. Wonca-europe and . Société-européenne-de-médecine-générale, La définition européenne de la médecine générale -médecine de famille, 2002.

J. Knottnerus, J. Metsemakers, P. Hoppener, and C. Limonard, Chronic illness in the community and the concept of social prevalence, Fam Pract, vol.9, issue.1, pp.15-21, 1992.

C. D. Mathers and D. Loncar, Projections of global mortality and burden of disease from 2002 to 2030. data sources, methods and results, 2005.

B. Dormont, Une augmentation salutaire ? Opuscules du CEPREMAP, vol.36, 2009.

T. G. Willadsen, A. Bebe, R. Køster-rasmussen, D. E. Jarbøl, A. D. Guassora et al., The role of diseases, risk factors and symptoms in the definition of multimorbidity -a systematic review, Scand J Prim Health Care, vol.34, issue.2, pp.112-133, 2016.

A. R. Feinstein, The pre-therapeutic classification of co-morbidity in chronic disease, J Chronic Dis, vol.23, issue.7, pp.455-68, 1970.

B. Starfield, Global health, equity, and primary care, J Am Board Fam Med, vol.20, issue.6, pp.511-514, 2007.

J. M. Valderas, B. Starfield, B. Sibbald, C. Salisbury, and M. Roland, Defining comorbidity: Implications for understanding health and health services, vol.7, pp.357-63, 2009.

P. Brandlmeier,

, ZFA, vol.52, issue.25, pp.1269-75, 1976.

G. Heuft, Future research perspectives of a psychoanalytical gerontopsychophysiology--personality and the aging process

, Z Gerontol, vol.23, issue.5, pp.262-268

J. W. Beasley, B. Starfield, C. Van-weel, W. W. Rosser, and C. L. Haq, Global health and primary care research, J Am Board Fam Med, vol.20, issue.6, pp.518-544, 2007.

R. Gauld, R. Blank, and J. Burgers, The World Health report 2008 -Primary healthcare: How wide is the gap between its agenda and implementation in 12 high-income health systems?, Healthc Policy, vol.7, issue.3, pp.38-58, 2012.

, WHO. Global status report on noncommunicable diseases, vol.176, 2014.

. Insee and . Bilan-démographique, , vol.67, pp.2014-2021, 2015.

M. Fortin, G. Bravo, C. Hudon, A. Vanasse, and L. Lapointe, Prevalence of multimorbidity among adults seen in family practice, Ann Fam Med, vol.3, issue.3, pp.223-231, 2005.

G. Laux, T. Kuehlein, T. Rosemann, and J. Szecsenyi, Co-and multimorbidity patterns in primary care based on episodes of care: results from the German CONTENT project, BMC Health Serv Res, vol.8, p.14, 2008.

A. Rizza, V. Kaplan, O. Senn, T. Rosemann, H. Bhend et al., Age-and genderrelated prevalence of multimorbidity in primary care: the Swiss FIRE project, BMC Fam Pract, vol.13, p.113, 2012.

I. Schäfer, H. Hansen, G. Schön, S. Höfels, A. Altiner et al., The influence of age, gender and socio-economic status on multimorbidity patterns in primary care. first results from the multicare cohort study, BMC Health Serv Res, vol.12, issue.1, p.89, 2012.

A. Marengoni, S. Angleman, R. Melis, F. Mangialasche, A. Karp et al., Aging with multimorbidity: A systematic review of the literature, Ageing Res Rev, vol.10, issue.4, pp.430-439, 2011.

P. Villacampa-fernández, E. Navarro-pardo, J. J. Tarín, and A. Cano, Frailty and multimorbidity: Two related yet different concepts, Maturitas, vol.95, pp.31-36, 2017.

S. H. Van-oostrom, H. Picavet, S. R. De-bruin, I. Stirbu, J. C. Korevaar et al., Multimorbidity of chronic diseases and health care utilization in general practice, BMC Fam Pract [Internet], vol.15, issue.1, p.61, 2014.

