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Longitudinal Aging Study Amsterdam COVID-19 exposure index: a cross-sectional analysis of the impact of the pandemic on daily functioning of older adults.
Hoogendijk, Emiel O; Schuster, Noah A; van Tilburg, Theo G; Schaap, Laura A; Suanet, Bianca; De Breij, Sascha; Kok, Almar Al; Van Schoor, Natasja M; Timmermans, Erik J; de Jongh, Renate T; Visser, Marjolein; Huisman, Martijn.
  • Hoogendijk EO; Department of Epidemiology & Data Science, Amsterdam Public Health research institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands e.hoogendijk@amsterdamumc.nl.
  • Schuster NA; Department of Epidemiology & Data Science, Amsterdam Public Health research institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
  • van Tilburg TG; Department of Sociology, Faculty of Social Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Schaap LA; Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Suanet B; Department of Sociology, Faculty of Social Sciences, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • De Breij S; Department of Epidemiology & Data Science, Amsterdam Public Health research institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
  • Kok AA; Department of Epidemiology & Data Science, Amsterdam Public Health research institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
  • Van Schoor NM; Department of Epidemiology & Data Science, Amsterdam Public Health research institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
  • Timmermans EJ; Julius Center for Health Sciences and Primary Care, Utrecht University Medical Center, Utrecht, The Netherlands.
  • de Jongh RT; Department of Internal Medicine, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
  • Visser M; Department of Health Sciences, Faculty of Science, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Huisman M; Department of Epidemiology & Data Science, Amsterdam Public Health research institute, Amsterdam UMC, Location VUmc, Amsterdam, The Netherlands.
BMJ Open ; 12(11): e061745, 2022 11 02.
Article in English | MEDLINE | ID: covidwho-2097983
ABSTRACT

OBJECTIVES:

The aim of this study was to develop an index to measure older adults' exposure to the COVID-19 pandemic and to study its association with various domains of functioning.

DESIGN:

Cross-sectional study.

SETTING:

The Longitudinal Aging Study Amsterdam (LASA), a cohort study in the Netherlands.

PARTICIPANTS:

Community-dwelling older adults aged 62-102 years (n=1089) who participated in the LASA COVID-19 study (June-September 2020), just after the first wave of the pandemic. PRIMARY OUTCOME

MEASURES:

A 35-item COVID-19 exposure index with a score ranging between 0 and 1 was developed, including items that assess the extent to which the COVID-19 situation affected daily lives of older adults. Descriptive characteristics of the index were studied, stratified by several sociodemographic factors. Logistic regression analyses were performed to study associations between the exposure index and several indicators of functioning (functional limitations, anxiety, depression and loneliness).

RESULTS:

The mean COVID-19 exposure index score was 0.20 (SD 0.10). Scores were relatively high among women and in the southern region of the Netherlands. In models adjusted for sociodemographic factors and prepandemic functioning (2018-2019), those with scores in the highest tertile of the exposure index were more likely to report functional limitations (OR 2.24; 95% CI 1.48 to 3.38), anxiety symptoms (OR 3.14; 95% CI 1.82 to 5.44), depressive symptoms (OR 2.49; 95% CI 1.55 to 4.00) and loneliness (OR 2.97; 95% CI 2.08 to 4.26) than those in the lowest tertile.

CONCLUSIONS:

Among older adults in the Netherlands, higher exposure to the COVID-19 pandemic was associated with worse functioning in the physical, mental and social domain. The newly developed exposure index may be used to identify persons for whom targeted interventions are needed to maintain or improve functioning during the pandemic or postpandemic.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Female / Humans Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2022-061745

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Cohort study / Diagnostic study / Experimental Studies / Observational study / Prognostic study / Randomized controlled trials Limits: Aged / Female / Humans Language: English Journal: BMJ Open Year: 2022 Document Type: Article Affiliation country: Bmjopen-2022-061745