This co-existence of multiple chronic conditions, defined as “multimorbidity”, is a common phenomenon in older people, and its occurrence increases with age . Multimorbid chronic diseases are associated with increased rate of mortality and disability, reduced function levels, increased polypharmacy, poor health-related quality of life (HRQoL) and more health care utilization (costs, number of physician visits, length of hospital stay) [5–7]. In this context, health care should aim to increase the life span cost-efficiently while maintaining HRQoL and the ability to perform activities of daily life . Most studies have shown impaired HRQoL by gender with the presence of many chronic diseases or with aging in older people [10–13].