Polymedication and its association with individual factors in Portuguese older adults–a cross-sectional study

Abstract

Background:Population aging is a reality resulting in polymedication and its harmful consequences. Therefore, determining polymedication state in Portugal and identifying its associated characteristics is vital.Methods:Among the cross-sectional study Nutrition UP 65, information on socio-demographic data, cognitive performance, lifestyle, health, and nutritional status was collected in the Portuguese older population. Frequency of polymedication (self-reported concomitant administration of ≥5 medications and/or supplements) was calculated. Associated factors were determined.Results:A total of 1317 individuals were included in the sample and the frequency of polymedication was 37.1%. Characteristics associated with higher odds of polymedication were living in an institution (OR: 1.97; CI: 1.04-3.73); being overweight (OR: 1.52; CI: 1.03–2.25) or obese (OR: 1.57; CI: 1.06–2.34); perceiving health status as reasonable (OR: 1.68; CI: 1.25–2.27) or bad/very bad (OR: 2.04; CI: 1.37–3.03); having illnesses of the circulatory system (OR: 2.91; CI: 2.14–3.94) or endocrine, metabolic, and nutritional diseases (OR: 1.79; CI: 1.38–2.31).Conclusions:A 3 to 4 out of 10 Portuguese older adults are polymedicated. Intervention in modifiable factors and the monitorization of others is an important strategy in the care of the elderly.