Lifestyle factors and multimorbidity: a cross sectional study

BMC Public Health

Martin Lemieux²  Maxime Sasseville²  Tarek Bouhali²  José Almirall²  Jeannie Haggerty¹  Martin Fortin² 

[1] Faculty of medicine, McGill University, Montreal, Canada;Centre de santé et de services sociaux de Chicoutimi, 305 St-Vallier, Chicoutimi, Québec G7H 5H6, Canada

关键词: Body mass index;    Physical activity;    Fruit and vegetable consumption;    Alcohol consumption;    Smoking habit;    Lifestyle factors;    Multimorbidity;   

Others  :  866310
DOI  :  10.1186/1471-2458-14-686

 received in 2013-12-10, accepted in 2014-06-30,  发布年份 2014

【 摘 要 】

Background

Lifestyle factors have been associated mostly with individual chronic diseases. We investigated the relationship between lifestyle factors (individual and combined) and the co-occurrence of multiple chronic diseases.

Methods

Cross-sectional analysis of results from the Program of Research on the Evolution of a Cohort Investigating Health System Effects (PRECISE) in Quebec, Canada. Subjects aged 45 years and older. A randomly-selected cohort in the general population recruited by telephone. Multimorbidity (3 or more chronic diseases) was measured by a simple count of self-reported chronic diseases from a list of 14. Five lifestyle factors (LFs) were evaluated: 1) smoking habit, 2) alcohol consumption, 3) fruit and vegetable consumption, 4) physical activity, and 5) body mass index (BMI). Each LF was given a score of 1 (unhealthy) if recommended behavioural targets were not achieved and 0 otherwise. The combined effect of unhealthy LFs (ULFs) was evaluated using the total sum of scores.

Results

A total of 1,196 subjects were analyzed. Mean number of ULFs was 2.6 ± 1.1 SD. When ULFs were considered separately, there was an increased likelihood of multimorbidity with low or high BMI [Odd ratio (95% Confidence Interval): men, 1.96 (1.11-3.46); women, 2.57 (1.65-4.00)], and present or past smoker [men, 3.16 (1.74-5.73)]. When combined, in men, 4-5 ULFs increased the likelihood of multimorbidity [5.23 (1.70-16.1)]; in women, starting from a threshold of 2 ULFs [1.95 (1.05-3.62)], accumulating more ULFs progressively increased the likelihood of multimorbidity.

Conclusions

The present study provides support to the association of lifestyle factors and multimorbidity.

【 授权许可】

   
2014 Fortin et al.; licensee BioMed Central Ltd.

【 图 表 】

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