Journal of Epidemiology and Global Health

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Volume 8, Issue 1-2, December 2018, Pages 82 - 90

Factors Associated with Functional Disability Among Lebanese Elderly Living in Rural Areas: Role of Polypharmacy, Alcohol Consumption, and Nutrition-based on the Aging and Malnutrition in Elderly Lebanese (AMEL) Study

Authors
Elias Zgheib1, Elsy Ramia2, Souheil Hallit3, 4, 5, *, Christa Boulos6, Pascale Salameh1, 5, 7
1Faculty of Pharmacy, Lebanese University, Beirut, Lebanon
2School of Pharmacy, Lebanese American University, Byblos, Lebanon
3Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon
4Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon
5INSPECT-LB: Institut National de Sante Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon
6Department of nutrition, Faculty of Pharmacy, Saint Joseph University, Beirut, Lebanon
7Faculty of Medicine, Lebanese University, Beirut, Lebanon
*Corresponding author. Email: souheilhallit@hotmail.com
Corresponding Author
Souheil Hallit
Received 15 October 2017, Accepted 8 August 2018, Available Online 31 December 2018.
DOI
10.2991/j.jegh.2018.08.002How to use a DOI?
Keywords
Activities of daily living; disability; elderly; functional status; polypharmacy
Abstract

The objective is to describe disability risk factors in Lebanese elderly living in rural settings, focusing on the role of polypharmacy, alcohol consumption, and nutrition. The Aging and Malnutrition in Elderly Lebanese study, a cross-sectional population-based one (April 2011–April 2012), included 1200 individuals aged ≥65 years from 24 Lebanese rural districts. The results showed that 288 (24%) were disabled and 287 (23.9%) exposed to polypharmacy. More disabled participants were found among patients exposed to polypharmacy (40.8%) than those who were not (18.8%). Major classes associated with disability were “Parkinson” and “Alzheimer” medications, with “alcohol consumption” being responsible for a major interaction with medications. Chronic diseases, nutrition, and socioeconomic status also had a large effect on disability. Skin ulcer (ORa = 8.569; CI 5.330–14.823), followed by dementia (ORa = 3.667; CI 1.167–8.912), and anti-gout drugs (ORa = 3.962; CI 1.290–7.622) were found to be significantly associated with increased odds of disability the most. Many factors are associated with disability among elderly, including polypharmacy and the association of medications with alcohol. Counseling of the elderly caregivers is warranted.

Copyright
© 2018 Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license (http://creativecommons.org/licences/by-nc/4.0/).

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Journal
Journal of Epidemiology and Global Health
Volume-Issue
8 - 1-2
Pages
82 - 90
Publication Date
2018/12/31
ISSN (Online)
2210-6014
ISSN (Print)
2210-6006
DOI
10.2991/j.jegh.2018.08.002How to use a DOI?
Copyright
© 2018 Atlantis Press International B.V.
Open Access
This is an open access article under the CC BY-NC license (http://creativecommons.org/licences/by-nc/4.0/).

Cite this article

risenwbib
TY  - JOUR
AU  - Elias Zgheib
AU  - Elsy Ramia
AU  - Souheil Hallit
AU  - Christa Boulos
AU  - Pascale Salameh
PY  - 2018
DA  - 2018/12/31
TI  - Factors Associated with Functional Disability Among Lebanese Elderly Living in Rural Areas: Role of Polypharmacy, Alcohol Consumption, and Nutrition-based on the Aging and Malnutrition in Elderly Lebanese (AMEL) Study
JO  - Journal of Epidemiology and Global Health
SP  - 82
EP  - 90
VL  - 8
IS  - 1-2
SN  - 2210-6014
UR  - https://doi.org/10.2991/j.jegh.2018.08.002
DO  - 10.2991/j.jegh.2018.08.002
ID  - Zgheib2018
ER  -