Research Paper Volume 8, Issue 10 pp 2437—2448
Clustering of geriatric deficits emerges to be an essential feature of ageing - results of a cross-sectional study in Poland
- 1 Department of Internal Medicine and Gerontology, Jagiellonian University Medical College, 31-531Krakow, Poland
- 2 Department of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, 31-034 Kraków, Poland
- 3 Department of Pathophysiology, Medical Faculty in Katowice, Medical University of Silesia in Katowice, 40-752 Katowice, Poland
- 4 Department of Nephrology, Endocrinology and Metabolic Diseases, Medical Faculty in Katowice, Medical University of Silesia in Katowice, 40-027 Katowice, Poland
- 5 International Institute of Molecular and Cell Biology, 02-109 Warsaw, Poland
- 6 Geneva Medical School and University Hospitals- Rehabilitation and Geriatrics, Geneva, Switzerland
Received: June 14, 2016 Accepted: October 9, 2016 Published: October 27, 2016
https://doi.org/10.18632/aging.101055How to Cite
Abstract
The majority of old people suffer from various clinical conditions that affect health, functioning and quality of life. This research is a part of a cross-sectional, nationwide PolSenior Study that provides a comprehensive assessment of eight geriatric impairments and their co-occurrence in a representative sample (3471 participant aged 65-104 years, mean age 78.3 years) of the old adults living in the community in Poland. The participants were recruited randomly from all administrative regions of Poland by a three-stage, proportional, stratified-by-age group selection process. Eight geriatric conditions were assessed: falls, incontinences, cognitive impairment, mood disorders, vision and hearing impairments, malnutrition, and functional dependence. We showed that the most common deficits causing disability were vision and hearing impairments, and mood disorders, with more than two thirds of the participants presented at least one geriatric deficit. We showed that presence any of the analyzed conditions significantly increased the risk for co-occurrence of other examined weaknesses. The highest prevalence odds ratios were for functional dependence and, respectively: malnutrition (8.61, 95%CI:4.70-15.80), incontinences (8.0, 95%CI:5.93-10.70), and cognitive impairment (7.22; 95%CI:5.91-8.83). We concluded that the majority of the old people living in the community present various clinical conditions that prompt disability.