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Record W4412161144 · doi:10.1177/26335565251356668

Sex differences in functioning and disability among adults with cardiometabolic multimorbidity using Canadian longitudinal study on aging data: A cross-sectional study

2025· article· en· W4412161144 on OpenAlexafffundabout
Nicole Ketter, Isabelle Rash, Michelle C. Yang, Sarah Park, Brodie M. Sakakibara

Bibliographic record

VenueJournal of Multimorbidity and Comorbidity · 2025
Typearticle
Languageen
FieldMedicine
TopicChronic Disease Management Strategies
Canadian institutionsUniversity of British Columbia, Okanagan CampusUniversity of British Columbia
FundersCanadian Institutes of Health Research
KeywordsCross-sectional studyMultimorbidityLongitudinal studyLongitudinal dataGerontologyMedicineDepressive symptomsComorbidityPsychologyDemographyPsychiatryCognitionSociology

Abstract

fetched live from OpenAlex

Background: Cardiometabolic multimorbidity (CM), two or more of stroke, diabetes, and heart disease is increasing in prevalence and associated with a multiplicative mortality risk. Sex differences exist in disability outcomes for those with stroke, diabetes, and heart disease, and thus are likely for those with CM. Objectives: To assess 1) sex differences in the prevalence of CM, 2) sex differences in disability variables amongst those with CM, and 3) the predicted probabilities of disability among people with and without CM by sex. Methods: A secondary analysis using data from the Canadian Longitudinal Study on Aging (CLSA). The CLSA included a stratified, random sample of approximately 51,000 participants aged 45 to 85 at recruitment. Independent variables include depressive symptoms, pain, high blood pressure, eyesight, limitations with activities of daily living (ADL), and social participation. Results: A weighted population of 13,204,82 participants were included, 659,621 had CM. Males had a higher prevalence of CM than females, accounting for 62% of those with CM. Females with CM had a higher probability than males of reporting high depressive symptoms (females: 29% [95%CI:27%-31%], males: 21% [95%CI:19%-23%]), pain (females: 49% [95%CI:47%-52%], males: 41% [95%CI:39%-43%]), and limitations with ADL (females: 27% [95%CI:25%-29%], males: 11% [95%CI:10%-13%]) Males with CM had a higher probability than females of reporting infrequent social participation (females: 18% [95%CI:16%-20%], males: 23% [95%CI:21%-25%]). Conclusion: This study provides evidence on sex differences in the likelihood of reporting disability variables in individuals with CM. These insights into sex differences can inform targeted interventions and improve patient outcomes.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.002
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMeta-epidemiology (narrow)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Observational · Consensus signal: Observational
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.016
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0020.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.000
Bibliometrics0.0010.001
Science and technology studies0.0000.000
Scholarly communication0.0000.001
Open science0.0000.000
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.167
GPT teacher head0.396
Teacher spread0.229 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designObservational
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2025
Admission routes3
Has abstractyes

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