| Author | Marques, Larissa Pruner | |
| Author | Aguiar, Odaleia Barbosa de | |
| Author | Paula, Daniela Polessa | |
| Author | Oliveira, Fernanda Esthefane Garrides | |
| Author | Chor, Dóra | |
| Author | Benseñor, Isabela | |
| Author | Ribeiro, Antonio Luiz | |
| Author | Brunoni, Andre R. | |
| Author | Machado, Luciana A. C. | |
| Author | Fonseca, Maria de Jesus Mendes da | |
| Author | Griep, Rosane Harter | |
| Access date | 2023-05-24T17:28:35Z | |
| Available date | 2023-05-24T17:28:35Z | |
| Document date | 2023 | |
| Citation | MARQUES, Larissa Pruner et al. Multimorbidity prevalence and patterns at the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Journal of Multimorbidity, v. 13, p. 1 - 113, Apr. 2023. | en_US |
| ISSN | 2235-042X | en_US |
| URI | https://www.arca.fiocruz.br/handle/icict/58626 | |
| Language | eng | en_US |
| Publisher | Sage | en_US |
| Rights | open access | |
| Subject in Portuguese | Adulto mais velho | en_US |
| Subject in Portuguese | Adulto | en_US |
| Subject in Portuguese | Doença crônica | en_US |
| Subject in Portuguese | Multimorbidade | en_US |
| Title | Multimorbidity prevalence and patterns at the baseline of the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil) | en_US |
| Type | Article | |
| DOI | 10.1177/26335565231173845 | |
| Abstract | Background: To identify multimorbidity patterns, by sex, according to sociodemographic and lifestyle in ELSA-Brasil.
Methods: Cross-sectional study with 14,516 participants from ELSA-Brasil (2008–2010). Fuzzy c-means was used to
identify multimorbidity patterns of 2+ chronic morbidities, where the consequent morbidity had to occur in at least 5% of
all cases. Association rule (O/E≥1.5) was used to identify co-occurrence of morbidities, in each cluster, by sociodemographic and lifestyle factors.
Results: The prevalence of multimorbidity was higher in women (73.7%) compared to men (65.3%). Among women,
cluster 1 was characterized by hypertension/diabetes (13.2%); cluster 2 had no overrepresented morbidity; and cluster 3 all
participants had kidney disease. Among men, cluster 1 was characterized by cirrhosis/hepatitis/obesity; cluster 2, most
combinations included kidney disease/migraine (6.6%); cluster 3, no pattern reached association ratio; cluster 4 predominated co-occurrence of hypertension/rheumatic fever, and hypertension/dyslipidemia; cluster 5 predominated diabetes and obesity, and combinations with hypertension (8.8%); and cluster 6 presented combinations of diabetes/
hypertension/heart attack/angina/heart failure. Clusters were characterized by higher prevalence of adults, married and
participants with university degrees.
Conclusion: Hypertension/diabetes/obesity were highly co-occurred, in both sexes. Yet, for men, morbidities like
cirrhosis/hepatitis were commonly clustered with obesity and diabetes; and kidney disease was commonly clustered with
migraine and common mental disorders. The study advances in understanding multimorbidity patterns, benefiting simultaneously or gradually prevention of diseases and multidisciplinary care responses. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Programa de Pòs-Graduação em Epidemiologia. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade do Estado do Rio de Janeiro. Instituto de Nutrição. Departamento de Nutrição Aplicada. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Instituto Brasileiro de Geografia e Estatística. Escola Nacional de Ciências Estatísticas, Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Programa de Pòs-Graduação em Epidemiologia. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Universidade de São Paulo. Hospital Universitário. Centro de Pesquisas Clínicas e Epidemiológicas. São Paulo, SP, Brasil. | en_US |
| Affilliation | Universidade Federal de Minas Gerais, Departamento de Medicina Interna. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Universidade de São Paulo. Escola de Medicina. Hospital das Clínicas. Instituto de Psiquiatria. Serviço Interdisciplinar de Neuromodulação. São Paulo, SP, Brasil. | en_US |
| Affilliation | Universidade Federal de Minas Gerais. HC-UFMG. Hospital das Clínicas/Ebserh. Belo Horizonte, MG, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública Sergio Arouca. Departamento de Epidemiologia e Métodos Quantitativos em Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Affilliation | Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório de Educação em Ambiente e Saúde. Rio de Janeiro, RJ, Brasil. | en_US |
| Subject | Multimorbidity | en_US |
| Subject | Chronic disease | en_US |
| Subject | Adult | en_US |
| Subject | Older adult Adult | en_US |
| xmlui.metadata.dc.subject.ods | 03 Saúde e Bem-Estar | |
