<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-8705</journal-id>
<journal-title><![CDATA[CES Medicina]]></journal-title>
<abbrev-journal-title><![CDATA[CES Med.]]></abbrev-journal-title>
<issn>0120-8705</issn>
<publisher>
<publisher-name><![CDATA[Universidad CES]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-87052018000200116</article-id>
<article-id pub-id-type="doi">10.21615/cesmedicina.32.2.5</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Multimorbilidad auto-reportada por el adulto mayor del departamento de Antioquia: prevalência y factores asociados]]></article-title>
<article-title xml:lang="en"><![CDATA[Self-reported multimorbidity by the elderly in the department of Antioquia: prevalence and associated factors]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Casas-Rojas]]></surname>
<given-names><![CDATA[Ella Cecilia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cardona-Arango]]></surname>
<given-names><![CDATA[Doris]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Segura-Cardona]]></surname>
<given-names><![CDATA[Ángela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Garzón-Duque]]></surname>
<given-names><![CDATA[María Osley]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad CES  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2018</year>
</pub-date>
<volume>32</volume>
<numero>2</numero>
<fpage>116</fpage>
<lpage>128</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-87052018000200116&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-87052018000200116&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-87052018000200116&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción:  La multimorbilidad consiste en presentar más de una enfermedad crónica simultáneamente, un fenómeno favorecido por la exposición acumulada a factores de riesgo.  Métodos:  Estudio observacional, descriptivo, de corte transversal y un modelo de regresión logística binaria de tipo explicativo. Se analizaron 4 248 registros de adultos mayores de 60 años, de una fuente secundaria, con auto-reporte de 17 problemas de salud.  Resultados:  La edad osciló entre 60 y 112 años, 51,5 % tenía entre 60 y 69 años, el 72,8 % fueron mujeres, el 57,8 % tenía escolaridad primaria y el 15 % no tenía escolaridad. Se encontró auto-reporte desde cero hasta 11 enfermedades, siendo la hipertensión arterial la más frecuente (53,5 %), que junto a diabetes (7,0 %), problemas óseos (4,4 %) y cardíacos (4,2 %) constituyeron las principales combinaciones. El 83,5 % tenía riesgo nutricional y 18,4 % riesgo de dependencia funcional. La prevalencia de multimorbilidad auto-reportada fue 54,8 % (IC 95% 54,7-54,9). Los principales factores asociados correspondieron a mayor edad (Odds ratio -OR- 1,70; IC95% 1,32-2,21), sexo femenino OR= 1,53 (IC95% 1,30-1,82), riesgo de dependencia funcional OR= 1,35 (IC95% 1,02-1,80) y riesgo nutricional OR= 2,34 (IC95% 1,82-3,02).  Conclusiones:  La prevalencia de multimorbilidad en Antioquia es alta, siendo la hipertensión arterial su principal aportante y está fuertemente relacionada con el riesgo de dependencia funcional y el riesgo nutricional.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  Multimorbidity consists of presenting more than one chronic disease simultaneously, a phenomenon favored by cumulative exposure to risk factors.  Methods:  Observational, descriptive, cross-sectional study and an explanatory binary logistic regression model. We analyzed 4 248 records of adults over 60 years of age, from a secondary source, with self-report of 17 health problems.  Results:  The age ranged between 60 and 112 years, 51.5% were between 60 and 69 years old, 72.8% were women, 57.8% had primary schooling and 15% had no schooling. Self-report was found from zero to 11 diseases, with arterial hypertension being the most frequent (53.5%), which together with diabetes (7.0%), bone (4.4%) and cardiac problems (4.2%) constituted the main combinations. 83.5% had nutritional risk and 18.4% risk of functional dependence. The prevalence of self-reported multimorbidity was 54.8% (CI 95% 54.7-54.9). The main associated factors corresponded to older age (Odds ratio -OR- 1.70 IC95% 1.32-2.21), female sex (OR = 1.53 IC95% 1.30-1.82), risk of dependence functional (OR = 1.35 IC95% 1.02-1.80) and nutritional risk (OR = 2.34 IC95% 1.82-3.02).  Conclusions:  The prevalence of multimorbidity in Antioquia is high, with hypertension being its main contributor and is strongly related to the risk of functional dependence and nutritional risk.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Multimorbilidad]]></kwd>
<kwd lng="es"><![CDATA[Prevalencia]]></kwd>
<kwd lng="es"><![CDATA[Adultos mayores]]></kwd>
<kwd lng="es"><![CDATA[Riesgo nutricional]]></kwd>
<kwd lng="es"><![CDATA[Antioquia]]></kwd>
<kwd lng="en"><![CDATA[Multimorbidity]]></kwd>
<kwd lng="en"><![CDATA[Prevalency]]></kwd>
<kwd lng="en"><![CDATA[Older adults]]></kwd>
<kwd lng="en"><![CDATA[Nutritional risk]]></kwd>
<kwd lng="en"><![CDATA[Antioquia]]></kwd>
</kwd-group>
</article-meta>
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