Lifestyle factors and multimorbidity: a cross sectional study

Fortin, Martin; Haggerty, Jeannie; Almirall, José; Bouhali, Tarek; Sasseville, Maxime; Lemieux, M. A.

doi:10.1186/1471-2458-14-686

Cited by 206 publications

(234 citation statements)

References 28 publications

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“…A secondary cross-sectional analysis of the PRECISE cohort from Canada did not find a significant association between high risk drinking and multimorbidity (odds ratio (OR) 0.94, 95% CI 0.43-2.03 for men and OR 0.83, 95% CI 0.31-2.23 for women), which is in line with our findings. 9 We found a 32% increase in the multimorbidity hazard in association with physical inactivity. This is consistent with the results of the previous prospective Finnish study which found a 34% increase in the risk of multimorbidity in men and 62% in women with physical inactivity who were initially disease-free.…”

Section: Comparison With Current Literaturementioning

confidence: 56%

“…9,10,12 We only included data from the three most recent ELSA waves for this analysis in order to capture all five lifestyle factors; we still had a large number of people in the study with over 100,000 person-months of follow-up, however when assessing different triads and tetrads of unhealthy lifestyle factors the number of people with specific combinations of unhealthy lifestyle factors was quite low as depicted by the small number of people in some triads and tetrads (Supplementary Table 1) and wide confidence intervals of the estimates. Consequently, it is difficult to distinguish true negative findings from the negative findings associated with low statistical power; therefore the findings should be interpreted with caution.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Dhalwani

Zaccardi

O’Donovan

et al. 2016

GERONA

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• This is a pre-copyedited, author-produced version of an article accepted for publication in Journal of Gerontology Series A following peer review. Methods:We used data from wave 4, 5 and 6 of the English Longitudinal Study of Ageing.Data on smoking, alcohol consumption, physical activity, fruit and vegetable consumption and BMI were extracted and combined to generate a sum of unhealthy lifestyle factors for each individual. We examined whether these lifestyle factors individually or in combination predicted during the subsequent wave. We used marginal structural Cox proportional hazard models, adjusted for both time-constant and time-varying factors.Results: A total of 5,476 participants contributed 232,749 person-months of follow-up during which 1,156 cases of incident multimorbidity were recorded. Physical inactivity increased the risk of multimorbidity by 33% (adjusted Hazard Ratio (aHR) 1.33, 95% CI 1.03- 1.73).The risk was about two-three times higher when inactivity was combined with obesity (aHR 2.87, 95% CI 1.55-5.31) or smoking (aHR 2.35, 95% CI 1.36-4.08) and about four times when combined with both (aHR 3.98, 95% CI 1.02-17.00). Any combination of 2, 3 and 4 or more unhealthy lifestyle factors significantly increased the multimorbidity hazard, compared to none, from 42% to 114%. Conclusion:This study provides evidence of a temporal association between combinations of different unhealthy lifestyle factors with multimorbidity. Population level interventions should include reinforcing positive lifestyle changes in the population to reduce the risk of developing multimorbidity.3

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Section: Comparison With Current Literaturementioning

confidence: 56%

Section: Strengths and Limitationsmentioning

confidence: 99%

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Dhalwani

Zaccardi

O’Donovan

et al. 2016

GERONA

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“…Only a few studies have evaluated the association of modifiable risk factors with multimorbidity, and especially the longitudinal studies are scarce [5][6][7][8][9]. Biological and lifestyle factors such as hypercholesterolemia, hypertension, obesity, smoking, physical inactivity and unhealthy diet are common risk factors for many chronic diseases [1].…”

Section: Introductionmentioning

confidence: 99%

Clinical and lifestyle-related risk factors for incident multimorbidity: 10-year follow-up of Finnish population-based cohorts 1982–2012

Wikström¹,

Lindström²,

Harald³

et al. 2015

European Journal of Internal Medicine

100

110

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“…19 Recent study found the association of lifestyle factors and multimorbidity. 20 The burden of multimorbidity has typically been studied in high income countries, very few of these studies conducted in low and middle income countries. 4,13 As such, the prevalence and determinants of multimorbidity in Indonesia is relatively unknown.…”

Section: Introductionmentioning

confidence: 99%

Determinants of Multimorbidity among The Elderly Population in Indonesia

Mahwati¹

2014

Kesmas: National Public Health Journal

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Multimorbidity is the presence of two or more chronic diseases in one person. Multimorbidity prevalence increases with age, especially in the elderly. This study aimed to determine the prevalence of multimorbidity in elderly population in Indonesia and its determinant. Data were taken from the fourth survey of the Indonesian Family Life Survey (IFLS) which held in 2007. IFLS is a continuing longitudinal socio-economic and health survey. The sample used in the analysis were 2,960 elderly (≥ 60 years). Logistic regression was performed to determine the prevalence and determinants of multimorbidity in the elderly. The prevalence of multimorbidity were 15.8 % and was higher among low educational level, unemployed, current smokers, mild physical activity, overweight/obese and lower consumption of vegetables and fruit. Multivariate analysis showed that low educational level, unemployed, current smoker and ex smoker, overweight/obese, mild physical activity and lower consumption of vegetables and fruit were associated with multimorbidity. The results showed that the prevalence of multimorbidity in Indonesian elderly is quite high especially those with poor health behaviors and low socioeconomic conditions. Strategies to increase healthy behaviors and improve socio-economic conditions may decrease the prevalence of multimorbidity. Keywords: Determinant, elderly, multimorbidity AbstrakMultimorbiditas adalah kehadiran dua atau lebih penyakit kronis pada satu orang. Prevalensi multimorbiditas meningkat dengan usia, terutama pada lanjut usia (lansia). Penelitian ini bertujuan untuk mengetahui prevalensi dan determinan multimorbiditas pada lansia di Indonesia. Data diambil dari survei keempat Indonesian Family Life Survey (IFLS) yang diadakan pada tahun 2007. IFLS adalah survei sosial ekonomi dan kesehatan longitudinal di Indonesia. Sampel yang digunakan dalam analisis adalah 2.960 lansia (≥ 60 tahun). Regresi logistik dilakukan untuk menentukan prevalensi dan determinan multimorbiditas pada lansia. Hasil penelitian menunjukkan prevalensi multimorbiditas sebesar 15,8%, dengan prevalensi lebih tinggi pada lansia yang overweight/obesitas, tingkat pendidikan rendah, tidak bekerja, perokok saat ini, aktivitas fisik ringan, overweight/obesitas, dan kurangnya konsumsi sayur dan buah. Analisis multivariat menunjukkan bahwa tingkat pendidikan yang rendah, tidak bekerja, perokok saat ini dan pernah merokok, overweight/obesitas, aktivitas fisik ringan, serta kurangnya konsumsi sayuran dan buah berhubungan dengan multimorbiditas. Hasil penelitian menunjukkan bahwa prevalensi multimorbiditas pada lansia Indonesia cukup tinggi terutama mereka dengan perilaku kesehatan yang buruk dan kondisi sosial ekonomi yang rendah. Strategi untuk meningkatkan perilaku sehat dan meningkatkan kondisi sosial-ekonomi dapat menurunkan prevalensi multimorbiditas pada lansia.

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Lifestyle factors and multimorbidity: a cross sectional study

Cited by 206 publications

References 28 publications

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Association Between Lifestyle Factors and the Incidence of Multimorbidity in an Older English Population

Clinical and lifestyle-related risk factors for incident multimorbidity: 10-year follow-up of Finnish population-based cohorts 1982–2012

Determinants of Multimorbidity among The Elderly Population in Indonesia

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