OBJECTIVE

To analyze features of comorbidity in young people.

MATERIAL AND METHODS

A cross-sectional population survey in the city of Novosibirsk was conducted. The final analysis included. The population sample included 1.415 people, including 47% of men. Comorbidity meant a combination of three or more nosologies: ischemic heart disease (IHD), arterial hypertension (AH), chronic bronchitis (CB), elevated blood levels of low-density lipoprotein cholesterol (LDL-C), decreased renal function, and type 2 diabetes mellitus (DM). Comorbid pathology was found in 105 examined patients, of which a combination of three nosologies was registered in 86 people, four nosologies in 18 people and five nosologies were registered in 1 person at once.

RESULTS

The comorbidity structure was dominated by LDL cholesterol, AH, CB, and decreased renal function. In persons with four or more nosologies, IHD was slightly more frequent than type 2 DM. In turn, type 2 DM was more frequent in persons with three or more nosologies. A combination of three or more nosologies was more common in men. People with comorbidity were older than conditionally healthy persons. Young people with comorbidity had worse cardiometabolic indicators compared to conditionally healthy persons. Smoking, overweight, and obesity, including abdominal obesity, were more common among people with comorbidity compared to conditionally healthy persons. Thus, smoking, overweight, obesity, or abdominal obesity significantly increase the risk of comorbidity.

CONCLUSION

Young people shall control modifiable risk factors, particularly body weight, and abstain from smoking to prevent comorbidity.