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Arch Iran Med. 2023;26(1): 8-15.
doi: 10.34172/aim.2023.02
PMID: 37543916
PMCID: PMC10685807
Scopus ID: 85162058858
  Abstract View: 890
  PDF Download: 541

Original Article

Patterns and Predictors of Multimorbidity in the Azar Cohort

Mohammdhossein Somi 1 ORCID logo, Alireza Ostadrahimi 2, Neda Gilani 3, Arash Haji Kamanaj 4, Sina Hassannezhad 4, Elnaz Faramarzi 1* ORCID logo

1 Liver and Gastrointestinal Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
2 Nutrition Research Center, Tabriz University of Medical Sciences, Tabriz, Iran
3 Department of Statistics and Epidemiology, Faculty of Health, Tabriz University of Medical Sciences, Tabriz, Iran
4 Student Research Committee, Tabriz University of Medical Sciences, Tabriz, Iran
*Corresponding Author: Elnaz Faramarzi, Emails: elnazfaramarzi849@gmail.com, , Email: faramarzie@tbzmed.ac.ir

Abstract

Background: The co-existence of chronic diseases (CDs), a condition defined as multimorbidity (MM), is becoming a major public health issue. Therefore, we aimed to determine the patterns and predictors of MM in the Azar Cohort.

Methods: We evaluated the prevalence of MM in 15,006 (35–70-year old) subjects of the Azar Cohort Study. MM was defined as the co-existence of two or more CDs. Data on the subjects’ socioeconomic status, demographics, sleeping habits, and physical activity were collected using questionnaires.

Results: The overall prevalence of MM was 28.1%. The most prevalent CDs, in decreasing order, were obesity, hypertension, depression, and diabetes. Obesity, depression, and diabetes were the most co-occurring CDs. The MM risk increased significantly with age, illiteracy, and in females. Also, the subjects within the lowest tertile of physical activity level (OR=1.89; 95% CI: 1.75–2.05) showed higher MM risk than those with the highest level of physical activity. Findings regarding current smoking status indicated that being an ex-smoker or smoker of other types of tobacco significantly increased the risk of MM.

Conclusion: The reduction of MM is possible by promoting public health from an early age among people of various socioeconomic conditions. It is vital to offer the necessary health support to the aging population of Iran.


Cite this article as: Somi M, Ostadrahimi A, Gilani N, Haji Kamanaj A, Hassannezhad S, Faramarzi E. Patterns and predictors of multimorbidity in the Azar cohort. Arch Iran Med. 2023;26(1):8-15. doi: 10.34172/aim.2023.02
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Submitted: 08 Aug 2021
Revision: 19 Feb 2022
Accepted: 27 Feb 2022
ePublished: 01 Jan 2023
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