Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

Autor: Frank R. Vargas Chambi, Evelyn M. Montes Chañi, Winston J. Craig, David E. V. Olivares, Sandaly O. S. Pacheco, Fabio J. Pacheco
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Gerontology
Male
chronic diseases
risk factors
multimorbidity
primary health care
sociodemographic
lifestyle habits
anthropometrics
blood test analysis
community-based primary care
Argentina
Cross-sectional study
Health
Toxicology and Mutagenesis
lcsh:Medicine
Comorbidity
030204 cardiovascular system & hematology
Overweight
0302 clinical medicine
Vegetables
Prevalence
030212 general & internal medicine
Metabolic Syndrome
education.field_of_study
Smoking
Middle Aged
Lipoproteins
LDL
Cholesterol
Hypertension
Female
medicine.symptom
Adult
Adolescent
Alcohol Drinking
Population
Context (language use)
Article
03 medical and health sciences
Young Adult
Diabetes mellitus
Environmental health
medicine
Diabetes Mellitus
Humans
Obesity
education
Exercise
Life Style
Triglycerides
Aged
Dyslipidemias
Internet
business.industry
lcsh:R
Public Health
Environmental and Occupational Health
medicine.disease
Cross-Sectional Studies
Fruit
Chronic Disease
Metabolic syndrome
business
Dyslipidemia
Zdroj: International Journal of Environmental Research and Public Health, Vol 14, Iss 3, p 251 (2017)
International Journal of Environmental Research and Public Health; Volume 14; Issue 3; Pages: 251
International Journal of Environmental Research and Public Health
ISSN: 1660-4601
Popis: Global health agencies estimate an increase of chronic diseases in South America. Nevertheless, few studies have investigated chronic diseases and their risk factors in the perspective of multimorbidity. This research aimed to identify these aspects in a primary health care setting of central Argentina. The Pan America version of the STEP wise approach surveillance (STEPS) instrument of the World Health Organization was applied to 1044 participants, 365 men and 679 women, with a mean age of 43 years. High prevalence of overweight (33.5%), obesity (35.2%), central obesity (54%), dyslipidemia (43.5%), metabolic syndrome (21.1%), low intake of fruit and vegetables (91.8%), low levels of physical activity (71.5%), risky alcohol consumption (28%), and smoking (22.5%) were detected. Hypertension and diabetes were the most prevalent chronic conditions and the total prevalence of multimorbidity was 33.1%, with 2, 3, 4, 5 and 6 chronic conditions found in 19.9%, 9.1%, 2.6%, 1.1% and 0.4% of the population, respectively. Multimorbidity affected 6.4% of the young, 31.7% of the adults, and 60.6% of the elderly, and was more prevalent among women, and in participants with lower levels of education. Having multimorbidity was significantly associated with obesity, central obesity, and higher concentrations of total blood cholesterol, low-density lipoprotein cholesterol, triglycerides, and glucose. A website was made available to the participants in order to share the experimental results and health-promoting information.
Databáze: OpenAIRE
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