People with multiple diseases have faster brain decline
A new research has found that multi-morbidity scores can help doctors understand their patients' overall prognosis and can help researchers identify risks
faced by people with multiple chronic illnesses such as arthritis, diabetes or heart disease.
In fact, the study shows that people with higher multi-morbidity weighted index or MWI scores had a much faster decline in their thinking, and memory abilities than those with lower scores.
Even though most of the chronic conditions included in the index have no direct relationship to brain health, the higher a person's score, the faster they declined over a 140year period in their ability to recall words and do simple math.
Also, the study revealed that people with higher scores were no than twice as likely to die by suicide as those with lower scores and that they had the worse mental health related quality of life in general.
Assessing the total impact of a person's health conditions is important because 80% adults over the age of 65 have more than one conditions, and 53 % of all adults have more than one, says the researcher.
The research that they have done on the impacts of high MWI scores across groups of patients could also help guide care.
For instance, the finding that suicide risk rose sharply as MWI score rose could help clinicians think about which patients might be most in need of depression and suicide screening. As patients develop more conditions with age, physicians may want to monitor their mental health more closely, and offer appropriate lifestyle advice and treatment,
As clinicians, we're more likely to added suicide risk in people with known depression or other mental health or substance use issues, bit we may not automatically consider that those with more physical conditions only could also be at higher risk, he said.
Multi morbidity has several downstream consequences. Physical impairments are just the beginning. As conditions accumulate and physical functioning deteriorates, we've found this is closely linked to worse mental health, social health and eventually premature mortality.
Using scores clinically could also help providers ensure that patients with high scores receive care management services or other support to help them live their best life and keen on top of the tests, treatments and lifestyle changes that can help them do so.
faced by people with multiple chronic illnesses such as arthritis, diabetes or heart disease.
In fact, the study shows that people with higher multi-morbidity weighted index or MWI scores had a much faster decline in their thinking, and memory abilities than those with lower scores.
Even though most of the chronic conditions included in the index have no direct relationship to brain health, the higher a person's score, the faster they declined over a 140year period in their ability to recall words and do simple math.
Also, the study revealed that people with higher scores were no than twice as likely to die by suicide as those with lower scores and that they had the worse mental health related quality of life in general.
Assessing the total impact of a person's health conditions is important because 80% adults over the age of 65 have more than one conditions, and 53 % of all adults have more than one, says the researcher.
The research that they have done on the impacts of high MWI scores across groups of patients could also help guide care.
For instance, the finding that suicide risk rose sharply as MWI score rose could help clinicians think about which patients might be most in need of depression and suicide screening. As patients develop more conditions with age, physicians may want to monitor their mental health more closely, and offer appropriate lifestyle advice and treatment,
As clinicians, we're more likely to added suicide risk in people with known depression or other mental health or substance use issues, bit we may not automatically consider that those with more physical conditions only could also be at higher risk, he said.
Multi morbidity has several downstream consequences. Physical impairments are just the beginning. As conditions accumulate and physical functioning deteriorates, we've found this is closely linked to worse mental health, social health and eventually premature mortality.
Using scores clinically could also help providers ensure that patients with high scores receive care management services or other support to help them live their best life and keen on top of the tests, treatments and lifestyle changes that can help them do so.
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Labels: brain decline, faster, lifestyle changes, multi-morbidity, multiple diseases
posted by G S Iyer at 11:38 AM
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