Association of physical activity with body mass index, waist circumference and incidence of obesity in older adults

Cárdenas-Fuentes, Gabriela; Bawaked, Rowaedh Ahmed; González, Miguel Ángel Martínez; Corella, Dolores; Cachinero, Isaac Subirana; Salas‐Salvadó, Jordi; Estruch, Ramón; Serra‐Majem, Lluís; Ros, Emilio; Peralta, José Lapetra; Fiol, Miguel; Rekondo, Javier; Gómez‐Gracia, Enrique; Marí, Josep Antoni Tur; Sala, Xavier Pintó; Babió, Nancy; Ortega, Carolina; Martínéz, J. Alfredo; Schröder, Helmut

doi:10.1093/eurpub/cky030

Cited by 65 publications

(37 citation statements)

References 38 publications

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“…In this study, we found an inverse association between BMI and physical activity. This is consistent with previous studies and suggest the need for weight reduction among individuals with multimorbidity [41,42]. Also, we found that higher fruits and vegetable consumption was associated with meeting recommended PA.…”

Section: Discussionsupporting

confidence: 93%

Do Older Adults with Multimorbidity Meet the Recommended Levels of Physical Activity? An Analysis of Scottish Health Survey

Salman

Sellami

2019

IJERPH

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There is a positive association between physical activity (PA) and improved health in older adults. The objective of this study was to assess the prevalence and determinants of meeting recommended levels of PA among older adults with multimorbidity. Data has been derived from the nationally representative Scottish Health Surveys (2014–2017). A sub-sample of 2230 older adults (aged 65+) with multimorbidity were the study participants. Physical activity was evaluated using current recommended guidelines. Overall, 32.3% of the participants met the recommended levels of PA. Independent predictors of meeting the recommended levels of PA include male gender [odds ratio (OR) 2.00 (95% confidence interval (CI) 1.58–2.54)], living in the least deprived areas [OR 1.79 (95% CI 1.20–2.69)]; being a non-smoker [OR 2.22 (95% CI 1.48–3. 34)]. Also, meeting recommended PA decreased with age [OR 0.92 (95% CI 0.90–0.94)] and body mass index [OR 0.93 (95% CI 0.91–0.95]; but increased per additional portion of fruit and vegetables taken [OR 1.19 (95% CI 1.12–1.25)] and with increase in well-being scale score [OR 1.05 (95% CI 1.03 to 1.06)]. Adherence to PA guidelines seems to be more related to age, BMI, gender (i.e. higher PA adherence in men vs. women), social support (i.e. social deprivation), dietary habits (i.e. fruit and vegetable intake) and social isolation among the elderly. In the one-third of older population, adherence to PA was associated to better mental health. Therefore, adaptation of PA guideline to suit theses determinants factors would reduce the gap difference among older adults with multimorbidity and enhance their mental well-being.

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Section: Discussionsupporting

confidence: 93%

Do Older Adults with Multimorbidity Meet the Recommended Levels of Physical Activity? An Analysis of Scottish Health Survey

Salman

Sellami

2019

IJERPH

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“…Besides, studies have revealed the independent associations of obesity and other related high-risk body measures with physical inactivity. [64][65][66][67] Results of the statistical tests on interactions of obesity-related measures with physical activity in our study show that multimorbidity was more prevalent among older adults who were obese/overweight or at risk of waist to hip ratio and waist circumference with non-performance of any physical activity. The findings of the current analysis which apply to an older population of a developing country highlight the urgent need for further investigation of the effectiveness of physical activity in the management of chronic diseases in lowincome and middle-income countries.…”

Section: Discussionmentioning

confidence: 58%

Interaction of physical activity on the association of obesity-related measures with multimorbidity among older adults: a population-based cross-sectional study in India

