{"id":"https://openalex.org/W7166316518","doi":"https://doi.org/10.1186/s12877-026-07846-4","title":"Aging with burden: multimorbidity, depression and quality of life in older adults residing in long-term care facilities in South Africa","display_name":"Aging with burden: multimorbidity, depression and quality of life in older adults residing in long-term care facilities in South Africa","publication_year":2026,"publication_date":"2026-06-27","ids":{"openalex":"https://openalex.org/W7166316518","doi":"https://doi.org/10.1186/s12877-026-07846-4","pmid":"https://pubmed.ncbi.nlm.nih.gov/42365238"},"language":"en","primary_location":{"id":"doi:10.1186/s12877-026-07846-4","doi":"https://doi.org/10.1186/s12877-026-07846-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-07846-4","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","datacite","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s12877-026-07846-4","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5009594197","display_name":"Shane Naidoo","orcid":"https://orcid.org/0000-0002-3876-6031","observed_orcids":["https://orcid.org/0000-0002-3876-6031"]},"institutions":[{"id":"https://openalex.org/I157614274","display_name":"University of Cape Town","ror":"https://ror.org/03p74gp79","country_code":"ZA","type":"education","lineage":["https://openalex.org/I157614274"]}],"countries":["ZA"],"is_corresponding":true,"raw_author_name":"Shane Naidoo","raw_affiliation_strings":["Division of Physiotherapy, Department of Health and Rehabilitation Sciences, University of Cape Town, Rondebosch, South Africa. ndxsha092@myuct.ac.za"],"raw_orcid":"https://orcid.org/0000-0002-3876-6031","affiliations":[{"raw_affiliation_string":"Division of Physiotherapy, Department of Health and Rehabilitation Sciences, University of Cape Town, Rondebosch, South Africa. ndxsha092@myuct.ac.za","institution_ids":["https://openalex.org/I157614274"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5110735042","display_name":"Nirmala Naidoo","orcid":"https://orcid.org/0000-0003-3186-7486","observed_orcids":["https://orcid.org/0000-0003-3186-7486"]},"institutions":[{"id":"https://openalex.org/I157614274","display_name":"University of Cape Town","ror":"https://ror.org/03p74gp79","country_code":"ZA","type":"education","lineage":["https://openalex.org/I157614274"]}],"countries":["ZA"],"is_corresponding":false,"raw_author_name":"Niri Naidoo","raw_affiliation_strings":["Division of Physiotherapy, Department of Health and Rehabilitation Sciences, University of Cape Town, Rondebosch, South Africa"],"raw_orcid":"https://orcid.org/0000-0003-3186-7486","affiliations":[{"raw_affiliation_string":"Division of Physiotherapy, Department of Health and Rehabilitation Sciences, University of Cape Town, Rondebosch, South Africa","institution_ids":["https://openalex.org/I157614274"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":["https://openalex.org/A5009594197"],"corresponding_institution_ids":["https://openalex.org/I157614274"],"apc_list":{"value":3190,"currency":"USD","value_usd":3190},"apc_paid":{"value":3190,"currency":"USD","value_usd":3190},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.48999528,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"26","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12246","display_name":"Chronic Disease Management Strategies","score":0.9761000275611877,"subfield":{"id":"https://openalex.org/subfields/2713","display_name":"Epidemiology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11376","display_name":"Geriatric Care and Nursing Homes","score":0.011099999770522118,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12811","display_name":"Aging, Health, and Disability","score":0.008500000461935997,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/multimorbidity","display_name":"multimorbidity","score":1.0},{"id":"https://openalex.org/keywords/depression","display_name":"depression","score":0.9599999785423279},{"id":"https://openalex.org/keywords/health-related-quality-of-life","display_name":"health-related quality of life","score":0.9879999756813049},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8560000061988831},{"id":"https://openalex.org/keywords/long-term-care-facilities","display_name":"long-term care facilities","score":0.9929999709129333},{"id":"https://openalex.org/keywords/exercise","display_name":"physical activity","score":0.7549999952316284},{"id":"https://openalex.org/keywords/physical-functioning","display_name":"physical function","score":0.45500001311302185},{"id":"https://openalex.org/keywords/abdominal-obesity","display_name":"abdominal obesity","score":0.7480000257492065},{"id":"https://openalex.org/keywords/healthy-aging","display_name":"healthy aging","score":0.6299999952316284},{"id":"https://openalex.org/keywords/south-africa","display_name":"South