Co-occurrence and clustering of health conditions at age 11: cross-sectional findings from the Millennium Cohort Study

Hesketh, Kathryn R.; Fagg, James; Muniz‐Terrera, Graciela; Bedford, Helen; Law, Catherine; Hope, Steven

doi:10.1136/bmjopen-2016-012919

Cited by 6 publications

(6 citation statements)

References 39 publications

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“…The studies are based on doctor-diagnosed AD, 37,[43][44][45][46][47] and few studies adjust for possible confounders. 43,48,49 Older studies have not been able to find this association. However, they often use ISAAC criteria to diagnose AD, 33,36,[50][51][52][53][54][55][56] and the most commonly used questions are "Have you ever had an itchy rash which was coming and going for at least 6 months?…”

Section: Discussionmentioning

confidence: 94%

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Is atopic dermatitis associated with obesity? A systematic review of observational studies

Ali

Ulrik

Agner

et al. 2018

Acad Dermatol Venereol

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Obesity has been associated with atopic dermatitis (AD); however, the results have been conflicting. Our aim was to provide an update on current knowledge from observational studies addressing the possible association between obesity and AD. Systematic literature review was performed by identifying studies addressing a possible link between AD and overweight/obesity from PubMed, EMBASE and the Cochrane Library in accordance with the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. The quality of the included studies was assessed using the Newcastle-Ottawa Scale. A total of 45 studies (comprising more than 90 000 individuals with AD) fulfilled the criteria and were included in the present review. The available studies revealed inconsistencies, but the majority indicated that obesity is associated with AD. Studies addressing obesity in infancy or early childhood (age < 2 years) and AD reported a positive association. From childhood into adulthood, there is a discrepancy in the observations, as the more recent prospective studies found a positive association, whereas this was not observed in older cross-sectional studies. The inconsistency might be explained by the difference in study design, the diagnostic criteria of AD, regional differences, and by the varied definitions of overweight and obesity used in the studies. In Conclusion, overweight/obesity is associated with an increased risk of AD. Large prospective cohort studies are required to confirm the association between AD and obesity and the possibility that weight control in childhood may help to mitigate or reverse AD symptoms.

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Section: Discussionmentioning

confidence: 94%

“…In general, recent studies have found that prevalence of AD is positively associated with obesity, overweight or high BMI. The studies are based on doctor‐diagnosed AD, and few studies adjust for possible confounders . Older studies have not been able to find this association.…”

Section: Discussionmentioning

confidence: 99%

Is atopic dermatitis associated with obesity? A systematic review of observational studies

Ali

Ulrik

Agner

et al. 2018

Acad Dermatol Venereol

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“…Though seldom-tested, longitudinal invariance is critical to many of the inferences drawn from developmental data, with metric invariance required to compare latent variances and covariances over development, scalar invariance required to compare latent means over development, for example, in the analysis of developmental trajectories, and residual invariance required to compare levels over time/group based on observed scores ( Edwards & Wirth, 2012 ). Given that the SDQ data is commonly analyzed within MCS (e.g., Ahn et al, 2018 ; Carson et al, 2013 ; Heikkilä et al, 2011 ; Hesketh et al, 2016 ; Hope et al, 2014 ; Noonan et al, 2018 ; Patalay & Fitzsimons, 2016 ) and the SDQ is among the most popular omnibus measures of psychopathology in general, our study adds important evidence on the appropriateness of the SDQ as a measure of mental health across childhood and adolescence.…”

