Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system
Background People with cognitive impairment may be exposed to an increased risk of comorbidities; however, the clustering of comorbidity patterns in these patients is unclear. Objective To explore the network structure of chronic comorbidity in a U.S. national sample spanning all 50 U.S. states with...
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| Formato: | Artículo |
| Lenguaje: | inglés |
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Frontiers Media S.A.
2022
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| author | Ramos-Vera, Cristian Antony Saintila, Jacksaint García O’Diana, Angel García Calizaya Milla, Yaquelin Eveling |
| author_browse | Calizaya Milla, Yaquelin Eveling García O’Diana, Angel García Ramos-Vera, Cristian Antony Saintila, Jacksaint |
| author_facet | Ramos-Vera, Cristian Antony Saintila, Jacksaint García O’Diana, Angel García Calizaya Milla, Yaquelin Eveling |
| author_sort | Ramos-Vera, Cristian Antony |
| collection | Producción científica |
| description | Background People with cognitive impairment may be exposed to an increased risk of comorbidities; however, the clustering of comorbidity patterns in these patients is unclear. Objective To explore the network structure of chronic comorbidity in a U.S. national sample spanning all 50 U.S. states with more than 170,000 participants reporting perceived cognitive impairment. Methods This is a cross-sectional study conducted using Behavioral Risk Factor Surveillance System (BRFSS) secondary data collected in 2019 and covering 49 U.S. states, the District of Columbia, Guam, and the Commonwealth of Puerto Rico. A total of 15,621 non-institutionalized U.S. adult participants who reported “yes” to the subjective cognitive impairment question were considered, of whom 7,045 were men and 8,576 were women. All participants were aged 45 years or older. A statistical graphical model was used that included clustering algorithms and factorization of variables in a multivariate network relationship system [exploratory graphical analysis (EGA)]. Results The results of the EGA show associations between the comorbid conditions evaluated. These associations favored the clustering of various comorbidity patterns. In fact, three patterns of comorbidities have been identified: (1) arthritis, asthma, respiratory diseases, and depression, (2) obesity, diabetes, blood pressure high, and blood cholesterol high, and (3) heart attack, coronary heart disease, stroke, and kidney disease. Conclusion These results suggest the development of interdisciplinary treatment strategies in patients with perceived cognitive impairment, which could help to design an integrated prevention and management of the disease and other related health problems, such as Alzheimer's disease and related dementias. |
| format | Article |
| id | oai:cris.upeu.edu.pe:20.500.15037/3084 |
| institution | UPeU |
| language | English |
| publishDate | 2022 |
| publishDateRange | 2022 |
| publishDateSort | 2022 |
| publisher | Frontiers Media S.A. |
| publisherStr | Frontiers Media S.A. |
| record_format | dspace |
| spelling | oai:cris.upeu.edu.pe:20.500.15037/30842026-11-02T12:57:04ZIdentifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance systemRamos-Vera, Cristian AntonySaintila, JacksaintGarcía O’Diana, Angel GarcíaCalizaya Milla, Yaquelin EvelingCluster analysisChronic diseaseCognitive impairmentComorbidityMultimorbidityBackground People with cognitive impairment may be exposed to an increased risk of comorbidities; however, the clustering of comorbidity patterns in these patients is unclear. Objective To explore the network structure of chronic comorbidity in a U.S. national sample spanning all 50 U.S. states with more than 170,000 participants reporting perceived cognitive impairment. Methods This is a cross-sectional study conducted using Behavioral Risk Factor Surveillance System (BRFSS) secondary data collected in 2019 and covering 49 U.S. states, the District of Columbia, Guam, and the Commonwealth of Puerto Rico. A total of 15,621 non-institutionalized U.S. adult participants who reported “yes” to the subjective cognitive impairment question were considered, of whom 7,045 were men and 8,576 were women. All participants were aged 45 years or older. A statistical graphical model was used that included clustering algorithms and factorization of variables in a multivariate network relationship system [exploratory graphical analysis (EGA)]. Results The results of the EGA show associations between the comorbid conditions evaluated. These associations favored the clustering of various comorbidity patterns. In fact, three patterns of comorbidities have been identified: (1) arthritis, asthma, respiratory diseases, and depression, (2) obesity, diabetes, blood pressure high, and blood cholesterol high, and (3) heart attack, coronary heart disease, stroke, and kidney disease. Conclusion These results suggest the development of interdisciplinary treatment strategies in patients with perceived cognitive impairment, which could help to design an integrated prevention and management of the disease and other related health problems, such as Alzheimer's disease and related dementias.Article10.3389/fpubh.2022.9819442-s2.0-85139212355https://hdl.handle.net/20.500.15037/3084enFrontiers in Public HealthFrontiers in Public Health2296-2565Frontiers Media S.A.2022-09-202026-06-27T02:35:45Z2026-06-27T02:35:45Z |
| spellingShingle | Cluster analysis Chronic disease Cognitive impairment Comorbidity Multimorbidity Ramos-Vera, Cristian Antony Saintila, Jacksaint García O’Diana, Angel García Calizaya Milla, Yaquelin Eveling Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system |
| title | Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system |
| title_full | Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system |
| title_fullStr | Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system |
| title_full_unstemmed | Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system |
| title_short | Identifying latent comorbidity patterns in adults with perceived cognitive impairment: Network findings from the behavioral risk factor surveillance system |
| title_sort | identifying latent comorbidity patterns in adults with perceived cognitive impairment network findings from the behavioral risk factor surveillance system |
| topic | Cluster analysis Chronic disease Cognitive impairment Comorbidity Multimorbidity |
| topic_facet | Cluster analysis Chronic disease Cognitive impairment Comorbidity Multimorbidity |
| url | https://hdl.handle.net/20.500.15037/3084 |
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