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.
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.
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DOI：
10.1136/bmjopen-2014-007313
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发表时间：
2015-04-02
期刊：
影响因子：
2.9
通讯作者：
Haro JM
中科院分区：
文献类型：
--
作者：
Koyanagi A;Moneta MV;Garin N;Olaya B;Ayuso-Mateos JL;Chatterji S;Leonardi M;Sainio P;Galas A;Haro JM
肥胖和残疾之间的关联在高收入和低收入/中等收入国家之间可能有所不同，但没有研究比较这些环境之间的这种关联。这项研究的目的是利用欧洲老龄化合作研究（COUCHEM）研究和世卫组织全球老龄化和成人健康研究（SAGE）的国家代表性数据评估九个国家的这种关联。这项调查于2007年至2012年在中国、芬兰、加纳、印度、墨西哥、波兰、俄罗斯、南非和西班牙进行。42 116名50岁及以上的人。 制度化和认知有限的人被排除在外。残疾被定义为在进行六种基本日常生活活动（ADL）中的至少一种方面存在严重或极端困难。平均体重指数（BMI）范围从印度的20.4 kg/m2到南非的30.7 kg/m2。 在芬兰（OR 4.64）、波兰（OR 2.77）、南非（OR 2.19）和西班牙（OR 2.42），与正常BMI（18.5-24.9 kg/m2）相比，BMI≥35 kg/m2与ADL残疾的几率显著更高相关。 交互作用分析表明，高收入国家的肥胖个体比低收入或中等收入国家的肥胖个体更容易出现ADL限制。在高收入国家，肥胖者残疾的可能性更高，这可能意味着由于心血管疾病死亡率下降等因素，残疾人的寿命更长。在南非，这可能是由于III类肥胖症的发病率非常高。这些发现强调了预防肥胖对减轻老年人残疾负担的重要性。
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/m2 in India to 30.7 kg/m2 in South Africa. Compared to normal BMI (18.5–24.9 kg/m2), BMI≥35 kg/m2 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.
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