Breathlessness limiting exertion in very old adults: findings from the Newcastle 85+ study.

Johnson, MJ; Pitel, L; Currow, DC; Forbes, C; Soyiri, I; Robinson, L

Breathlessness limiting exertion in very old adults: findings from the Newcastle 85+ study.

Johnson, MJ Pitel, L Currow, DC Forbes, C Soyiri, I Robinson, L

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Publisher:: Oxford University Press (OUP)
Publication Type:: Journal Article
Citation:: Age Ageing, 2023, 52, (9), pp. afad155
Issue Date:: 2023-09-01

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Field	Value	Language
dc.contributor.author	Johnson, MJ
dc.contributor.author	Pitel, L
dc.contributor.author	Currow, DC
dc.contributor.author	Forbes, C
dc.contributor.author	Soyiri, I
dc.contributor.author	Robinson, L
dc.date.accessioned	2023-09-20T03:28:10Z
dc.date.available	2023-09-20T03:28:10Z
dc.date.issued	2023-09-01
dc.identifier.citation	Age Ageing, 2023, 52, (9), pp. afad155
dc.identifier.issn	0002-0729
dc.identifier.issn	1468-2834
dc.identifier.uri	http://hdl.handle.net/10453/172212
dc.description.abstract	INTRODUCTION: Long-term breathlessness is more common with age. However, in the oldest old (>85 years), little is known about the prevalence, or impact of breathlessness. We estimated breathlessness limiting exertion prevalence and explored (i) associated characteristics; and (ii) whether breathlessness limiting exertion explains clinical and social/functional outcomes. METHODS: Health and socio-demographic characteristics were extracted from the Newcastle 85+ Study cohort. Phase 1 (baseline) and follow-up data (18 months, Phase 2; 36 months, Phase 3; 60 months, Phase 4 after baseline) were examined using descriptive statistics and cross-sectional regression models. RESULTS: Eight hundred seventeen participants provided baseline breathlessness data (38.2% men; mean 84.5 years; SD 0.4). The proportions with any limitation of exertion, or severe limitation by breathlessness were 23% (95% confidence intervals (CIs) 20-25%) and 9% (95%CIs 7-11%) at baseline; 20% (16-25%) and 5% (3-8%) at Phase 4. Having more co-morbidities (odds ratio (OR) 1.34, 1.18-1.54; P < 0.001), or self-reported respiratory (OR 1.88, 1.25-2.82; P = 0.003) or cardiovascular disease (OR 2.38, 1.58-3.58; P < 0.001) were associated with breathlessness limiting exertion. Breathlessness severely limiting exertion was associated with poorer self-rated health (OR 0.50, 029-0.86; P = 0.012), depression (beta-coefficient 0.11, P = 0.001), increased primary care contacts (beta-co-efficient 0.13, P = 0.001) and number of nights in hospital (OR 1.81; 1.02-3.20; P = 0.042). CONCLUSIONS: Breathlessness limiting exertion appears to become less prevalent over time due to death or withdrawal of participants with cardio-respiratory illness. Breathlessness severely limiting exertion had a wide range of service utilisation and wellbeing impacts.
dc.format	Print
dc.language	eng
dc.publisher	Oxford University Press (OUP)
dc.relation.ispartof	Age Ageing
dc.relation.isbasedon	10.1093/ageing/afad155
dc.rights	info:eu-repo/semantics/closedAccess
dc.subject	1103 Clinical Sciences, 1117 Public Health and Health Services, 1701 Psychology
dc.subject.classification	Geriatrics
dc.subject.classification	3202 Clinical sciences
dc.subject.classification	4203 Health services and systems
dc.subject.classification	5201 Applied and developmental psychology
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Female
dc.subject.mesh	Humans
dc.subject.mesh	Male
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Dyspnea
dc.subject.mesh	Hospitals
dc.subject.mesh	Physical Exertion
dc.subject.mesh	Humans
dc.subject.mesh	Dyspnea
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Hospitals
dc.subject.mesh	Female
dc.subject.mesh	Male
dc.subject.mesh	Physical Exertion
dc.subject.mesh	Male
dc.subject.mesh	Aged, 80 and over
dc.subject.mesh	Humans
dc.subject.mesh	Female
dc.subject.mesh	Cross-Sectional Studies
dc.subject.mesh	Physical Exertion
dc.subject.mesh	Dyspnea
dc.subject.mesh	Cardiovascular Diseases
dc.subject.mesh	Hospitals
dc.title	Breathlessness limiting exertion in very old adults: findings from the Newcastle 85+ study.
dc.type	Journal Article
utslib.citation.volume	52
utslib.location.activity	England
utslib.for	1103 Clinical Sciences
utslib.for	1117 Public Health and Health Services
utslib.for	1701 Psychology
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
utslib.copyright.status	closed_access	*
dc.date.updated	2023-09-20T03:28:08Z
pubs.issue	9
pubs.publication-status	Published
pubs.volume	52
utslib.citation.issue	9

Abstract:

INTRODUCTION: Long-term breathlessness is more common with age. However, in the oldest old (>85 years), little is known about the prevalence, or impact of breathlessness. We estimated breathlessness limiting exertion prevalence and explored (i) associated characteristics; and (ii) whether breathlessness limiting exertion explains clinical and social/functional outcomes. METHODS: Health and socio-demographic characteristics were extracted from the Newcastle 85+ Study cohort. Phase 1 (baseline) and follow-up data (18 months, Phase 2; 36 months, Phase 3; 60 months, Phase 4 after baseline) were examined using descriptive statistics and cross-sectional regression models. RESULTS: Eight hundred seventeen participants provided baseline breathlessness data (38.2% men; mean 84.5 years; SD 0.4). The proportions with any limitation of exertion, or severe limitation by breathlessness were 23% (95% confidence intervals (CIs) 20-25%) and 9% (95%CIs 7-11%) at baseline; 20% (16-25%) and 5% (3-8%) at Phase 4. Having more co-morbidities (odds ratio (OR) 1.34, 1.18-1.54; P < 0.001), or self-reported respiratory (OR 1.88, 1.25-2.82; P = 0.003) or cardiovascular disease (OR 2.38, 1.58-3.58; P < 0.001) were associated with breathlessness limiting exertion. Breathlessness severely limiting exertion was associated with poorer self-rated health (OR 0.50, 029-0.86; P = 0.012), depression (beta-coefficient 0.11, P = 0.001), increased primary care contacts (beta-co-efficient 0.13, P = 0.001) and number of nights in hospital (OR 1.81; 1.02-3.20; P = 0.042). CONCLUSIONS: Breathlessness limiting exertion appears to become less prevalent over time due to death or withdrawal of participants with cardio-respiratory illness. Breathlessness severely limiting exertion had a wide range of service utilisation and wellbeing impacts.

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http://hdl.handle.net/10453/172212