Key result
Older age, multiple chronic conditions, obesity, and baseline disability significantly increased the risk of disability at 2-year follow-up among older adults with hypertension.
Why the study?
Modifiable risk factors of disability and the role of sex differences among community-dwelling older adults with hypertension in Thailand were not well understood.
Cohort (n=916)
Advanced age, multiple chronic conditions, obesity, and baseline disability are significant predictors of future ADL disability among older adults with hypertension in Thailand.
Answers are grounded in this paper and cite their sources.
May warrant closer monitoring in older hypertensives with comorbidities; leaves open whether modifying risks prevents disability.
Background Hypertension poses a serious health problem among Thai older adults which could subsequently lead to disability. However, little to no research has been conducted to understand modifiable risk factors of disability among community-dwelling older adults with hypertension in Thailand. In addition, sex is an important social determinant of health, but its role in disability among older adults with hypertension is less clear. Objectives This study focused on community-dwelling older adults with hypertension in Thailand and investigated predictors of disability and examined sex differences in the risk factors that were associated with disability in this population. Methods Longitudinal data were from the Health, Aging, and Retirement in Thailand (HART) survey (2015–2017; N = 916). The outcome variable was difficulty with the activity of daily living at follow-up. Potential risk factors included sociodemographic information, health behaviors/health status, and disability at baseline. Descriptive analysis and logistic regression analysis were employed to analyze the data. Results Most of the participants were female and between aged 60 and 69 years old. Being in an older age group (OR = 1.78, 95% CI: 1.07–2.97, p < 0.05), having more chronic conditions (OR = 1.38, 95% CI: 1.10–1.73, p < 0.01), experiencing obesity (OR = 2.02, 95% CI: 1.11–3.69, p < 0.05), and having disability at baseline (OR = 2.42, 95% CI: 1.09–5.37, p < 0.05) significantly predicted disability at 2 year follow-up among community-dwelling Thai older adults with hypertension. The effects of these risk factors on disability at follow-up did not differ by sex. However, different risk factors of disability were observed across sexes. Conclusion The situations of disability among older adults with hypertension in Thailand are likely to aggravate due to the rapid aging of the population. Our analysis provided useful information regarding significant predictors of disability and sex-specific risk factors of disability. Tailored promotion and prevention programs should be readily available to prevent disability among community-dwelling older adults with hypertension in Thailand.
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Wongsin et al. (2023) conducted a cohort in Hypertension (n=916). Older age (≥80 years) vs. Age 60-69 years was evaluated on Disability at 2-year follow-up (OR 1.78, 95% CI 1.07-2.97, p=<0.05). Older age, multiple chronic conditions, obesity, and baseline disability significantly increased the risk of disability at 2-year follow-up among older adults with hypertension.
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