Evidence map›Paper›PMID 29987080›Full record

ArticleAnnals of family medicine2018

Predicting Incident Multimorbidity.

Luke T A Mounce, John L Campbell, William E Henley, Maria C Tejerina Arreal, Ian Porter, Jose M Valderas

Registry-linked trialAbstract read
In one paragraph

Article in Annals of family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04386135 (DESVELA Cohort. Analysis of the Role of Personal Skills as Determinants of Incidence of Morbidity, Lifestyles, Quality of Life, Use of Services and Mortality.), which is not on this map. Cited by 54 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04386135 unknown statusnot on this mapstarted 2021, after this paper: background citation

DESVELA Cohort. Analysis of the Role of Personal Skills as Determinants of Incidence of Morbidity, Lifestyles, Quality of Life, Use of Services and Mortality.

TypeobservationalSponsorFundacio d'Investigacio en Atencio Primaria Jordi Gol i GurinaRan2021 to 2025Enrolled3,260ConditionsGeneral Population, Health Knowledge, Attitudes, Practice, Empowerment, Health Care Utilization
3 · Its place in the literature

Who cites it

54 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  16. Association Between the Healthy Lifestyle Index and Risk of Multimorbidity in the Women's Health Initiative.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Luke T A MounceUniversity of Exeter Medical School, St Luke's Campus, Exeter, Devon, United Kingdom.
John L CampbellUniversity of Exeter Medical School, St Luke's Campus, Exeter, Devon, United Kingdom.
William E HenleyUniversity of Exeter Medical School, St Luke's Campus, Exeter, Devon, United Kingdom.
Maria C Tejerina ArrealFaculty of Psychology, University of Murcia, Murcia, Spain.
Ian PorterUniversity of Exeter Medical School, St Luke's Campus, Exeter, Devon, United Kingdom.
Jose M ValderasUniversity of Exeter Medical School, St Luke's Campus, Exeter, Devon, United Kingdom J.M.Valderas@exeter.ac.uk.

Funding

Department of Health
6 · The paper itself

Abstract

purposeMultimorbidity is associated with adverse outcomes, yet research on the determinants of its incidence is lacking. We investigated which sociodemographic, health, and individual lifestyle (eg, physical activity, smoking behavior, body mass index) characteristics predict new cases of multimorbidity.

methodsWe used data from 4,564 participants aged 50 years and older in the English Longitudinal Study of Aging that included a 10-year follow-up period. Discrete time-to-event (complementary log-log) models were constructed for exploring the associations of baseline characteristics with outcomes between 2002-2003 and 2012-2013 separately for participants with no initial conditions (n = 1,377) developing multimorbidity, any increase in conditions within 10 years regardless of initial conditions, and the impact of individual conditions on incident multimorbidity.

resultsThe risks of developing multimorbidity were positively associated with age, and they were greater for the least wealthy, for participants who were obese, and for those who reported the lowest levels of physical activity or an external locus of control (believing that life events are outside of one's control) for all groups regardless of baseline conditions (all linear trends <.05). No significant associations were observed for sex, educational attainment, or social detachment. For participants with any increase in conditions (n = 4,564), a history of smoking was the only additional predictor. For participants with a single baseline condition (n = 1,534), chronic obstructive pulmonary disease (COPD), asthma, and arrhythmia showed the strongest associations with subsequent multimorbidity.

conclusionsOur findings support the development and implementation of a strategy targeting the prevention of multimorbidity for susceptible groups. This approach should incorporate behavior change addressing lifestyle factors and target health-related locus of control.

Indexed as

AgingLife StyleMultimorbidityAgedAged, 80 and overChronic DiseaseEnglandFemaleHumansLongitudinal StudiesMaleMiddle AgedPrevalenceSelf Reportdeterminantsepidemiologyincidencemultimorbidityolder peoplepatient characteristics

Identifiers

PMID29987080
PMCPMC6037507

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.