What impact does osteoarthritis have on ability to self-care and receipt of care in older adults? Findings from the Hertfordshire Cohort Study
What impact does osteoarthritis have on ability to self-care and receipt of care in older adults? Findings from the Hertfordshire Cohort Study
Objectives: living independently remains the aim of older adults, but musculoskeletal conditions and frailty may hamper this. We examined relationships between osteoarthritis with ability to self-care and access to formal/informal care among community-dwelling older adults, comparing results to relationships between other musculoskeletal conditions of ageing (frailty, sarcopenia, osteoporosis) and these outcomes.
Design: data from the Hertfordshire Cohort Study were used. Osteoarthritis (hand, hip or knee) was defined by clinical examination. Osteoporosis was assessed using dual-energy X-ray absorptiometry and medication use. Sarcopenia was assessed using EWSGOP2 criteria, frailty using Fried criteria. Ability to self-care and access to formal/informal care were self-reported.
Results: 443 men and women aged approximately 75 years participated. Osteoarthritis was reported by 26.8% participants; 11.8% had low grip strength; 21.4% had osteoporosis; 8.6% had sarcopenia; 7.6% were identified as frail. Most participants (90.7%) reported no problems with self-care, but more than one-fifth (21.4%) reported having received formal or informal care at home in the previous year. Odds of reporting difficulties with self-care were significantly greater (p < 0.05) for participants with osteoarthritis and for those with frailty, but not for those with osteoporosis or sarcopenia. Odds of receiving care at home in the past year were significantly greater among participants with osteoarthritis and among those with frailty, but not among those with osteoporosis or sarcopenia.
Conclusions: frailty and osteoarthritis were associated with both difficulties with self-care and receipt of care; osteoporosis and sarcopenia were not. These results highlight the contribution of clinical osteoarthritis to ability to live independently in later life, and the need to actively manage the condition in older adults.
Bevilacqua, Gregorio
e93e3b18-7d1e-4da5-9fcd-e6b4637e1c2e
Laskou, Faidra
3959d6e2-ccfa-4d97-8311-16f27b893365
Patel, Harnish P.
514aba46-4dc9-4011-b393-ce83c6206754
Westbury, Leo D.
5ed45df3-3df7-4bf9-bbad-07b63cd4b281
Fuggle, Nicholas R.
9ab0c81a-ac67-41c4-8860-23e0fdb1a900
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Dennison, Elaine M.
ee647287-edb4-4392-8361-e59fd505b1d1
23 September 2022
Bevilacqua, Gregorio
e93e3b18-7d1e-4da5-9fcd-e6b4637e1c2e
Laskou, Faidra
3959d6e2-ccfa-4d97-8311-16f27b893365
Patel, Harnish P.
514aba46-4dc9-4011-b393-ce83c6206754
Westbury, Leo D.
5ed45df3-3df7-4bf9-bbad-07b63cd4b281
Fuggle, Nicholas R.
9ab0c81a-ac67-41c4-8860-23e0fdb1a900
Cooper, Cyrus
e05f5612-b493-4273-9b71-9e0ce32bdad6
Dennison, Elaine M.
ee647287-edb4-4392-8361-e59fd505b1d1
Bevilacqua, Gregorio, Laskou, Faidra, Patel, Harnish P., Westbury, Leo D., Fuggle, Nicholas R., Cooper, Cyrus and Dennison, Elaine M.
(2022)
What impact does osteoarthritis have on ability to self-care and receipt of care in older adults? Findings from the Hertfordshire Cohort Study.
Osteoarthritis and Cartilage Open, 4 (4), [100310].
(doi:10.1016/j.ocarto.2022.100310).
Abstract
Objectives: living independently remains the aim of older adults, but musculoskeletal conditions and frailty may hamper this. We examined relationships between osteoarthritis with ability to self-care and access to formal/informal care among community-dwelling older adults, comparing results to relationships between other musculoskeletal conditions of ageing (frailty, sarcopenia, osteoporosis) and these outcomes.
Design: data from the Hertfordshire Cohort Study were used. Osteoarthritis (hand, hip or knee) was defined by clinical examination. Osteoporosis was assessed using dual-energy X-ray absorptiometry and medication use. Sarcopenia was assessed using EWSGOP2 criteria, frailty using Fried criteria. Ability to self-care and access to formal/informal care were self-reported.
Results: 443 men and women aged approximately 75 years participated. Osteoarthritis was reported by 26.8% participants; 11.8% had low grip strength; 21.4% had osteoporosis; 8.6% had sarcopenia; 7.6% were identified as frail. Most participants (90.7%) reported no problems with self-care, but more than one-fifth (21.4%) reported having received formal or informal care at home in the previous year. Odds of reporting difficulties with self-care were significantly greater (p < 0.05) for participants with osteoarthritis and for those with frailty, but not for those with osteoporosis or sarcopenia. Odds of receiving care at home in the past year were significantly greater among participants with osteoarthritis and among those with frailty, but not among those with osteoporosis or sarcopenia.
Conclusions: frailty and osteoarthritis were associated with both difficulties with self-care and receipt of care; osteoporosis and sarcopenia were not. These results highlight the contribution of clinical osteoarthritis to ability to live independently in later life, and the need to actively manage the condition in older adults.
Text
1-s2.0-S2665913122000784-main
- Version of Record
More information
Accepted/In Press date: 28 August 2022
e-pub ahead of print date: 9 September 2022
Published date: 23 September 2022
Identifiers
Local EPrints ID: 485205
URI: http://eprints.soton.ac.uk/id/eprint/485205
ISSN: 2665-9131
PURE UUID: 22eab1db-230a-4674-9393-874a6c7cae13
Catalogue record
Date deposited: 01 Dec 2023 17:37
Last modified: 18 Mar 2024 03:49
Export record
Altmetrics
Contributors
Author:
Gregorio Bevilacqua
Author:
Faidra Laskou
Author:
Harnish P. Patel
Download statistics
Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.
View more statistics