Symptom burden in community-dwelling older people: temporal trends in the Helsinki Aging Study
Open Access
- 3 July 2021
- journal article
- research article
- Published by Springer Science and Business Media LLC in Aging Clinical and Experimental Research
- Vol. 33 (11), 3065-3071
- https://doi.org/10.1007/s40520-021-01918-8
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.Keywords
Funding Information
- Päivikki ja Sakari Sohlbergin Säätiö
- Helsingin ja Uudenmaan Sairaanhoitopiiri
- Uulo Arhion Muistorahasto
- University of Helsinki including Helsinki University Central Hospital
This publication has 22 references indexed in Scilit:
- Physical and cognitive functioning of people older than 90 years: a comparison of two Danish cohorts born 10 years apartThe Lancet, 2013
- Mortality and Morbidity Trends: Is There Compression of Morbidity?The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences, 2010
- Effects of psychosocial group rehabilitation on social functioning, loneliness and well‐being of lonely, older people: randomized controlled trialJournal of Advanced Nursing, 2009
- Change in chronic disability from 1982 to 2004/2005 as measured by long-term changes in function and health in the U.S. elderly populationProceedings of the National Academy of Sciences of the United States of America, 2006
- The Failures of SuccessThe Milbank Quarterly, 2005
- Positive life orientation as a predictor of 10-year outcome in an aged populationJournal of Clinical Epidemiology, 2004
- Development of the World Health Organization WHOQOL-BREF Quality of Life AssessmentPsychological Medicine, 1998
- Prevalence of aortic valve abnormalities in the elderly: An echocardiographic study of a random population sampleJournal of the American College of Cardiology, 1993
- A new method of classifying prognostic comorbidity in longitudinal studies: Development and validationJournal of Chronic Diseases, 1987
- Aging, Natural Death, and the Compression of MorbidityThe New England Journal of Medicine, 1980