Association between body mass index and prevalence of multimorbidity: a cross-sectional study
| Autor: | Dejana Vukovic, Jelena Marinkovic, Dragana Jovic |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Cross-sectional study Population 030209 endocrinology & metabolism Comorbidity Overweight Body Mass Index Young Adult 03 medical and health sciences 0302 clinical medicine Prevalence Humans Medicine Obesity 030212 general & internal medicine Sex Distribution education Aged 2. Zero hunger education.field_of_study business.industry Public Health Environmental and Occupational Health General Medicine Odds ratio Middle Aged medicine.disease Health Surveys Confidence interval 3. Good health Cross-Sectional Studies Chronic Disease Female medicine.symptom business Serbia Body mass index Demography |
| Zdroj: | Public Health. 139:103-111 |
| ISSN: | 0033-3506 |
| DOI: | 10.1016/j.puhe.2016.05.014 |
| Popis: | Objectives To explore the prevalence of multimorbidity in Serbia according to sex and body mass index (BMI) categories, and to examine the association between BMI and multimorbidity. In addition, this study examined the relationships between the main demographic and socio-economic characteristics of the population (age, settlement, education) and multimorbidity. Study design Secondary analysis of data from the 2013 Serbian National Health Survey. Methods This study analyzed data from 13,103 participants aged ≥20 years with BMI data. The associations between BMI, age, education and multimorbidity were analyzed by multivariate logistic regression. Results The overall prevalence of multimorbidity was higher than the overall prevalence of a single disease (26.9% vs 20.7%). The proportion of participants who reported two or more chronic diseases increased with each BMI category in both sexes, reaching the highest values in obese category III. Odds ratios (ORs) for the prevalence in all morbidity groups increased gradually with BMI category, and the highest OR values were found in obese category III. Males of obese category III were seven times more likely to have multimorbidity [OR 7.2, 95% confidence interval (CI) 4.2–12.6] than males of normal weight, whereas females of obese category III were nine and a half times more likely to have multimorbidity (OR 9.5, 95% CI 4.0–22.4) than females of normal weight. In the multivariable analysis, age (both sexes), low and middle level of education (males), and rural settlement and low level of education (females) were found to be predictors of multimorbidity. Conclusions This study found positive associations between obesity and multimorbidity and between overweight and multimorbidity. Recognizing these associations is of great importance from both clinical and public health perspectives because this could lead to an integrated approach for patients. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect