{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T05:45:40Z","timestamp":1785735940994,"version":"3.56.0"},"reference-count":16,"publisher":"Scientific Scholar","content-domain":{"domain":["ijmr.org.in"],"crossmark-restriction":true},"short-container-title":["Indian J Med Res"],"abstract":"<jats:sec>\n                    <jats:title>Background and objectives<\/jats:title>\n                    <jats:p>A considerable proportion of the older populations have been suffering from stroke multimorbidity. Post-stroke complications often affect the overall well-being of individuals. This study assesses the trends, patterns, and determinants of stroke multimorbidity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We used data from three waves of the World Health Organization study on global ageing and adult health (WHO-SAGE) and analysed individuals aged 50 and above years (Wave I, 7,150 individuals, Wave II, 6,823 individuals, and Wave III, 6,719 individuals) who reported a physician diagnosis of stroke. We analysed trends and patterns of stroke multimorbidity across three waves of WHO-SAGE. Stroke multimorbidity was also analysed with respect to the socioeconomic characteristics of study participants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We found a significant increase in the prevalence of stroke multimorbidity over one and a half decade (1,050 per 100,000 to 2,410 per 100,000). The burden of stroke multimorbidity increased steadily, mainly among individuals suffering from two or more long-term conditions. Prevalence of stroke multimorbidity was much higher among older people aged 80 yr and above in wave 3 as compared with wave 1, a relative increase of around 200%. An older individual with no formal education showed an increased prevalence of stroke multimorbidity, a relative change of 102% in last one and a half decade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interpretation and conclusions<\/jats:title>\n                    <jats:p>This study demonstrated a significant increase in the prevalence of stroke multimorbidity over the last one and a half decade (2007-2020), which considerably varied by age group, sex, place of residence, education, and wealth quintile.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.25259\/ijmr_81_2026","type":"journal-article","created":{"date-parts":[[2026,8,2]],"date-time":"2026-08-02T19:47:37Z","timestamp":1785700057000},"page":"325-330","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Changing patterns of stroke multimorbidity in India: A longitudinal analysis of WHO-SAGE data (2007\u20132020)"],"prefix":"10.25259","volume":"164","author":[{"given":"Jeetendra","family":"Yadav","sequence":"first","affiliation":[{"name":"ICMR-National Institute for Research in Digital Health (Erstwhile ICMR-NIMS), New Delhi, India"},{"name":"Academy of Scientific and Innovative Research, Ghaziabad, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Krishna","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Biostatistics, Rajendra Memorial Research Institute of Medical Sciences, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rohit","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Biostatistics and Demography, National Institute of Health and Family Welfare, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kanniganti","family":"Bharathi","sequence":"additional","affiliation":[{"name":"ICMR-National Institute for Research in Digital Health (Erstwhile ICMR-NIMS), New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sanghamitra","family":"Pati","sequence":"additional","affiliation":[{"name":"Indian Council of Medical Research, New Delhi, India"},{"name":"ICMR-National Institute of Health Research, Bhubaneswar, Odisha, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2026,8,1]]},"reference":[{"key":"10.25259\/IJMR_81_2026\/ref-1","doi-asserted-by":"crossref","first-page":"795","DOI":"10.1016\/S1474-4422(21)00252-0","article-title":"Global, regional, and national burden of stroke and its risk factors, 1990\u20132019: a systematic analysis for the Global Burden of Disease Study 2019","volume":"20","author":"Feigin","year":"2021","journal-title":"Lancet 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Global, regional, and country-specific lifetime risks of stroke, 1990 and 2016","volume":"379","author":"Feigin","year":"2018","journal-title":"N Engl J Med."},{"key":"10.25259\/IJMR_81_2026\/ref-11","doi-asserted-by":"publisher","first-page":"2388","DOI":"10.18203\/2320-6012.ijrms20161819","article-title":"Prevalence, pattern, risk factors and outcome of stroke in women: A clinical study of 100 cases from a tertiary care center in South India","author":"Manorenj","year":"2016","journal-title":"Int J Res Med Sci."},{"key":"10.25259\/IJMR_81_2026\/ref-12","doi-asserted-by":"publisher","first-page":"427","DOI":"10.1212\/wnl.51.2.427","article-title":"Critical factors determining access to acute stroke care","volume":"51","author":"Menon","year":"1998","journal-title":"Neurology."},{"key":"10.25259\/IJMR_81_2026\/ref-13","doi-asserted-by":"publisher","first-page":"668","DOI":"10.1111\/jrh.12608","article-title":"Rural\/urban differences in the prevalence of stroke risk factors: A cross-sectional analysis from the REGARDS study","volume":"38","author":"Kamin Mukaz","year":"2022","journal-title":"J Rural Health."},{"key":"10.25259\/IJMR_81_2026\/ref-14","doi-asserted-by":"publisher","first-page":"100308","DOI":"10.1016\/j.lansea.2023.100308","article-title":"Stroke incidence, mortality, subtypes in rural and urban populations in five geographic areas of India (2018\u20132019): Results from the national stroke registry programme","volume":"23","author":"Rangamani","year":"2024","journal-title":"The Lancet Regional Health - Southeast Asia."},{"key":"10.25259\/IJMR_81_2026\/ref-15","doi-asserted-by":"publisher","first-page":"128","DOI":"10.4103\/ijph.ijph_1659_21","article-title":"Prevalence and associated factors of stroke among older adults in India: Analysis of the longitudinal aging study in India-wave 1, 2017-2018","volume":"66","author":"Kodali","year":"2022","journal-title":"Indian J Public Health."},{"key":"10.25259\/IJMR_81_2026\/ref-16","doi-asserted-by":"publisher","first-page":"863","DOI":"10.4103\/aian.aian_933_24","article-title":"Educational and socioeconomic correlates of stroke risk behaviors: Findings from the sprint India trial","volume":"28","author":"Verma","year":"2025","journal-title":"Ann Indian Acad Neurol."},{"key":"10.25259\/IJMR_81_2026\/ref-17","doi-asserted-by":"publisher","first-page":"e57058","DOI":"10.7759\/cureus.57058","article-title":"Mounting stroke crisis in India: A systematic review","volume":"16","author":"Hedau","year":"2024","journal-title":"Cureus."}],"container-title":["The Indian Journal of Medical Research"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/ijmr.org.in\/changing-patterns-of-stroke-multimorbidity-in-india-a-longitudinal-analysis-of-who-sage-data-20072020\/","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/ijmr.org.in\/changing-patterns-of-stroke-multimorbidity-in-india-a-longitudinal-analysis-of-who-sage-data-20072020\/","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,3]],"date-time":"2026-08-03T05:24:46Z","timestamp":1785734686000},"score":1,"resource":{"primary":{"URL":"http:\/\/ijmr.org.in\/changing-patterns-of-stroke-multimorbidity-in-india-a-longitudinal-analysis-of-who-sage-data-20072020\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,1]]},"references-count":16,"alternative-id":["10.25259\/IJMR_81_2026"],"URL":"https:\/\/doi.org\/10.25259\/ijmr_81_2026","relation":{},"ISSN":["0971-5916"],"issn-type":[{"value":"0971-5916","type":"print"}],"subject":[],"published":{"date-parts":[[2026,8,1]]},"article-number":"325"}}