Chronic diseases, depressive symptoms and functional limitation amongst older people in rural Malaysia, a middle income developing country.

Prev Med. 2011 Oct;53(4-5):343-6. Epub 2011 Aug 16

Author

Hairi NN, Bulgiba A, Mudla I, Said MA

Institution

Department of Social and Preventive Medicine, University Malaya, Kuala Lumpur, Malaysia. noran@um.edu.my

Abstract

OBJECTIVES: To determine prevalence and prevalence ratio of functional limitation amongst older people with combined chronic diseases and co-morbid depressive symptoms compared with older people with either chronic disease or depressive symptoms alone.

METHODS: Data were analysed from a cross-sectional study of 765 people aged 60 years and over, conducted from 2007 to 2008 in Malaysia. Chronic diseases were self-reported, depressive symptoms were measured using the Geriatric Depression Scale and functional limitation was assessed using the Tinetti Performance Oriented Mobility Assessment Tool.

RESULTS: A higher proportion of older people with combined chronic diseases and depressive symptoms reported having functional limitation (44.7%) compared with older people with chronic diseases alone (12.5%) and depressive symptoms alone (18.1%). Adjusting for socio-demographic characteristics, cognitive status and living arrangements, chronic diseases were associated with functional limitation (PR 2.21, 95% CI 1.31, 3.72). Depressive symptoms were also associated with functional limitation (PR 2.07, 95% CI 1.56, 2.76). The prevalence ratio for functional limitation was much greater for combined chronic diseases and depressive symptoms (PR 4.09, 95% CI 2.23, 7.51).

CONCLUSIONS: Older people with combined chronic diseases and depressive symptoms are more likely to have functional limitation than those with chronic disease or depressive symptoms alone.

Copyright © 2011 Elsevier Inc. All rights reserved.

PMID: 21864564 [PubMed - in process]


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