Body Mass Index and Rural Status on Self‐Reported Health in Older Adults: 2004‐2013 Medicare Expenditure Panel Survey

Batsis, John A.; Whiteman, Karen L.; Lohman, Matthew C.; Scherer, Emily A.; Bartels, Stephen J.

doi:10.1111/jrh.12237

Cited by 4 publications

(4 citation statements)

References 37 publications

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“…In this community, older adults might have needed more weight to cope with intensive farm work when they were younger, so heavier individuals may feel that they can manage their work better. This result is in line with a recent study in the United States that analyzed data from the Medical Expenditure Panel Survey 2004–2013 [40]. A second explanation for this finding is that, although overweight and obese individuals have an increased risk of metabolic syndrome, diabetes, cardiovascular diseases and certain cancers, they do not necessarily become ill.…”

Section: Discussionsupporting

confidence: 90%

Associations between Body Mass Index and Subjective Health Outcomes among Older Adults: Findings from the Yilan Study, Taiwan

Chang

Hsu

Chen

et al. 2018

IJERPH

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Previous findings on the associations between body mass index (BMI) and subjective health outcomes among older adults are inconsistent. The aims of this study were to explore the associations of BMI with health-related quality of life (HRQoL), self-rated health (SRH) and happiness among older adults. This study was part of the Yilan study, which was a community-based survey conducted in the Yilan city in Taiwan. A total of 3722 older adults were randomly recruited during 2012–2016. HRQoL was measured using the Short Form-12 Health Survey physical component summary (PCS) and mental component summary (MCS) scores and SRH and happiness were also evaluated. By hierarchical regression, after adjusting for covariates, compared with normal-weight participants, overweight did not have significantly different PCS scores (B = 0.20, 95% confidence interval [CI]: −0.45 to 0.85, p = 0.546) but obese had significantly lower PCS scores (B = −0.97, 95% CI: −1.68 to −0.26, p < 0.0001); overweight and obese participants had significantly better MCS scores (B = 1.00, 95% CI: 0.40 to 1.61, p = 0.001 and B = 1.22, 95% CI: 0.60 to 1.88, p < 0.0001, respectively); overweight participants had significantly higher SRH scores (B = 1.08, 95% CI: 0.16 to 2.00, p = 0.022) but underweight had significantly lower SRH scores (B = −2.88, 95% CI: −4.81 to −0.95, p = 0.003); overweight and obese participants had better happiness scores (B = 1.55, 95% CI: 0.45 to 2.66, p = 0.006 and B = 1.68, 95% CI: 0.49 to 2.88, p = 0.006, respectively). In conclusion, compared with normal-weight individuals, overweight individuals had better mental HRQoL, SRH and happiness but underweight older people reported poorer SRH and obese reported poorer physical HRQOL but better mental HRQoL and self-rated happiness.

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Section: Discussionsupporting

confidence: 90%

Associations between Body Mass Index and Subjective Health Outcomes among Older Adults: Findings from the Yilan Study, Taiwan

Chang

Hsu

Chen

et al. 2018

IJERPH

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“…Excess weight was also associated with poor and regular self-reported health status, similar to other studies (31,42,43) . Women who have negative self-perceived health, in general, affected by diseases that can be influenced by being excess weight (39) .…”

Section: Factors Associated and Obesity/overweightsupporting

confidence: 89%

Prevalence of overweight and obesity and associated factors among women of childbearing age in Brazil

Lyrio

Souza

Conceição

et al. 2021

Public Health Nutr.