Africa","score":0.6949999928474426}],"concepts":[{"id":"https://openalex.org/C2909273474","wikidata":"https://www.wikidata.org/wiki/Q1952420","display_name":"Multimorbidity","level":3,"score":0.8659999966621399},{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8482000231742859},{"id":"https://openalex.org/C2779159551","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Comorbidity","level":2,"score":0.7444999814033508},{"id":"https://openalex.org/C2776867660","wikidata":"https://www.wikidata.org/wiki/Q1814941","display_name":"Depression (economics)","level":2,"score":0.7233999967575073},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.7095000147819519},{"id":"https://openalex.org/C2779951463","wikidata":"https://www.wikidata.org/wiki/Q7268788","display_name":"Quality of life (healthcare)","level":2,"score":0.6539999842643738},{"id":"https://openalex.org/C65414064","wikidata":"https://www.wikidata.org/wiki/Q484105","display_name":"Autonomy","level":2,"score":0.4449999928474426},{"id":"https://openalex.org/C2908647359","wikidata":"https://www.wikidata.org/wiki/Q2625603","display_name":"Population","level":2,"score":0.4383000135421753},{"id":"https://openalex.org/C164866538","wikidata":"https://www.wikidata.org/wiki/Q367351","display_name":"Cluster (spacecraft)","level":2,"score":0.4318999946117401},{"id":"https://openalex.org/C2778818304","wikidata":"https://www.wikidata.org/wiki/Q1819478","display_name":"Rehabilitation","level":2,"score":0.41019999980926514},{"id":"https://openalex.org/C13774568","wikidata":"https://www.wikidata.org/wiki/Q439112","display_name":"Population ageing","level":3,"score":0.39590001106262207},{"id":"https://openalex.org/C79544238","wikidata":"https://www.wikidata.org/wiki/Q423243","display_name":"Activities of daily living","level":2,"score":0.382099986076355},{"id":"https://openalex.org/C54183767","wikidata":"https://www.wikidata.org/wiki/Q10384","display_name":"Geriatrics","level":2,"score":0.3682999908924103},{"id":"https://openalex.org/C3020255362","wikidata":"https://www.wikidata.org/wiki/Q747883","display_name":"Physical activity","level":2,"score":0.35510000586509705},{"id":"https://openalex.org/C3019887659","wikidata":"https://www.wikidata.org/wiki/Q191089","display_name":"Older people","level":2,"score":0.35409998893737793},{"id":"https://openalex.org/C142052008","wikidata":"https://www.wikidata.org/wiki/Q954027","display_name":"Cross-sectional study","level":2,"score":0.34299999475479126},{"id":"https://openalex.org/C134362201","wikidata":"https://www.wikidata.org/wiki/Q317309","display_name":"Mental health","level":2,"score":0.34220001101493835},{"id":"https://openalex.org/C2909041561","wikidata":"https://www.wikidata.org/wiki/Q25099514","display_name":"Frailty Index","level":2,"score":0.328000009059906},{"id":"https://openalex.org/C2776214593","wikidata":"https://www.wikidata.org/wiki/Q1787939","display_name":"Sarcopenia","level":2,"score":0.32339999079704285},{"id":"https://openalex.org/C3019858935","wikidata":"https://www.wikidata.org/wiki/Q4340209","display_name":"Depressive symptoms","level":3,"score":0.31130000948905945},{"id":"https://openalex.org/C500499127","wikidata":"https://www.wikidata.org/wiki/Q332154","display_name":"Ageing","level":2,"score":0.31119999289512634},{"id":"https://openalex.org/C27415008","wikidata":"https://www.wikidata.org/wiki/Q7256382","display_name":"Psychological intervention","level":2,"score":0.3059000074863434},{"id":"https://openalex.org/C3017819807","wikidata":"https://www.wikidata.org/wiki/Q332154","display_name":"Healthy aging","level":2,"score":0.29899999499320984},{"id":"https://openalex.org/C3019063607","wikidata":"https://www.wikidata.org/wiki/Q1414874","display_name":"Charlson comorbidity index","level":3,"score":0.29649999737739563},{"id":"https://openalex.org/C39896193","wikidata":"https://www.wikidata.org/wiki/Q380344","display_name":"Descriptive statistics","level":2,"score":0.2922999858856201},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2849000096321106},{"id":"https://openalex.org/C2778205836","wikidata":"https://www.wikidata.org/wiki/Q5550849","display_name":"Geriatric rehabilitation","level":3,"score":0.27639999985694885},{"id":"https://openalex.org/C3019892597","wikidata":"https://www.wikidata.org/wiki/Q332154","display_name":"Healthy ageing","level":3,"score":0.2757999897003174},{"id":"https://openalex.org/C2909048080","wikidata":"https://www.wikidata.org/wiki/Q2712836","display_name":"Multiple Chronic Conditions","level":3,"score":0.2718999981880188}],"mesh":[{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D000076322","descriptor_name":"Multimorbidity","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D000099308","descriptor_name":"Nursing Home Residents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000099308","descriptor_name":"Nursing Home Residents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000099308","descriptor_name":"Nursing