Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area
BackgroundThe association between lifestyles and the co-occurrence of physical, psychological, and cognitive conditions in older adults living with diabetes, especially in rural settings, remains unclear. This study investigated the prevalence of co-morbidity and their association with lifestyle in...
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Frontiers Media S.A.
2025-07-01
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1576697/full |
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| author | Minfu Bai Yudong Miao Jingming Wei Zhanlei Shen Dongfang Zhu Jingbao Zhang Junwen Bai Ruizhe Ren Dan Guo Dan Guo Clifford Silver Tarimo Clifford Silver Tarimo Jiajia Zhang Jinxin Cui Xinran Li Wenyong Dong Qiuping Zhao Mingyue Zhen |
| author_facet | Minfu Bai Yudong Miao Jingming Wei Zhanlei Shen Dongfang Zhu Jingbao Zhang Junwen Bai Ruizhe Ren Dan Guo Dan Guo Clifford Silver Tarimo Clifford Silver Tarimo Jiajia Zhang Jinxin Cui Xinran Li Wenyong Dong Qiuping Zhao Mingyue Zhen |
| author_sort | Minfu Bai |
| collection | DOAJ |
| description | BackgroundThe association between lifestyles and the co-occurrence of physical, psychological, and cognitive conditions in older adults living with diabetes, especially in rural settings, remains unclear. This study investigated the prevalence of co-morbidity and their association with lifestyle in a rural population of older adults with diabetes.MethodsFrom 1st July to 31 August 2023, a cross-sectional study based on the whole cluster sampling method was conducted in Jia County, Henan Province, China. Participants included adults aged ≥65 years. Lifestyle factors assessed included physical activity, diet, smoking, sleep, and social participation. Physical disease was defined as the presence of one or more chronic conditions, while psychological and cognitive disorders were measured using validated scales. Co-morbidity refers to the occurrence of physical, psychological, cognitive diseases. Depending on the number of diseases, we define different comorbidity status. The subgroups of subdivision included eight categories: no co-morbidity, physical co-morbidity, psychological co-morbidity, cognitive co-morbidity, and their four combinations. Logistic regression models were employed to estimate the association between lifestyles and co-morbidity. The net difference in lifestyle between co-morbidity categories was determined using the propensity score matching (PSM).ResultsAmong 6057 participants, the overall prevalence of physical, psychological, and cognitive co-morbidity was 86.08%. Regular physical activity, adequate sleep, healthy diet, and active social participation were associated with lower prevalence of co-morbidity. A one-unit increase in the lifestyle score was associated with a 34% (OR: 0.66, 95%CI: 0.61–0.72) reduction in the odds of physical-psychological-cognitive co-morbidity. PSM analyses showed significant differences in lifestyle factors and scores across different co-morbidity status.ConclusionGiven the higher prevalence of co-morbidity in rural area and the positive association of lifestyle with co-morbidity status, multifactorial lifestyle interventions should be prioritized within diabetic populations to reduce the risk and burden of co-occurring conditions. |
| format | Article |
| id | doaj-art-45c80dd7b71e4b98ad87e1a90a735d3b |
| institution | Matheson Library |
| issn | 2296-2565 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Public Health |
| spelling | doaj-art-45c80dd7b71e4b98ad87e1a90a735d3b2025-07-16T16:15:45ZengFrontiers Media S.A.Frontiers in Public Health2296-25652025-07-011310.3389/fpubh.2025.15766971576697Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural areaMinfu Bai0Yudong Miao1Jingming Wei2Zhanlei Shen3Dongfang Zhu4Jingbao Zhang5Junwen Bai6Ruizhe Ren7Dan Guo8Dan Guo9Clifford Silver Tarimo10Clifford Silver Tarimo11Jiajia Zhang12Jinxin Cui13Xinran Li14Wenyong Dong15Qiuping Zhao16Mingyue Zhen17Hypertension Department, Fuwai Central China Cardiovascular Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaInstitute of Mental Health, Peking University Sixth Hospital, Beijing, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Neurology, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Science and Laboratory Technology, Dar es Salaam Institute of Technology, Dar es Salaam, TanzaniaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaDepartment of Hypertension, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou, ChinaHenan Key Laboratory for Health Management of Chronic Diseases, Central China Fuwai Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Health Management, College of Public Health, Zhengzhou University, Zhengzhou, ChinaBackgroundThe association between lifestyles and the co-occurrence of physical, psychological, and cognitive conditions in older adults living with diabetes, especially in rural settings, remains unclear. This study investigated the prevalence of co-morbidity and their association with lifestyle in a rural population of older adults with diabetes.MethodsFrom 1st July to 31 August 2023, a cross-sectional study based on the whole cluster sampling method was conducted in Jia County, Henan Province, China. Participants included adults aged ≥65 years. Lifestyle factors assessed included physical activity, diet, smoking, sleep, and social participation. Physical disease was defined as the presence of one or more chronic conditions, while psychological and cognitive disorders were measured using validated scales. Co-morbidity refers to the occurrence of physical, psychological, cognitive diseases. Depending on the number of diseases, we define different comorbidity status. The subgroups of subdivision included eight categories: no co-morbidity, physical co-morbidity, psychological co-morbidity, cognitive co-morbidity, and their four combinations. Logistic regression models were employed to estimate the association between lifestyles and co-morbidity. The net difference in lifestyle between co-morbidity categories was determined using the propensity score matching (PSM).ResultsAmong 6057 participants, the overall prevalence of physical, psychological, and cognitive co-morbidity was 86.08%. Regular physical activity, adequate sleep, healthy diet, and active social participation were associated with lower prevalence of co-morbidity. A one-unit increase in the lifestyle score was associated with a 34% (OR: 0.66, 95%CI: 0.61–0.72) reduction in the odds of physical-psychological-cognitive co-morbidity. PSM analyses showed significant differences in lifestyle factors and scores across different co-morbidity status.ConclusionGiven the higher prevalence of co-morbidity in rural area and the positive association of lifestyle with co-morbidity status, multifactorial lifestyle interventions should be prioritized within diabetic populations to reduce the risk and burden of co-occurring conditions.https://www.frontiersin.org/articles/10.3389/fpubh.2025.1576697/fulllifestylesphysical co-morbiditypsychological co-morbiditycognitive comorbidityolder adultsdiabetes |
| spellingShingle | Minfu Bai Yudong Miao Jingming Wei Zhanlei Shen Dongfang Zhu Jingbao Zhang Junwen Bai Ruizhe Ren Dan Guo Dan Guo Clifford Silver Tarimo Clifford Silver Tarimo Jiajia Zhang Jinxin Cui Xinran Li Wenyong Dong Qiuping Zhao Mingyue Zhen Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area Frontiers in Public Health lifestyles physical co-morbidity psychological co-morbidity cognitive comorbidity older adults diabetes |
| title | Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area |
| title_full | Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area |
| title_fullStr | Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area |
| title_full_unstemmed | Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area |
| title_short | Influence of lifestyles on physical, psychological, and cognitive co-morbidity among older adults with diabetes in rural area |
| title_sort | influence of lifestyles on physical psychological and cognitive co morbidity among older adults with diabetes in rural area |
| topic | lifestyles physical co-morbidity psychological co-morbidity cognitive comorbidity older adults diabetes |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2025.1576697/full |
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