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Objective: To assess the factors associated with overweight and obesity among women of childbearing age in Brazil. Design: Cross-sectional study Setting: Using the National Health Survey (PNS) database, from the year 2013. The socioeconomic and demographic factors analyzed were age, race/skin color, region, marital status, education level, employment and family income. Concerning health history: diagnoses of hypertension, diabetes mellitus, high cholesterol, heart attack, stroke, chronic kidney disease, menarche, parity, and depression were evaluated. For lifestyle information: health status, alcoholic beverage consumption, smoking, and physical activity were included. The outcomes were obesity and overweight. The association of excess weight with socioeconomic-demographic factors, health history, and lifestyle characteristics was investigated according to the appropriate theoretical-conceptual model for the topic. Participants: The sample size was 17,109 women aged 18 to 49 years. Results: The prevalence of women with excess weight was 55.20%, with 33.26% being overweight and 21.94% with obesity. The factors associated with excess weight were: age, non-white skin color, having a partner, family income of up to two minimum wages, menarche before the age of 12, multiparity, diabetes mellitus, depression, hypertension, high cholesterol, stroke, and heart attack. Conclusion: The results showed an association between excess weight and sociodemographic factors, both determinants of general and reproductive health history. Implementation of effective public health policies is necessary to prevent unfavorable outcomes related to the health of women of childbearing age with excess weight.

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“…In contrast, other evidence suggests that immigrants continue to have poorer outcomes compared to local populations [7, 8, 17–19], such as higher rates of diabetes among immigrants in Canada or among Afro-Caribbean immigrants as compared to non-immigrant white populations in different settings globally [20–22]. Similarly, research on rural-to-urban migrants has documented this same equivocal trend in NCD rates of disease across differing rural populations [23–25]. These differences in the burden of NCDs and their complications between permanent migrant populations and non-migrant populations are important to understand to guide necessary prevention and management strategies [26, 27].…”

Section: Introductionmentioning

confidence: 99%

The relationship between non-permanent migration and non-communicable chronic disease outcomes for cancer, heart disease and diabetes – a systematic review

et al. 2019

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Background The relationship between migration and health has primarily focused on permanent migrants, although non-permanent migrants comprise a large proportion of global migrants. Non-permanent migrants may have distinct needs that affect their health outcomes. This systematic review 1) examined the evidence concerning whether non-permanent migrants have different health outcomes than other population groups for non-communicable chronic diseases (NCDs) and 2) sought to describe how non-permanent migration is defined and measured. Methods For this systematic review, we developed a comprehensive search string for terms about non-permanent migration and disease and screening rates for three NCDs (cancer, heart disease, and diabetes) and searched thirteen electronic databases using the search string. Authors reviewed and evaluated articles for full-text review; hand-searched specific journals and grey literature; and scanned reference lists of relevant studies. Authors extracted and assessed data based on standard reporting for epidemiologic studies. Results We identified twelve peer-reviewed articles that examined NCD outcomes for non-permanent migrants as compared to other populations. Some studies showed worse or no significant differences in the NCD outcomes for non-permanent migrants compared to other groups. The articles reflected substantial diversity that exists among non-permanent migrants, which ranged from economic migrants to nomadic populations. Conclusion Non-permanent migrants varied in their NCD outcomes as compared to other groups. Our included studies were heterogenous in their study designs and their definitions and measurement of non-permanent migration, which limited the ability to make conclusive statements about the health of the populations as compared to other populations. More standardization is needed in research to better understand the diversity in these populations and quantify differences in risk factors and disease rates between non-permanent migrants and other groups.

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Body Mass Index and Rural Status on Self‐Reported Health in Older Adults: 2004‐2013 Medicare Expenditure Panel Survey

Abstract: Rural residents report lower self-reported physical health status compared to urban residents, particularly older adults who are obese or underweight. No interaction was observed between BMI and rural status.

Cited by 4 publications

References 37 publications

Associations between Body Mass Index and Subjective Health Outcomes among Older Adults: Findings from the Yilan Study, Taiwan

Associations between Body Mass Index and Subjective Health Outcomes among Older Adults: Findings from the Yilan Study, Taiwan

Prevalence of overweight and obesity and associated factors among women of childbearing age in Brazil

The relationship between non-permanent migration and non-communicable chronic disease outcomes for cancer, heart disease and diabetes – a systematic review

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