Srivastava

Dristhi

et al. 2021

BMJ Open

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ObjectiveTo explore the associations between obesity-related measures and multimorbidity among older Indian adults and the interactive effects of physical activity in those associations.DesignA cross-sectional study was conducted using large representative survey data.Setting and participantsThe present study used data from the Longitudinal Aging Study in India (LASI) conducted during 2017–2018. Participants included 15 098 male and 16 366 female older adults aged 60 years and above in India.Primary and secondary outcome measuresThe outcome variable was multimorbidity among older adults coded as no and yes. Descriptive statistics along with bivariate analysis are presented in the paper. Additionally, binary logistic regression analysis was used to fulfil the study objectives.ResultsAbout 24% of older adults in the LASI cohort suffered from multimorbidity. Older adults who were overweight/obese (adjusted OR (AOR): 1.61, CI 1.48 to 1.74), had high-risk waist circumference (AOR: 1.66, CI 1.52 to 1.80) and had high-risk waist to hip ratio (AOR: 1.45, CI 1.33 to 1.59) were significantly more likely to suffer from multimorbidity compared with their counterparts. Older adults who were obese and physically inactive had significantly increased odds of suffering from multimorbidity compared with older adults who were obese and physically active. Similarly, older adults with high-risk waist circumference (AOR: 1.30, CI 1.11 to 1.53) and high-risk waist to hip ratio (AOR: 1.32, CI 1.20 to 1.46) along with being physically inactive had significantly higher odds of suffering from multimorbidity in comparison with older adults with high-risk waist circumference and waist to hip ratio along with being physically active.ConclusionWhile developing health strategies for older adults, physical activity needs to be recognised as a way of minimising comorbidities. Further, the study highlights the importance of using multiple obesity-related measures to predict chronic conditions in the older population.

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“…Five decades ago, the Spanish diet was a typical example of the Mediterranean diet, however, lately, Spanish consumers have moved away from that pattern [76]. Previous research, among others, the PREvention con DIeta MEDiterranea (PREDIMED) suggested that better adherence to the Mediterranean diet pattern together with a regular physical activity exerts a greater impact in lowering obesity and all-cause mortality [77,78,79,80,81]. With respect to the dairy products and precisely yoghurts, which form part of Mediterranean diet, it is well demonstrated that whole-fat and low-fat yoghurt consumption is associated with a reduced risk of general obesity [77,82] and also abdominal obesity [83,84].…”

Section: Discussionmentioning

confidence: 99%

Spanish Consumer Purchase Behaviour and Stated Preferences for Yoghurts with Nutritional and Health Claims

Ballco

Magistris

2019

Nutrients

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Nutritional and health claims are a useful tool for promoting healthier food choices and prevent non-communicable disease[s] (NCDs). Exhaustive literature that has investigated consumer evaluation of the presence of nutritional and/or health claim(s) during the decision-making process suggests that consumers’ sensitivity towards nutritional claims (NCs) and health claims (HCs) are still fragmented and should be further investigated. Our objective is to study the relationship between choice behaviour, attitudes and socio-demographic characteristics in order to evaluate the effectiveness of consumer characteristics in predicting Spanish consumers’ choice of products with NCs and HCs. A discrete choice experiment for yoghurt was conducted on a sample of 218 Spanish consumers, stratified by age, gender, education level, and income. Applying a latent class approach has enabled us to identify a niche of individuals, sensitive of NCs and HCs and to characterize them with respect to the rest of population. Results suggest that consumers positively valued most claims, however, the valuation was heterogeneous, and three consumer segments were identified: ‘health-claims oriented’, ‘nutritional- and health-claim oriented’ and ‘indifferent’. The results supply insights for the development of more targeted promotion campaigns, as well as for further actions in food marketing.

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Association of physical activity with body mass index, waist circumference and incidence of obesity in older adults

Cited by 65 publications

References 38 publications

Do Older Adults with Multimorbidity Meet the Recommended Levels of Physical Activity? An Analysis of Scottish Health Survey

Do Older Adults with Multimorbidity Meet the Recommended Levels of Physical Activity? An Analysis of Scottish Health Survey

Interaction of physical activity on the association of obesity-related measures with multimorbidity among older adults: a population-based cross-sectional study in India

Spanish Consumer Purchase Behaviour and Stated Preferences for Yoghurts with Nutritional and Health Claims

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