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Lifestyle factors and high body mass index are associated with different multimorbidity clusters in the Brazilian population

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  • Januse Nogueira de Carvalho
  • Marianna de Camargo Cancela
  • Dyego Leandro Bezerra de Souza

Abstract

Multimorbidity patterns of a population can be influenced by socioeconomic and lifestyle-related factors. Some of these factors are preventable when healthy habits are promoted to the population. This study analyzed the main grouping patterns of chronic diseases and the relationship with socioeconomic and lifestyle-related factors of the Brazilian population (over the age of 18), based on a population-based survey (2013 National Health Survey). A total of 60,202 participants were included. Cluster analysis was carried out to identify the combinations of chronic diseases. Bivariate and multivariate analyses were carried out to verify the relationship between disease clusters and independent variables, utilizing Poisson's regression with robust variance, considering a 95% confidence interval. Cluster analysis revealed four disease clusters:cardiometabolic diseases/cancer, mental/occupational diseases, musculoskeletal diseases and respiratory diseases, all significantly associated with the female gender, current/past smoking habits and overweight/obesity in multivariate analyses. These aspects must be considered when planning health services and developing strategies and guidelines for the prevention and treatment of multiple chronic conditions.

Suggested Citation

  • Januse Nogueira de Carvalho & Marianna de Camargo Cancela & Dyego Leandro Bezerra de Souza, 2018. "Lifestyle factors and high body mass index are associated with different multimorbidity clusters in the Brazilian population," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0207649
    DOI: 10.1371/journal.pone.0207649
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    References listed on IDEAS

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    1. Concepció Violan & Quintí Foguet-Boreu & Gemma Flores-Mateo & Chris Salisbury & Jeanet Blom & Michael Freitag & Liam Glynn & Christiane Muth & Jose M Valderas, 2014. "Prevalence, Determinants and Patterns of Multimorbidity in Primary Care: A Systematic Review of Observational Studies," PLOS ONE, Public Library of Science, vol. 9(7), pages 1-9, July.
    2. Januse Nogueira de Carvalho & Ângelo Giuseppe Roncalli & Marianna de Camargo Cancela & Dyego Leandro Bezerra de Souza, 2017. "Prevalence of multimorbidity in the Brazilian adult population according to socioeconomic and demographic characteristics," PLOS ONE, Public Library of Science, vol. 12(4), pages 1-13, April.
    3. Inge Kirchberger & Christa Meisinger & Margit Heier & Anja-Kerstin Zimmermann & Barbara Thorand & Christine S Autenrieth & Annette Peters & Karl-Heinz Ladwig & Angela Döring, 2012. "Patterns of Multimorbidity in the Aged Population. Results from the KORA-Age Study," PLOS ONE, Public Library of Science, vol. 7(1), pages 1-7, January.
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