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Int. J. Environ. Res. Public Health 2017, 14(3), 251; doi:10.3390/ijerph14030251

Risk Factors for Chronic Diseases and Multimorbidity in a Primary Care Context of Central Argentina: A Web-Based Interactive and Cross-Sectional Study

1
Center for Health Sciences Research, School of Medicine & Health Sciences, Universidad Adventista del Plata, Libertador San Martín, 25 de Mayo 99, Entre Ríos 3103, Argentina
2
Institute for Food Science and Nutrition, Universidad Adventista del Plata, Libertador San Martín, 25 de Mayo 99, Entre Ríos 3103, Argentina
3
Department of Public Health, Nutrition and Wellness, School of Health Professions, Andrews University, Berrien Springs, MI 49104, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Harry H.X. Wang
Received: 30 December 2016 / Revised: 22 February 2017 / Accepted: 23 February 2017 / Published: 2 March 2017
(This article belongs to the Special Issue Chronic Diseases and Multimorbidity in Primary Care)
View Full-Text   |   Download PDF [367 KB, uploaded 2 March 2017]

Abstract

Global health agencies estimate an increase of chronic diseases in South America. Nevertheless, few studies have investigated chronic diseases and their risk factors in the perspective of multimorbidity. This research aimed to identify these aspects in a primary health care setting of central Argentina. The Pan America version of the STEP wise approach surveillance (STEPS) instrument of the World Health Organization was applied to 1044 participants, 365 men and 679 women, with a mean age of 43 years. High prevalence of overweight (33.5%), obesity (35.2%), central obesity (54%), dyslipidemia (43.5%), metabolic syndrome (21.1%), low intake of fruit and vegetables (91.8%), low levels of physical activity (71.5%), risky alcohol consumption (28%), and smoking (22.5%) were detected. Hypertension and diabetes were the most prevalent chronic conditions and the total prevalence of multimorbidity was 33.1%, with 2, 3, 4, 5 and 6 chronic conditions found in 19.9%, 9.1%, 2.6%, 1.1% and 0.4% of the population, respectively. Multimorbidity affected 6.4% of the young, 31.7% of the adults, and 60.6% of the elderly, and was more prevalent among women, and in participants with lower levels of education. Having multimorbidity was significantly associated with obesity, central obesity, and higher concentrations of total blood cholesterol, low-density lipoprotein cholesterol, triglycerides, and glucose. A website was made available to the participants in order to share the experimental results and health-promoting information. View Full-Text
Keywords: chronic diseases; risk factors; multimorbidity; primary health care; sociodemographic; lifestyle habits; anthropometrics; blood test analysis; community-based primary care; Argentina chronic diseases; risk factors; multimorbidity; primary health care; sociodemographic; lifestyle habits; anthropometrics; blood test analysis; community-based primary care; Argentina
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. (CC BY 4.0).

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MDPI and ACS Style

Olivares, D.E.V.; Chambi, F.R.V.; Chañi, E.M.M.; Craig, W.J.; Pacheco, S.O.S.; Pacheco, F.J. 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, 251.

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