Loading...
 
Register Log In Login with facebook

Increased number of health risk factors greatly increases number of chronic conditions (related to Vitamin D) – Dec 2017

Linear association between number of modifiable risk factors and multiple chronic conditions: Results from the Behavioral Risk Factor Surveillance System

Preventive Medicine, Vol 105, Dec 2017, Pages 169-175, https://doi.org/10.1016/j.ypmed.2017.09.013

Highlights

  • We defined multiple (≥ 2) chronic conditions (MCCs) with 8 or 12 chronic conditions.
  • We studied associations of MCCs with composite measures of up to 9 risk factors.
  • Linear increase in MCC rates with each added risk factor, starting with one.
  • All 9 risk factors are important.
  • Results suggest potential for primary prevention of a wide range of conditions.

Multiple (≥ 2) chronic conditions (MCCs) are responsible for a large fraction of healthcare costs. Our aim was to examine possible associations between MCCs and composite measures of behavioral risk factors (RFs). Data were publicly available 2013 Behavioral Risk Factor Surveillance System and included 483,865 non-institutionalized US adults ages ≥ 18 years.
Chronic conditions included
   Note by VitaminDWiki: All conditions are associated with low vitamin D

  • asthma,
  • arthritis,
  • chronic obstructive pulmonary disease,
  • cognitive impairment,
  • heart disease,
  • stroke,
  • cancer, and
  • kidney disease.

RFs included

  • obesity,
  • current smoking,
  • sedentary lifestyle,
  • inadequate fruit and vegetable consumption, and
  • sleeping other than 7–8 h,
    while depression, hypertension, high cholesterol, and diabetes were considered in each category.

Stata was used to study associations between 2 different MCCs and 2 composite measures of RFs in both unadjusted and adjusted analysis.
Over 96% of respondents reported ≥ 1 of the 9 RFs and 71.5% reported ≥ 1 of the chronic conditions.
For each combination there was a linear increase (with similar slopes) in MCC rate with more RFs and a statistically significant increase in adjusted odds ratios (ORs) for the MCC with each additional RF.
For the MCC based on 8 chronic conditions, ORs were

  • 1.3 (95% CI 1.1, 1.6) for 1 RF,
  • 2.3 (1.9, 2.7) for 2,
  • 3.7 (3.1, 4.4) for 3,
  • 5.7 (4.8, 6.8) for 4,
  • 9.1 (7.6, 10.8) for 5,
  • 14.6 (12.2, 17.4) for 6,
  • 24.0 (19.7, 29.2) for 7,
  • 38.1 (29.6, 48.9) for 8, and
  • 100.0 (56.3, 177.8) for all 9,

each vs. zero Rfs.
Findings highlight the need for effective integrated programs to address multiple RFs and chronic conditions.

 Download the PDF from SciHub via VitaminDWiki

From the PDF

  • MCC8: asthma, arthritis, chronic obstructive pulmonary disease, cognitive impairment, heart disease, stroke, cancer, and kidney disease.
  • MCC12: adds diabetes, depression, hypertension, high cholesterol.

See also web

  • COMORBIDITY AND MULTIMORBIDITY IN MEDICINE TODAY: CHALLENGES AND OPPORTUNITIES FOR BRINGING SEPARATED BRANCHES OF MEDICINE CLOSER TO EACH OTHER - 2013
     Download the PDF from VitaminDWiki
Created by admin. Last Modification: Friday November 10, 2017 22:54:52 UTC by admin. (Version 6)

Attached files

ID Name Comment Uploaded Size Downloads
8705 COMORBIDITY AND MULTIMORBIDITY.pdf admin 10 Nov, 2017 22:54 280.75 Kb 6
8702 Multiple Chronic Conditions.pdf admin 10 Nov, 2017 18:16 357.66 Kb 13
See any problem with this page? Report it to the webmaster.