{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T11:42:07Z","timestamp":1753875727677,"version":"3.41.2"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T00:00:00Z","timestamp":1673308800000},"content-version":"vor","delay-in-days":9,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100008376","name":"Helsinki University Central Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008376","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Finnish Foundation for General Practice"},{"name":"the Kunnanl\u00e4\u00e4k\u00e4ri Uulo Arhio Fund"},{"DOI":"10.13039\/501100004212","name":"P\u00e4ivikki and Sakari Sohlberg Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004212","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,1,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Symptom burden causes suffering amongst older adults and is associated with healthcare visits and prognosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Aims<\/jats:title>\n                  <jats:p>We evaluated the prevalence of 10 symptoms and changes in symptom burden amongst home-dwelling older adults in 2019 and 2021 using Finnish cohort data. We analysed factors associated with symptom burden increase during follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Altogether 1,637 people aged 75+ participated in the Helsinki Ageing Study postal survey in 2019, where they reported the presence of 10 common symptoms over the past 2 weeks. Of them, 785 participated in a follow-up in 2021, where the same symptoms were queried. We compared the prevalence of various symptoms and symptom burden scores in the 2-year interval and evaluated factors associated with increased symptom burden during this time.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Of participants, 33% reported at least one daily symptom in 2019 versus 44% in 2021. Symptom burden increased by a mean ratio of 1.29 between 2019 and 2021. The most common symptoms were joint pain, back pain, urinary incontinence and fatigue. The prevalence of four symptoms increased between 2019 and 2021: joint pain, urinary incontinence, dizziness and shortness of breath. Higher age, reduced functional capacity and comorbidities were associated with higher odds of symptom burden increase during follow-up. Psychological well-being (PWB) was strongly associated with lower odds of symptom burden increase in the logistic regression model.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Symptom burden increased in our cohort aged 75+ between 2019 and 2021 before and during the COVID-19 pandemic. PWB was associated with lower odds of acquiring additional symptoms over time.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ageing\/afac317","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T17:44:36Z","timestamp":1673372676000},"source":"Crossref","is-referenced-by-count":0,"title":["Changes in symptom burden from 2019 to 2021 amongst community-dwelling older adults in Finland"],"prefix":"10.1093","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1861-8576","authenticated-orcid":false,"given":"Tuuli E","family":"Lehti","sequence":"first","affiliation":[{"name":"Helsinki University Hospital Primary Health Care Unit, , Helsinki,","place":["Finland"]},{"name":"City of Helsinki Social Services and Health Care, , Helsinki,","place":["Finland"]},{"name":"University of Helsinki Department of General Practice and Primary Health Care, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mia","family":"Knuutila","sequence":"additional","affiliation":[{"name":"Helsinki University Hospital Primary Health Care Unit, , Helsinki,","place":["Finland"]},{"name":"City of Helsinki Social Services and Health Care, , Helsinki,","place":["Finland"]},{"name":"University of Helsinki Department of General Practice and Primary Health Care, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hanna","family":"\u00d6hman","sequence":"additional","affiliation":[{"name":"University of Helsinki and Helsinki University Hospital Geriatric Medicine, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannu","family":"Kautiainen","sequence":"additional","affiliation":[{"name":"University of Helsinki Department of General Practice and Primary Health Care, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helena","family":"Karppinen","sequence":"additional","affiliation":[{"name":"University of Helsinki Department of General Practice and Primary Health Care, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Reijo","family":"Tilvis","sequence":"additional","affiliation":[{"name":"University of Helsinki Geriatric Unit, Department of Internal Medicine, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Timo","family":"Strandberg","sequence":"additional","affiliation":[{"name":"University of Helsinki Geriatric Unit, Department of Internal Medicine, , Helsinki,","place":["Finland"]},{"name":"University of Oulu Center for Life Course Health Research, , Oulu,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaisu H","family":"Pitk\u00e4l\u00e4","sequence":"additional","affiliation":[{"name":"Helsinki University Hospital Primary Health Care Unit, , Helsinki,","place":["Finland"]},{"name":"University of Helsinki Department of General Practice and Primary Health Care, , Helsinki,","place":["Finland"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,1,9]]},"reference":[{"key":"2024103110413341000_ref1","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1001\/jamainternmed.2013.12179","article-title":"The Somatic Symptom Scale\u20138 (SSS-8): a brief measure of somatic symptom burden","volume":"174","author":"Gierk","year":"2014","journal-title":"JAMA Intern Med"},{"key":"2024103110413341000_ref2","first-page":"1","article-title":"National Ambulatory Medical Care Survey: 1989 summary. 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