The impact of co-morbidity on the quality of life of people with dementia: findings from the IDEAL study - PubMed (original) (raw)
. 2019 May 1;48(3):361-367.
doi: 10.1093/ageing/afy155.
Yu-Tzu Wu 1 2, Fiona E Matthews 3, Anthony Martyr 1, Catherine Quinn 1, Isla Rippon 4, Jennifer Rusted 5, Jeanette M Thom 6, Michael D Kopelman 7, John V Hindle 1, Roy W Jones 8, Linda Clare 1 9
Affiliations
- PMID: 30403771
- PMCID: PMC6503940
- DOI: 10.1093/ageing/afy155
The impact of co-morbidity on the quality of life of people with dementia: findings from the IDEAL study
Sharon M Nelis et al. Age Ageing. 2019.
Abstract
Background: The aim was to investigate the co-morbidity profile of people with dementia and examine the associations between severity of co-morbidity, health-related quality of life (HRQoL) and quality of life (QoL).
Methods: The improving the experience of Dementia and Enhancing Active Life (IDEAL) cohort consisted of 1,547 people diagnosed with dementia who provided information on the number and type of co-morbid conditions. Participants also provided ratings of their health-related and dementia-specific QoL.
Results: The majority of the sample were living with more than one chronic condition. Hypertension was commonly reported and frequently combined with connective tissue disease, diabetes and depression. The number of co-morbid conditions was associated with low QoL scores, and those with severe co-morbidity (≥5 conditions) showed the greatest impact on their well-being.
Conclusions: Co-morbidity is an important risk factor for poor QoL and health status in people with dementia. Greater recognition of the nature and impact of co-morbidity is needed to inform support and interventions for people with dementia and a multidisciplinary approach to care provision is recommended.
Keywords: Alzheimer’s; depression; multimorbidities; older people.
© The Author(s) 2018 Published by Oxford University Press on behalf of the British Geriatrics Society.
Figures
Figure 1
Prevalence of co-morbid conditions associated with dementia
Comment in
- Co-morbidities in dementia: time to focus more on assessing and managing co-morbidities.
Subramaniam H. Subramaniam H. Age Ageing. 2019 May 1;48(3):314-315. doi: 10.1093/ageing/afz007. Age Ageing. 2019. PMID: 31063580 No abstract available. - Comorbidity is a risk factor for poor quality of life in people with dementia.
Zhang N. Zhang N. Evid Based Nurs. 2020 Oct;23(4):105. doi: 10.1136/ebnurs-2019-103161. Epub 2019 Nov 15. Evid Based Nurs. 2020. PMID: 31732611 No abstract available.
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