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AJPH First Look, published online ahead of print May 29, 2008
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July 2008, Vol 98, No. 7 | American Journal of Public Health 1198-1200
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2007.121137


RESEARCH AND PRACTICE

Prevalence of Chronic Diseases and Multimorbidity Among the Elderly Population in Sweden

Alessandra Marengoni, MD, PhD, Bengt Winblad, MD, PhD, Anita Karp, PhD and Laura Fratiglioni, MD, PhD

The authors are with the Aging Research Center, Karolinska Institutet, Stockholm, Sweden, and Stockholm Gerontology Research Center, Stockholm. Alessandra Marengoni is also with the Department of Medical and Surgery Sciences, University of Brescia, Italy.

Correspondence: Requests for reprints should be sent to Alessandra Marengoni, MD, I Medicina, Spedali Civili. Piazzale Spedali Civili 1, 25121 Brescia, Italy (e-mail: alessandra.marengoni{at}ki.se).

We explored the role of age, gender, and socioeconomic status in the occurrence of chronic diseases and multimorbidity in 1099 elderly participants in the Kungsholmen Project. Cardiovascular and mental diseases were the most common chronic disorders. Of the participants, 55% had multimorbidity. Advanced age, female gender, and lower education were independently associated with a more than 50% increased risk for multimorbidity. Multimorbidity is the most common clinical picture of the elderly and may be increased by unhealthy behaviors linked to education.




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P. Grandjean, J. J. Heindel, A. Marengoni, B. Winblad, L. Fratiglioni, J. V. Been, B. W. Kramer, L. J.I. Zimmermann, P. D. Gluckman, M. A. Hanson, et al.
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N. Engl. J. Med., October 2, 2008; 359(14): 1523 - 1524.
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