Lifestyle factors and multimorbidity among older adults (ELSI-Brazil)
Lifestyle factors and multimorbidity among older adults (ELSI-Brazil)
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DOI：
10.1007/s10433-020-00560-z
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发表时间：
2020-02-14
影响因子：
3.8
通讯作者：
Peixoto, Sergio Viana
中科院分区：
文献类型：
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作者：
de Almeida, Marina Gabriela Nascimento;Nascimento-Souza, Mary Anne;Peixoto, Sergio Viana
这项研究的目的是评估不健康的生活方式因素（个人和综合）和多发病之间的关联分层性别，在全国样本代表巴西50岁或以上。使用了2015-2016年进行的巴西老龄化纵向研究（ELSI-Brazil）基线数据。多发病的定义是存在19种慢性疾病中的两种或两种以上。四个不健康的生活方式因素被认为是：（1）危险的酒精消费，（2）当前或过去的吸烟，（3）体力活动不足和（4）低于推荐的水果和蔬菜的消费。不健康的生活方式因素之间的关联，个人和组合，进行了评估，逻辑回归。在7918名研究参与者中，女性和男性的多发性骨髓瘤患病率分别为75.8%（95% CI 73.7-77.7）和58.7%（95% CI 56.0-61.3）。在女性中，没有一种分析的行为表现出与多发性硬化症的独立和统计学显著关联（p < 0.05）。在男性中，高风险的酒精消费与更低的多发性硬化的几率有关。另一方面，目前或过去吸烟和体力活动不足与这种情况的可能性更大。此外，存在三到四个不健康的生活方式因素与男性多发病的几率更大有关。这些结果加强了干预措施的必要性，以促进患有两种或两种以上慢性疾病的老年男性的健康行为。此外，很明显，卫生服务部门需要采取行动，在慢性病的医疗诊断后改变不健康的行为，以减少未来并发症的风险。
The objective of the study was to evaluate the association between unhealthy lifestyle factors (individual and combined) and multimorbidity stratified by sex, in a national sample representative of Brazilians aged 50 years or older. Data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil) baseline, conducted in 2015-2016, were used. Multimorbidity was defined by the existence of two or more of the 19 chronic diseases. Four unhealthy lifestyle factors were considered: (1) at-risk alcohol consumption, (2) current or past smoking, (3) insufficient physical activity and (4) below-recommended consumption of fruits and vegetables. The association between unhealthy lifestyle factors, individual and combined, was assessed by logistic regression. Among the 7918 study participants, the prevalence of multimorbidity was 75.8% (95% CI 73.7-77.7) among women and 58.7% (95% CI 56.0-61.3) among men. Among women, none of the analyzed behaviors presented an independent and statistically significant association (p < 0.05) with multimorbidity. Among men, at-risk alcohol consumption was associated with lower odds of multimorbidity. On the other hand, current or past smoking and insufficient physical activity were associated with greater odds of this condition. In addition, the presence of three or four unhealthy lifestyle factors was associated with greater odds of multimorbidity among men. The results reinforce the need for interventions to promote healthy behaviors among older men with two or more chronic diseases. In addition, it is evident that the health services need to act in an attempt to modify unhealthy behaviors after medical diagnosis of chronic diseases to reduce the risk of future complications.