ArticlePloS one2023
Lifestyle factors related to prevalent chronic disease multimorbidity: A population-based cross-sectional study.
Article in PloS one, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.
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Who cites it
18 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Sociodemographic intersections and risk of multiple long-term conditions: A systematic review.PloS one · 2025Pooled it
- Associations between neighbourhood characteristics, alcohol use patterns, and physical activity in midlife - the Northern Finland Birth Cohort 1966.Social psychiatry and psychiatric epidemiology · 2026Article
- Individual and combined effects of somatic and mental disorders on reoperation risk after hip fracture surgery: a nationwide danish cohort study of 110,625 patients.European geriatric medicine · 2026Article
- Association Between Polypharmacy and Physical Function in Middle-aged Adults: Findings from the CARDIA Function Study.Journal of general internal medicine · 2026Article
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- Non-random aggregations of healthy and unhealthy lifestyles and their population characteristics - pattern recognition in a large population-based cohort.Archives of public health = Archives belges de sante publique · 2025Article
- Global trends in chronic kidney disease mortality and disability-adjusted life years attributable to low physical activity (1990-2021): a growing public health challenge.BMC nephrology · 2025Article
- Factors associated with dementia risk reduction lifestyle in mild cognitive impairment: a cross-sectional study of individuals and their family caregivers.BMC neurology · 2025Article
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- Care cascades of diabetes and hypertension among late adolescents in India.Journal of global health · 2025Article
- Multimorbidity progression and the heterogeneous impact of healthy ageing risk factors: a multicohort study.BMJ public health · 2025Article
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- Lifestyle Factors in the Clinical Manifestation and Management of Atopic Dermatitis.Archives of internal medicine research · 2025Article
- The Application of Checklist in Chronic Disease: A Comprehensive Bibliometric Analysis.Journal of multidisciplinary healthcare · 2025Review
- Perceived neighborhood safety, crime exposure, and chronic diseases among older Indians: The role of functional disabilities.PLOS global public health · 2025Article
- The associations of diet quality and cardiometabolic indicators in children and the mediation role of cardiorespiratory fitness.Frontiers in nutrition · 2025Article
- Ultraprocessed Food Consumption and Cardiometabolic Risk Factors in Children.JAMA network open · 2024Article
- Proposed mechanisms of action participating in the hypoglycemic effect of the traditionally usedFrontiers in pharmacology · 2024Article
Corrections and comments
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Authors and funding
11 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMultimorbidity is associated with poor quality of life, polypharmacy, health care costs and mortality, with those affected potentially benefitting from a healthy lifestyle. We assessed a comprehensive set of lifestyle factors in relation to multimorbidity with major chronic diseases.
methodsThis cross-sectional study utilised baseline data for adults from the prospective Lifelines Cohort in the north of the Netherlands (N = 79,345). We defined multimorbidity as the co-existence of two or more chronic diseases (i.e. cardiovascular disease, cancer, respiratory disease, type 2 diabetes) and evaluated factors in six lifestyle domains (nutrition, physical (in)activity, substance abuse, sleep, stress, relationships) among groups by the number of chronic diseases (≥2, 1, 0). Multinomial logistic regression models were created, adjusted for appropriate confounders, and odds ratios (OR) with 95% confidence intervals (95%CI) were reported.
results3,712 participants had multimorbidity (4.7%, age 53.5 ± 12.5 years), and this group tended to have less healthy lifestyles. Compared to those without chronic diseases, those with multimorbidity reported physical inactivity more often (OR, 1.15; 95%CI, 1.06-1.25; not significant for one condition), chronic stress (OR, 2.14; 95%CI, 1.92-2.38) and inadequate sleep (OR, 1.70; 95%CI, 1.41-2.06); as expected, they more often watched television (OR, 1.70; 95%CI, 1.42-2.04) and currently smoked (OR, 1.91; 95%CI, 1.73-2.11), but they also had lower alcohol intakes (OR, 0.66; 95%CI, 0.59-0.74).
conclusionsChronic stress and poor sleep, in addition to physical inactivity and smoking, are lifestyle factors of great concern in patients with multimorbidity.
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