ArticleHealth and quality of life outcomes2017
Multimorbidity associated with functional independence among community-dwelling older people: a cross-sectional study in Southern China.
Article in Health and quality of life outcomes, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05264207 (Nursing Students' Visits to Older Adults With Multiple Chronic Conditions), which is not on this map. Cited by 29 papers, 3 of them syntheses that pooled it.
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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.
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.
Nursing Students' Visits to Older Adults With Multiple Chronic Conditions: Effects on Self-care and Other Related Variables (VISITAME)
Who cites it
29 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.
- The prevalence of disability in older adults with multimorbidity: a meta-analysis.Aging clinical and experimental research · 2024Pooled it
- Community prevalence and dyad disease pattern of multimorbidity in China and India: a systematic review.BMJ global health · 2022Pooled it
- Do replicable profiles of multimorbidity exist? Systematic review and synthesis.European journal of epidemiology · 2019Pooled it
- Accelerated multimorbidity in early adulthood and long-term functional disability in later life: a life-course epidemiological study.International journal for equity in health · 2026Article
- Association between physical activity patterns and health outcomes among older adults in India and China: a gendered perspective : First author.BMC public health · 2025Article
- Multimorbidity patterns and influencing factors in older Chinese adults: a national population-based cross-sectional survey.Journal of global health · 2025Article
- An unsupervised cluster analysis of multimorbidity patterns in older adults in Shenzhen, China.Frontiers in public health · 2025Article
- An investigation on the prevalence and patterns of multi-morbidity among a group of slum-dwelling older women of Kolkata, India.BMC geriatrics · 2024Article
- Understanding the association of disability with multimorbidity, and healthcare utilization in India's older adult population: insights from cross-sectional evidence of SAGE-2.Frontiers in public health · 2024Article
- Gender differences in caregiver attitudes and unmet needs for activities of daily living (ADL) assistance among older adults with disabilities.BMC geriatrics · 2023Article
- Epidemiology and predictors of multimorbidity in Kharameh cohort study: A population-based cross-sectional study in southern Iran.Health science reports · 2023Article
- The impact of compliance among patients with diabetic macular oedema treated with intravitreal aflibercept: a 48-month follow-up study.Acta ophthalmologica · 2022Article
- Comorbidity in patients with first-ever ischemic stroke: Disease patterns and their associations with cognitive and physical function.Frontiers in aging neuroscience · 2022Article
- Moderated-mediation analysis of multimorbidity and health-related quality of life among the Chinese elderly: The role of functional status and cognitive function.Frontiers in psychology · 2022Article
- Article
- Unveiling the Burden of Interactions Among Clinical Risk Factors for 1-Year Mortality in Hospitalized Older Patients.Frontiers in medicine · 2021Article
- The Prevalence of Metabolic Disease Multimorbidity and Its Associations With Spending and Health Outcomes in Middle-Aged and Elderly Chinese Adults.Frontiers in public health · 2021Article
- Urban-rural disparity in prevalence of multimorbidity in China: a cross-sectional nationally representative study.BMJ open · 2020Article
- Associations between complex multimorbidity, activities of daily living and mortality among older Norwegians. A prospective cohort study: the HUNT Study, Norway.BMC geriatrics · 2020Article
- A Multicenter Study of Multimorbidity in Older Adult Inpatients in China.The journal of nutrition, health & aging · 2020Article
Corrections and comments
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity, the coexistence of two or more chronic diseases, is common in older adults. And it may lead to many adverse health outcomes, such as disability. However, data on multimorbidity and its relationship with functional independence are scarce in Asian countries. Therefore, this study aims to investigate the relationship between multimorbidity and functional status among older people in China.
methodsBased on a cross-sectional survey, the information regarding 2705 older adults, who were of at least 60 years of age, was collected through interviews and analyzed. To assess functional status, we used the Functional Independence Measure (FIM). Exploratory factor analysis was performed to assess correlations among chronic diseases. Several logistic regression models were run in the study.
resultsThe presence of two or more chronic conditions and the number of multimorbidity group overlaps were independent risk factors for the loss of functional independence in older adults. Hypertension and chronic pain, emerged as the most prevalent multimorbidity pair, was significantly associated with functional independence (OR = 1.64, 95% CI = 1.25-2.16), followed by the co-occurrence of hypertension and heart diseases with a lower prevalence but a higher OR compared with the former pair (OR = 1.72, 95% CI = 1.15-2.58). Of the five multimorbidity groups used for factor analysis, the bones and pain group (OR = 1.47, 95% CI = 1.23-1.77) and the cardiometabolic group (OR = 1.34, 95% CI = 1.13-1.59) were both found to be significantly correlated with lower functional independence.
conclusionsMultimorbidity was common among older people in Southern China. Studying the relationship between multimorbidity and functional status could be useful to find potential correlations among chronic diseases. Additionally, it may also be meaningful to identify multimorbidity combinations, posing an increased risk of loss of functional independence, and further improve functional status in older adults with comorbidities.
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