Multimorbidity Trends in United States Adults, 1988–2014

King, Dana E.; Xiang, Jun; Pilkerton, Courtney

doi:10.3122/jabfm.2018.04.180008

Cited by 174 publications

(194 citation statements)

References 44 publications

Supporting

Mentioning

178

Contrasting

Unclassified

Order By: Relevance

“…1 The US National Health and Nutrition Examination Survey 2013-2014 found that among 5541 people aged ≥20 years, the prevalence of multimorbidity (two or more chronic diseases) was 59.6% overall, 37.5% in those aged 20-44 years, 70.6% in those aged 45-64 years and 91.5% in those aged ≥65 years. 2 In addition, the proportion with four or more chronic diseases was 6.0%, 26.4% and 55.6% for those aged 0-44 years, 45-64 years and ≥65 years, respectively. According to a survey of 3737 people aged ≥45 years in China, the prevalence of multimorbidity (two or more chronic diseases) was 34.9% in those aged 45-59 years, 54.9% in those aged 60-69 years and 60.6% in those aged ≥70 years.…”

Section: Epidemiology Of Multimorbiditymentioning

confidence: 94%

“…Developed countries have experienced increases in the older adult population, as well as in life expectancy. The prevalence of various chronic diseases increases with age, and the number of older adults who simultaneously have multiple chronic diseases (multimorbidity) is increasing . In older adults, functional decline is observed in most organs, including the cardiac, respiratory and renal functions.…”

Section: Introductionmentioning

confidence: 99%

“…For example, a report from Scotland based on a database of 1 751 841 people aged 0–85 years showed 23.2% of people had two or more chronic diseases, and this percentage increased with age (64.9% in those aged 65–84 years and 81.5% in those aged ≥85 years) . The US National Health and Nutrition Examination Survey 2013–2014 found that among 5541 people aged ≥20 years, the prevalence of multimorbidity (two or more chronic diseases) was 59.6% overall, 37.5% in those aged 20–44 years, 70.6% in those aged 45–64 years and 91.5% in those aged ≥65 years . In addition, the proportion with four or more chronic diseases was 6.0%, 26.4% and 55.6% for those aged 0–44 years, 45–64 years and ≥65 years, respectively.…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of various chronic diseases increases with age, and the number of older adults who simultaneously have multiple chronic diseases (multimorbidity) is increasing. [1][2][3][4] In older adults, functional decline is observed in most organs, including the cardiac, respiratory and renal functions. This age-related functional decline occurs even without organ-specific diseases.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Era of geriatric medical challenges: Multimorbidity among older patients

Kuzuya¹

2019

Geriatrics Gerontology Int

View full text Add to dashboard Cite

The number of older adults is increasing worldwide, including in Asian countries. Various problems associated with medical care for older adults are being highlighted in aging societies. As the number of chronic diseases increases with age, older adults are more likely to have multiple chronic diseases simultaneously (multimorbidity). Multimorbidity results in poor health‐related outcomes, leading to increased use and cost of healthcare. Above all, it leads to deterioration in older adults’ quality of life. However, it is unclear whether any medical interventions are effective for multimorbidity, which means medical practitioners currently offer medical care “in the dark.” It is therefore necessary for researchers and medical professionals involved in geriatric medicine to establish ways to manage multimorbidity among older adults. This means that the development of research in this field is essential. Geriatr Gerontol Int 2019; 19: 699–704.

show abstract

Section: Epidemiology Of Multimorbiditymentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Era of geriatric medical challenges: Multimorbidity among older patients

Kuzuya¹

2019

Geriatrics Gerontology Int

View full text Add to dashboard Cite

show abstract

“…1 During 2013 to 2014, data from the National Health and Nutrition Examination Survey (NHANES) indicated an overall prevalence of Ն2 comorbidities was 60%; 39% had Ն3, and 23% had Ն4 -significantly higher than the prevalence in 1988 (46% with Ͼ2 comorbidities). Whites had the greatest increase, and obesity, its causes, and its comorbidities are likely substantial underlying factors.…”

Section: Morbidity and Obesitymentioning

confidence: 99%

The Potpourri of Family Medicine, in Sickness and in Health

Bowman¹,

Neale²,

Seehusen³

2018

J Am Board Fam Med

View full text Add to dashboard Cite

Some aspects of the health of Americans are declining, and family medicine is addressing these ailments. Obesity is one factor, and family physicians provide nutrition counseling. Despite new models such as direct primary care, we have not found an ideal method for providing primary care to everyone in our health system. Not all family physicians report burnout: what is their secret? Scribes: some positives and negatives from one group. Rural America is in need of more family physicians who provide prenatal and natal care, and the proof is in the infant mortality rate. We also have 2 articles on improving pediatric care, and research on the relationship of thrush to mode of infant delivery. We have reviews of new cancer and cholesterol drugs, raising awareness of important knowledge for the primary care clinicians seeing the patients who take these drugs. In addition: tick bites and delayed anaphylaxis-when and how, culture-related skin findings, and helping male perpetrators of domestic violence.