Section: Discussionmentioning

confidence: 99%

A Longitudinal and Gender Invariance Analysis of the Strengths and Difficulties Questionnaire Across Ages 3, 5, 7, 11, 14, and 17 in a Large U.K.-Representative Sample

et al. 2021

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Developmental invariance is important for making valid inferences about child development from longitudinal data; however, it is rarely tested. We evaluated developmental and gender invariance for one of the most widely used measures of child mental health: the parent-reported Strengths and Difficulties Questionnaire (SDQ). Using data from the large U.K. population-representative Millennium Cohort Study ( N = 10,207; with data at ages 3, 5, 7, 11, 14, and 17 years), we tested configural, metric, scalar, and residual invariance in emotional problems, conduct problems, hyperactivity/inattention, prosociality, and peer problems. We found that the SDQ showed poor fit at age 3 in both males and females and at age 17 in males; however, it fit reasonably well and its scores were measurement invariant up to the residual level across gender at ages 5, 7, 11, and 14 years. Scores were also longitudinally measurement invariant across this age range up to the partial residual level. Results suggest that the parent-reported SDQ can be used to estimate developmental trajectories of emotional problems, conduct problems, hyperactivity/inattention, prosociality, and peer problems and their gender differences across the age range 5 to 14 years using a latent model. Developmental differences outside of this range may; however, partly reflect measurement differences.

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“…Our study is based on limited number of chronic diseases with a prevalence of ≥ 3% recorded by the KNHANES. Previous studies that used latent class analysis also applied a prevalence cut-off for inclusion of 2–10% [17, 22, 30, 65, 66]. Other studies that applied different statistical techniques also established a minimal prevalence for the inclusion [29].…”

Section: Discussionmentioning

confidence: 99%

Use of latent class analysis to identify multimorbidity patterns and associated factors in Korean adults aged 50 years and older

Park

Lee

2019

PLoS ONE

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IntroductionMultimorbidity associated with significant disease and economic burdens is common among the aged. We identified chronic disease multimorbidity patterns in Koreans 50 years of age or older, and explored whether such patterns were associated with particular sociodemographic factors and health-related quality-of-life.MethodsThe multimorbidity patterns of 10 chronic diseases (hypertension, dyslipidemia, stroke, osteoarthritis, tuberculosis, asthma, allergic rhinitis, depression, diabetes mellitus, and thyroid disease) were identified via latent class analysis of data on 8,370 Korean adults aged 50+ years who participated in the sixth Korean National Health and Nutrition Examination Survey (2013–2015). The associations between multimorbidity patterns, and sociodemographic factors and health-related quality of life, were subjected to regression analysis.ResultsThree patterns of multimorbidity were identified: 1) a relatively healthy group (60.4% of the population); 2) a ‘cardiometabolic conditions’ group (27.8%); and, 3) an ‘arthritis, asthma, allergic rhinitis, depression, and thyroid disease’ group (11.8%). The female (compared to male) gender was associated with an increased likelihood of membership of the cardiometabolic conditions group (odds ratio [OR] = 1.32, 95% confidence interval [CI] = 1.15–1.51) and (to a much greater extent) the arthritis, asthma, allergy, depression, and thyroid disease group (OR = 4.32, 95% CI = 3.30–5.66). Low socioeconomic status was associated with membership of the two multimorbidity classes. Membership of the arthritis, asthma, allergy, depression, and thyroid disease group was associated with a significantly poorer health-related quality-of-life than was membership of the other two groups.ConclusionThe co-occurrence of chronic diseases was not attributable to chance. Multimorbidity patterns were associated with sociodemographic factors and quality-of-life. Our results suggest that targeted, integrated public health and clinical strategies dealing with chronic diseases should be based on an understanding of multimorbidity patterns; this would improve the quality-of-life of vulnerable multimorbid adults.

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Co-occurrence and clustering of health conditions at age 11: cross-sectional findings from the Millennium Cohort Study

Cited by 6 publications

References 39 publications

Is atopic dermatitis associated with obesity? A systematic review of observational studies

Is atopic dermatitis associated with obesity? A systematic review of observational studies

A Longitudinal and Gender Invariance Analysis of the Strengths and Difficulties Questionnaire Across Ages 3, 5, 7, 11, 14, and 17 in a Large U.K.-Representative Sample

Use of latent class analysis to identify multimorbidity patterns and associated factors in Korean adults aged 50 years and older

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