Association of functional disability with cardiometabolic disease status in a national cohort study
Background: Cardiometabolic disease (CMD) status increases the risk of functional disability; however, the reverse relationship remains unclear. This study aimed to examine the impact of different patterns of functional disability on CMD status among Chinese middle-aged and older adults. Methods: We...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-07-01
|
| Series: | Experimental Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0531556525001007 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849688787065503744 |
|---|---|
| author | Ping Ni Fang Wang Li Liu Meiling Ge Xiuying Hu |
| author_facet | Ping Ni Fang Wang Li Liu Meiling Ge Xiuying Hu |
| author_sort | Ping Ni |
| collection | DOAJ |
| description | Background: Cardiometabolic disease (CMD) status increases the risk of functional disability; however, the reverse relationship remains unclear. This study aimed to examine the impact of different patterns of functional disability on CMD status among Chinese middle-aged and older adults. Methods: We used data from two waves of the China Health and Retirement Longitudinal Study. Functional disability was assessed based on activities of daily living (ADL) and instrumental activities of daily living (IADL), while CMD status was evaluated based on the incidence of diabetes, heart disease, and stroke. Generalized ordinal logistic regression analysis was employed to investigate the impact of functional disability on CMD status. Results: In the longitudinal study, 509 individuals (20.0 %) developed CMD, and 102 individuals (4.0 %) developed cardiometabolic multimorbidity. After adjusting for confounders, Model 1 showed an odds ratio of 1.64 (95 % CI: 1.17, 2.29) for increased CMD status in individuals with ADL and IADL disability compared to those without functional disability. Model 2 and Model 3 produced similar results. Conclusions: Functional disability, particularly ADL and IADL disability, increases the risk of CMD status in Chinese middle-aged and older adults. Measures should be implemented to maintain functional status in middle-aged and older adults. |
| format | Article |
| id | doaj-art-3bf6eba42f6d4cac94186fcff9a95865 |
| institution | DOAJ |
| issn | 1873-6815 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj-art-3bf6eba42f6d4cac94186fcff9a958652025-08-20T03:21:51ZengElsevierExperimental Gerontology1873-68152025-07-0120611277110.1016/j.exger.2025.112771Association of functional disability with cardiometabolic disease status in a national cohort studyPing Ni0Fang Wang1Li Liu2Meiling Ge3Xiuying Hu4Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaInnovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaInnovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, ChinaNational Clinical Research Center for Geriatrics and Department of Geriatrics, West China Hospital, Sichuan University, Chengdu, ChinaInnovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China; Corresponding author at: Innovation Center of Nursing Research and Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, No.37 Guoxue Alley, Chengdu, Sichuan 610041, China.Background: Cardiometabolic disease (CMD) status increases the risk of functional disability; however, the reverse relationship remains unclear. This study aimed to examine the impact of different patterns of functional disability on CMD status among Chinese middle-aged and older adults. Methods: We used data from two waves of the China Health and Retirement Longitudinal Study. Functional disability was assessed based on activities of daily living (ADL) and instrumental activities of daily living (IADL), while CMD status was evaluated based on the incidence of diabetes, heart disease, and stroke. Generalized ordinal logistic regression analysis was employed to investigate the impact of functional disability on CMD status. Results: In the longitudinal study, 509 individuals (20.0 %) developed CMD, and 102 individuals (4.0 %) developed cardiometabolic multimorbidity. After adjusting for confounders, Model 1 showed an odds ratio of 1.64 (95 % CI: 1.17, 2.29) for increased CMD status in individuals with ADL and IADL disability compared to those without functional disability. Model 2 and Model 3 produced similar results. Conclusions: Functional disability, particularly ADL and IADL disability, increases the risk of CMD status in Chinese middle-aged and older adults. Measures should be implemented to maintain functional status in middle-aged and older adults.http://www.sciencedirect.com/science/article/pii/S0531556525001007Functional disabilityCardiometabolic diseaseCardiometabolic multimorbidityCHARLSLongitudinal study |
| spellingShingle | Ping Ni Fang Wang Li Liu Meiling Ge Xiuying Hu Association of functional disability with cardiometabolic disease status in a national cohort study Experimental Gerontology Functional disability Cardiometabolic disease Cardiometabolic multimorbidity CHARLS Longitudinal study |
| title | Association of functional disability with cardiometabolic disease status in a national cohort study |
| title_full | Association of functional disability with cardiometabolic disease status in a national cohort study |
| title_fullStr | Association of functional disability with cardiometabolic disease status in a national cohort study |
| title_full_unstemmed | Association of functional disability with cardiometabolic disease status in a national cohort study |
| title_short | Association of functional disability with cardiometabolic disease status in a national cohort study |
| title_sort | association of functional disability with cardiometabolic disease status in a national cohort study |
| topic | Functional disability Cardiometabolic disease Cardiometabolic multimorbidity CHARLS Longitudinal study |
| url | http://www.sciencedirect.com/science/article/pii/S0531556525001007 |
| work_keys_str_mv | AT pingni associationoffunctionaldisabilitywithcardiometabolicdiseasestatusinanationalcohortstudy AT fangwang associationoffunctionaldisabilitywithcardiometabolicdiseasestatusinanationalcohortstudy AT liliu associationoffunctionaldisabilitywithcardiometabolicdiseasestatusinanationalcohortstudy AT meilingge associationoffunctionaldisabilitywithcardiometabolicdiseasestatusinanationalcohortstudy AT xiuyinghu associationoffunctionaldisabilitywithcardiometabolicdiseasestatusinanationalcohortstudy |