Prevalencia de polifarmacia y factores asociados en adultos mayores en España: datos de la Encuesta Nacional de Salud 2017

Gutiérrez-Valencia, Marta; Herce, Pablo Aldaz; Lacalle-Fabo, Esther; Escámez, Beatriz Contreras; Cedeno-Veloz, Bernardo; Martínez‐Velilla, Nicolás

doi:10.1016/j.medcli.2018.12.013

Cited by 43 publications

(5 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…While a homogeneous operational definitional is lacking throughout the field, literature supports the definition of polypharmacy as the consumption of five or more drugs daily in the same individual [7]. Polypharmacy is considered a critical public health problem that is related to drug-drug and drug-disease interactions, adverse drug events [8][9][10][11][12], falls, hospital admissions and mortality [13,14]. Polypharmacy has been on the rise over the past several decades [11] and is highly associated to multimorbidity [8].…”

Section: Introductionmentioning

confidence: 99%

Combined Multimorbidity and Polypharmacy Patterns in the Elderly: A Cross-Sectional Study in Primary Health Care

Stafford

Villén

Roso-Llorach

et al. 2021

IJERPH

View full text Add to dashboard Cite

(1) Background: The acquisition of multiple chronic diseases, known as multimorbidity, is common in the elderly population, and it is often treated with the simultaneous consumption of several prescription drugs, known as polypharmacy. These two concepts are inherently related and cause an undue burden on the individual. The aim of this study was to identify combined multimorbidity and polypharmacy patterns for the elderly population in Catalonia. (2) Methods: A cross-sectional study using electronic health records from 2012 was conducted. A mapping process was performed linking chronic disease categories to the drug categories indicated for their treatment. A soft clustering technique was then carried out on the final mapped categories. (3) Results: 916,619 individuals were included, with 93.1% meeting the authors’ criteria for multimorbidity and 49.9% for polypharmacy. A seven-cluster solution was identified: one non-specific (Cluster 1) and six specific, corresponding to diabetes (Cluster 2), neurological and musculoskeletal, female dominant (Clusters 3 and 4) and cardiovascular, cerebrovascular and renal diseases (Clusters 5 and 6), and multi-system diseases (Cluster 7). (4) Conclusions: This study utilized a mapping process combined with a soft clustering technique to determine combined patterns of multimorbidity and polypharmacy in the elderly population, identifying overrepresentation in six of the seven clusters with chronic disease and chronic disease-drug categories. These results could be applied to clinical practice guidelines in order to better attend to patient needs. This study can serve as the foundation for future longitudinal regarding relationships between multimorbidity and polypharmacy.

show abstract

Section: Introductionmentioning

confidence: 99%

Combined Multimorbidity and Polypharmacy Patterns in the Elderly: A Cross-Sectional Study in Primary Health Care

Stafford

Villén

Roso-Llorach

et al. 2021

IJERPH

View full text Add to dashboard Cite

show abstract

“…From the age of 80 years old, the prevalence of obesity decreases according to age, and the prevalence of overweight increases [ 9 ]. On the one hand, this could reflect the relationship between BMI and survival due to the increased risk of mortality associated with obesity at these ages [ 22 ]. Additionally, we must considered that there are authors who have described up to 15% sarcopenia among this age group in Spain [ 15 , 31 ] as changes to body composition are produced in the ageing process, which can lead to underestimating the nutritional status of this population group [ 16 ].…”

Section: Discussionmentioning

confidence: 99%

“…Different factors could contribute to nutritional modifications in the elderly, such as educational level [ 20 ], previous diseases, or pharmacological treatments received [ 21 , 22 ].…”

Section: Introductionmentioning

confidence: 99%

Nutritional Status of Non-Institutionalized Adults Aged over 65. Study of Weight and Health in Older Adults (PYSMA)

Mozo-Alonso¹,

Ruiz

Duran-Alonso

et al. 2021

Nutrients

View full text Add to dashboard Cite

Background. A significant increase in the prevalence of malnourishment, obesity, and sarcopenic obesity has been observed in developed countries over the last few decades. In Spain, this especially happens in populations over 65 who are not institutionalized. Differences in lifestyle, medication, and economic capacity partially explain this increase. Objective. To study the nutritional status of a population of 65 year-olds and subjects who are not institutionalized, in the Cádiz region (Spain). Methods. Observational, transversal study carried out on 2621 subjects who are 65 years old and over, with a direct weight and height measurement, in 150 pharmacy offices from 44 locations. A mobile application was designed for homogeneous data collection in all the pharmacy offices. The data required from all subjects was gender, age, postal code, social security contribution regime, if the patient lives alone, type of food consumed as the main meals, level of physical activity, polypharmacy, weight, and height. Results. The prevalence of overweight and obesity amounts to 82.2% of the population (43.2% overweight and 39% obese). We found an inverse relationship between the prevalence of overweight and obesity with carrying out physical activity and having full dinners. Conclusion. We identify the need to reinforce the messages to the elderly aimed at maintaining adequate physical activity and assessing the quality and quantity of dinners, as well as reducing, as much as possible, the treatments that may lead to weight gain.

show abstract

“…La polifarmacia se ha definido como el consumo de cinco o más fármacos 83 . En España, según la Encuesta Nacional de Salud del año 2017, un 27,3% de las personas mayores de 65 años están polimedicadas 84 .…”

Section: Recomendacionesunclassified

Recomendaciones sobre la valoración integral y multidimensional del anciano hospitalizado. Posicionamiento de la Sociedad Española de Medicina Interna

Maroto

Romano

Nogueroles³

et al. 2021

Revista Clínica Española

View full text Add to dashboard Cite

Prevalencia de polifarmacia y factores asociados en adultos mayores en España: datos de la Encuesta Nacional de Salud 2017

Cited by 43 publications

References 30 publications

Combined Multimorbidity and Polypharmacy Patterns in the Elderly: A Cross-Sectional Study in Primary Health Care

Combined Multimorbidity and Polypharmacy Patterns in the Elderly: A Cross-Sectional Study in Primary Health Care

Nutritional Status of Non-Institutionalized Adults Aged over 65. Study of Weight and Health in Older Adults (PYSMA)

Recomendaciones sobre la valoración integral y multidimensional del anciano hospitalizado. Posicionamiento de la Sociedad Española de Medicina Interna

Contact Info

Product

Resources

About