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Abstract

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.

Original languageEnglish
Pages (from-to)80-93
Number of pages14
JournalActa medica portuguesa
Volume31
Issue number2
Publication statusPublished - Feb 2018

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Portugal
Comorbidity
Azores
Life Style
Chronic Disease
Health Resources
Hypercholesterolemia
Rheumatic Diseases
Vegetables
Population
Cluster Analysis
Fruit
Hospitalization
Obesity
Quality of Life
Demography
Interviews
Depression
Hypertension
Health

Keywords

  • Aging
  • Comorbidity
  • Delivery of Health Care
  • Outcome Assessment (Health Care)
  • Portugal
  • Quality of Life

Cite this

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title = "Challenges of Ageing in Portugal: Data from the EpiDoC Cohort",
abstract = "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.",
keywords = "Aging, Comorbidity, Delivery of Health Care, Outcome Assessment (Health Care), Portugal, Quality of Life",
author = "Rodrigues, {Ana Maria} and Greg{\'o}rio, {Maria Jo{\~a}o} and Sousa, {Rute Dinis} and Dias, {Sara S} and Santos, {Maria Jos{\'e}} and Mendes, {Jorge M} and Coelho, {Pedro Sim{\~o}es} and Branco, {Jaime C} and Helena Canh{\~a}o",
year = "2018",
month = "2",
language = "English",
volume = "31",
pages = "80--93",
journal = "Acta M{\'e}dica Portuguesa",
issn = "1646-0758",
publisher = "Biblioteca Nacional de Portugal, Centro de Estudos Hist{\'o}ricos, CELOM",
number = "2",

}

TY - JOUR

T1 - Challenges of Ageing in Portugal

T2 - Data from the EpiDoC Cohort

AU - Rodrigues, Ana Maria

AU - Gregório, Maria João

AU - Sousa, Rute Dinis

AU - Dias, Sara S

AU - Santos, Maria José

AU - Mendes, Jorge M

AU - Coelho, Pedro Simões

AU - Branco, Jaime C

AU - Canhão, Helena

PY - 2018/2

Y1 - 2018/2

N2 - 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.

AB - 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.

KW - Aging

KW - Comorbidity

KW - Delivery of Health Care

KW - Outcome Assessment (Health Care)

KW - Portugal

KW - Quality of Life

M3 - Article

VL - 31

SP - 80

EP - 93

JO - Acta Médica Portuguesa

JF - Acta Médica Portuguesa

SN - 1646-0758

IS - 2

ER -