Research results that 'the order of getting sick' affects the life expectancy of the person



A study examining the three diseases ``mental disorders'', ``diabetes'', and ``congestive heart failure'' that have a long-term effect on the mind and body shows that if the ``order'' of these three diseases is different, the difference in life expectancy is up to 10 years or more. was found to occur.

Effect on life expectancy of temporal sequence in a multimorbidity cluster of psychosis, diabetes, and congestive heart failure among 1 7 million individuals in Wales with 20-year follow-up: a retrospective cohort study using linked data - The Lancet Public Health

https://doi.org/10.1016/S2468-2667(23)00098-1

The order in which you acquire diseases could affect your life expectancy – new research
https://theconversation.com/the-order-in-which-you-acquire-diseases-could-affect-your-life-expectancy-new-research-209925

More than 25% of adults in the UK were found to have two or more long-term health problems, rising to 65% for those over 65 and 82% for those over 85. . Rhiannon Owen of Swansea University School of Medicine, UK, and colleagues are looking at three diseases that lead to long-term health problems and studying which diseases affect life expectancy.

Owen and colleagues collected medical histories and health records of approximately 1.6 million adults over the age of 25 over the past 20 years to determine the order and timing of their onset of psychiatric disorders, diabetes and congestive heart failure, and their associated life expectancy. investigated the impact of



As a result, it was found that the 'order' of developing these diseases had a significant impact on life expectancy. Among them, the average life expectancy of those who developed diabetes, mental illness, and congestive heart failure was the shortest, and the average life expectancy was about 13 years.

People who develop the same disease but whose onset order is different have very different results. It seems that it turned out that there is a possibility that there may be a difference of 10 years or more in life expectancy.



Through the study, Owen and colleagues found, 'People who first developed diabetes, then mental illness, and finally congestive heart failure were at increased risk of developing the following long-term conditions, or from their last diagnosis: It revealed an increased risk of death within 5 years.'

However, we also know that having more diseases does not necessarily mean a higher risk of death. For example, people diagnosed with both mental illness and diabetes were found to have a longer life expectancy than those diagnosed with only mental illness, a finding Owen et al. speculates that regular engagement of people with diabetes with a health care professional, such as through a diabetes clinic, may improve overall health.



``The order of onset can have a significant impact on life expectancy, but the relationship is complex, and disease onset does not necessarily shorten lifespan,'' Owen et al. It is also reproducible for other combinations of pathologies, such as the impact of long-term sequelae of infectious diseases (long COVID) on quality of life.'

in Science, Posted by log1p_kr