Impact of body mass index on prevalence of multimorbidity in primary care: cohort study

Booth, Helen; Prevost, A. Toby; Gulliford, Martin

doi:10.1093/fampra/cmt061

Cited by 123 publications

(124 citation statements)

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“…Comorbidity increases the complexity of patient management, often leading to poorer health outcomes and increased health care costs 15, 16. Comorbidity also poses a huge financial and health burden on households, especially in sub‐Saharan Africa where poverty levels are high with rising cost for healthcare utilization 1, 5, 10.…”

Section: Introductionmentioning

confidence: 99%

High prevalence of HIV and non‐communicable disease (NCD) risk factors in rural KwaZulu‐Natal, South Africa

et al. 2017

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IntroductionSouth Africa faces epidemics of HIV and non‐communicable diseases (NCDs). The aim of this study was to characterize the prevalence of non‐communicable disease risk factors and depression, stratified by HIV status, in a community with a high burden of HIV.MethodsWe conducted a home‐based HIV counselling and testing study in KwaZulu‐Natal, South Africa between November 2011 and June 2012. Contiguous households were approached and all adults ≥18 years old were offered an HIV test. During follow‐up visits in January 2015, screening for HIV, depression, obesity, blood glucose, cholesterol and blood pressure were conducted using point‐of‐care tests.ResultsOf the 570 participants located and screened; 69% were female and 33% were HIV‐positive. NCD risk factor prevalence was high in this sample; 71% were overweight (body mass index (BMI) 25 to 29.9 kg/m2) or obese (BMI≥30 kg/m2), 4% had hyperglycaemia (plasma glucose >11.0 mmol/l/200 mg/dl), 33% had hypertension (HTN, >140/90 mmHg), 20% had hyperlipidaemia (low density cholesterol >5.2 mmol/l/193.6 mg/dl) and 12% had major depressive symptoms (nine item Patient Health Questionnaire ≥10). Of the 570 participants, 87% had one or more of HIV, hyperglycaemia, HTN, hyperlipidaemia and/or depression. Over half (56%) had two or more. Older age and female gender were significantly associated with the prevalence of both HIV infection and NCD risk factors. Around 80% of both HIV‐positive and negative persons had one of the measured risk factors (i.e. obesity, hyperglycaemia, hyperlipidaemia, HTN), or depression.ConclusionsIn a community‐based sample of adults in KwaZulu‐Natal, South Africa, the prevalence of both HIV infection and NCD risk factors were high. This study is among the first to quantify the substantial burden of NCD risk factors and depression in this non‐clinic based population.

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Section: Introductionmentioning

confidence: 99%

High prevalence of HIV and non‐communicable disease (NCD) risk factors in rural KwaZulu‐Natal, South Africa

et al. 2017

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“…People with morbid obesity are at increased risk of several forms of morbidity, including type 2 diabetes mellitus (T2DM), cardiovascular diseases and depression, leading to the development of multiple morbidity at young ages 3 and heightened risk of mortality. 4 These processes lead to reduced quality of life and reduced longevity, as well as increased health-care costs.…”

Section: Chapter 1 Introductionmentioning

confidence: 99%

Costs and outcomes of increasing access to bariatric surgery for obesity: cohort study and cost-effectiveness analysis using electronic health records

Gulliford

Charlton

Booth

et al. 2016

Health Serv Deliv Res

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et al. Costs and outcomes of increasing access to bariatric surgery for obesity: cohort study and cost-effectiveness analysis using electronic health records. Health Serv Deliv Res 2016;4(17). Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 12/5005/12. The contractual start date was in October 2013. The final report began editorial review in October 2015 and was accepted for publication in February 2016. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the views and opinion...

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“…The municipality of Ibicuí is located in the physiographic area of Vitória da Conquista (Encosta do Planalto) and located in the southwest of the State of Bahia, with an estimated population of 15,785 inhabitants. 16 Of these, 1,153 aged 60 years or more.…”

Section: Study Characterizationmentioning

confidence: 99%

“…

Abstract

Objective: The aim of this study was to verify the association between body mass index (BMI) and multimorbidity in elderly.

