ArticleFrontiers in public health2025
Identification and trajectory of multimorbidity patterns among older people in China: a longitudinal study based on the China health and retirement longitudinal study 2011-2020 data.
Article in Frontiers in public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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.
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.
Who cites it
1 citing paper in PubMed.
- Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: Multimorbidity presents a significant global health challenge, particularly among older people in China; however, research on its patterns and dynamic evolution remains limited. This study examines chronic disease co-occurrence and associated risk factors, identifying multimorbidity trends to inform health management and policy. Methods: This study utilized the latest five-wave national survey data from the China Health and Retirement Longitudinal Study (CHARLS) on 2,798 individuals aged 60 years or older with multimorbidity. Latent class analysis (LCA) identified distinct multimorbidity patterns from 14 self-reported chronic conditions. Longitudinal follow-up data were then used to construct transition frequency matrices, modeling the trajectory and dynamic evolution of multimorbidity among older people in China over time. Results: Using LCA, 2,798 participants were classified into four patterns: the multi-system disorder group (10.33%), the gastrointestinal metabolism group (44.07%), the cardiovascular disease group (37.81%), and the respiratory disease group (7.79%). Over five waves, the gastrointestinal metabolism group declined (from 74.70% in 2011 to 44.07% in 2020), while the cardiovascular group increased (from 15.87 to 37.81%). The multi-system and respiratory groups also grew. Transition analysis showed the gastrointestinal metabolism group was the least stable, with many shifting to the cardiovascular group (7.29% from 2013 to 2015, 23.81% from 2015 to 2018, 18.54% from 2018 to 2020). Conclusion: The disease burden among older people is shifting from gastrointestinal metabolism disorders to cardiovascular diseases, with gastrointestinal issues potentially acting as precursors to cardiovascular conditions. Future research should investigate the risk factors influencing transitions between multimorbidity patterns and their underlying mechanisms.
Indexed as
Identifiers
What OpenQuestion holds
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.