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Lopes DG, Mendonça N, Henriques AR, Branco J, Canhão H, Rodrigues AM. Trajectories and determinants of ageing in Portugal: insights from EpiDoC, a nationwide population-based cohort. BMC Public Health 2023; 23:1564. [PMID: 37592343 PMCID: PMC10433601 DOI: 10.1186/s12889-023-16370-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/15/2023] [Accepted: 07/24/2023] [Indexed: 08/19/2023] Open
Abstract
INTRODUCTION The population in Portugal is ageing due to increased life expectancy and reduced fertility rates. We aimed to estimate the health trajectories of Portuguese older adults (60 + years old) in a 10-year period and to assess associated sociodemographic, lifestyle factors and multimorbidity status. METHODS Using the population-based EpiDoC cohort, we estimated the trajectories of health-related quality of life and physical function of 4135 Portuguese older adults over 10 years using linear mixed models. Factors associated to health-related quality of life and physical function were assessed using linear mixed models and random intercept tobit regression, respectively. RESULTS The physical disability of participants increased by 0.263 (0.240, 0.286), and health-related quality of life declined by 0.074 (-0.084, -0.063), over 10 years. With advancing age, older adults reported a faster reduction in health-related quality of life and faster increase in physical disability. In general, women were in worse health than men at baseline, albeit with a similar rate of change throughout the follow-up. Higher education and regular exercise were associated with better health-related quality of life and physical function while multimorbidity and excess weight were associated with worse reporting of these outcomes. CONCLUSIONS These findings, based on longitudinal data with 10 years of follow-up, are essential to effectively plan resource allocation, plan better healthcare and design informed public health policies in Portugal. This study characterizes ageing in Portugal showing increased physical disability and decreased health-related quality of life with advancing age older adults, helping to develop public health policies.
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Affiliation(s)
- David G Lopes
- EpiDoC Unit, NOVA Medical School, CHRC, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico, nº5, Lisboa, 1150-082, Portugal.
| | - Nuno Mendonça
- EpiDoC Unit, NOVA Medical School, CHRC, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico, nº5, Lisboa, 1150-082, Portugal
| | - Ana Rita Henriques
- EpiDoC Unit, NOVA Medical School, CHRC, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico, nº5, Lisboa, 1150-082, Portugal
| | - Jaime Branco
- EpiDoC Unit, NOVA Medical School, CHRC, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico, nº5, Lisboa, 1150-082, Portugal
- Centro Hospitalar Lisboa Ocidental (CHLO-E.P.E.), Serviço de Reumatologia do Hospital Egas Moniz, Lisboa, Portugal
| | - Helena Canhão
- EpiDoC Unit, NOVA Medical School, CHRC, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico, nº5, Lisboa, 1150-082, Portugal
- Centro Hospitalar Lisboa Ocidental (CHLO-E.P.E.), Serviço de Reumatologia do Hospital Egas Moniz, Lisboa, Portugal
| | - Ana M Rodrigues
- EpiDoC Unit, NOVA Medical School, CHRC, Universidade NOVA de Lisboa, Rua do Instituto Bacteriológico, nº5, Lisboa, 1150-082, Portugal
- Rheumatology Unit, Hospital dos Lusíadas, Lisboa, Portugal
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Assessing Metacognitions in Compulsive Exercising: The Construction and Evaluation of the Metacognitions About Exercise Questionnaire. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2022. [DOI: 10.1007/s10942-022-00493-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Phyo AZZ, Gonzalez-Chica DA, Stocks NP, Woods RL, Tran T, Reid CM, Tonkin AM, Nelson MR, McNeil JJ, Murray AM, Gasevic D, Freak-Poli R, Ryan J. Trajectories of physical health-related quality of life and the risk of incident cardiovascular disease events and all-cause mortality in older people. AMERICAN HEART JOURNAL PLUS : CARDIOLOGY RESEARCH AND PRACTICE 2022; 13:100117. [PMID: 36959831 PMCID: PMC10031654 DOI: 10.1016/j.ahjo.2022.100117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Study objective The aim of this study was to identify whether physical component score (PCS) of health-related quality of life trajectories over 4.7-years predicted subsequent risk of incident fatal and non-fatal CVD events, and all-cause mortality. Methods This study included 16,871 community-dwelling people aged ≥65 years enrolled in the ASPREE (ASPirin in Reducing Events in the Elderly) trial. PCS was assessed annually using the SF-12 (version-2) over a median 4.7-years (i.e. from baseline (2010-2014) till June 2017). Incident CVD events and all-cause mortality occurring after June 2017 until the second-year after the end of the trial were considered. Growth mixture and logistic regression modelling were used. Results Four PCS trajectories were identified: high (66.5%), intermediate (13.3%), decline (13.8%), and low (6.5%), and there was subsequently a total of 406 (2.50%) incident CVD events, 197 (1.17%) fatal CVD, and 751 (4.45%) deaths. The declining PCS trajectory group had the highest risk of incident CVD (adjusted OR, 1.51; 95% CI 1.14, 1.99), while the low PCS trajectory group had the greatest risk of fatal CVD (adjusted OR, 1.74; 95%CI 1.06, 2.85) and all-cause mortality (adjusted OR, 1.83; 95%CI 1.40, 2.40). After further adjustment for the baseline PCS score, only the association between declining PCS trajectory and incident CVD (adjusted OR, 1.51; 95%CI 1.11, 2.07) remained. Conclusion Our study strengthens the importance of PCS as a predictive measure of CVD and all-cause mortality in older people and also highlights that a declining PCS trajectory could be considered an early predictor of future CVD events.
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Affiliation(s)
- Aung Zaw Zaw Phyo
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
| | - David A. Gonzalez-Chica
- Discipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, SA 5005, Australia
- Adelaide Rural Clinical School, University of Adelaide, Adelaide, SA 5005, Australia
| | - Nigel P. Stocks
- Discipline of General Practice, Adelaide Medical School, University of Adelaide, Adelaide, SA 5005, Australia
| | - Robyn L. Woods
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
| | - Thach Tran
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
| | - Christopher M. Reid
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
- School of Public Health, Curtin University, Perth, WA 6102, Australia
| | - Andrew M. Tonkin
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
| | - Mark R. Nelson
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
- Menzies Institute for Medical Research, University of Tasmania, Hobart, TAS 7000, Australia
| | - John J. McNeil
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
| | - Anne M. Murray
- Berman Center for Outcomes and Clinical Research, Hennepin HealthCare Research Institute, Hennepin HealthCare, Minneapolis, MN 55415, United States
- Division of Geriatrics, Department of Medicine, Hennepin HealthCare and University of Minnesota, Minneapolis, MN 55415, United States
| | - Danijela Gasevic
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
- Usher Institute, University of Edinburgh, Teviot Place, Edinburgh EH8 9AG, UK
| | - Rosanne Freak-Poli
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
| | - Joanne Ryan
- School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC 3004, Australia
- Corresponding author at: School of Public Health and Preventive Medicine, Monash University, Level 4, 553 St Kilda Road, Melbourne, VIC 3004, Australia., (J. Ryan)
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Association of Perceived Environment and Physical Activity in Older Adults After the Great East Japan Earthquake. J Aging Phys Act 2021; 29:632-641. [PMID: 33418534 DOI: 10.1123/japa.2020-0265] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/02/2020] [Revised: 08/17/2020] [Accepted: 09/25/2020] [Indexed: 11/18/2022]
Abstract
The aim of this study was to examine the association between perceived environment and physical activity among older adults in Fukushima Prefecture after the 2011 Great East Japan Earthquake and the impact of evacuation. Questionnaires were distributed to individuals aged 65 years and older from October to November 2018. Perceived environment was assessed using a five-item questionnaire on home fitness equipment, access to facilities, neighborhood safety, enjoyable scenery, and frequency of observing others exercising. Physical activity, assessed via the Physical Activity Questionnaire for Elderly Japanese, was segregated into levels based on the median score. Data from 249 participants (74.2 ± 6.9 years) were analyzed. A logistic regression analysis found that the unenjoyable Scenery × Residing in restoration public housing interaction (odds ratio = 3.87, 95% confidence interval = [1.20, 12.46]) was significant. The association between enjoyable scenery and physical activity varied according to whether the participants had experienced evacuation or not.
