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Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality

Understanding multimorbidity patterns is important in finding a common etiology and developing prevention strategies. Our aim was to identify the multimorbidity patterns of Taiwanese people aged over 50 years and to explore their relationship with health outcomes. This longitudinal cohort study used...

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Autores principales: Ho, Hsin-En, Yeh, Chih-Jung, Wei, James Cheng-Chung, Chu, Wei-Min, Lee, Meng-Chih
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950835/
https://www.ncbi.nlm.nih.gov/pubmed/35329003
http://dx.doi.org/10.3390/ijerph19063317
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author Ho, Hsin-En
Yeh, Chih-Jung
Wei, James Cheng-Chung
Chu, Wei-Min
Lee, Meng-Chih
author_facet Ho, Hsin-En
Yeh, Chih-Jung
Wei, James Cheng-Chung
Chu, Wei-Min
Lee, Meng-Chih
author_sort Ho, Hsin-En
collection PubMed
description Understanding multimorbidity patterns is important in finding a common etiology and developing prevention strategies. Our aim was to identify the multimorbidity patterns of Taiwanese people aged over 50 years and to explore their relationship with health outcomes. This longitudinal cohort study used data from the Taiwan Longitudinal Study on Aging. The data were obtained from wave 3, and the multimorbidity patterns in 1996, 1999, 2003, 2007, and 2011 were analyzed separately by latent class analysis (LCA). The association between each disease group and mortality was examined using logistic regression. Four disease patterns were identified in 1996, namely, the cardiometabolic (18.57%), arthritis–cataract (15.61%), relatively healthy (58.92%), and multimorbidity (6.9%) groups. These disease groups remained similar in the following years. After adjusting all the confounders, the cardiometabolic group showed the highest risk for mortality (odds ratio: 1.237, 95% confidence interval: 1.040–1.472). This longitudinal study reveals the trend of multimorbidity among older adults in Taiwan for 16 years. Older adults with a cardiometabolic multimorbidity pattern had a dismal outcome. Thus, healthcare professionals should put more emphasis on the prevention and identification of cardiometabolic multimorbidity.
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spelling pubmed-89508352022-03-26 Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality Ho, Hsin-En Yeh, Chih-Jung Wei, James Cheng-Chung Chu, Wei-Min Lee, Meng-Chih Int J Environ Res Public Health Article Understanding multimorbidity patterns is important in finding a common etiology and developing prevention strategies. Our aim was to identify the multimorbidity patterns of Taiwanese people aged over 50 years and to explore their relationship with health outcomes. This longitudinal cohort study used data from the Taiwan Longitudinal Study on Aging. The data were obtained from wave 3, and the multimorbidity patterns in 1996, 1999, 2003, 2007, and 2011 were analyzed separately by latent class analysis (LCA). The association between each disease group and mortality was examined using logistic regression. Four disease patterns were identified in 1996, namely, the cardiometabolic (18.57%), arthritis–cataract (15.61%), relatively healthy (58.92%), and multimorbidity (6.9%) groups. These disease groups remained similar in the following years. After adjusting all the confounders, the cardiometabolic group showed the highest risk for mortality (odds ratio: 1.237, 95% confidence interval: 1.040–1.472). This longitudinal study reveals the trend of multimorbidity among older adults in Taiwan for 16 years. Older adults with a cardiometabolic multimorbidity pattern had a dismal outcome. Thus, healthcare professionals should put more emphasis on the prevention and identification of cardiometabolic multimorbidity. MDPI 2022-03-11 /pmc/articles/PMC8950835/ /pubmed/35329003 http://dx.doi.org/10.3390/ijerph19063317 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Ho, Hsin-En
Yeh, Chih-Jung
Wei, James Cheng-Chung
Chu, Wei-Min
Lee, Meng-Chih
Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality
title Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality
title_full Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality
title_fullStr Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality
title_full_unstemmed Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality
title_short Trends of Multimorbidity Patterns over 16 Years in Older Taiwanese People and Their Relationship to Mortality
title_sort trends of multimorbidity patterns over 16 years in older taiwanese people and their relationship to mortality
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8950835/
https://www.ncbi.nlm.nih.gov/pubmed/35329003
http://dx.doi.org/10.3390/ijerph19063317
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