The DOI matches its Crossref record; 3 of the 3 references it cites were found in a registry or an index.
Beyond the grey tsunami: a cross-sectional population-based study of multimorbidity in Ontario
Open accessAbstract
Objectives To determine volumes and rates of multimorbidity in Ontario by age group, sex, material deprivation, and geography. Methods A cross-sectional population-based study was completed using linked provincial health administrative databases. Ontario residents were classified as having multimorbidity (3+ chronic conditions) or not, based on the presence of 17 chronic conditions. The volumes (number of residents) of multimorbidity were determined by age categories in addition to crude and age-sex standardized rates. Results Among the 2013 Ontario population, 15.2% had multimorbidity. Multimorbidity rates increased across successively older age groups with lowest rates observed in youngest (0-17 years, 0.2%) and highest rates in the oldest (80+ years, 73.5%). The rate of multimorbidity increased gradually from ages 0 to 44 years, with a substantial and graded increase in the rates as the population aged. The top five chronic conditions, of the 17 examined, among those with multimorbidity were mood disorders, hypertensive disorders, asthma, arthritis, and diabetes. Conclusion Much of the common rhetoric around multimorbidity concerns the aging 'grey tsunami'. This study demonstrated that the volume of multimorbidity is derived from adults beginning as young as age 35 years old. A focus only on the old underestimates the absolute burden of multimorbidity on the health care system. It can mask the association of material deprivation and geography with multimorbidity which can turn our attention away from two critical issues: (1) potential inequality in health and health care in Ontario and (2) preventing younger and middle-aged people from moving into the multimorbidity category.
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The prevalence of both overweight and obesity among women of childbearing age is increasing substantially in most countries.
“Since the prevalence of both overweight and obesity among women of childbearing age is increasing substantially in most countries (between 30% in some European countries and nearly 50% in the USA), it is to be expected that a further growing number of women of reproductive age will be treated with GLP1-RA.2–4”
As of 2018, an increasing number of women have used GLP1-RA for weight loss.
“As of 2018, an increasing number of women have used GLP1-RA for weight loss (see online supplemental figure 1).4”
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Dao, K., Shechtman, S., Weber-Schoendorfer, C., Diav-Citrin, O., Murad, R. H., Berlin, M., Hazan, A., Richardson, J. L., Eleftheriou, G., Rousson, V., et al. (2024) · BMJ Open · doi:10.1136/bmjopen-2023-083550 · Cited by 110
Metadata
- Authors
- Ryan, B. L., Bray Jenkyn, K., Shariff, S. Z., Allen, B., Glazier, R. H., Zwarenstein, M., Fortin, M., & Stewart, M.
- Affiliations
- Western University (CA)
- Institute for Clinical Evaluative Sciences (CA)
- St. Michael's Hospital (CA)
- Université de Sherbrooke (CA)
- Corresponding author
- Ryan, Bridget L.
- ORCID
- Venue
- Canadian Journal of Public Health
- Published
- 2018-07-18
- Volume
- 109
- Issue
- 5-6
- Pages
- 845-854
- ISSN
- 0008-4263 (ISSN-L)
- 1920-7476
- PMC
- PMC6964436
- OpenAlex
- W2882997914
- Cited by
- 69
- References
- 3
- Citations by year
- 2026: 9 · 2025: 7 · 2024: 11 · 2023: 10 · 2022: 8 · 2021: 13 · 2020: 7 · 2019: 3 · 2018: 1
- FWCI
- 4.68
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Canadian Journal of Public Health (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Scholarship@Western (Western University) (submittedVersion)
- Funders
- Department of Family Medicine, Schulich School of Medicine and Dentistry (None)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Geriatrics and Gerontology › Pharmaceutical Practices and Patient Outcomes
- Health Sciences › Medicine › Family Practice › Primary Care and Health Outcomes
- Keywords
- multimorbidity, chronic disease, multimorbidity prevalence, age differences, sex differences, material deprivation, regional variation, health disparities, mood disorders, hypertension, asthma, arthritis, diabetes mellitus, Ontario
- MeSH terms
- Multimorbidity, Adolescent, Adult, Aged, Aged, 80 and over, Child, Child, Preschool, Chronic Disease, Cross-Sectional Studies, Female, Humans, Infant, Infant, Newborn, Male, Middle Aged, Ontario, Socioeconomic Factors, Young Adult
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