Lifestyle and Socioeconomic Determinants of Multimorbidity Patterns among Mid-Aged Women: A Longitudinal Study
Identifieur interne : 001B91 ( Main/Exploration ); précédent : 001B90; suivant : 001B92Lifestyle and Socioeconomic Determinants of Multimorbidity Patterns among Mid-Aged Women: A Longitudinal Study
Auteurs : Caroline A. Jackson [Australie, Royaume-Uni] ; Annette J. Dobson [Australie] ; Leigh R. Tooth [Australie] ; Gita D. Mishra [Australie]Source :
- PLoS ONE [ 1932-6203 ] ; 2016.
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Abstract
Little is known about patterns of associative multimorbidity and their aetiology.
We aimed to identify patterns of associative multimorbidity among mid-aged women and the lifestyle and socioeconomic factors associated with their development.
Participants were from the Australian Longitudinal Study on Women’s Health. We included 4896 women born 1946–51, without multimorbidity in 1998. We identified multimorbidity patterns at survey 6 (2010) using factor analysis, and related these patterns to baseline lifestyle and socioeconomic factors using logistic regression. We dichotomised factor scores and determined odds ratios (ORs) with 95% confidence intervals (CIs) for associations between characteristics and odds of a high versus low factor score.
We identified five multimorbidity patterns: psychosomatic; musculoskeletal; cardiometabolic; cancer; and respiratory. Overweight and obesity were respectively associated with increased odds of having a high score for the musculoskeletal (adjusted ORs 1.45 [95% CI 1.23, 1.70] and 2.14 [95% CI 1.75, 2.60]) and cardiometabolic (adjusted ORs 1.53 [95% CI 1.31, 1.79] and 2.46 [95% CI 2.02, 2.98]) patterns. Physical inactivity was associated with increased odds of a high score for the psychosomatic, musculoskeletal and cancer patterns (adjusted ORs 1.41 [95% CI 1.13, 1.76]; 1.39 [95% CI 1.11, 1.74]; and 1.35 [95% CI 1.08, 1.69]). Smoking was associated with increased odds of a high score for the respiratory pattern. Education and ability to manage on income were associated with increased odds of a high score for the psychosomatic pattern (adjusted ORs 1.34 [95% CI 1.03, 1.75] and 1.73 [95% CI 1.37, 1.28], respectively) and musculoskeletal pattern (adjusted ORs 1.43 [95% CI 1.10, 1.87] and 1.38 [1.09, 1.75], respectively).
Distinct multimorbidity patterns can be identified among mid-aged women. Social inequality, physical activity and BMI are risk factors common to multiple patterns and are appropriate targets for reducing the risk of specific multimorbidity groups in mid-life women.
Url:
DOI: 10.1371/journal.pone.0156804
PubMed: 27258649
PubMed Central: 4892503
Affiliations:
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Jackson</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006,Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006</wicri:regionArea><wicri:noRegion>QLD 4006</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="aff002"><addr-line>Usher Institute of Population Health Sciences and Informatics, No. 9 Edinburgh Bioquarter, 9 Little France Road, Edinburgh, EH16 4UX, United Kingdom</addr-line></nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Usher Institute of Population Health Sciences and Informatics, No. 9 Edinburgh Bioquarter, 9 Little France Road, Edinburgh, EH16 4UX</wicri:regionArea><wicri:noRegion>EH16 4UX</wicri:noRegion></affiliation></author><author><name sortKey="Dobson, Annette J" sort="Dobson, Annette J" uniqKey="Dobson A" first="Annette J." last="Dobson">Annette J. Dobson</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006,Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006</wicri:regionArea><wicri:noRegion>QLD 4006</wicri:noRegion></affiliation></author><author><name sortKey="Tooth, Leigh R" sort="Tooth, Leigh R" uniqKey="Tooth L" first="Leigh R." last="Tooth">Leigh R. Tooth</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006,Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006</wicri:regionArea><wicri:noRegion>QLD 4006</wicri:noRegion></affiliation></author><author><name sortKey="Mishra, Gita D" sort="Mishra, Gita D" uniqKey="Mishra G" first="Gita D." last="Mishra">Gita D. Mishra</name><affiliation wicri:level="1"><nlm:aff id="aff001"><addr-line>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006,Australia</addr-line></nlm:aff><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Longitudinal and Life course Research, School of Population Health, University of Queensland, Herston Road, Herston, QLD 4006</wicri:regionArea><wicri:noRegion>QLD 4006</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Body Mass Index</term><term>Comorbidity</term><term>Exercise</term><term>Female</term><term>Humans</term><term>Life Style</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Exercice physique</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Mode de vie</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études longitudinales</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Body Mass Index</term><term>Comorbidity</term><term>Exercise</term><term>Female</term><term>Humans</term><term>Life Style</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Risk Factors</term><term>Socioeconomic Factors</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Comorbidité</term><term>Exercice physique</term><term>Facteurs de risque</term><term>Facteurs socioéconomiques</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Mode de vie</term><term>Mâle</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec id="sec001"><title>Background</title><p>Little is known about patterns of associative multimorbidity and their aetiology.