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Age and gender differences in the prevalence and patterns of multimorbidity in the older population

BMC geriatrics, 2014-06, Vol.14 (1), p.75-75, Article 75 [Peer Reviewed Journal]

Copyright © 2014 Abad-Díez et al.; licensee BioMed Central Ltd. 2014 Abad-Díez et al.; licensee BioMed Central Ltd. ;ISSN: 1471-2318 ;EISSN: 1471-2318 ;DOI: 10.1186/1471-2318-14-75 ;PMID: 24934411

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  • Title:
    Age and gender differences in the prevalence and patterns of multimorbidity in the older population
  • 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
  • Subjects: Age Factors ; Aged ; Aged, 80 and over ; Aging - pathology ; Aging - psychology ; Cardiovascular Diseases - diagnosis ; Cardiovascular Diseases - epidemiology ; Comorbidity ; Female ; Humans ; Male ; Mental Disorders - diagnosis ; Mental Disorders - epidemiology ; Population Surveillance - methods ; Prevalence ; Retrospective Studies ; Sex Characteristics ; Spain - epidemiology
  • Is Part Of: BMC geriatrics, 2014-06, Vol.14 (1), p.75-75, Article 75
  • Description: 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. 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. 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. 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.
  • Publisher: England: BioMed Central Ltd
  • Language: English
  • Identifier: ISSN: 1471-2318
    EISSN: 1471-2318
    DOI: 10.1186/1471-2318-14-75
    PMID: 24934411
  • Source: PubMed (Medline)
    SpringerOpen
    Geneva Foundation Free Medical Journals at publisher websites
    AUTh Library subscriptions: ProQuest Central
    MEDLINE
    ROAD: Directory of Open Access Scholarly Resources
    DOAJ Directory of Open Access Journals
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