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

OBJECTIVE: 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-represent...

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Autores: Koyanagi, Ai, Moneta, Maria Victoria, Garin, Noe, Olaya Guzmán, Beatriz, Ayuso Mateos, José Luis, Chatterji, Somnath, Leonardi, Matilde, Sainio, Päivi, Galas, Aleksander, Haro Abad, Josep Maria
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2015
País:España
Recursos:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/105467
Acesso em linha:https://hdl.handle.net/2445/105467
Access Level:acceso abierto
Palavra-chave:Obesitat
Salut pública
Malalties cròniques
Discapacitat física
Epidemiologia
Obesity
Public health
Chronic diseases
Disabilities
Epidemiology
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spelling 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 studyKoyanagi, AiMoneta, Maria VictoriaGarin, NoeOlaya Guzmán, BeatrizAyuso Mateos, José LuisChatterji, SomnathLeonardi, MatildeSainio, PäiviGalas, AleksanderHaro Abad, Josep MariaObesitatSalut públicaMalalties cròniquesDiscapacitat físicaEpidemiologiaObesityPublic healthChronic diseasesDisabilitiesEpidemiologyOBJECTIVE: 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). DESIGN: Population-based cross-sectional study SETTING: The survey was conducted in China, Finland, Ghana, India, Mexico, Poland, Russia, South Africa and Spain between 2007 and 2012. PARTICIPANTS: 42 116 individuals 50 years and older. The institutionalised and those with limited cognition were excluded. PRIMARY OUTCOME MEASURE: Disability was defined as severe or extreme difficulty in conducting at least one of six types of basic activities of daily living (ADL). RESULTS: 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. CONCLUSIONS: 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. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.BMJ Publishing Group2017201720152017info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion11 p.application/pdfapplication/pdfhttps://hdl.handle.net/2445/105467Articles publicats en revistes (Medicina)reponame:Recercat. Dipósit de la Recerca de Catalunyainstname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)InglésReproducció del document publicat a: https://doi.org/10.1136/bmjopen-2014-007313BMJ Open, 2015, vol. 5, num. 4, p. e007313https://doi.org/10.1136/bmjopen-2014-007313info:eu-repo/grantAgreement/EC/FP7/223071cc-by (c) Koyanagi, Ai et al., 2015http://creativecommons.org/licenses/by/3.0/esinfo:eu-repo/semantics/openAccessoai:recercat.cat:2445/1054672026-05-29T05:05:01Z
dc.title.none.fl_str_mv 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
title 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
spellingShingle 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
Obesitat
Salut pública
Malalties cròniques
Discapacitat física
Epidemiologia
Obesity
Public health
Chronic diseases
Disabilities
Epidemiology
title_short 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
title_full 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
title_fullStr 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
title_full_unstemmed 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
title_sort 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
dc.creator.none.fl_str_mv Koyanagi, Ai
Moneta, Maria Victoria
Garin, Noe
Olaya Guzmán, Beatriz
Ayuso Mateos, José Luis
Chatterji, Somnath
Leonardi, Matilde
Sainio, Päivi
Galas, Aleksander
Haro Abad, Josep Maria
author Koyanagi, Ai
author_facet Koyanagi, Ai
Moneta, Maria Victoria
Garin, Noe
Olaya Guzmán, Beatriz
Ayuso Mateos, José Luis
Chatterji, Somnath
Leonardi, Matilde
Sainio, Päivi
Galas, Aleksander
Haro Abad, Josep Maria
author_role author
author2 Moneta, Maria Victoria
Garin, Noe
Olaya Guzmán, Beatriz
Ayuso Mateos, José Luis
Chatterji, Somnath
Leonardi, Matilde
Sainio, Päivi
Galas, Aleksander
Haro Abad, Josep Maria
author2_role author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Obesitat
Salut pública
Malalties cròniques
Discapacitat física
Epidemiologia
Obesity
Public health
Chronic diseases
Disabilities
Epidemiology
topic Obesitat
Salut pública
Malalties cròniques
Discapacitat física
Epidemiologia
Obesity
Public health
Chronic diseases
Disabilities
Epidemiology
description OBJECTIVE: 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). DESIGN: Population-based cross-sectional study SETTING: The survey was conducted in China, Finland, Ghana, India, Mexico, Poland, Russia, South Africa and Spain between 2007 and 2012. PARTICIPANTS: 42 116 individuals 50 years and older. The institutionalised and those with limited cognition were excluded. PRIMARY OUTCOME MEASURE: Disability was defined as severe or extreme difficulty in conducting at least one of six types of basic activities of daily living (ADL). RESULTS: 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. CONCLUSIONS: 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. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.
publishDate 2015
dc.date.none.fl_str_mv 2015
2017
2017
2017
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv https://hdl.handle.net/2445/105467
url https://hdl.handle.net/2445/105467
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv Reproducció del document publicat a: https://doi.org/10.1136/bmjopen-2014-007313
BMJ Open, 2015, vol. 5, num. 4, p. e007313
https://doi.org/10.1136/bmjopen-2014-007313
info:eu-repo/grantAgreement/EC/FP7/223071
dc.rights.none.fl_str_mv cc-by (c) Koyanagi, Ai et al., 2015
http://creativecommons.org/licenses/by/3.0/es
info:eu-repo/semantics/openAccess
rights_invalid_str_mv cc-by (c) Koyanagi, Ai et al., 2015
http://creativecommons.org/licenses/by/3.0/es
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 11 p.
application/pdf
application/pdf
dc.publisher.none.fl_str_mv BMJ Publishing Group
publisher.none.fl_str_mv BMJ Publishing Group
dc.source.none.fl_str_mv Articles publicats en revistes (Medicina)
reponame:Recercat. Dipósit de la Recerca de Catalunya
instname:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
instname_str Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
reponame_str Recercat. Dipósit de la Recerca de Catalunya
collection Recercat. Dipósit de la Recerca de Catalunya
repository.name.fl_str_mv
repository.mail.fl_str_mv
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