Evidence map›Paper›PMID 27809419›Full record

ArticlePreventing chronic disease2016

Multimorbidity and Functional Limitations Among Adults 65 or Older, NHANES 2005-2012.

Kazuaki Jindai, Carrie M Nielson, Beth A Vorderstrasse, Ana R Quiñones

Abstract read
In one paragraph

Article in Preventing chronic disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 131 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 7 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

131 citing papers in PubMed, 7 syntheses or guidelines pooled it.

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  10. Does the Mode of PROM Administration Affect the Responses of Hospitalized Patients?Archives of physical medicine and rehabilitation · 2022
    Trial
  11. Patterns of Home Environmental Modification Use and Functional Health: The Women's Health Initiative.The journals of gerontology. Series A, Biological sciences and medical sciences · 2020
    Trial
  12. Trial
  13. Article
  14. Asthma and Multimorbidity Amongst Ethnic Minority Groups in High Income Countries.Clinical and experimental allergy : journal of the British Society for Allergy and Clinical Immunology · 2026
    Review
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  16. Article
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  20. Multimorbidity Patterns and Obesity Among Americans Turning Forty.American journal of health promotion : AJHP · 2026
    Article

71 more citing papers are in PubMed but not listed here.

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

4 authors.

Kazuaki JindaiSchool of Public Health, Oregon Health & Science University, Portland, Oregon, and VA Portland Health Care System, Portland, Oregon.
Carrie M NielsonSchool of Public Health, Oregon Health & Science University, Portland, Oregon.
Beth A VorderstrasseSchool of Public Health, Oregon Health & Science University, Portland, Oregon.
Ana R QuiñonesSchool of Public Health, Oregon Health & Science University, 3181 SW Sam Jackson Park Rd, CB669, Portland, OR 97239. Email: quinones@ohsu.edu. Dr Quiñones is also affiliated with VA Portland Health Care System, Portland, Oregon. Dr Vorderstrasse is now affiliated with Health Promotion and Chronic Disease Prevention, Oregon Health Authority, Portland, Oregon.

Funding

Mineralization Gene Variants: Biochemical Implications and Associations with BMDK01AR062655 · NIAMS · OREGON HEALTH & SCIENCE UNIVERSITY · PI NIELSON, CARRIE M · 2012 to 2016
$638k
NIAMS NIH HHS K01 AR062655
6 · The paper itself

Abstract

introductionThe development of functional limitations among adults aged 65 or older has profound effects on individual and population resources. Improved understanding of the relationship between functional limitations and co-occurring chronic diseases (multimorbidity) is an emerging area of interest. The objective of this study was to investigate the association between multimorbidity and functional limitations among community-dwelling adults 65 or older in the United States and explore factors that modify this association.

methodsWe conducted a cross-sectional analysis of adults aged 65 or older using data from the National Health and Nutrition Examination Survey (NHANES) from 2005 through 2012. We used negative binomial regression to estimate the association between multimorbidity (≥2 concurrent diseases) and functional limitations and to determine whether the association differed by sex or age.

resultsThe prevalence of multimorbidity in this population was 67% (95% confidence interval [CI], 65%-68%). Each additional chronic condition was associated with an increase in the number of functional limitations, and the association was stronger among those aged 75 or older than among those aged 65 to 74. For those aged 65 to 74, each additional chronic condition was associated with 1.35 (95% CI, 1.27-1.43) times the number of functional limitations for men and 1.62 times (95% CI, 1.31-2.02) the number of functional limitations for women. For those 75 or older, the associations increased to 1.71 (95% CI, 1.35-2.16) for men and 2.06 (95% CI, 1.51-2.81) for women for each additional chronic condition.

conclusionMultimorbidity was associated with increases in functional limitations, and the associations were stronger among women than among men and among adults aged 75 or older than among those aged 65 to 74. These findings underscore the importance of addressing age and sex differences when formulating prevention strategies.

Indexed as

AgingAgedAged, 80 and overAge DistributionChronic DiseaseComorbidityCross-Sectional StudiesFemaleHumansMaleNutrition SurveysRegression AnalysisUnited States

Identifiers

PMID27809419
PMCPMC5094859

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Registered trials

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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.