show abstract

Aging-Related Comorbidity Burden Among Women and Men With or At-Risk for HIV in the US, 2008-2019

et al. 2023

View full text Add to dashboard Cite

ImportanceDespite aging-related comorbidities representing a growing threat to quality-of-life and mortality among persons with HIV (PWH), clinical guidance for comorbidity screening and prevention is lacking. Understanding comorbidity distribution and severity by sex and gender is essential to informing guidelines for promoting healthy aging in adults with HIV.ObjectiveTo assess the association of human immunodeficiency virus on the burden of aging-related comorbidities among US adults in the modern treatment era.Design, Setting, and ParticipantsThis cross-sectional analysis included data from US multisite observational cohort studies of women (Women’s Interagency HIV Study) and men (Multicenter AIDS Cohort Study) with HIV and sociodemographically comparable HIV-seronegative individuals. Participants were prospectively followed from 2008 for men and 2009 for women (when more than 80% of participants with HIV reported antiretroviral therapy use) through last observation up until March 2019, at which point outcomes were assessed. Data were analyzed from July 2020 to April 2021.ExposuresHIV, age, sex.Main Outcomes and MeasuresComorbidity burden (the number of total comorbidities out of 10 assessed) per participant; secondary outcomes included individual comorbidity prevalence. Linear regression assessed the association of HIV status, age, and sex with comorbidity burden.ResultsA total of 5929 individuals were included (median [IQR] age, 54 [46-61] years; 3238 women [55%]; 2787 Black [47%], 1153 Hispanic or other [19%], 1989 White [34%]). Overall, unadjusted mean comorbidity burden was higher among women vs men (3.4 [2.1] vs 3.2 [1.8]; P = .02). Comorbidity prevalence differed by sex for hypertension (2188 of 3238 women [68%] vs 2026 of 2691 men [75%]), psychiatric illness (1771 women [55%] vs 1565 men [58%]), dyslipidemia (1312 women [41%] vs 1728 men [64%]), liver (1093 women [34%] vs 1032 men [38%]), bone disease (1364 women [42%] vs 512 men [19%]), lung disease (1245 women [38%] vs 259 men [10%]), diabetes (763 women [24%] vs 470 men [17%]), cardiovascular (493 women [15%] vs 407 men [15%]), kidney (444 women [14%] vs 404 men [15%]) disease, and cancer (219 women [7%] vs 321 men [12%]). In an unadjusted model, the estimated mean difference in comorbidity burden among women vs men was significantly greater in every age strata among PWH: age under 40 years, 0.33 (95% CI, 0.03-0.63); ages 40 to 49 years, 0.37 (95% CI, 0.12-0.61); ages 50 to 59 years, 0.38 (95% CI, 0.20-0.56); ages 60 to 69 years, 0.66 (95% CI, 0.42-0.90); ages 70 years and older, 0.62 (95% CI, 0.07-1.17). However, the difference between sexes varied by age strata among persons without HIV: age under 40 years, 0.52 (95% CI, 0.13 to 0.92); ages 40 to 49 years, −0.07 (95% CI, −0.45 to 0.31); ages 50 to 59 years, 0.88 (95% CI, 0.62 to 1.14); ages 60 to 69 years, 1.39 (95% CI, 1.06 to 1.72); ages 70 years and older, 0.33 (95% CI, −0.53 to 1.19) (P for interaction = .001). In the covariate-adjusted model, findings were slightly attenuated but retained statistical significance.Conclusions and RelevanceIn this cross-sectional study, the overall burden of aging-related comorbidities was higher in women vs men, particularly among PWH, and the distribution of comorbidity prevalence differed by sex. Comorbidity screening and prevention strategies tailored by HIV serostatus and sex or gender may be needed.

show abstract

Multimorbidity Trends in United States Adults, 1988–2014

Cited by 174 publications

References 44 publications

Era of geriatric medical challenges: Multimorbidity among older patients

Era of geriatric medical challenges: Multimorbidity among older patients

The Potpourri of Family Medicine, in Sickness and in Health

Aging-Related Comorbidity Burden Among Women and Men With or At-Risk for HIV in the US, 2008-2019

Contact Info

Product

Resources

About