Predictors of change in BMI over 10 years among midlife and older adults: Associations with gender, CVD risk status, depressive symptoms, and social support

Ainsworth, Matthew Cole; Pasko, Kristen; Brown, Megan M; Travers, Laura

doi:10.1016/j.socscimed.2021.113995

Cited by 7 publications

(3 citation statements)

References 72 publications

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“…We discovered that seniors with a higher BMI were more likely to experience depression than those with a lower BMI. Arigo D et al [ 54 ] found a similar result from a longitudinal study recruiting 5688 middle-aged and older adults, indicating that higher BMI was correlated with higher depressive symptoms. In the current research, older adults with irregular sleep patterns were more likely to suffer from depression.…”

Section: Discussionmentioning

confidence: 72%

Relationship between diet quality and depression among Iranian older adults in Tehran

et al. 2022

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Background Depression is one of the prevalent mental disorders that is common in older ages. Evidence suggests that dietary intake status may potentially be associated with depression. However, this association has not been well studied in older adults, and the nature of the association remains unclear. This study aimed to investigate the association between diet quality and depression in free-living older adults living in Tehran city. Methods This cross-sectional study was conducted on 583 older adults (279 men and 304 women) aged 60 to 80 years living in Tehran city, selected by the systematic cluster sampling method. Individuals' dietary intake was determined by two non-consecutive 24-h dietary recalls, and diet quality was assessed calculating score of Healthy Eating Index-2015 (HEI-2015). The validated short form of the Geriatric Depression Scale (GDS-11) was used to assess depression status. A logistic regression model was used to assess the chance of depression across tertiles of HEI-2015 score. Results The point prevalence of depression was 22.5%, which was significantly higher in women (91 (69.5%) women vs. 40 (30.5%) men). A higher percentage of seniors at the higher tertile of HEI score were women, belonged to Fars ethnicity and had a higher score of activity of daily living (ADL). After adjustment for all potential confounders, the trend of depression chance was significantly decreased in those with higher HEI-2015 scores (p-for trend < 0.05). Conclusion Higher quality of diet was associated with a lower possibility of depression in the studied participants. Further studies are required to investigate the possible causal relationship.

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Section: Discussionmentioning

confidence: 72%

Relationship between diet quality and depression among Iranian older adults in Tehran

et al. 2022

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“…These observed changes in BMI in OAs, especially in the reduction of weight status with advancing age, tend to be at increased risk for worse health outcomes and mortality [17]. Consequently, it is expressed in loss of muscle mass, frailty, increased risk of falls, injuries [18] and signi cant deterioration of general functional tness [19].…”

Section: Discussionmentioning

confidence: 99%

Normative values to assess functional fitness in older adults in a region of Chile.

Cossio-Bolaños,

Vidal-Espinoza,

Olivares

et al. 2024

Preprint

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Background Aging is a global phenomenon that has generated great concerns and challenges in terms of public health and medical care, associated with a lower quality of life. Objective To compare the functional fitness of older adults in a region of Chile with other countries, and to propose normative values according to age range and sex. Methodology: A descriptive cross-sectional study was carried out in older adults of the central-south region of Chile. The sample selection was non-probabilistic. A total of 787 older adults (180 males and 607 females) with an age range of 60 to 85 years were investigated. Weight and height were assessed. Body mass index (BMI) was calculated. The four physical tests evaluated were: 30-s push-up (reps), 30-s standing chair (rep), 8-ft up-and-go (sec), 2-min step test (rep) and 6-min walk (m). Percentiles were calculated for p10, p25, p50, p75 and p90), through the LMS method (L: Lambda; skewness), M: Mu; median and S: Sigma; coefficient of variation). Results Discrepancies in BMI were observed between countries (in males from ~ 4.3 to 7.0 kg/m2 and in females from ~ 6.7-7.5kg/m2). In the 30-s push-up test) there were variations from ~ 3 to 6 repetitions in both sexes. In the 8-ft up-and-go test, discrepancies ranged from ~ 1.1 to 4.4 seconds. In the aerobic 2-min step test, discrepancies ranged in both sexes from ~ 21 to 41 repetitions. In the 6-min walk test, the variations between studies ranged from ~ 150 to 245 meters in both sexes. In the 30-s standing chair test, performance in both sexes was relatively homogeneous, varying from ~ 1 to 2 repetitions. Percentiles by age range and sex were developed for BMI and the five functional fitness tests. Conclusion This study demonstrated that there were discrepancies in BMI and functional fitness performance of older adults between countries in various geographic regions of the world. In addition, the proposed percentiles are an important tool to track individual changes and can be used to evaluate and plan intervention programs in older adults in Chile.

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“…Obesity and overweight are well-established risk factor for diabetes mellitus, hypertension, and CVD [ 2 ]. Being underweight was also associated with higher risk of several CVD events [ 3 , 4 ]. Thus, guidelines have recommended weight management for reducing CVD burden attributed to overweight and underweight [ 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

Weight Change over 4 Years and Risk of Cardiovascular Diseases in China: The China Health and Retirement Longitudinal Study

Zheng

2022

Obes Facts

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Introduction: Previous studies had reported the impact of weight changes in middle age on the incidence of cardiovascular disease (CVD), but the results were inconsistent. In present study, we aimed to investigated the impact of a 4-year weight change on the risk of CVD in middle-aged and elderly Chinese individuals. Methods: Using nationally representative data from the China Health and Retirement Longitudinal Study, 7,530 participants (age: 58.2 ± 8.9 years) were included. Weight change was calculated by subtracting weight at baseline from that at 4-year follow-up. Weight change over 4 years was divided into five categories (loss ≥5 kg; loss 2–5 kg; stable (change ≤ 2 kg); gain 2–5 kg; and gain ≥5 kg). Results: During the follow-up period, a total of 758 respondents experienced CVD (including 319 stroke and 477 cardiac events). The multivariable ORs of CVD for gain ≥5 kg compared to stable weight (change ≤2 kg) was 1.50 (95% CI, 1.14–1.97) versus 1.41(1.09-1.83) for losing ≥5 kg. Multivariable-adjusted logistic regression model with restricted cubic splines showed a U-shaped association between weight change and the risk of CVD (p for nonlinearity <0.001). The significant associations did not change in subgroup and sensitivity analysis. Weight change was also associated with higher risk of stroke and cardiac events. Conclusion: Weight changes (weight gain or loss more than 5kg) during middle age was associated with an increased risk of CVD in middle-aged and elderly Chinese individuals.

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Predictors of change in BMI over 10 years among midlife and older adults: Associations with gender, CVD risk status, depressive symptoms, and social support

Cited by 7 publications

References 72 publications

Relationship between diet quality and depression among Iranian older adults in Tehran

Relationship between diet quality and depression among Iranian older adults in Tehran

Normative values to assess functional fitness in older adults in a region of Chile.

Weight Change over 4 Years and Risk of Cardiovascular Diseases in China: The China Health and Retirement Longitudinal Study

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