was independently associated with age, female gender, higher number of comorbidities, physical disability, and low levels of physical activity. These results reinforce the usefulness of the development of a multidimensional assessment to design and test effective interventions for this population.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)Centro de Estudos de Doenças Crónicas (CEDOC)RUNDuarte, NatáliaRodrigues, Ana MariaBranco, JaimeCanhão, HelenaHughes, Susan LPaúl, Constança2017-11-27T23:02:08Z2017-11-082017-11-08T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article7application/pdfhttp://hdl.handle.net/10362/25817eng2296-858XPURE: 3334457https://doi.org/10.3389/fmed.2017.00192info: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:RCAAP2024-03-11T04:13:33Zoai:run.unl.pt:10362/25817Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T03:28:22.198889Repositório 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 Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
title Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
spellingShingle Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
Duarte, Natália
aging
comorbidity
disability
predictors
rheumatic disease
women
SDG 3 - Good Health and Well-being
title_short Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
title_full Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
title_fullStr Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
title_full_unstemmed Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
title_sort Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal
author Duarte, Natália
author_facet Duarte, Natália
Rodrigues, Ana Maria
Branco, Jaime
Canhão, Helena
Hughes, Susan L
Paúl, Constança
author_role author
author2 Rodrigues, Ana Maria
Branco, Jaime
Canhão, Helena
Hughes, Susan L
Paúl, Constança
author2_role 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)
RUN
dc.contributor.author.fl_str_mv Duarte, Natália
Rodrigues, Ana Maria
Branco, Jaime
Canhão, Helena
Hughes, Susan L
Paúl, Constança
dc.subject.por.fl_str_mv aging
comorbidity
disability
predictors
rheumatic disease
women
SDG 3 - Good Health and Well-being
topic aging
comorbidity
disability
predictors
rheumatic disease
women
SDG 3 - Good Health and Well-being
description Objective: This study aimed to identify independent associations of sociodemographic, functionality, physical activity, physical and mental health, and osteoarthritis (OA), among older adults. Methods: A sample of 1,645 older adults (50+ years) observed by rheumatologists, from EpiReumaPt, a population-based study was analyzed. A structured interview included sociodemographic data, chronic non-communicable disease, and physical activity. Functional ability was assessed by the Health Assessment Questionnaire Disability Index; depression and anxiety were assessed by Hospital Anxiety and Depression Scale. OA (knee OA and/or hip OA and/or hand OA) was defined after medical evaluation by rheumatologists according to expert opinion combined with the fulfillment of the American College of Rheumatology classification criteria. Results: 1,059 participants (64.9%) met the OA classification criteria. Statistically significant differences were found between persons with and without OA in all sociodemographic variables, non-communicable diseases, functional status, physical activity, depression, and anxiety. In the unadjusted logistic regression models, all variables were associated with OA. The final adjusted model explained 32% of the variance. Those who are female with higher age, have more than five comorbidities, and lower levels of function and physical activity were more likely to meet the criteria for a diagnosis of OA. Discussion: We have analyzed data from a population-based study and found that a diagnosis of OA was independently associated with age, female gender, higher number of comorbidities, physical disability, and low levels of physical activity. These results reinforce the usefulness of the development of a multidimensional assessment to design and test effective interventions for this population.
publishDate 2017
dc.date.none.fl_str_mv 2017-11-27T23:02:08Z
2017-11-08
2017-11-08T00:00:00Z
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url http://hdl.handle.net/10362/25817
dc.language.iso.fl_str_mv eng
language eng
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PURE: 3334457
https://doi.org/10.3389/fmed.2017.00192
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