ArticleJournal of the American Geriatrics Society2019
Symptom Burden Among Community-Dwelling Older Adults in the United States.
Article in Journal of the American Geriatrics Society, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.
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Who cites it
38 citing papers in PubMed.
- Interpreting higher-order dependence in multimorbidity using cohort data: A partial information decomposition approach.PLoS computational biology · 2026Article
- Physical activity, health symptoms, and falls in older adults with different cognition levels: evidence from the Health and Retirement Study.BMC geriatrics · 2026Article
- Emotional Reactivity to Daily Physical Symptoms in Adulthood and Old Age: The Role of Different Facets of Social Support.Gerontology · 2026Article
- Prevalence and severity of physical complaints and their association with well-being among older adults in Tehran.BMC geriatrics · 2025Article
- Subjective geriatric complaints as predictors of disability and mortality in community-dwelling older adults: a 5-year cohort study.Age and ageing · 2025Article
- Longitudinal associations between symptom burden and fall risks in older adults with a cancer history: Findings from the 2011-2015 National Health and Aging Trends Study.Journal of geriatric oncology · 2025Article
- Leadless Pacemakers: The "Leading Edge" of Quality of Life in Cardic Electrophysiology.Current cardiology reports · 2025Review
- Applying natural language processing to understand symptoms among older adult home healthcare patients with urinary incontinence.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2025Article
- Association between the perceived value of adopting new behaviors and depressive symptoms among older adults.Scientific reports · 2024Observational
- Pain, comorbidities, and clinical decision-making: conceptualization, development, and pilot testing of the Pain in Aging, Educational Assessment of Need instrument.Frontiers in pain research (Lausanne, Switzerland) · 2024Article
- Late life anxiety and depression symptoms, and suicidal behaviors in racial/ethnic minority older adults in community-based organizations and community clinics in the U.S.Cultural diversity & ethnic minority psychology · 2024Article
- Prevalence of unpaid caregiving, pain, and depression in older seriously ill patients undergoing elective surgery.Journal of the American Geriatrics Society · 2023Article
- Feasibility of a Smartwatch Platform to Assess Ecological Mobility: Real-Time Online Assessment and Mobility Monitor.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023Article
- Study design and methods for the pilot study of muscadine grape extract supplement to improve fatigue among older adult cancer survivors (FOCUS) trial.Journal of geriatric oncology · 2023Article
- Perceived intrinsic, social, and environmental barriers for weight management in older Hispanic/Latino adults with obesity.Obesity science & practice · 2023Article
- Optimizing and Accelerating the Development of Precision Pain Treatments for Chronic Pain: IMMPACT Review and Recommendations.The journal of pain · 2023Review
- Changes in symptom burden from 2019 to 2021 amongst community-dwelling older adults in Finland.Age and ageing · 2023Article
- Beyond MACE: a multidimensional approach to outcomes in clinical trials for older adults with stable ischemic heart disease.Frontiers in cardiovascular medicine · 2023Review
- Self-reported symptom causes of mobility difficulty contributing to fear of falling in older adults.Aging clinical and experimental research · 2022Article
- Associations of poor sleep quality, chronic pain and depressive symptoms with frailty in older patients: is there a sex difference?BMC geriatrics · 2022Article
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7 authors.
Funding
Abstract
objectivesTo determine the prevalence and impact of common co-occurring symptoms among community-dwelling older adults in the United States.
designThe National Health and Aging Trends Study is a nationally representative, prospective study with annual data collection between 2011 and 2017.
settingCommunity-based, in-person interviews (survey response rates, 71%-96%).
participantsA total of 7,609 community-dwelling Medicare beneficiaries, 65 years or older. MEASUREMENTS: Symptoms assessed at baseline include pain, fatigue, breathing difficulty, sleeping difficulty, depressed mood, and anxiety. Total symptom count ranged from zero to six. Several outcomes were examined, including grip strength, gait speed, and overall lower-extremity function as well as incidence of recurrent falls (two or more per year), hospitalization, disability, nursing home admission, and mortality.
resultsPrevalence of zero, one, two, three, and four or more symptoms was 25.0%, 26.6%, 20.7%, 14.0%, and 13.6%, respectively. Symptom count increased with advancing age and was higher in women than in men. Pain and fatigue were the most common co-occurring symptoms. Higher symptom count was associated with decreased physical capacity. For example, participants with one, two, three, and four or more symptoms had gait speeds that were 0.04, 0.06, 0.09, and 0.13 m/s slower, respectively, than those with no symptoms, adjusting for specific diseases, total number of diseases, and other potential confounders (P < .001). The risk of several adverse outcomes also increased with greater symptom count. For example, compared with those with no symptoms, the adjusted risk ratios for recurrent falls were 1.48 (95% confidence interval [CI] = 1.30-1.70), 1.54 (95% CI = 1.32-1.80), 1.90 (95% CI = 1.55-2.32), and 2.38 (95% CI = 2.00-2.83) for older adults with one, two, three, and four or more symptoms, respectively.
conclusionsSymptoms frequently co-occur among community-dwelling older adults and are strongly associated with increased risk of a range of adverse outcomes. Symptoms represent a potential treatment target for improving outcomes and should be systematically captured in health records. J Am Geriatr Soc 67:223-231, 2019.
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