Evidence map›Paper›PMID 33632751›Full record

ArticleBMJ open2021

Prevalence of non-communicable chronic conditions, multimorbidity and its correlates among older adults in rural Nepal: a cross-sectional study.

Uday Narayan Yadav, Saruna Ghimire, Sabuj Kanti Mistry, Selvanaayagam Shanmuganathan, Lal B Rawal, Mark Harris

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In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  7. The physiotherapy workforce in Nepal: A national survey.Journal of evaluation in clinical practice · 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.

Uday Narayan YadavCentre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia unyadav1@gmail.com.ORCID 0000-0002-6626-1604
Saruna GhimireDepartment of Sociology and Gerontology and Scripps Gerontology Center, Miami University, Oxford, Ohio, USA.
Sabuj Kanti MistryCentre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia.
Selvanaayagam ShanmuganathanTorrens University, Sydney, New South Wales, Australia.
Lal B RawalSchool of Health Medical and Allied Sciences, Central Queensland University-Sydney Campus, Sydney, New South Wales, Australia.
Mark HarrisCentre for Primary Health Care and Equity, University of New South Wales, Sydney, New South Wales, Australia.ORCID 0000-0002-0705-8913

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study's objectives were to estimate the prevalence of major non-communicable conditions and multimorbidity among older adults in rural Nepal and examine the associated socioeconomic and behavioural risk factors.

designThis was a community-based cross-sectional study conducted between January and April 2018.

settingRural municipalities of Sunsari and Morang districts in eastern Nepal.

participants794 older Nepalese adults, 60 years and older, were recruited using a multistage cluster sampling approach. PRIMARY OUTCOME MEASURES: Prevalence of four major non-communicable chronic conditions (osteoarthritis, cardiovascular disease, diabetes and chronic obstructive pulmonary disease (COPD) and multimorbidity.

resultsAlmost half (48.9%: men 45.3%; women 52.4%) of the participants had at least one of four non-communicable chronic conditions, and 14.6% (men 12.5%; women 16.8%) had two or more conditions. The prevalence of individual conditions included: osteoarthritis-41.7% (men 37.5%; women 45.9%), cardiovascular disease-2.4% (men 2.8%; women 2.0%), diabetes-5.3% (men 6.0%; women 4.6%) and COPD-15.4% (men 13.3%; women 17.5%). In the adjusted model, older adults aged 70-79 years (adjusted OR (AOR): 1.62; 95% CI: 1.04 to 2.54), those from Madhesi and other ethnic groups (AOR: 1.08; 95% CI: 1.02 to 1.72), without a history of alcohol drinking (AOR: 1.53; 95% CI: 1.18 to 2.01) and those physically inactive (AOR: 5.02; 95% CI: 1.47 to 17.17) had significantly higher odds of multimorbidity.

conclusionsThis study found one in seven study participants had multimorbidity. The prevalence of multimorbidity and associated socioeconomic and behavioural correlates need to be addressed by integrating social programmes with health prevention and management at multiple levels. Moreover, a longitudinal study is suggested to understand the temporal relationship between lifestyle predictors and multimorbidity among older Nepalese adults.

Indexed as

MultimorbidityAgedCross-Sectional StudiesFemaleHumansLongitudinal StudiesMaleNepalPrevalenceepidemiologygeriatric medicinepublic health

Identifiers

PMID33632751
PMCPMC7908905

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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.