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Age and gender differences in the prevalence and patterns of multimorbidity in the older population
BACKGROUND: The coexistence of several chronic diseases in one same individual, known as multimorbidity, is an important challenge facing health care systems in developed countries. Recent studies have revealed the existence of multimorbidity patterns clustering systematically associated distinct cl...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070347/ https://www.ncbi.nlm.nih.gov/pubmed/24934411 http://dx.doi.org/10.1186/1471-2318-14-75 |
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author | Abad-Díez, José María Calderón-Larrañaga, Amaia Poncel-Falcó, Antonio Poblador-Plou, Beatriz Calderón-Meza, José Manuel Sicras-Mainar, Antoni Clerencia-Sierra, Mercedes Prados-Torres, Alexandra |
author_facet | Abad-Díez, José María Calderón-Larrañaga, Amaia Poncel-Falcó, Antonio Poblador-Plou, Beatriz Calderón-Meza, José Manuel Sicras-Mainar, Antoni Clerencia-Sierra, Mercedes Prados-Torres, Alexandra |
author_sort | Abad-Díez, José María |
collection | PubMed |
description | BACKGROUND: The coexistence of several chronic diseases in one same individual, known as multimorbidity, is an important challenge facing health care systems in developed countries. Recent studies have revealed the existence of multimorbidity patterns clustering systematically associated distinct clinical entities. We sought to describe age and gender differences in the prevalence and patterns of multimorbidity in men and women over 65 years. METHODS: Observational retrospective multicentre study based on diagnostic information gathered from electronic medical records of 19 primary care centres in Aragon and Catalonia. Multimorbidity patterns were identified through exploratory factor analysis. We performed a descriptive analysis of previously obtained patterns (i.e. cardiometabolic (CM), mechanical (MEC) and psychogeriatric (PG)) and the diseases included in the patterns stratifying by sex and age group. RESULTS: 67.5% of the aged population suffered two or more chronic diseases. 32.2% of men and 45.3% of women were assigned to at least one specific pattern of multimorbidity, and 4.6% of men and 8% of women presented more than one pattern simultaneously. Among women over 65 years the most frequent pattern was the MEC pattern (33.3%), whereas among men it was the CM pattern (21.2%). While the prevalence of the CM and MEC patterns decreased with age, the PG pattern showed a higher prevalence in the older age groups. CONCLUSIONS: Significant gender differences were observed in the prevalence of multimorbidity patterns, women showing a higher prevalence of the MEC and PG patterns, as well as a higher degree of pattern overlapping, probably due to a higher life expectancy and/or worse health. Future studies on multimorbidity patterns should take into account these differences and, therefore, the study of multimorbidity and its impact should be stratified by age and sex. |
format | Online Article Text |
id | pubmed-4070347 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40703472014-06-26 Age and gender differences in the prevalence and patterns of multimorbidity in the older population Abad-Díez, José María Calderón-Larrañaga, Amaia Poncel-Falcó, Antonio Poblador-Plou, Beatriz Calderón-Meza, José Manuel Sicras-Mainar, Antoni Clerencia-Sierra, Mercedes Prados-Torres, Alexandra BMC Geriatr Research Article BACKGROUND: The coexistence of several chronic diseases in one same individual, known as multimorbidity, is an important challenge facing health care systems in developed countries. Recent studies have revealed the existence of multimorbidity patterns clustering systematically associated distinct clinical entities. We sought to describe age and gender differences in the prevalence and patterns of multimorbidity in men and women over 65 years. METHODS: Observational retrospective multicentre study based on diagnostic information gathered from electronic medical records of 19 primary care centres in Aragon and Catalonia. Multimorbidity patterns were identified through exploratory factor analysis. We performed a descriptive analysis of previously obtained patterns (i.e. cardiometabolic (CM), mechanical (MEC) and psychogeriatric (PG)) and the diseases included in the patterns stratifying by sex and age group. RESULTS: 67.5% of the aged population suffered two or more chronic diseases. 32.2% of men and 45.3% of women were assigned to at least one specific pattern of multimorbidity, and 4.6% of men and 8% of women presented more than one pattern simultaneously. Among women over 65 years the most frequent pattern was the MEC pattern (33.3%), whereas among men it was the CM pattern (21.2%). While the prevalence of the CM and MEC patterns decreased with age, the PG pattern showed a higher prevalence in the older age groups. CONCLUSIONS: Significant gender differences were observed in the prevalence of multimorbidity patterns, women showing a higher prevalence of the MEC and PG patterns, as well as a higher degree of pattern overlapping, probably due to a higher life expectancy and/or worse health. Future studies on multimorbidity patterns should take into account these differences and, therefore, the study of multimorbidity and its impact should be stratified by age and sex. BioMed Central 2014-06-17 /pmc/articles/PMC4070347/ /pubmed/24934411 http://dx.doi.org/10.1186/1471-2318-14-75 Text en Copyright © 2014 Abad-Díez et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Abad-Díez, José María Calderón-Larrañaga, Amaia Poncel-Falcó, Antonio Poblador-Plou, Beatriz Calderón-Meza, José Manuel Sicras-Mainar, Antoni Clerencia-Sierra, Mercedes Prados-Torres, Alexandra Age and gender differences in the prevalence and patterns of multimorbidity in the older population |
title | Age and gender differences in the prevalence and patterns of multimorbidity in the older population |
title_full | Age and gender differences in the prevalence and patterns of multimorbidity in the older population |
title_fullStr | Age and gender differences in the prevalence and patterns of multimorbidity in the older population |
title_full_unstemmed | Age and gender differences in the prevalence and patterns of multimorbidity in the older population |
title_short | Age and gender differences in the prevalence and patterns of multimorbidity in the older population |
title_sort | age and gender differences in the prevalence and patterns of multimorbidity in the older population |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4070347/ https://www.ncbi.nlm.nih.gov/pubmed/24934411 http://dx.doi.org/10.1186/1471-2318-14-75 |
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