Associations of hospitalisation - admission, readmission and length to stay - with multimorbidity patterns by age and sex in adults and older adults: the ELSI-Brazil study.

BACKGROUND: Although the association between multimorbidity (MM) and hospitalisation is known, the different effects of MM patterns by age and sex in this outcome needs to be elucidated. Our study aimed to analyse the association of hospitalisations' variables (occurrence, readmission, length of stay) and patterns of multimorbidity (MM) according to sex and age. METHODS: Data from 8.807 participants aged ≥ 50 years sourced from the baseline of the Brazilian Longitudinal Study of Ageing (ELSI-Brazil) were analysed. Multimorbidity was defined as ≥ 2 (MM2) and ≥ 3 (MM3) chronic conditions. Poisson regression was used to verify the association between the independent variables and hospitalisation according to sex and age group. Multiple linear regression models were constructed for the outcomes of readmission and length of stay. Ising models were used to estimate the networks of diseases and MM patterns. RESULTS: Regarding the risk of hospitalisation among those with MM2, we observed a positive association with male sex, age ≥ 75 years and women aged ≥ 75 years. For MM3, there was a positive association with hospitalisation among males. For the outcomes hospital readmission and length of stay, we observed a positive association with male sex and women aged ≥ 75 years. Network analysis identified two groups that are more strongly associated with occurrence of hospitalisation: the cardiovascular-cancer-glaucoma-cataract group stratified by sex and the neurodegenerative diseases-renal failure-haemorrhagic stroke group stratified by age group. CONCLUSION: We conclude that the association between hospitalisation, readmission, length of stay, and MM changes when sex and age group are considered. Differences were identified in the MM patterns associated with hospitalisation according to sex and age group.

The role of motivation and life satisfaction on chilean university students' physical activity and sedentary behavior / O papel da motivação e satisfação com a vida na atividade física e comportamento sedentário de estudantes universitários chilenos

ABSTRACT Motivation is a fundamental element for the practice of physical activity and the feeling of satisfaction with life. However, little is known about the role of such psychological variables in the lifestyle of Chilean university students. This study aimed to analyse the relationship between life satisfaction and the regulations of motivation and to compare such variables by physical activity level and sedentary behaviour of university students. The sample comprised 95 Chilean university students (63.2% female), with a mean age of 20.92 ± 1.98 years. The instruments were the IPAQ, the Satisfaction with Life Scale, and the Behavioural Regulation in Exercise Questionnaire. Descriptive measures, Pearson's correlation coefficient, and Student's t-tests were used to analyse the data. The results revealed positive and significant correlations between life satisfaction and intrinsic (r = 0,44), integrated (r = 0,38), and identified (r = 0,41) regulation. Students with high levels of physical activity scored higher for intrinsic, integrated, and identified regulation. Those who reported low sedentary behaviour showed higher identified regulation. Therefore, it is suggested that students' motivational regulation may differ on some dimensions as those with higher levels of physical activity show more adaptive motivational regulation. Identified regulation also seems to play an important role in decreasing sedentary behaviour.

RESUMO A motivação é elemento fundamental para a prática de atividade física e o sentimento de satisfação com a vida. Contudo, pouco se sabe sobre o papel de tais variáveis psicológicas no estilo de vida de estudantes universitários chilenos. Este estudo teve como objetivos analisar as relações entre a satisfação com a vida e as regulações da motivação, e comparar tais variáveis em função do nível de atividade física e do comportamento sedentário de estudantes universitários. A amostra foi composta por 95 estudantes universitários chilenos (63,2% do gênero feminino), com idade média de 20,92 ± 1,98 anos. Os instrumentos avaliados foram o IPAQ, a Escala de Satisfação com a Vida e o Questionário de Regulação do Comportamento do Exercício. Medidas descritivas, coeficientes de correlação de Pearson e testes t de Student foram utilizados para analisar os dados. Os resultados revelaram correlações positivas e significativas entre satisfação com a vida e regulação intrínseca (r = 0,44), integrada (r = 0,38) e identificada (r = 0,41). Os estudantes com alto nível de atividade física obtiveram maiores pontuações para regulação intrínseca, integrada e identificada. Os indivíduos que reportaram menor comportamento sedentário possuíam maior regulação identificada. Desse modo, sugere-se que a regulação motivacional dos estudantes pode ser diferente em algumas dimensões, sendo que os indivíduos com maior nível de atividade física semanal demonstram regulações motivacionais mais adaptativas. A regulação identificada também parece desempenhar um papel importante para a redução do comportamento sedentário.