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Impact of age and gender differences in the prevalence and patterns of multimorbidity in the Thai Cohort Study.

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  • معلومة اضافية
    • المصدر:
      Publisher: Oxford University Press Country of Publication: England NLM ID: 101517095 Publication Model: Print Cited Medium: Internet ISSN: 1876-3405 (Electronic) Linking ISSN: 18763405 NLM ISO Abbreviation: Int Health Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2013- : Oxford : Oxford University Press
      Original Publication: -2012: Kidlington, Oxford : Elsevier
    • الموضوع:
      Multimorbidity* ; Obesity*/epidemiology ; Metabolic Syndrome*/epidemiology ; Hypertension*/epidemiology; Humans ; Male ; Female ; Middle Aged ; Thailand/epidemiology ; Adult ; Cross-Sectional Studies ; Prevalence ; Aged ; Sex Factors ; Age Factors ; Hyperlipidemias/epidemiology ; Cohort Studies ; Chronic Disease/epidemiology ; Southeast Asian People
    • نبذة مختصرة :
      Background: The study aims to identify the common patterns of multimorbidity and their distribution by age and gender.
      Method: This cross-sectional study collected self-reported data from 42 785 Thai Cohort Study members through mailed questionnaires. Employing prevalence-based analysis, it identified common multimorbidity (coexistence of two or more chronic conditions) patterns, analysing the three most common patterns stratified by age and sex. P for trend (p-trend) was used to test the linear trend for associations between age and prevalence of these chronic conditions in the multimorbidity patterns.
      Results: Chronic conditions with the highest prevalence were related to metabolic syndromes: obesity (28.5%), hyperlipidaemia (13.2%) and hypertension (7.2%). A positive linear age-multimorbidity association was observed (p-trend = 0.0111). The 60+ participants averaged 1.20 diseases, with 33.7% multimorbidity prevalence. Hyperlipidaemia + obesity was most prevalent in the under-40 multimorbid group (38.7%). Men exhibited a higher prevalence of multimorbidity and associated patterns involving hypertension, hyperlipidaemia and obesity than women.
      Conclusion: Metabolic syndrome components were the prominent factors driving multimorbidity. Significant age and gender differences were also revealed in multimorbidity prevalence. People aged 60+ faced high risk of multimorbidity, while younger individuals tended towards the multimorbidity pattern of obesity and hyperlipidaemia. Men were more susceptible to multimorbidity patterns associated with metabolic syndromes. Future studies for metabolic-related multimorbidity should consider these differences, addressing age and gender issues.
      (© The Author(s) 2024. Published by Oxford University Press on behalf of Royal Society of Tropical Medicine and Hygiene.)
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    • Contributed Indexing:
      Keywords: Age; chronic conditions; gender; multimorbidity
    • الموضوع:
      Date Created: 20240323 Date Completed: 20240702 Latest Revision: 20240704
    • الموضوع:
      20240704
    • الرقم المعرف:
      PMC11218883
    • الرقم المعرف:
      10.1093/inthealth/ihae018
    • الرقم المعرف:
      38520373