, , 2009.

L. Reste, J. Y. Nabbe, P. Rivet, C. Lygidakis, C. Doerr et al., The European general practice research network presents the translations of its comprehensive definition of multimorbidity in family medicine in ten European languages, PLoS One, vol.10, issue.1, p.115796, 2015.

C. Salisbury, Multimorbidity: redesigning health care for people who use it, Lancet, vol.380, issue.9836, pp.7-9, 2012.

L. G. Glynn, J. M. Valderas, P. Healy, E. Burke, J. Newell et al., The prevalence of multimorbidity in primary care and its effect on health care utilization and cost, Fam Pract, vol.28, issue.5, pp.516-539, 2011.

, home (NH), 2016.

F. Gouzien, Search for decompensation risk factors within the EGPRN multimorbidity's definition themes. Cohort pilot study, follow up at 15 months in nursing home (NH), 2017.

T. Rosec, Search for decompensation risk factors within the EGPRN multimorbidity's definition themes. Cohort pilot study, follow up at 18 months in nursing home (NH), 2017.
URL : https://hal.archives-ouvertes.fr/dumas-01839915

P. L. Fox, P. Raina, and A. R. Jadad, Prevalence and treatment of pain in older adults in nursing homes and other long-term care institutions: a systematic review, CMAJ, vol.160, issue.3, pp.329-362, 1999.

E. Hutt, G. A. Pepper, C. Vojir, R. Fink, and K. R. Jones, Assessing the Appropriateness of Pain Medication Prescribing Practices in Nursing Homes, J Am Geriatr Soc, vol.54, issue.2, pp.231-240, 2006.

K. S. Reynolds, L. C. Hanson, R. F. Devellis, M. Henderson, and K. E. Steinhauser, Disparities in Pain Management Between Cognitively Intact and Cognitively Impaired Nursing Home Residents, J Pain Symptom Manage, vol.35, issue.4, pp.388-96, 2008.

Y. Takai, N. Yamamoto-mitani, Y. Okamoto, K. Koyama, and A. Honda, Literature Review of Pain Prevalence Among Older Residents of Nursing Homes, Pain Manag Nurs, vol.11, issue.4, pp.209-232, 2010.

W. Lin, T. Y. Lum, D. R. Mehr, and R. L. Kane, Measuring Pain Presence and Intensity in Nursing Home Residents, J Am Med Dir Assoc, vol.7, issue.3, pp.147-53, 2006.

M. Zanocchi, B. Maero, N. E. Martinelli, E. Luppino, A. Gonella et al., Chronic pain in a sample of nursing home residents: Prevalence, characteristics, influence on quality of life (QoL), Arch Gerontol Geriatr, vol.47, issue.1, pp.121-129, 2008.

E. A. Sengstaken and S. A. King, The problems of pain and its detection among geriatric nursing home residents, J Am Geriatr Soc, vol.41, issue.5, pp.541-545, 1993.

D. T. Cowan, J. M. Fitzpatrick, J. D. Roberts, A. E. While, and J. Baldwin, The assessment and management of pain among older people in care homes: current status and future directions

, Int J Nurs Stud, vol.40, pp.291-299, 2003.

M. Tse, V. Wan, and S. Vong, Health-Related Profile and Quality of Life Among Nursing Home Residents: Does Pain Matter?, Pain Manag Nurs, vol.14, issue.4, pp.173-84, 2013.

P. A. Parmelee, I. R. Katz, and M. P. Lawton, The Relation of Pain to Depression Among 60

, Institutionalized Aged. J Gerontol, vol.46, issue.1, pp.15-21, 1991.

G. Lansbury, Chronic pain management: a qualitative study of elderly people's preferred coping strategies and barriers to management, Disabil Rehabil, vol.22, issue.1-2, pp.2-14

P. Schofield, Pain management of older people in care homes: a pilot study, Br J Nurs, vol.15, issue.9, pp.509-523, 2006.

