Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey.

Autor: de Araujo TA; Leônidas and Maria Deane Institute, Fiocruz Amazônia, Manaus 69057-070, Brazil.; Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil., Oliveira IM; Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil., Silva TGVD; Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil., da Silva VC; Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil., Duarte YAO; Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil.
Jazyk: angličtina
Zdroj: International journal of environmental research and public health [Int J Environ Res Public Health] 2023 Mar 14; Vol. 20 (6). Date of Electronic Publication: 2023 Mar 14.
DOI: 10.3390/ijerph20065098
Abstrakt: Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m 2 . Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29-40.26); 34.86% in 2006 (95%CI: 28.77-41.49%); 41.38% in 2010 (95%CI: 35.25-47.79); 33.75% in 2015 (95%CI: 28.02-40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries.
Databáze: MEDLINE