Evidence map›Paper›PMID 24286273›Full record

ArticlePreventing chronic disease2013

Multiple chronic conditions and limitations in activities of daily living in a community-based sample of older adults in New York City, 2009.

Nancy L Ralph, Thelma J Mielenz, Hilary Parton, Anne-Marie Flatley, Lorna E Thorpe

Abstract read
In one paragraph

Article in Preventing chronic disease, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  9. Main and moderated effects of multimorbidity and depressive symptoms on cognition.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2022
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  17. Disability and Its Influencing Factors among the Elderly in a County, Guangxi Province, China.International journal of environmental research and public health · 2018
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Nancy L RalphNew York City Department of Health and Mental Hygiene, Gotham Center, CN# 34A, 42-09 28th St, 10th Floor, Queens, New York 11101-4132. E-mail: nlralph@gmail.com.
Thelma J Mielenz
Hilary Parton
Anne-Marie Flatley
Lorna E Thorpe

Funding

Columbia Injury Control Research CenterR49CE002096 · CE · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LI, GUOHUA · 2012 to 2018
$5.5M
NCIPC CDC HHS 1 R49 CE002096-01NCIPC CDC HHS R49 CE002096
6 · The paper itself

Abstract

introductionNationally, 60% to 75% of older adults have multiple (2 or more) chronic conditions (MCCs), and the burden is even higher among low-income, racial/ethnic minority populations. MCCs limit activities of daily living (ADLs), yet this association is not well characterized outside of clinical populations. We examined the association of MCCs with ADLs in a racially/ethnically diverse population of low-income older adults living in New York City public housing.

methodsA representative sample of 1,036 New York City Housing Authority residents aged 65 or older completed a telephone survey in June 2009. We examined the association of up to 5 chronic conditions with basic ADL (BADL) limitations, adjusting for potential confounders by using logistic regression.

resultsOf respondents, 28.7% had at least 1 BADL limitation; 92.9% had at least 1 chronic condition, and 79.0% had MCCs. We observed a graded association between at least 1 BADL limitation and number of chronic conditions (using 0 or 1 condition as the reference group): adjusted odds ratio (AOR) for 3 conditions was 2.2 (95% confidence interval [CI], 1.3-3.9); AOR for 4 conditions, 4.3 (95% CI, 2.5-7.6); and AOR for 5 conditions, 9.2 (95% CI, 4.3-19.5).

conclusionPrevalence of BADL limitations is high among low-income older adults and increases with number of chronic conditions. Initiating prevention of additional conditions and treating disease constellations earlier to decrease BADL limitations may improve aging outcomes in this population.

Indexed as

PovertyPublic HousingActivities of Daily LivingAgedAged, 80 and overCase-Control StudiesChronic DiseaseEthnicityFemaleHumansLogistic ModelsMaleMinority GroupsNew York CityOdds RatioPrevalence

Identifiers

PMID24286273
PMCPMC3843532

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.