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Latent Class Analysis of Multimorbidity Patterns and Associated Functional Outcomes Amongst Elderly Aged 60 Years and Above.

Aim: Multiple comorbidities are common amongst the elderly due to shared underlying factors. We used latent class analysis (LCA) to explore the of multimorbidities amongst the elderly and their association with self‐rating of health, life satisfaction, limitations in daily activities and depressive...

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Published in:Psychogeriatrics Vol. 25; no. 5; pp. 1 - 12
Main Authors: Tripathy, Jaya Prasad, Yedhu, S.
Format: research tables/charts Journal Article
Published: Wiley-Blackwell Sep2025
Online Access:View this record in EBSCOhost
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      dt: Sep2025
      vid: 25
      iid: 5
      pid: 480
      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1111/psyg.70084
        187949555
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        atl: Latent Class Analysis of Multimorbidity Patterns and Associated Functional Outcomes Amongst Elderly Aged 60 Years and Above.
      aug:
        au:
          Tripathy, Jaya Prasad
          Yedhu, S.
        affil: Department of Community Medicine, All India Institute of Medical Sciences, Nagpur, India
      sug:
        subj:
          Comorbidity In Middle Age
          Self Report In Old Age
          Health Status
          Personal Satisfaction
          Activities of Daily Living
          Depression
          Functional Status
          Human
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Structural Equation Modeling
          Surveys
          Sociodemographic Factors
          Hypertension
          Diabetes Mellitus
          Sex Factors
          Age Factors
          Residence Characteristics
          Educational Status
          Tobacco
          Alcohol Drinking
          Smoking
          Physical Activity
          Yoga
          Chronic Disease
          Geriatric Functional Assessment
          Questionnaires
          Anthropometry
          Rural Areas
          Odds Ratio
          Confidence Intervals
          Geographic Factors
          Insurance Coverage
          Cross Sectional Studies
          Body Mass Index
          Data Analysis Software
          Chi Square Test
          Multivariate Analysis
          Logistic Regression
          Marital Status
          Scales
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Aim: Multiple comorbidities are common amongst the elderly due to shared underlying factors. We used latent class analysis (LCA) to explore the of multimorbidities amongst the elderly and their association with self‐rating of health, life satisfaction, limitations in daily activities and depressive symptoms. Methods: We utilised a subset of nationally representative survey data from the Longitudinal Aging Survey of India 2017–2018 covering elderly >= 60 years of age. LCA was used to examine patterns of 11 chronic morbidities. Classes were compared across socio‐demographic and behavioural characteristics. Various model fit statistics (Akaike, Bayesian and sample size adjusted Bayesian information criteria, likelihood ratio tests and entropy) and the meaningfulness of the classes were used to select the number of latent classes. Results: Four distinct latent classes were identified: 'Hypertension/Lung/Bone/Others', 'Cardio‐metabolic', 'Hypertension‐Diabetes' and the 'Healthy class'. There were significant differences between classes on socio‐demographics (age, sex, residence, education, wealth quintile) and behaviours (tobacco, alcohol, physical activity, yoga). 'Hypertension/Lung/Bone/Others' class was significantly associated with limitations in ADLs, limitations in IADLs and depressive symptoms compared to the 'healthy class'. 'Cardio‐metabolic' class had significantly higher rates of hospital admission in the last 12 months. Conclusions: Elderly could be grouped into four distinct classes based on their multimorbidity status. The single‐disease paradigm does not fit the approach for caring for patients with multimorbid conditions. Care of multimorbid elderly individuals needs an integrated and continuity of care approach.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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