Methods: three-hundred and ten (n=310;71,62±8,15years) subjects were recruited in a cross-sectional study in the city of Ibicuí-BA, randomly selected and enrolled to the program "Estratégia de Saúde da Família"/ "Strategy of Family health".

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mentioning

confidence: 99%

“…The associations between a high body mass index (BMI) related to overweight/obesity and the increase in the incidence of NCD's in the elderly population becomes increasingly evident 16 The quality of nutritional intake, one of the underlying aspects of malnutrition in the elderly and low levels of physical activity, for example, appears to be associated with weight gain, with multimorbidities and it also seems to be strongly related to low socioeconomic status.…”

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confidence: 99%

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Association between Body Mass Index and Chronic Non-Communicable Diseases among the Elderly

Rocha¹

2017

MOJGG

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The associations between a high body mass index (BMI) related to overweight/obesity and the increase in the incidence of NCD's in the elderly population becomes increasingly evident 16 The quality of nutritional intake, one of the underlying aspects of malnutrition in the elderly and low levels of physical activity, for example, appears to be associated with weight gain, with multimorbidities and it also seems to be strongly related to low socioeconomic status.17 Furthermore, susceptibility to the contraction of NCDs is directly proportional to the socioeconomic status, especially those related to cardiometabolic diseases. Association between body mass index and chronic non-communicable diseases among the elderly chronic diseases, body mass index and elderly AbstractObjective: The aim of this study was to verify the association between body mass index (BMI) and multimorbidity in elderly.Methods: three-hundred and ten (n=310;71,62±8,15years) subjects were recruited in a cross-sectional study in the city of Ibicuí-BA, randomly selected and enrolled to the program "Estratégia de Saúde da Família"/ "Strategy of Family health". The data were collected through self-report questionnaires and consultation of the clinical record when socio-demographic information; global health; diseases and pathologies associated; lifestyles/risk behavior and body composition were consulted. Results:Multiple linear regression analysis revealed significant associations existing between non-communicable diseases (NCD's), multimorbidity and BMI (p≤0,05). The highest values of BMI were associated with hypercholesterolemia in women, while in men there was a correlation with hypertension. Conclusion:The results corroborate the scientific evidence that the increased BMI is directly related to increased exposure to multimorbidity by NCD's. 21,24 On the other hand, low body weight is associated to chronic respiratory diseases and high mortality rate. 25 Limited access to primary health care, 26 little control of the nutritional status in the elderly as well as the access to inappropriate drug therapies, 27 are recurring aspects in the elderly and have a direct influence on the health related quality of life in the elderly person. 28,29 The studies that try to establish these relationships, that use evaluation methods establishing models of association of variables in an independent and combined way 30 are still uncommon, mainly among the elderly with a low socioeconomic profile. 29 In spite of the existence of public primary care health services and hospital services in these regions, there's a great challenge with regard to its proper scope. Factors such as population density, low investment in areas not regarded as urban centers, 31 the number of health agents, 31 the demand for medical services 28 are all common factors to these regions and may cause differences in the health profile of these populations. In this sense, the purpose of this study was to analyze the association between body mass index and NCD's in elderly patients with low ec...

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Impact of body mass index on prevalence of multimorbidity in primary care: cohort study

Cited by 123 publications

References 17 publications

High prevalence of HIV and non‐communicable disease (NCD) risk factors in rural KwaZulu‐Natal, South Africa

High prevalence of HIV and non‐communicable disease (NCD) risk factors in rural KwaZulu‐Natal, South Africa

Costs and outcomes of increasing access to bariatric surgery for obesity: cohort study and cost-effectiveness analysis using electronic health records

Association between Body Mass Index and Chronic Non-Communicable Diseases among the Elderly

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