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Chang HC, Nfor ON, Ho CC, Chen PH, Kung YY, Hsu SY, Tantoh DM, Liaw YC, Hsieh CF, Liaw YP. Changes in High-Density Lipoprotein Cholesterol Levels in Relation to Coffee Consumption Among Taiwanese Adults. J Multidiscip Healthc 2020; 13:1427-1432. [PMID: 33173304 PMCID: PMC7646403 DOI: 10.2147/jmdh.s276395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/10/2020] [Accepted: 09/29/2020] [Indexed: 01/02/2023] Open
Abstract
Purpose High-density lipoprotein cholesterol (HDL-C) is essential for cardiometabolic health. Coffee consumption influences the body’s ability to regulate serum lipid profile. Although there is extensive information on coffee and cholesterol, not much is known whether changes in HDL-C concentrations are affected by coffee with or without flavoring substances. Materials and Methods Using historical data collected from 1272 participants in Li-Shin (Landseed) International Hospital in Northern Taiwan, we examined the relationship between HDL-C and consumption of plain black coffee with and without additives. Data on coffee consumption between 2006 and 2019 were collected based on self-reported questionnaires while HDL-C measurements were obtained from the electronic medical records of the hospital. t-test, chi-square test and multivariate linear regression analysis were used for analysis. Results In our primary analysis, we found that coffee consumption of ≥5 cups per week was positively associated with HDL-C (β = 1.9586, p=0.0442) compared with the lowest level (<1 cup/week) of consumption. We found in a separate model that higher (≥5 cups/week) or lower (1–4 cups/week) consumption of plain black coffee without additives was associated with higher HDL-C. The corresponding β values were 4.0674 (p = 0.0007) and 4.1253 (p = 0.0008), respectively. However, HDL-C levels were not affected by coffee with additives. Conclusion We found that consumption of black coffee without additives was associated with higher concentrations of HDL-C among Taiwanese adults over the age of 30. However, HDL-C levels did not change significantly among individuals who consumed black coffee with additives.
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Affiliation(s)
- Huan-Cheng Chang
- Division of Family Medicine, Department of Community Medicine, Landseed International Hospital, Taoyuan City 324, Taiwan.,Department of Health Business Management Administration, Hungkuang University, Taichung City 43302, Taiwan
| | - Oswald Ndi Nfor
- Department of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City 40201, Taiwan
| | - Chien-Chang Ho
- Department of Physical Education, Fu Jen Catholic University, New Taipei 24205, Taiwan.,Research and Development Center for Physical Education, Health, and Information Technology, Fu Jen Catholic University, New Taipei 24205, Taiwan
| | - Pei-Hsin Chen
- Department of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City 40201, Taiwan
| | - Ya-Yu Kung
- Division of Health Management, Landseed International Hospital, Taoyuan City 324, Taiwan
| | - Shu-Yi Hsu
- Department of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City 40201, Taiwan
| | - Disline Manli Tantoh
- Department of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City 40201, Taiwan.,Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung City 40201, Taiwan
| | - Yi-Ching Liaw
- Graduate School of Frontier Sciences, University of Tokyo, Tokyo, Japan
| | - Chuan-Fa Hsieh
- Department of Medical Education, Research & Quality Management, Landseed International Hospital, Taoyuan City 324, Taiwan.,College of Health Sciences & Technology, National Central University, Taoyuan City 32001, Taiwan
| | - Yung-Po Liaw
- Department of Public Health and Institute of Public Health, Chung Shan Medical University, Taichung City 40201, Taiwan.,Department of Medical Imaging, Chung Shan Medical University Hospital, Taichung City 40201, Taiwan
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