Activity limitation chronic disease and comorbid

Authors: Lela R McKnightEily Laurie D ElamEvans Tara W Strine Matthew M Zack Geraldine S Perry Letitia PresleyCantrell Valerie J Edwards Janet B Croft

Publish Date: 2009/05/07

Volume: 54, Issue: 1, Pages: 111-119

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Abstract

This study examines the prevalence of selfreported activity limitation from poor physical or mental health in the past 30 days among a sample of noninstitutionalized US adults The associations between frequent activity limitation chronic diseases and comorbid serious psychological distress SPD were also examined2007 Behavioral Risk Factor Surveillance System BRFSS data were used to generate prevalence estimates of days of selfreported activity limitation in the past 30 days i e 0 days 1–13 days 14–29 days 30 days and 14 or more days by selected sociodemographic characteristics chronic disease conditions i e lifetime diagnosis of diabetes hypertension coronary heart disease stroke asthma and comorbid serious psychological distress Multivariate logistic regression analysis was used to generate adjusted odds ratios of frequent activity limitation 14–30 days in the past 30 days among persons with selected chronic disease conditions and among those with comorbid serious psychological distressA total of 21 of adults reported activity limitation for at least 1 day in the past 30 days 66 reported 14 or more days and 34 reported all 30 days Comorbid serious psychological distress was significantly associated with reported frequent activity limitation among persons who also reported a lifetime diagnosis of selected chronic diseases Furthermore in multivariate models adjusted for sociodemographic variables and the presence of the other chronic conditions adults with comorbid lifetime diagnosis of a selected chronic disease and serious psychological distress were significantly more likely to report 14 or more days of activity limitation than those with only a lifetime diagnosis of a chronic conditionPhysicians should proactively screen and effectively treat cooccurring mental conditions in patients with chronic diseases who report frequent days of activity limitation because serious psychological distress may contribute to their level of impairment

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