ArticleBMC geriatrics2020
Associations between complex multimorbidity, activities of daily living and mortality among older Norwegians. A prospective cohort study: the HUNT Study, Norway.
Article in BMC geriatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 2 of them syntheses that pooled it.
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Who cites it
61 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Do hospital-to-home transitions work for older adults with multiple long-term conditions including dementia? A realist review.BMC geriatrics · 2025Pooled it
- The prevalence of disability in older adults with multimorbidity: a meta-analysis.Aging clinical and experimental research · 2024Pooled it
- Distress, multimorbidity, and complex multimorbidity among Chinese and Korean American older adults.PloS one · 2024Trial
- Article
- Longitudinal Patterns of Within- and Cross-Domain Multimorbidity Across Physical, Psychological, and Cognitive Conditions in China and the United States: The Role of Socioeconomic and Healthcare Inequalities.Healthcare (Basel, Switzerland) · 2026Article
- Mind, Mood, and Mobility: Rethinking Functional Disability Prevention in Older Adults on the Basis of a Longitudinal Cohort From CHARLS.Journal of the American Heart Association · 2026Article
- Co-occurrence network characteristics and key comorbidity node identification based on health examination indicators among rural older adults aged 65 and above.BMC geriatrics · 2026Article
- Mapping Long-Term Care Needs in Person-Centred Interventions for Older People with Multimorbidity: A WHO Framework-Guided Secondary Analysis.Healthcare (Basel, Switzerland) · 2026Article
- Development of a collaborative rehabilitation education program for primary care: an educational action research approach.BMC primary care · 2026Article
- Article
- Sociodemographic and Health-Related Disparities in 24-Hr Movement Cycles Among Older Adult Women: The Study of Women's Health Across the Nation.Journal of aging and physical activity · 2026Article
- Association between multimorbidity patterns and activities of daily living function among older adults in China: a longitudinal population-based cohort study.BMC geriatrics · 2025Article
- Article
- Measuring individual and community capacity factors in people with multimorbidity and exploring associations with health outcomes.BMC medicine · 2025Article
- Caregiver Contribution to Patient Self-Care and Associated Variables in Older Adults with Multiple Chronic Conditions Living in a Middle-Income Country: Key Findings from the 'SODALITY-AL' Observational Study.Nursing reports (Pavia, Italy) · 2025Article
- Examining the Effect of SNAP-Multibehaviours on Multimorbidity Risk: A Cross-Sectional Study in Three General Practices' Electronic Health Records.International journal of environmental research and public health · 2025Observational
- The quality of life and related factors in older adults with possible sarcopenia and sarcopenia in rural areas of Xinjiang, China: a cross sectional study.BMC geriatrics · 2025Article
- The health care needs of multidimensional frail elderly patients with multimorbidity in primary health-care settings: a qualitative study.BMC primary care · 2025Article
- Informal Care Receiving Among Older Adults: The Role of Multimorbidity and Intersectional Social Position.The Gerontologist · 2025Article
- Understanding hospital activity and outcomes for people with multimorbidity using electronic health records.Scientific reports · 2025Article
1 more citing papers are in PubMed but not listed here.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith increasing age, having multiple chronic conditions is the norm. It is of importance to study how co-existence of diseases affects functioning and mortality among older persons. Complex multimorbidity may be defined as three or more conditions affecting at least three different organ systems. The aim of this study was to investigate how complex multimorbidity affects activities of daily living and mortality amongst older Norwegians.
methodsParticipants were 60-69-year-olds at baseline in the Nord-Trøndelag Health Study 1995-1997 (HUNT2) n = 9058. Multinomial logistic regression models were used to investigate the association between complex multimorbidity in HUNT2, basic and instrumental activities of daily living in HUNT3 (2006-2008) and mortality during follow-up (n = 5819/5836). Risk ratios (RR) and risk differences (RD) in percentage points (pp) with 95% confidence intervals (CI) were reported.
results47.8% of 60-69-year-olds met the criteria of complex multimorbidity at baseline (HUNT2). Having complex multimorbidity was strongly associated with the need for assistance in IADL in HUNT3 11 years later (RR = 1.80 (1.58-2.04) and RD = 8.7 (6.8-10.5) pp) and moderately associated with mortality during the follow-up time (RR = 1.22 (1.12-1.33) and RD = 5.1 (2.9-7.3) pp). Complex multimorbidity was to a lesser extent associated with basic activities of daily living 11 years later (RR = 1.24 (0.85-1.83) and RD = 0.4 (- 0.3-1.1) pp).
conclusionsThis is the first study to show an association between complex multimorbidity and activities of daily living. Complex multimorbidity should receive more attention in order to prevent future disability amongst older persons.
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