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Health and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugal

dc.contributor.authorDuarte, Natália
dc.contributor.authorRodrigues, Ana Maria
dc.contributor.authorMaria Rodrigues, Ana
dc.contributor.authorBranco, Jaime
dc.contributor.authorBranco, Jaime
dc.contributor.authorCanhão, Helena
dc.contributor.authorCanhão, Helena
dc.contributor.authorHughes, Susan L
dc.contributor.authorPaúl, Constança
dc.contributor.institutionNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
dc.contributor.institutionCentro de Estudos de Doenças Crónicas (CEDOC)
dc.contributor.pblFrontiers Media
dc.date.accessioned2017-11-27T23:02:08Z
dc.date.available2017-11-27T23:02:08Z
dc.date.issued2017-11-08
dc.description.abstractObjective: This study aimed to identify independent associations of sociodemographic, functionality, physical activity, physical and mental health, and osteoarthritis (OA), among older adults. Methods: A sample of 1,645 older adults (50+ years) observed by rheumatologists, from EpiReumaPt, a population-based study was analyzed. A structured interview included sociodemographic data, chronic non-communicable disease, and physical activity. Functional ability was assessed by the Health Assessment Questionnaire Disability Index; depression and anxiety were assessed by Hospital Anxiety and Depression Scale. OA (knee OA and/or hip OA and/or hand OA) was defined after medical evaluation by rheumatologists according to expert opinion combined with the fulfillment of the American College of Rheumatology classification criteria. Results: 1,059 participants (64.9%) met the OA classification criteria. Statistically significant differences were found between persons with and without OA in all sociodemographic variables, non-communicable diseases, functional status, physical activity, depression, and anxiety. In the unadjusted logistic regression models, all variables were associated with OA. The final adjusted model explained 32% of the variance. Those who are female with higher age, have more than five comorbidities, and lower levels of function and physical activity were more likely to meet the criteria for a diagnosis of OA. Discussion: We have analyzed data from a population-based study and found that a diagnosis of OA was independently associated with age, female gender, higher number of comorbidities, physical disability, and low levels of physical activity. These results reinforce the usefulness of the development of a multidimensional assessment to design and test effective interventions for this population.en
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent7
dc.format.extent181502
dc.identifier.doi10.3389/fmed.2017.00192
dc.identifier.issn2296-858X
dc.identifier.otherPURE: 3334457
dc.identifier.otherPURE UUID: 43922073-d4d3-4a72-ba14-25b6b1e07d3f
dc.identifier.otherPubMed: 29167793
dc.identifier.otherPubMedCentral: PMC5682311
dc.identifier.otherWOS: 000414663000001
dc.identifier.otherScopus: 85055952692
dc.identifier.otherORCID: /0000-0003-1894-4870/work/67178332
dc.identifier.urihttp://hdl.handle.net/10362/25817
dc.language.isoeng
dc.peerreviewedyes
dc.subjectaging
dc.subjectcomorbidity
dc.subjectdisability
dc.subjectpredictors
dc.subjectrheumatic disease
dc.subjectwomen
dc.subjectSDG 3 - Good Health and Well-being
dc.titleHealth and Lifestyles Factors Associated With Osteoarthritis among Older Adults in Portugalen
dc.typejournal article
degois.publication.firstPage
degois.publication.lastPage
degois.publication.titleFrontiers in medicine
degois.publication.volume4
dspace.entity.typePublication
person.familyNameRodrigues
person.familyNameBranco
person.familyNameCanhão
person.givenNameAna Maria
person.givenNameJaime
person.givenNameHelena
person.identifier405554
person.identifier379800
person.identifier.ciencia-idAE18-DA10-460C
person.identifier.ciencia-idB612-E5C3-60DC
person.identifier.ciencia-id5A17-C6D9-DBC8
person.identifier.orcid0000-0003-2046-8017
person.identifier.orcid0000-0001-7024-4375
person.identifier.orcid0000-0003-1894-4870
person.identifier.ridC-9611-2018
person.identifier.scopus-author-id57189499663
person.identifier.scopus-author-id8417815400
person.identifier.scopus-author-id6602393492
rcaap.rightsopenAccess
relation.isAuthorOfPublicatione2b860b7-6a22-4bc8-a7ff-676ca22da61c
relation.isAuthorOfPublication4caea9f3-40dd-4c95-98ec-0120509287c0
relation.isAuthorOfPublicationc87f58c0-b53d-4321-9bd7-39554e6001b5
relation.isAuthorOfPublication.latestForDiscovery4caea9f3-40dd-4c95-98ec-0120509287c0

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