Evidence map›Paper›PMID 35564378›Full record

ArticleInternational journal of environmental research and public health2022

The Prevalence of Anemia and Its Associated Factors among Older Persons: Findings from the National Health and Morbidity Survey (NHMS) 2015.

Ambigga Krishnapillai, Mohd Azahadi Omar, Suthahar Ariaratnam, Smaria Awaluddin, Rajini Sooryanarayana, Ho Bee Kiau, Noorlaili Mohd Tauhid, Sazlina Shariff Ghazali

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Article in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.0field-weighted citation impact, top 7% of its field
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

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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

10 citing papers in PubMed, 20 citations in OpenAlex.

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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

8 authors at 5 institutions in 1 country.

Ambigga KrishnapillaiDepartment of Primary Care Medicine, Faculty of Medicine and Defense Health, National Defense University of Malaysia, Kuala Lumpur 57000, Malaysia.ORCID 0000-0003-3485-2079
Mohd Azahadi OmarInstitute for Public Health, National Institute of Health, Ministry of Health Malaysia, Setia Alam 40170, Selangor, Malaysia.
Suthahar AriaratnamDepartment of Psychiatry, Faculty of Medicine, University Teknologi MARA, Kuala Lumpur 57000, Malaysia.
Smaria AwaluddinInstitute for Public Health, National Institute of Health, Ministry of Health Malaysia, Setia Alam 40170, Selangor, Malaysia.ORCID 0000-0001-6945-5538
Rajini SooryanarayanaFamily Health Development Division, Ministry of Health Malaysia, Putrajaya 62590, Malaysia.
Ho Bee KiauBandar Botanic Health Center, Blok A, Jalan Langat, Bandar Botanik, Ministry of Health Malaysia, Klang 41200, Selangor, Malaysia.ORCID 0000-0002-0848-2580
Noorlaili Mohd TauhidDepartment of Family Medicine, Faculty of Medicine, University Kebangsaan Malaysia, Bangi 43600, Malaysia.
Sazlina Shariff GhazaliDepartment of Family Medicine, Faculty of Medicine and Health Sciences, University Putra Malaysia, Serdang 43400, Malaysia.ORCID 0000-0002-5737-7226
Ministry of Health · MYNational Defence University of Malaysia · MYNational University of Malaysia · MYUniversiti Putra Malaysia · MYUniversiti Teknologi MARA · MY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is limited evidence on the association of anemia with chronic diseases and disabilities among older persons in Malaysia. We assessed the prevalence of anemia and its associated factors among community-dwelling older persons.

methodsThis was a cross-sectional study using data from the nationwide National Health and Morbidity Survey 2015 (NHMS 2015) on the health of older adults conducted by the Institute for Public Health, National Institutes of Health, Malaysia. A two-stage stratified random-cluster sampling design was utilized. Data were collected on the sociodemographic profiles, non-communicable disease (NCD) comorbidities (hypertension, diabetes and hypercholesterolemia status) and disabilities among the older persons. Anemia was defined based on the World Health Organization's standards. A multivariable logistic regression analysis was used to assess the association of anemia with chronic diseases and disabilities.

resultsThe prevalence of anemia was 35.3% (95% CI: 33.1, 37.4) in the older persons. Chronic disease profiling showed that the prevalence rates of anemia among the older persons with diabetes, hypertension and hypercholesterolemia were 38.6%, 35.3% and 34.1%, respectively. In the multivariable analysis, persons aged 80 years and above (adjusted OR (aOR): 2.64; 95% CI: 2.00, 3.47), 70-79 years (aOR: 1.42; 95% CI: 1.21, 1.66), with diabetes (aOR: 1.30; 95% CI: 1.13, 1.51) and with disabilities in walking (aOR: 1.31; 95% CI: 1.11, 1.54) and self-care (aOR: 1.58; 95% CI: 1.22, 2.05) had higher odds of anemia compared to their respective reference categories. Among the persons with diabetes, the respondents aged 80 years and above (aOR: 2.48; 95% CI: 1.56, 3.94), 70-79 years old (aOR: 1.38; 95% CI: 1.08, 1.76) and with disabilities in vision (aOR: 1.29; 95% CI: 1.02, 1.63) and walking (aOR: 1.50; 95% CI: 1.18, 1.91) were more likely to be anemic. Furthermore, among the older persons without diabetes, persons aged 80 years and above (aOR: 2.89; 95% CI: 2.05, 4.07), 70-79 years old (aOR: 1.46; 95% CI: 1.19, 1.80) and with difficulty in self-care (aOR: 1.87; 95% CI: 1.30, 2.69) were more likely to be anemic.

conclusionsThe resilient predictors of developing anemia were advancing age and diabetes, based on our study. Anemia is significantly associated with walking and vision disabilities among older persons with diabetes and with self-care difficulties in those without diabetes. There is a need for future studies to evaluate strategies to prevent anemia among older adults in order to promote healthy aging.

Indexed as

AnemiaDiabetes MellitusHypercholesterolemiaHypertensionAgedAged, 80 and overChronic DiseaseCross-Sectional StudiesHumansMorbidityPrevalenceRisk Factorsanemiachronic diseasedisabilityMalaysiaNHMSolder persons

Identifiers

PMID35564378
PMCPMC9101117
OpenAlexW4224283994

What OpenQuestion holds

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LicenceCC BY
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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.