Multimorbidity and complex multimorbidity in Brazilians with severe obesity

Abstract To investigate the prevalence of multimorbidity and complex multimorbidity and their association with sociodemographic and health variables in individuals with severe obesity. This is a baseline data analysis of 150 individuals with severe obesity (body mass index ≥ 35.0 kg/m2) aged 18–65 y...

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Main Authors: Ana Paula dos Santos Rodrigues, Sandro Rogério Rodrigues Batista, Annelisa Silva e Alves Santos, Andrea Batista de Sousa Canheta, Bruno Pereira Nunes, Andréa Toledo de Oliveira Rezende, Cesar de Oliveira, Erika Aparecida Silveira
Format: Article
Language:English
Published: Nature Portfolio 2023-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-43545-5
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author Ana Paula dos Santos Rodrigues
Sandro Rogério Rodrigues Batista
Annelisa Silva e Alves Santos
Andrea Batista de Sousa Canheta
Bruno Pereira Nunes
Andréa Toledo de Oliveira Rezende
Cesar de Oliveira
Erika Aparecida Silveira
author_facet Ana Paula dos Santos Rodrigues
Sandro Rogério Rodrigues Batista
Annelisa Silva e Alves Santos
Andrea Batista de Sousa Canheta
Bruno Pereira Nunes
Andréa Toledo de Oliveira Rezende
Cesar de Oliveira
Erika Aparecida Silveira
author_sort Ana Paula dos Santos Rodrigues
collection DOAJ
description Abstract To investigate the prevalence of multimorbidity and complex multimorbidity and their association with sociodemographic and health variables in individuals with severe obesity. This is a baseline data analysis of 150 individuals with severe obesity (body mass index ≥ 35.0 kg/m2) aged 18–65 years. The outcomes were multimorbidity and complex multimorbidity. Sociodemographic, lifestyle, anthropometric and self-perceived health data were collected. Poisson multiple regression was conducted to identify multimorbidity risk factors. The frequency of two or more morbidities was 90.7%, three or more morbidities was 76.7%, and complex multimorbidity was 72.0%. Living with four or more household residents was associated with ≥ 3 morbidities and complex multimorbidity. Fair and very poor self-perceived health was associated with ≥ 2 morbidities, ≥ 3 morbidities and complex multimorbidity. A higher BMI range (45.0–65.0 kg/m2) was associated with ≥ 2 morbidities and ≥ 3 morbidities. Anxiety (82.7%), varicose veins of lower limbs (58.7%), hypertension (56.0%) were the most frequent morbidities, as well as the pairs and triads including them. The prevalence of multimorbidity and complex multimorbidity in individuals with severe obesity was higher and the risk for multimorbidity and complex multimorbidity increased in individuals living in households of four or more residents, with fair or poor/very poor self-perceived health and with a higher BMI.
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spelling doaj.art-7586e120fc124f10822dbcf277071b852023-11-20T09:17:50ZengNature PortfolioScientific Reports2045-23222023-10-011311910.1038/s41598-023-43545-5Multimorbidity and complex multimorbidity in Brazilians with severe obesityAna Paula dos Santos Rodrigues0Sandro Rogério Rodrigues Batista1Annelisa Silva e Alves Santos2Andrea Batista de Sousa Canheta3Bruno Pereira Nunes4Andréa Toledo de Oliveira Rezende5Cesar de Oliveira6Erika Aparecida Silveira7Superintendence of Health Care, Goiás State Health DepartmentDepartment of Internal Medicine, School of Medicine, Federal University of GoiásGraduate Program in Health Sciences, Federal University of GoiásFaculty of Education, Federal University of GoiásGraduate Program in Nursing, Federal University of PelotasGraduate Program in Health Sciences, Federal University of GoiásDepartment of Epidemiology & Public Health, University College LondonDepartment of Internal Medicine, School of Medicine, Federal University of GoiásAbstract To investigate the prevalence of multimorbidity and complex multimorbidity and their association with sociodemographic and health variables in individuals with severe obesity. This is a baseline data analysis of 150 individuals with severe obesity (body mass index ≥ 35.0 kg/m2) aged 18–65 years. The outcomes were multimorbidity and complex multimorbidity. Sociodemographic, lifestyle, anthropometric and self-perceived health data were collected. Poisson multiple regression was conducted to identify multimorbidity risk factors. The frequency of two or more morbidities was 90.7%, three or more morbidities was 76.7%, and complex multimorbidity was 72.0%. Living with four or more household residents was associated with ≥ 3 morbidities and complex multimorbidity. Fair and very poor self-perceived health was associated with ≥ 2 morbidities, ≥ 3 morbidities and complex multimorbidity. A higher BMI range (45.0–65.0 kg/m2) was associated with ≥ 2 morbidities and ≥ 3 morbidities. Anxiety (82.7%), varicose veins of lower limbs (58.7%), hypertension (56.0%) were the most frequent morbidities, as well as the pairs and triads including them. The prevalence of multimorbidity and complex multimorbidity in individuals with severe obesity was higher and the risk for multimorbidity and complex multimorbidity increased in individuals living in households of four or more residents, with fair or poor/very poor self-perceived health and with a higher BMI.https://doi.org/10.1038/s41598-023-43545-5
spellingShingle Ana Paula dos Santos Rodrigues
Sandro Rogério Rodrigues Batista
Annelisa Silva e Alves Santos
Andrea Batista de Sousa Canheta
Bruno Pereira Nunes
Andréa Toledo de Oliveira Rezende
Cesar de Oliveira
Erika Aparecida Silveira
Multimorbidity and complex multimorbidity in Brazilians with severe obesity
Scientific Reports
title Multimorbidity and complex multimorbidity in Brazilians with severe obesity
title_full Multimorbidity and complex multimorbidity in Brazilians with severe obesity
title_fullStr Multimorbidity and complex multimorbidity in Brazilians with severe obesity
title_full_unstemmed Multimorbidity and complex multimorbidity in Brazilians with severe obesity
title_short Multimorbidity and complex multimorbidity in Brazilians with severe obesity
title_sort multimorbidity and complex multimorbidity in brazilians with severe obesity
url https://doi.org/10.1038/s41598-023-43545-5
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