Home Residents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000099308","descriptor_name":"Nursing Home Residents","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D000375","descriptor_name":"Aging","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003430","descriptor_name":"Cross-Sectional Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000175","qualifier_name":"diagnosis","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D003863","descriptor_name":"Depression","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D008134","descriptor_name":"Long-Term Care","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D009735","descriptor_name":"Nursing Homes","qualifier_ui":"Q000639","qualifier_name":"trends","is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D011788","descriptor_name":"Quality of Life","qualifier_ui":"Q000523","qualifier_name":"psychology","is_major_topic":true},{"descriptor_ui":"D013019","descriptor_name":"South Africa","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013019","descriptor_name":"South Africa","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013019","descriptor_name":"South Africa","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D013019","descriptor_name":"South Africa","qualifier_ui":"Q000453","qualifier_name":"epidemiology","is_major_topic":false},{"descriptor_ui":"D017281","descriptor_name":"Cost of Illness","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017281","descriptor_name":"Cost of Illness","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017281","descriptor_name":"Cost of Illness","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D017281","descriptor_name":"Cost of Illness","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":6,"locations":[{"id":"doi:10.1186/s12877-026-07846-4","doi":"https://doi.org/10.1186/s12877-026-07846-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-07846-4","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},{"id":"pmid:42365238","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42365238","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC geriatrics","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:686b7c85133f41dea6a75c2091dee9f7","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/686b7c85133f41dea6a75c2091dee9f7","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Geriatrics, Vol 26, Iss 1 (2026)","raw_type":"article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13584380","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13584380/","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"BMC Geriatr","raw_type":"Text"},{"id":"doi:10.6084/m9.figshare.c.8720119","doi":"https://doi.org/10.6084/m9.figshare.c.8720119","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.c.8720119","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Collection"},{"id":"doi:10.6084/m9.figshare.c.8720119.v1","doi":"https://doi.org/10.6084/m9.figshare.c.8720119.v1","is_oa":true,"landing_page_url":"https://doi.org/10.6084/m9.figshare.c.8720119.v1","pdf_url":null,"source":{"id":"https://openalex.org/S4377196282","display_name":"Figshare","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I4210132348","host_organization_name":"Figshare (United Kingdom)","host_organization_lineage":["https://openalex.org/I4210132348"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":null,"is_accepted":false,"is_published":null,"raw_source_name":null,"raw_type":"Collection"}],"best_oa_location":{"id":"doi:10.1186/s12877-026-07846-4","doi":"https://doi.org/10.1186/s12877-026-07846-4","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s12877-026-07846-4","pdf_url":null,"source":{"id":"https://openalex.org/S14643628","display_name":"BMC Geriatrics","issn_l":"1471-2318","issn":["1471-2318"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-2","ki-jl-1","medline","norway-1","poland-100","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"BMC Geriatrics","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"sustainable_development_goals_aurora":[{"id":"https://metadata.un.org/sdg/1","display_name":"No poverty","score":0.715117335319519}],"study_designs":[{"id":"https://openalex.org/study-designs/observational-study","display_name":"Observational