Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).

<h4>Objective</h4>The aim of this study is to describe the evolution of multimorbidity.<h4>Study design and setting</h4>Data from 1854 South Australians who participated in the North West Adelaide longitudinal Health Study (NWAHS) was collected between baseline (2000-2002) an...

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Autores principales:	Guillaume Ruel, Jean-Frédéric Lévesque, Nigel Stocks, Caroline Sirois, Edeltraut Kroger, Robert J Adams, Mariève Doucet, Anne W Taylor
Formato:	article
Lenguaje:	EN
Publicado:	Public Library of Science (PLoS) 2014
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/a4fd6996215d4fd5ac952284ae3bf02e
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spelling	oai:doaj.org-article:a4fd6996215d4fd5ac952284ae3bf02e2021-11-18T08:20:43ZUnderstanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).1932-620310.1371/journal.pone.0096291https://doaj.org/article/a4fd6996215d4fd5ac952284ae3bf02e2014-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/24798485/pdf/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Objective</h4>The aim of this study is to describe the evolution of multimorbidity.<h4>Study design and setting</h4>Data from 1854 South Australians who participated in the North West Adelaide longitudinal Health Study (NWAHS) was collected between baseline (2000-2002) and follow-up (2008-2010). Status for eight chronic diseases (CDs) was determined by biomedical measurement or self-report. Chronic disease (CD) mean age of occurrence and order of appearance was investigated.<h4>Results</h4>The prevalence of multimorbidity increased from 32% to 64% during the 7.8±1.1 years of follow-up. The estimated mean age of onset of a new CD was significantly older for hypertension, cardiovascular disease (CVD) and chronic obstructive pulmonary disease (COPD) and younger for hypercholesterolemia, asthma and other mental problem. Hypercholesterolemia was more likely to develop as a first than as a subsequent CD (39%vs.16%, p<0.0001) while CVD (1%vs.5%, p<0.0001), diabetes (5%vs.11%, p<0.001) and COPD (6%vs.16%, p<0.0001) were less likely. The presence of mood disorders at baseline was associated with an increased risk of developing other mental disorders (36%vs.12%, p<0.0001), diabetes (18%vs.9%, p<0.01) and asthma (30%vs.21%, p<0.05).<h4>Conclusion</h4>Longitudinal data could be used to study the evolution of multimorbidity and could provide information on CDs mean age of occurrence, order of appearance and impact on the development of future CDs.Guillaume RuelJean-Frédéric LévesqueNigel StocksCaroline SiroisEdeltraut KrogerRobert J AdamsMariève DoucetAnne W TaylorPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 9, Iss 5, p e96291 (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Guillaume Ruel Jean-Frédéric Lévesque Nigel Stocks Caroline Sirois Edeltraut Kroger Robert J Adams Mariève Doucet Anne W Taylor Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).
description	<h4>Objective</h4>The aim of this study is to describe the evolution of multimorbidity.<h4>Study design and setting</h4>Data from 1854 South Australians who participated in the North West Adelaide longitudinal Health Study (NWAHS) was collected between baseline (2000-2002) and follow-up (2008-2010). Status for eight chronic diseases (CDs) was determined by biomedical measurement or self-report. Chronic disease (CD) mean age of occurrence and order of appearance was investigated.<h4>Results</h4>The prevalence of multimorbidity increased from 32% to 64% during the 7.8±1.1 years of follow-up. The estimated mean age of onset of a new CD was significantly older for hypertension, cardiovascular disease (CVD) and chronic obstructive pulmonary disease (COPD) and younger for hypercholesterolemia, asthma and other mental problem. Hypercholesterolemia was more likely to develop as a first than as a subsequent CD (39%vs.16%, p<0.0001) while CVD (1%vs.5%, p<0.0001), diabetes (5%vs.11%, p<0.001) and COPD (6%vs.16%, p<0.0001) were less likely. The presence of mood disorders at baseline was associated with an increased risk of developing other mental disorders (36%vs.12%, p<0.0001), diabetes (18%vs.9%, p<0.01) and asthma (30%vs.21%, p<0.05).<h4>Conclusion</h4>Longitudinal data could be used to study the evolution of multimorbidity and could provide information on CDs mean age of occurrence, order of appearance and impact on the development of future CDs.
format	article
author	Guillaume Ruel Jean-Frédéric Lévesque Nigel Stocks Caroline Sirois Edeltraut Kroger Robert J Adams Mariève Doucet Anne W Taylor
author_facet	Guillaume Ruel Jean-Frédéric Lévesque Nigel Stocks Caroline Sirois Edeltraut Kroger Robert J Adams Mariève Doucet Anne W Taylor
author_sort	Guillaume Ruel
title	Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).
title_short	Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).
title_full	Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).
title_fullStr	Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).
title_full_unstemmed	Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).
title_sort	understanding the evolution of multimorbidity: evidences from the north west adelaide health longitudinal study (nwahs).
publisher	Public Library of Science (PLoS)
publishDate	2014
url	https://doaj.org/article/a4fd6996215d4fd5ac952284ae3bf02e
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Understanding the evolution of multimorbidity: evidences from the North West Adelaide Health Longitudinal Study (NWAHS).

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