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Titolo:
Prevalence of morbidity and multimorbidity in elderly male populations andtheir impact on 10-year all-cause mortality: The FINE study (Finland, Italy, Netherlands, Elderly)
Autore:
Menotti, A; Mulder, I; Nissinen, A; Giampaoli, S; Feskens, EJM; Kromhout, D;
Indirizzi:
Natl Inst Publ Hlth & Environm, Dept Chron Dis Epidemiol, Bilthoven, Netherlands Natl Inst Publ Hlth & Environm Bilthoven Netherlands hoven, Netherlands Univ Kuopio, Dept Publ Hlth & Gen Practice, FIN-70211 Kuopio, Finland UnivKuopio Kuopio Finland FIN-70211 Practice, FIN-70211 Kuopio, Finland Inst Super Sanita, Epidemiol & Biostat Lab, Rome, Italy Inst Super SanitaRome Italy nita, Epidemiol & Biostat Lab, Rome, Italy Natl Inst Publ Hlth & Environm, Div Publ Hlth Res, Bilthoven, Netherlands Natl Inst Publ Hlth & Environm Bilthoven Netherlands hoven, Netherlands
Titolo Testata:
JOURNAL OF CLINICAL EPIDEMIOLOGY
fascicolo: 7, volume: 54, anno: 2001,
pagine: 680 - 686
SICI:
0895-4356(200107)54:7<680:POMAMI>2.0.ZU;2-7
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHRONIC DISEASES; GENERAL-PRACTICE; 7 COUNTRIES; FOLLOW-UP; COMORBIDITY; DETERMINANTS; RISK; DISABILITY;
Keywords:
chronic diseases; multimorbidity; elderly; mortality; prediction;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
28
Recensione:
Indirizzi per estratti:
Indirizzo: Menotti, A Cardioricerca, Via Adda 87, I-00198 Rome, Italy Cardioricerca Via Adda 87 Rome Italy I-00198 00198 Rome, Italy
Citazione:
A. Menotti et al., "Prevalence of morbidity and multimorbidity in elderly male populations andtheir impact on 10-year all-cause mortality: The FINE study (Finland, Italy, Netherlands, Elderly)", J CLIN EPID, 54(7), 2001, pp. 680-686

Abstract

Older males are known to carry, more likely than younger people, one or more chronic diseases with an expected impact on mortality. This study was aimed at identifying the relationship of prevalent chronic diseases in elderly populations of different countries with all-cause mortality. Men aged 65-84 from defined areas were enrolled in Finland (N=716), the Netherlands (N=887) and Italy (N=682), They were survivors of cohorts studied for 25 yearswithin the Seven Countries Study. Major chronic diseases were diagnosed atentry. Ten-year follow-up for mortality was completed. Entry prevalence ofselected chronic diseases was higher in Finland (56%) than in Italy (51%) and the Netherlands (44%), Ten-year age-adjusted death rates from ail causes were higher in Finland (565 per 1000) and lower in the Netherlands (478 per 1000) and Italy (445 per 1000). The absolute risk of death related to chronic disease was high in the three countries, but was higher in Finland than in the Netherlands and Italy. The most lethal condition was stroke, with10-year death rates of 806 per 1000 in Finland and 707 and 729 per 1000 inthe Netherlands and Italy, respectively. The relative risk of all-cause mortality for a set of seven chronic diseases (coronary heart disease, heart failure, claudicatio intermittens, cerebrovascular accidents, diabetes, COPD and cancer) adjusted by age, other diseases and cohort was less than two for each condition, except cerebrovascular accidents in the Netherlands (RR2.20). In general, relative risk was higher in Finland, intermediate in the Netherlands and lower in Italy, where only cerebrovascular accidents, intermittent claudication, diabetes and the presence of any chronic condition had a significant relative risk. About one third of men had one chronic disease, and between 10% and 15% had two diseases, The coexistence of any two or three chronic conditions was associated with a relative risk of 2 or more in Finland and the Netherlands and less than 2 in Italy. In these elderlymen prevalent morbidity and comorbidity was relatively common and it explained a large proportion of excess in all-cause mortality in 10 years of follow-up. (C) 2001 Elsevier Science Inc. All rights reserved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 18:11:50