Symptom burden in community-dwelling older people : temporal trends in the Helsinki Aging Study

Show simple item record Lehti, T. E. Öhman, H. Knuutila, M. Kautiainen, H. Karppinen, H. Tilvis, R. Strandberg, T. Pitkälä, K. H. 2022-02-17T07:06:01Z 2022-02-17T07:06:01Z 2021-11
dc.identifier.citation Lehti , T E , Öhman , H , Knuutila , M , Kautiainen , H , Karppinen , H , Tilvis , R , Strandberg , T & Pitkälä , K H 2021 , ' Symptom burden in community-dwelling older people : temporal trends in the Helsinki Aging Study ' , Aging Clinical and Experimental Research , vol. 33 , no. 11 , pp. 3065-3071 .
dc.identifier.other PURE: 168064436
dc.identifier.other PURE UUID: 62689e61-0dff-482e-baec-6a846a5e3940
dc.identifier.other WOS: 000669289500002
dc.identifier.other ORCID: /0000-0001-9659-6985/work/108462831
dc.identifier.other ORCID: /0000-0001-6299-925X/work/108463564
dc.identifier.other ORCID: /0000-0002-1861-8576/work/108463629
dc.description.abstract Background Changes in older people's symptoms across recent decades have not been investigated. Aims We analyzed temporal trends in symptom burden by comparing data from independent, cross-sectional cohorts retrieved in 1989, 1999, 2009, and 2019. Furthermore, we compared the association between symptom burden and psychological wellbeing (PWB) in older men and women. Methods The Helsinki Aging Study recruited a random sample of people aged 75, 80, and 85 in 1989, and random samples aged 75, 80, 85, 90, and 95 in 1999, 2009, and 2019 (four study waves). Altogether, 6263 community-dwelling people answered the questions concerning symptoms in the questionnaire surveys. The symptoms inquired in all study waves were dizziness, back pain, joint pain, chest pain, shortness of breath, and loss of appetite. Symptom burden was calculated according to the number of symptoms and their frequency (score range: 0-6). PWB and the Charlson comorbidity index were calculated. Results Symptom burden decreased in both men and women aged 75 and 80 from 1989 to 2019. Changes in cohorts aged 85 + were nonsignificant. There was a significant difference in symptom burden between men and women in all ages with men having fewer symptoms. PWB decreased with increasing symptom burden. Men had greater PWB than women up to severe levels of symptom burden. Conclusions Symptom burden decreased from 1989 to 2019 in cohorts aged 75-80, whereas changes remained nonsignificant in cohorts aged 85 +. To our knowledge, this is the first study to examine temporal trends in symptom burden. en
dc.format.extent 7
dc.language.iso eng
dc.relation.ispartof Aging Clinical and Experimental Research
dc.rights cc_by
dc.rights.uri info:eu-repo/semantics/openAccess
dc.subject Symptom burden
dc.subject Multimorbidity
dc.subject Temporal trends
dc.subject Aged
dc.subject Psychological wellbeing
dc.subject Oldest-old
dc.subject HEALTH
dc.subject COMPRESSION
dc.subject POPULATION
dc.subject PREDICTOR
dc.subject MORBIDITY
dc.subject MORTALITY
dc.subject DEATH
dc.subject 3121 General medicine, internal medicine and other clinical medicine
dc.title Symptom burden in community-dwelling older people : temporal trends in the Helsinki Aging Study en
dc.type Article
dc.contributor.organization Department of General Practice and Primary Health Care
dc.contributor.organization Helsinki University Hospital Area
dc.contributor.organization Department of Medicine
dc.contributor.organization Geriatrian yksikkö
dc.contributor.organization University of Helsinki
dc.contributor.organization Clinicum
dc.contributor.organization HUS Internal Medicine and Rehabilitation
dc.contributor.organization Timo Strandberg / Principal Investigator
dc.contributor.organization Teachers' Academy
dc.description.reviewstatus Peer reviewed
dc.relation.issn 1594-0667
dc.rights.accesslevel openAccess
dc.type.version publishedVersion

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