Study"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":49,"referenced_works":["https://openalex.org/W1845447069","https://openalex.org/W2000414740","https://openalex.org/W2090623578","https://openalex.org/W2097368998","https://openalex.org/W2113270760","https://openalex.org/W2117059102","https://openalex.org/W2275058198","https://openalex.org/W2280483162","https://openalex.org/W2340270037","https://openalex.org/W2486951052","https://openalex.org/W2575933316","https://openalex.org/W2580276246","https://openalex.org/W2613102797","https://openalex.org/W2730964755","https://openalex.org/W2736753035","https://openalex.org/W2791479921","https://openalex.org/W2794077735","https://openalex.org/W2797623392","https://openalex.org/W2800465859","https://openalex.org/W2911568160","https://openalex.org/W2913021343","https://openalex.org/W2916492303","https://openalex.org/W2943107869","https://openalex.org/W2966101896","https://openalex.org/W2995972627","https://openalex.org/W3003022102","https://openalex.org/W3048385323","https://openalex.org/W3139264819","https://openalex.org/W3168354742","https://openalex.org/W3204040179","https://openalex.org/W3204794675","https://openalex.org/W3213361893","https://openalex.org/W4200088285","https://openalex.org/W4220694863","https://openalex.org/W4220827731","https://openalex.org/W4221101405","https://openalex.org/W4281551900","https://openalex.org/W4321133152","https://openalex.org/W4383105855","https://openalex.org/W4385330760","https://openalex.org/W4385635723","https://openalex.org/W4387705358","https://openalex.org/W4387742127","https://openalex.org/W4391603065","https://openalex.org/W4396590959","https://openalex.org/W4401987854","https://openalex.org/W4403136332","https://openalex.org/W4407456609","https://openalex.org/W4410229810"],"related_works":[],"abstract_inverted_index":{"BACKGROUND:":[0],"Population":[1],"ageing":[2,288],"has":[3],"become":[4],"an":[5,238],"immediate":[6],"global":[7],"imperative,":[8],"with":[9,33,85,136,171,175,217,237],"older":[10,42,61,80,98,271],"adults":[11,81,99,272],"disproportionately":[12],"afflicted":[13],"by":[14,152],"multimorbidity,":[15,242],"a":[16],"complex":[17],"interplay":[18],"of":[19,27,134,241],"co-existing":[20],"chronic":[21],"diseases":[22],"that":[23,54],"erodes":[24],"health-related":[25],"quality":[26],"life":[28],"(HRQoL).":[29],"Multimorbidity":[30,131,148,213],"is":[31,234,244],"associated":[32,174,216,236],"impairments":[34],"in":[35,49,64,77,269,273],"physical":[36,90,224,258],"and":[37,45,82,89,114,123,155,185,197,226,257,276,286],"mental":[38],"functioning,":[39],"which":[40,243],"undermine":[41],"adults'":[43],"autonomy":[44],"contributes":[46],"to":[47,228,247],"declines":[48],"HRQoL.":[50,187,212],"However,":[51],"vital":[52],"data":[53],"explore":[55],"these":[56],"relationships":[57],"remain":[58],"absent":[59],"for":[60,266],"populations":[62],"residing":[63,79],"long-term":[65,284],"care":[66,285],"facilities":[67],"(LTCFs)":[68],"across":[69,138],"sub-Saharan":[70,274],"Africa.":[71],"This":[72],"study":[73,95],"examines":[74],"multimorbidity":[75,128,177],"prevalence":[76,168],"LTCF":[78],"its":[83],"associations":[84],"depression,":[86],"HRQoL":[87,154],"outcomes":[88],"activity.":[91],"METHODS:":[92],"A":[93],"cross-sectional":[94],"among":[96],"396":[97],"from":[100],"17":[101],"randomly":[102],"selected":[103],"South":[104],"African":[105],"LTCFs":[106],"employed":[107],"the":[108,192,263],"Geriatric":[109],"Depression":[110,167],"Scale,":[111],"EQ-5D-3":[112,198],"L,":[113],"Weighted":[115,193],"Functional":[116,194],"Comorbidity":[117,195],"Index.":[118],"Descriptive":[119],"statistics,":[120],"correlation":[121,190],"analyses":[122],"TwoStep":[124],"cluster":[125,144],"analysis":[126],"elucidated":[127],"patterns.":[129],"RESULTS:":[130],"affected":[132],"76.77%":[133],"participants,":[135],"variation":[137],"four":[139],"distinct":[140],"clusters.":[141],"The":[142],"Cardiovascular-Respiratory":[143],"comprised":[145],"33.8%":[146],"predominance.":[147],"was":[149,214],"significantly":[150],"predicted":[151],"poorer":[153],"increasing":[156],"age,":[157],"\u03c7\u00b2(140,":[158],"n":[159],"=":[160,162,180,202],"396)":[161],"228.19,":[163],"p":[164,182,204],"<":[165,183,205],".001.":[166],"reached":[169],"35.10%,":[170],"higher":[172],"scores":[173,200],"greater":[176],"burden":[178,240],"(\u03c1":[179,201],"0.28,":[181],".01)":[184],"reduced":[186,252],"An":[188],"inverse":[189],"between":[191],"Index":[196],"L":[199],"-0.33,":[203],".001)":[206],"reflected":[207],"multimorbidity's":[208],"negative":[209],"impact":[210],"on":[211],"inversely":[215],"Short":[218],"Physical":[219],"Performance":[220],"Battery":[221],"scores,":[222],"lower":[223],"activity,":[225],"directly":[227],"waist-to-hip":[229],"ratios.":[230],"CONCLUSION:":[231],"Advancing":[232],"age":[233],"strongly":[235],"increased":[239],"intricately":[245],"linked":[246],"depressive":[248],"symptoms,":[249],"diminished":[250],"HRQoL,":[251],"muscular":[253],"strength,":[254],"central":[255],"adiposity,":[256],"inactivity.":[259],"These":[260],"findings":[261],"highlight":[262],"urgent":[264],"need":[265],"integrated":[267],"interventions":[268],"institutionalised":[270],"Africa":[275],"should":[277],"inform":[278],"policy":[279],"reform":[280],"aimed":[281],"at":[282],"strengthening":[283],"healthy":[287],"strategies.":[289]},"counts_by_year":[],"updated_date":"2026-10-09T09:14:12.587421","created_date":"2026-06-28T00:00:00"}