P. Dosquet, A. Durocher, C. Devaux, and N. Haslin, Évaluation Et Prise En Charge Thérapeutique De La Douleur Chez Les Personnes Agées Ayant Des Troubles De La Communication Verbale, HAS, pp.1-18, 2000.

J. Mcbeth, D. P. Symmons, A. J. Silman, A. T. Webb, R. Brammah et al., Musculoskeletal pain is associated with a long-term increased risk of cancer and cardiovascular-related mortality, Rheumatology, vol.48, issue.1, pp.74-81, 2008.

D. Smith, R. Wilkie, O. Uthman, J. L. Jordan, and J. Mcbeth, Chronic Pain and Mortality: A Systematic Review, PLoS One, vol.9, issue.6, p.99048, 2014.

G. J. Macfarlane, M. S. Barnish, and G. T. Jones, Persons with chronic widespread pain experience excess mortality: longitudinal results from UK Biobank and meta-analysis, Ann Rheum Dis, vol.76, issue.11, pp.1815-1837, 2017.

W. J. Chodzko-zajko, D. N. Proctor, F. Singh, M. A. Minson, C. T. Nigg et al., Exercise and Physical Activity for Older Adults, Med Sci Sport Exerc, vol.41, issue.7, pp.1510-1540, 2009.

M. E. Nelson, W. J. Rejeski, S. N. Blair, P. W. Duncan, J. O. Judge et al., Physical Activity and Public Health in Older Adults, Med Sci Sport Exerc, vol.39, issue.8, pp.1435-1480, 2007.

L. De-groot, M. W. Verheijden, S. De-henauw, M. Schroll, W. A. Van-staveren et al., Lifestyle, nutritional status, health, and mortality in elderly people across Europe: a review of the longitudinal results of the SENECA study, J Gerontol A Biol Sci Med Sci, vol.59, issue.12, pp.1277-84, 2004.

A. H. Mokdad, J. S. Marks, D. F. Stroup, and J. L. Gerberding, Actual Causes of Death in the United States, JAMA, vol.291, issue.10, p.1238, 2000.

K. Lock, J. Pomerleau, L. Causer, D. R. Altmann, and M. Mckee, The global burden of disease attributable to low consumption of fruit and vegetables: implications for the global strategy on diet, Bull World Health Organ, vol.83, issue.2, pp.100-108, 2005.

F. R. Pérez-lópez, P. Chedraui, J. Haya, and J. L. Cuadros, Effects of the Mediterranean diet on longevity and age-related morbid conditions, Maturitas, vol.64, issue.2, pp.67-79, 2009.

V. Peto, A. Coulter, and A. Bond, Factors Affecting General Practitioners' Recruitment of Patients into a Prospective Study, Fam Pract, vol.10, issue.2, pp.207-218, 1993.

T. Rosemann and J. Szecsenyi, General practitioners' attitudes towards research in primary care: qualitative results of a cross sectional study, BMC Fam Pract, vol.5, issue.1, p.31, 2004.

C. Harris, N. Day, D. Young, M. Potiriaids, D. Southern et al., Improving general practice survey response rates: Bells (primers), whistles (reminders) and carrots (incentives), Aust J Prim Health, vol.11, issue.2, p.106, 2005.

L. Reste, J. Y. Nabbe, P. Lazic, D. Assenova, R. Lingner et al., How do general practitioners recognize the definition of multimorbidity? A European qualitative study, Eur J Gen Pract, vol.22, issue.3, pp.159-68, 2016.

C. Violan, Q. Foguet-boreu, G. Flores-mateo, C. Salisbury, J. Blom et al.,

, Prevalence, determinants and patterns of multimorbidity in primary care: a systematic review of observational studies, PLoS One, vol.9, issue.7, p.102149, 2014.

, Recueil d'actions pour l'amélioration de l'alimentation en établissements hébergeant des personnes âgées, Ministère des Affaires Sociales et de la Santé, 2015.

, changement de position des bras consiste à observer si dans les 5 premières secondes du test, le sujet a essayé de se mettre en équilibre