Web of Science: 35 cites, Scopus: 36 cites, Google Scholar: cites,
The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries : a cross-sectional study
Koyanagi, Ai (Centro de Investigación Biomédica en Red de Salud Mental)
Moneta, Maria Victoria (Centro de Investigación Biomédica en Red de Salud Mental)
Garin, Noe (Institut d'Investigació Biomèdica Sant Pau)
Olaya, Beatriz (Centro de Investigación Biomédica en Red de Salud Mental)
Ayuso-Mateos, Jose Luis (Instituto de Investigación Hospital Universitario de la Princesa)
Chatterji, Somnath (Department of Health Statistics and Information Systems, World Health Organization, Geneva, Switzerland)
Leonardi, Matilde (Neurological Institute Carlo Besta IRCCS (Milà, Itàlia). Department of Neurology, Public Health and Disability Unit)
Sainio, Päivi (National Institute for Health and Welfare, Helsinki, Finland)
Galas, Aleksander (Department of Epidemiology, Jagiellonian University Medical College, Krakow, Poland)
Haro Abad, Josep Maria (Centro de Investigación Biomédica en Red de Salud Mental)
Universitat Autònoma de Barcelona

Data: 2015
Resum: The association between obesity and disability may differ between high-income and low-income/middle-income countries but there are no studies comparing this association between these settings. The aim of the study was to assess this association in nine countries using nationally-representative data from the Collaborative Research on Ageing in Europe (COURAGE) study and the WHO's Study on global AGEing and Adult Health (SAGE). Population-based cross-sectional study The survey was conducted in China, Finland, Ghana, India, Mexico, Poland, Russia, South Africa and Spain between 2007 and 2012. 42 116 individuals 50 years and older. The institutionalised and those with limited cognition were excluded. Disability was defined as severe or extreme difficulty in conducting at least one of six types of basic activities of daily living (ADL). The mean body mass index (BMI) ranged from 20. 4 kg/m 2 in India to 30. 7 kg/m 2 in South Africa. Compared to normal BMI (18. 5-24. 9 kg/m 2), BMI≥35 kg/m 2 was associated with significantly higher odds for ADL disability in Finland (OR 4. 64), Poland (OR 2. 77), South Africa (OR 2. 19) and Spain (OR 2. 42). Interaction analysis showed that obese individuals in high-income countries were more likely to have ADL limitations than those in low-income or middle-income countries. The higher odds for disability among obese individuals in high-income countries may imply longer life lived with disability due to factors such as the decline in cardiovascular disease mortality. In South Africa, this may have been due to the exceptionally high prevalence of class III obesity. These findings underscore the importance of obesity prevention to reduce the disability burden among older adults.
Ajuts: Instituto de Salud Carlos III CP13/00150
Instituto de Salud Carlos III CD12/00429
European Commission 223071
Instituto de Salud Carlos III FIS/PS09/00295
Instituto de Salud Carlos III FIS/PS09/01845
Ministerio de Ciencia e Innovación ACI2009-1010
Nota: Altres ajuts: OGHA 04034785
Nota: Altres ajuts: YA1323-08-CN-0020
Nota: Altres ajuts: Y1-AG-1005-01
Nota: Altres ajuts: R01-AG034479
Nota: Altres ajuts: R21-AG034263
Drets: Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original. Creative Commons
Llengua: Anglès
Document: Article ; recerca ; Versió publicada
Matèria: Epidemiology ; Nutrition ; Dietetics ; Public health
Publicat a: BMJ open, Vol. 5 (april 2015) , ISSN 2044-6055

DOI: 10.1136/bmjopen-2014-007313
PMID: 25838510


11 p, 919.3 KB

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