Multimorbidity and functional limitation: the role of social relationships

Dandan Jiao, Kumi Watanabe, Yuko Sawada, Emiko Tanaka, Taeko Watanabe, Etsuko Tomisaki, Sumio Ito, Rika Okumura, Yuriko Kawasaki, Tokie Anme

研究成果: Article査読

抄録

Objectives: To examine the relationship between multimorbidity and functional limitation, and how social relationships alter that association. Methods: This cross-sectional study used data collected by self-reported questionnaires from adults aged 65 years and older living in a rural area in Japan in 2017. This analysis included complete data from 570 residents. Multimorbidity status was defined as having two chronic diseases exist simultaneously in one individual, and the function status was measured by their long-term care needs. Social relationships were assessed by the Index of Social Interaction and divided into high and low levels. Multiple logistic regression analysis was used to examine the association between social relationships and functional limitation and to assess the role of social relationships in this association. Results: The logistic regression model indicated that the risk of functional limitation was higher in multimorbidity participants than free-of-multimorbidity participants (OR = 2.55, 95% CI = 1.56–4.16). Compared with participants with no multimorbidity and a high level of social relationships, low level of social relationships increased the risk of functional limitation among participants both with and without multimorbidity, with the OR = 7.71, 95% CI = 3.03–19.69 and OR = 3.28, 95% CI = 1.30–8.27, respectively. However, no significant result was found in participants with multimorbidity and a high level of social relationships (P = 0.365). Conclusions: Multimorbidity was associated with functional limitations. However, this association could be increased by a low level of social relationships and decreased by a high level of social relationships.

本文言語English
論文番号104249
ジャーナルArchives of Gerontology and Geriatrics
92
DOI
出版ステータスPublished - 2021 1 1

ASJC Scopus subject areas

  • 健康(社会科学)
  • 加齢科学
  • 老年学
  • 老年医学

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