What question did this study set out to answer?

The aim is to explore how diseases accumulate over time in individuals aged 45-74 in Catalonia, Spain, and identify patterns linked to sociodemographic factors.

March 21, 2026European Journal of Public HealthOpen Access

Paths to multimorbidity: a longitudinal perspective on disease accumulation in Catalonia, Spain

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The aim is to explore how diseases accumulate over time in individuals aged 45-74 in Catalonia, Spain, and identify patterns linked to sociodemographic factors.
Analyzed electronic health records from 2007 to 2021.
Applied sequence and cluster analysis to identify disease accumulation patterns.
Examined associations between clusters and sociodemographic factors.
Investigated healthcare utilization related to cluster membership.
Approximately 36% of individuals remained healthy throughout the study period.
Metabolic and hypertensive conditions were the most common initial diseases.
Identified nine distinct disease accumulation trajectories linked to sociodemographic factors.
Healthcare utilization was higher among all clusters compared to healthy individuals, with increased emergency cases in cardiovascular clusters.

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Implication

Longitudinal analysis reveals disease accumulation patterns in individuals aged 45-74, suggesting implications for health services.

Cite This Study

ahmed et al. (2026) studied this question.

synapsesocial.com/papers/69be38a46e48c4981c679241 https://doi.org/10.1093/eurpub/ckag029

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Paths to multimorbidity: a longitudinal perspective on disease accumulation in Catalonia, Spain

Key Points

Discussion

Implication

Cite This Study

Paths to multimorbidity: a longitudinal perspective on disease accumulation in Catalonia, Spain

Key Points

Discussion

Implication

Cite This Study

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