</p><p>We aimed to identify patterns of associative multimorbidity among mid-aged women and the lifestyle and socioeconomic factors associated with their development.</p></sec><sec id="sec002"><title>Methods</title><p>Participants were from the Australian Longitudinal Study on Women’s Health. We included 4896 women born 1946–51, without multimorbidity in 1998. We identified multimorbidity patterns at survey 6 (2010) using factor analysis, and related these patterns to baseline lifestyle and socioeconomic factors using logistic regression. We dichotomised factor scores and determined odds ratios (ORs) with 95% confidence intervals (CIs) for associations between characteristics and odds of a high versus low factor score.</p></sec><sec id="sec003"><title>Results</title><p>We identified five multimorbidity patterns: psychosomatic; musculoskeletal; cardiometabolic; cancer; and respiratory. Overweight and obesity were respectively associated with increased odds of having a high score for the musculoskeletal (adjusted ORs 1.45 [95% CI 1.23, 1.70] and 2.14 [95% CI 1.75, 2.60]) and cardiometabolic (adjusted ORs 1.53 [95% CI 1.31, 1.79] and 2.46 [95% CI 2.02, 2.98]) patterns. Physical inactivity was associated with increased odds of a high score for the psychosomatic, musculoskeletal and cancer patterns (adjusted ORs 1.41 [95% CI 1.13, 1.76]; 1.39 [95% CI 1.11, 1.74]; and 1.35 [95% CI 1.08, 1.69]). Smoking was associated with increased odds of a high score for the respiratory pattern. Education and ability to manage on income were associated with increased odds of a high score for the psychosomatic pattern (adjusted ORs 1.34 [95% CI 1.03, 1.75] and 1.73 [95% CI 1.37, 1.28], respectively) and musculoskeletal pattern (adjusted ORs 1.43 [95% CI 1.10, 1.87] and 1.38 [1.09, 1.75], respectively).</p></sec><sec id="sec004"><title>Conclusions</title><p>Distinct multimorbidity patterns can be identified among mid-aged women. Social inequality, physical activity and BMI are risk factors common to multiple patterns and are appropriate targets for reducing the risk of specific multimorbidity groups in mid-life women.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Christensen, K" uniqKey="Christensen K">K Christensen</name></author><author><name sortKey="Doblhammer, G" uniqKey="Doblhammer G">G Doblhammer</name></author><author><name sortKey="Rau, R" uniqKey="Rau R">R Rau</name></author><author><name sortKey="Vaupel, Jw" uniqKey="Vaupel J">JW Vaupel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lozano, R" uniqKey="Lozano R">R Lozano</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M Naghavi</name></author><author><name sortKey="Foreman, K" uniqKey="Foreman K">K Foreman</name></author><author><name sortKey="Lim, S" uniqKey="Lim S">S Lim</name></author><author><name sortKey="Shibuya, K" 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uniqKey="Mahoney D">DW Mahoney</name></author><author><name sortKey="Jacobsen, Sj" uniqKey="Jacobsen S">SJ Jacobsen</name></author><author><name sortKey="Rodeheffer, Rj" uniqKey="Rodeheffer R">RJ Rodeheffer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hansen, H" uniqKey="Hansen H">H Hansen</name></author><author><name sortKey="Schafer, I" uniqKey="Schafer I">I Schafer</name></author><author><name sortKey="Schon, G" uniqKey="Schon G">G Schon</name></author><author><name sortKey="Riedel Heller, S" uniqKey="Riedel Heller S">S Riedel-Heller</name></author><author><name sortKey="Gensichen, J" uniqKey="Gensichen J">J Gensichen</name></author><author><name sortKey="Weyerer, S" uniqKey="Weyerer S">S Weyerer</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burton, Nw" uniqKey="Burton N">NW Burton</name></author><author><name sortKey="Brown, W" uniqKey="Brown W">W Brown</name></author><author><name sortKey="Dobson, A" uniqKey="Dobson A">A Dobson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Brown, Wj" uniqKey="Brown W">WJ Brown</name></author><author><name sortKey="Trost, Sg" uniqKey="Trost S">SG Trost</name></author><author><name sortKey="Bauman, A" uniqKey="Bauman A">A Bauman</name></author><author><name sortKey="Mummery, K" uniqKey="Mummery K">K Mummery</name></author><author><name sortKey="Owen, N" uniqKey="Owen N">N Owen</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Australie</li><li>Royaume-Uni</li></country></list><tree><country name="Australie"><noRegion><name sortKey="Jackson, Caroline A" sort="Jackson, Caroline A" uniqKey="Jackson C" first="Caroline A." last="Jackson">Caroline A. Jackson</name></noRegion><name sortKey="Dobson, Annette J" sort="Dobson, Annette J" uniqKey="Dobson A" first="Annette J." last="Dobson">Annette J. Dobson</name><name sortKey="Mishra, Gita D" sort="Mishra, Gita D" uniqKey="Mishra G" first="Gita D." last="Mishra">Gita D. Mishra</name><name sortKey="Tooth, Leigh R" sort="Tooth, Leigh R" uniqKey="Tooth L" first="Leigh R." last="Tooth">Leigh R. Tooth</name></country><country name="Royaume-Uni"><noRegion><name sortKey="Jackson, Caroline A" sort="Jackson, Caroline A" uniqKey="Jackson C" first="Caroline A." last="Jackson">Caroline A. Jackson</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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