Lifestyle factors related to prevalent chronic disease multimorbidity: A population-based cross-sectional study

Multimorbidity 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. This cross-sect...

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Bibliographic Details
Published in:PloS one Vol. 18; no. 7; p. e0287263
Main Authors: Niebuur, Jacobien, Vonk, Judith M., Du, Yihui, de Bock, Geertruida H., Lunter, Gerton, Krabbe, Paul F. M., Alizadeh, Behrooz Z., Snieder, Harold, Smidt, Nynke, Boezen, Marike, Corpeleijn, Eva
Format: Journal Article
Language:English
Published: United States Public Library of Science 24.07.2023
Public Library of Science (PLoS)
Subjects:
Adolescent
Adult
Age
Aged
Airway management
Alcohol
Alcohol use
Analysis
Asthma
Biology and Life Sciences
Breast cancer
Cancer
Cardiac arrhythmia
Cardiovascular diseases
Chronic Disease - epidemiology
Chronic diseases
Chronic illnesses
Cohort analysis
Comorbidity
Complications and side effects
Confidence intervals
Cross-Sectional Studies
Diabetes
Diabetes mellitus
Diabetes mellitus (non-insulin dependent)
Diagnosis
Diet
Diseases
Drug abuse
Dyspnea
Exercise
Female
Food
Health aspects
Heart attacks
Heart failure
Humans
Life Style
Lifestyles
Lung diseases
Male
Medical care, Cost of
Medicine and Health Sciences
Middle Aged
Mortality
Multimorbidity
Netherlands
Nutrition research
Physical fitness
Population studies
Population-based studies
Prevalence
Prospective Studies
Quality of life
Questionnaires
Regression analysis
Regression models
Respiratory diseases
Risk factors
Sleep
Statistical analysis
Stress
Stress (Psychology)
Television
Type 2 diabetes
United Kingdom
Uterine cancer
Young Adult
Netherlands
United Kingdom
ISSN:1932-6203, 1932-6203
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Summary:Multimorbidity 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. This 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. 3,712 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). Chronic 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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Competing Interests: The authors have declared that no competing interests exist.
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0287263