Changes in physical functioning among men and women aged 50–79 years in Germany: an analysis of National Health Interview and Examination Surveys, 1997–1999 and 2008–2011

Buttery, Amanda K.; Du, Yong; Busch, Markus; Fuchs, Judith; Gaertner, Beate; Knopf, Hildtraud; Scheidt‐Nave, Christa

doi:10.1186/s12877-016-0377-0

Cited by 15 publications

(10 citation statements)

References 52 publications

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“…Consistent with previous studies in middle-aged and older adults in Denmark and Russia [ 43 ], and Germany [ 44 ] using SF-36 physical functioning subscale, the results in this study also showed that women reported poorer physical function than men. The sex difference was most obvious in ALEF with a mean score difference of 4.5.…”

Section: Discussionsupporting

confidence: 92%

Sex differences in associations between multimorbidity and physical function domains among community-dwelling adults in Singapore

Yap

Heng

2018

PLoS ONE

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ObjectivesThe aims of the study were to identify the associations between multimorbidity and specific physical function domains among community-dwelling adults in Singapore, and to examine sex differences in the associations.MethodsThis study was conducted using baseline data of 1,940 participants in the Population Health Index Survey conducted in the Central Region of Singapore from November 2015 to November 2016. Physical function was assessed using the Function Component of the Late-life Function and Disability Instrument and compared between men and women. Multiple linear regressions were conducted to examine associations between multimorbidity and different physical function domains for all participants, and in men and women separately.ResultsThe prevalence of multimorbidity in the study population was 35.0% for adults aged 21 years and above, with no differences between men and women. Multimorbidity was associated with reduced upper extremity function, basic and advanced lower extremity function, and overall function in men and women after adjusting for demographic factors. Multimorbidity had a stronger association with advanced lower extremity function and overall physical function in women than in men.ConclusionsThe findings of this study indicate that multimorbidity is associated with physical function domains in men and women, and in particular advanced lower extremity for women. Effective community-based interventions need to be implemented to preserve physical function in individuals with multimorbidity to keep them functionally independent and physically active in the community. Additional focus on advanced lower extremity function for women is needed.

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Section: Discussionsupporting

confidence: 92%

Sex differences in associations between multimorbidity and physical function domains among community-dwelling adults in Singapore

Yap

Heng

2018

PLoS ONE

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“…The former is likely due to the older age profile of this group, as previous large studies have shown decreasing SFPF scores with increasing age, especially in the female population, which formed the majority of our study population. 3,10 The latter may be attributed to second toe metatarsalgia. All groups demonstrated improvements at 2 years postoperatively to surpass their preoperative scores.…”

Section: Discussionmentioning

confidence: 99%

Effect of Severity of Deformity on Clinical Outcomes of Scarf Osteotomies

et al. 2020

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Background: Literature is sparse on whether severity of hallux valgus affects outcomes of surgery. We thus aimed to evaluate the impact of hallux valgus severity on the clinical outcomes of surgery. Methods: 83 consecutive scarf osteotomies performed by a single surgeon for symptomatic hallux valgus between 2007 and 2011 were divided into 3 groups (mild, moderate, and severe) based on severity of their preoperative hallux valgus using the hallux valgus and intermetatarsal angles. Outcomes were assessed using the visual analog scale (VAS) for pain, 36-Item Short Form Health Survey physical functioning (SFPF) and mental health (SFMH) subscales, and American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot scores. These were assessed preoperatively and at 6 months and 2 years postoperatively. Patient satisfaction was assessed at 6 months and 2 years postoperatively. Eleven (13.2%), 54 (65.1%), and 18 (21.7%) feet were in the mild, moderate, and severe groups, respectively. Results: There was no difference in preoperative VAS, SFPF, SFMH and AOFAS scores between the groups except for AOFAS scores for the second toe, which were poorer with increasing hallux valgus. Postoperatively, there was improvement across all outcome scores. VAS and AOFAS showed excellent scores, and patient satisfaction was high across all 3 groups (88.9%, 89.4%, and 86.7%). The severe group had slightly lower SFPF scores at 6 months (mild, 81.1; moderate, 84.0; severe, 74.3; P = .031) and 2 years postoperatively (mild, 93.4; moderate, 89.7; severe, 76.4; P = .005), and slightly poorer second toe scores for VAS (mild, 0.0; moderate, 0.1; severe, 1.2; P = .017) and AOFAS (mild, 94.7; moderate, 93.5; severe, 83.4; P = .043) at 2 years postoperatively. All other scores including patient satisfaction showed no between-group differences. Complication and revision rates between the groups were similar. Conclusion: Surgery for symptomatic hallux valgus lead to excellent outcomes and high patient satisfaction regardless of severity of deformity. Level of Evidence: Level III, comparative series.

