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Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil
OBJECTIVE: To identify multimorbidity patterns in women in southern Brazil, and its relationship with sociodemographic, lifestyle characteristics, and nutritional status, as well as to explore the main independent risk factor for the identified patterns. SUBJECTS AND METHODS: This is a cross-section...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Sociedade Brasileira de Endocrinologia e Metabologia
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665044/ https://www.ncbi.nlm.nih.gov/pubmed/37249464 http://dx.doi.org/10.20945/2359-3997000000642 |
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author | Franken, Débora Luiza Dias-da-Costa, Juvenal Soares Olinto, Maria Teresa Anselmo Sturmer, Jaqueline Bordin, Rafaela Balzaretti Paniz, Vera Maria Vieira |
author_facet | Franken, Débora Luiza Dias-da-Costa, Juvenal Soares Olinto, Maria Teresa Anselmo Sturmer, Jaqueline Bordin, Rafaela Balzaretti Paniz, Vera Maria Vieira |
author_sort | Franken, Débora Luiza |
collection | PubMed |
description | OBJECTIVE: To identify multimorbidity patterns in women in southern Brazil, and its relationship with sociodemographic, lifestyle characteristics, and nutritional status, as well as to explore the main independent risk factor for the identified patterns. SUBJECTS AND METHODS: This is a cross-sectional, population-based study with 1,128 women (20-69 years), southern Brazil. Chronic conditions were identified using the therapeutic and chemical anatomical classification of continuous use of medications. Multimorbidity was assessed as ≥2 or ≥3 chronic conditions to identify dyads and triads. Poisson regression was used to explore risk factors in the different adjustment models. As independent variables evaluated, in addition to sociodemographic characteristics, lifestyle variables were included: consumption of fruits and vegetables, physical activity, alcohol consumption, smoking and nutritional status. RESULTS: Eleven dyads (frequencies between 2.0% and 6.4%) and three triads (frequencies between 1.9% and 2.1%) of morbidities were identified in the study. Aging was related to a higher prevalence of all patterns, and obesity was a risk factor for multimorbidity patterns that contained conditions related to the cardiovascular and metabolic system and mental health. After adjustment, obesity increased the probability of “hypertension + common mental disorders (CMD)” (PR 3.63; 95% CI 1.94-6.78) and “dyslipidemia + CMD” (PR 3.69; 95% CI 1.08-12.65) by more than three times. CONCLUSION: This study identified common and important diseases in the patterns, associated with a common risk factor, obesity, that must be addressed by public health policies to prevent multimorbidity. |
format | Online Article Text |
id | pubmed-10665044 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Sociedade Brasileira de Endocrinologia e Metabologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-106650442023-05-29 Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil Franken, Débora Luiza Dias-da-Costa, Juvenal Soares Olinto, Maria Teresa Anselmo Sturmer, Jaqueline Bordin, Rafaela Balzaretti Paniz, Vera Maria Vieira Arch Endocrinol Metab Original Article OBJECTIVE: To identify multimorbidity patterns in women in southern Brazil, and its relationship with sociodemographic, lifestyle characteristics, and nutritional status, as well as to explore the main independent risk factor for the identified patterns. SUBJECTS AND METHODS: This is a cross-sectional, population-based study with 1,128 women (20-69 years), southern Brazil. Chronic conditions were identified using the therapeutic and chemical anatomical classification of continuous use of medications. Multimorbidity was assessed as ≥2 or ≥3 chronic conditions to identify dyads and triads. Poisson regression was used to explore risk factors in the different adjustment models. As independent variables evaluated, in addition to sociodemographic characteristics, lifestyle variables were included: consumption of fruits and vegetables, physical activity, alcohol consumption, smoking and nutritional status. RESULTS: Eleven dyads (frequencies between 2.0% and 6.4%) and three triads (frequencies between 1.9% and 2.1%) of morbidities were identified in the study. Aging was related to a higher prevalence of all patterns, and obesity was a risk factor for multimorbidity patterns that contained conditions related to the cardiovascular and metabolic system and mental health. After adjustment, obesity increased the probability of “hypertension + common mental disorders (CMD)” (PR 3.63; 95% CI 1.94-6.78) and “dyslipidemia + CMD” (PR 3.69; 95% CI 1.08-12.65) by more than three times. CONCLUSION: This study identified common and important diseases in the patterns, associated with a common risk factor, obesity, that must be addressed by public health policies to prevent multimorbidity. Sociedade Brasileira de Endocrinologia e Metabologia 2023-05-29 /pmc/articles/PMC10665044/ /pubmed/37249464 http://dx.doi.org/10.20945/2359-3997000000642 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Franken, Débora Luiza Dias-da-Costa, Juvenal Soares Olinto, Maria Teresa Anselmo Sturmer, Jaqueline Bordin, Rafaela Balzaretti Paniz, Vera Maria Vieira Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil |
title | Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil |
title_full | Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil |
title_fullStr | Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil |
title_full_unstemmed | Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil |
title_short | Multimorbidity patterns: obesity as the main modifiable risk factor in adult women in Southern Brazil |
title_sort | multimorbidity patterns: obesity as the main modifiable risk factor in adult women in southern brazil |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10665044/ https://www.ncbi.nlm.nih.gov/pubmed/37249464 http://dx.doi.org/10.20945/2359-3997000000642 |
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