DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20201556

Understanding chronic disease risk factors and multimorbidity

Irfan Sharif Shakoori, Fauzia Aslam, Gohar Ashraf, Hammad Akram

Abstract


Chronic diseases and multimorbidity are becoming an alarming public health problem of this century. Multimorbidity is defined as “having two or more chronic diseases at one time in a person” and a result of complex biological, psychological and social phenomenon. The risks of multimorbidity can be divided into modifiable (behavioral factors) and non-modifiable (age, genetics) factors. Socioeconomic disadvantage and environmental factors can also influence on causation of it. Strategies aligned with primary, secondary and tertiary stages of prevention can help in the prevention of multimorbidity and reduction in complications among diseased. Multimorbidity requires multidimensional programs implemented through multiple stakeholder and policymaker’s collaboration.


Keywords


Multimorbidity, Chronic diseases, Modifiable risk factors, Prevention

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References


Barnett K, Mercer SW, Norbury M, Watt G, Wyke S, Guthrie B. Epidemiology of multimorbidity and implications for health care, research, and medical education: a cross-sectional study. Lancet. 2012;380(9836):37-43.

Navickas R, Petric VK, Feigl AB, Seychell M. Multimorbidity: what do we know? What should we do?. J Comorbidity. 2016;6(1):4-11.

Johnston MC, Crilly M, Black C, Prescott GJ, Mercer SW. Defining and measuring multimorbidity: a systematic review of systematic reviews. Euro J Public Health. 2019;29(1):182-9.

World Health Organization, Non-Communicable Diseases. Available at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases Accessed on 26 March 2020.

Olivares DE, Chambi FR, Chañi EM, Craig WJ, Pacheco SO, Pacheco FJ. Risk factors for chronic diseases and multimorbidity in a primary care context of central Argentina: a web-based interactive and cross-sectional study. Int J Environ Res Public Health. 2017;14(3):251.

Akram H, Ashraf G, Ijaz MA. The Impacts of Complex Social, Environmental, and Behavioral Factors on Obesity. Int J Basic Sci Med. 2018;3(3):94-8.

Wahdan MH. The epidemiological transition. EMHJ-Eastern Mediterranean Health J. 1996;2(1):8-20.

Cassell A, Edwards D, Harshfield A, Rhodes K, Brimicombe J, Payne R, Griffin S. The epidemiology of multimorbidity in primary care: a retrospective cohort study. Br J Gen Pract. 2018;68(669):245-51.

Al-Thani M, Al-Thani AA, Al-Chetachi W, Khalifa SE, Vinodson B, Al-Malki B, et al. Situation of diabetes and related factors among Qatari adults: findings from a community-based survey. JMIR Diabetes. 2017;2(1):7.

Salisbury C, Man MS, Bower P, Guthrie B, Chaplin K, Gaunt DM, et al. Management of multimorbidity using a patient-centred care model: a pragmatic cluster-randomised trial of the 3D approach. The Lancet. 2018;392(10141):41-50.

World Health Organization. EPHO5: Disease prevention, including early detection of illness. Available at: http://www.euro.who.int/en/health-topics/Health-systems/public-health-services/policy/the-10-essential-public-health-operations/epho5-disease-prevention,-including-early-detection-of-illness2. Accessed on 27 March 2020.

Kisling LA, M Das J. Prevention Strategies. 2019. In: StatPearls. Treasure Island (FL): StatPearls Publishing. Available at: https://www.ncbi.nlm. nih.gov/books/NBK537222/. Accessed on 27 March 2020.

Aslam F, Akram H. Mixed-Methodology in Disease Surveillance, Response, and Control. Int J Basic Sci Med. 2019;2(4):43-4.

Akram H. Enhancing public health capacity by using epidemiological teams in a public health setting. Cureus. 2017;9(6):e1381.

Akram H. West Nile virus: epidemiological and surveillance approaches. Int J Basic Sci Med. 2017;2(3):111-2.