Obesity and Disability: Relation Among Older Adults Living in Latin America and the Caribbean
Obesity and Disability: Relation Among Older Adults Living in Latin America and the Caribbean
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DOI：
10.1093/aje/kwq087
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发表时间：
2010-06-15
影响因子：
5
通讯作者：
Ottenbacher, Kenneth J.
中科院分区：
文献类型：
--
作者：
Al Snih, Soham;Graham, James E.;Ottenbacher, Kenneth J.
肥胖和残疾的流行率和发生率预计在未来几十年将增加。作者研究了来自6个拉丁美洲城市的老年人肥胖和残疾之间的关系，这些城市参与了拉丁美洲和加勒比地区健康、福祉和老龄化研究（1999-2000年）。样本包括6，166名年龄在65岁或以上的参与者。获得了有关社会人口学因素、吸烟状况、医疗条件、体重指数（BMI;体重（kg）/身高（m）（2））和自我报告的日常生活活动（ADL）的数据。肥胖症（BMI >= 30）的流行率从古巴哈瓦那的13.3%到乌拉圭蒙得维的亚的37.6%不等。使用BMI 18.5-< 25作为参考类别并控制所有协变量，ADL限制的最低比值比为BMI 25-< 30（比值比= 1.10，95%置信区间：ADL限制的最高比值比是BMI为35或更高（比值比= 1.63，95%置信区间：1.26，2.11）。结果表明，肥胖是导致这些人群ADL残疾的一个独立因素，应纳入未来的规划，以减少残疾对全球健康的影响。
The prevalence and incidence of both obesity and disability are projected to increase in the coming decades. The authors examined the relation between obesity and disability in older adults from 6 Latin American cities participating in the Health, Well-Being and Aging in Latin America and the Caribbean (SABE) Study (1999-2000). The sample included 6,166 participants aged 65 years or more. Data on sociodemographic factors, smoking status, medical conditions, body mass index (BMI; weight (kg)/height (m)(2)), and self-reported activities of daily living (ADL) were obtained. The prevalence of obesity (BMI >= 30) ranged from 13.3% in Havana, Cuba, to 37.6% in Montevideo, Uruguay. Using a BMI of 18.5-< 25 as the reference category and controlling for all covariates, the lowest odds ratio for ADL limitation was for a BMI of 25-< 30 (odds ratio = 1.10, 95% confidence interval: 0.93, 1.30), and the highest odds ratio for ADL limitation was for a BMI of 35 or higher (odds ratio = 1.63, 95% confidence interval: 1.26, 2.11). The results indicated that obesity is an independent factor contributing to ADL disability in these populations and should be included in future planning to reduce the impact of disability on global health.