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“…The mean age varied between 36 years and 75 years old. Thirty-seven studies were conducted in HICs (5 in Australia, 20–24 4 in Canada, 25–28 4 in Spain, 29–32 3 in Germany, 33–35 3 in Portugal, 36–38 3 in the United Kingdom, 39–41 3 in Hong Kong, 42–44 2 in Singapore, 45,46 2 in the United States 47,48 and 1 each in Cyprus, 49 Czech Republic, 29 Denmark, 50 Estonia, 29 Finland, 30 France, 51 Hungary, 29 Latvia, 29 Poland, 30 Ireland, 52 South Korea, 53 the Netherlands, 54 Sweden 55 and Switzerland 56 ) and 35 in LMICs (9 in China, 30,57–64 8 in India, 30,65–71 10 in Brazil, 29,72…”

Section: Resultsmentioning

confidence: 99%

Prevalence of multimorbidity in community settings: A systematic review and meta-analysis of observational studies

et al. 2019

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Background: With ageing world populations, multimorbidity (presence of two or more chronic diseases in the same individual) becomes a major concern in public health. Although multimorbidity is associated with age, its prevalence varies. This systematic review aimed to summarise and meta-analyse the prevalence of multimorbidity in high, low- and middle-income countries (HICs and LMICs). Methods: Studies were identified by searching electronic databases (Medline, Embase, PsycINFO, Global Health, Web of Science and Cochrane Library). The term ‘multimorbidity’ and its various spellings were used, alongside ‘prevalence’ or ‘epidemiology’. Quality assessment employed the Newcastle-Ottawa scale. Overall and stratified analyses according to multimorbidity operational definitions, HICs/LMICs status, gender and age were performed. A random-effects model for meta-analysis was used. Results: Seventy community-based studies (conducted in 18 HICs and 31 LMICs) were included in the final sample. Sample sizes ranged from 264 to 162,464. The overall pooled prevalence of multimorbidity was 33.1% (95% confidence interval (CI): 30.0–36.3%). There was a considerable difference in the pooled estimates between HICs and LMICs, with prevalence being 37.9% (95% CI: 32.5–43.4%) and 29.7% (26.4–33.0%), respectively. Heterogeneity across studies was high for both overall and stratified analyses ( I 2 > 99%). A sensitivity analysis showed that none of the reviewed studies skewed the overall pooled estimates. Conclusion: A large proportion of the global population, especially those aged 65+, is affected by multimorbidity. To allow accurate estimations of disease burden, and effective disease management and resources distribution, a standardised operationalisation of multimorbidity is needed.

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Changes in physical functioning among men and women aged 50–79 years in Germany: an analysis of National Health Interview and Examination Surveys, 1997–1999 and 2008–2011

Cited by 15 publications

References 52 publications

Sex differences in associations between multimorbidity and physical function domains among community-dwelling adults in Singapore

Sex differences in associations between multimorbidity and physical function domains among community-dwelling adults in Singapore

Effect of Severity of Deformity on Clinical Outcomes of Scarf Osteotomies

Prevalence of multimorbidity in community settings: A systematic review and meta-analysis of observational studies

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