Prevalence of Overweight and Obesity in Elderly People in Spain

Gutiérrez-Fisac, Juan Luis; López, Eduardo; Banegas, José R.; Graciani, Auxiliadora; Rodríguez‐Artalejo, Fernando

doi:10.1038/oby.2004.83

Cited by 168 publications

(132 citation statements)

References 25 publications

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“…Thus, although a direct association, consistent in strata of sex, between age and BMI is evident, the Italian population aged X60 years had a prevalence of obesity of 11.9%, again comparatively lower than that of the USA (33%) (Hedley et al, 2004), Great Britain (around 30% for subjects aged 55-64 years) (Rennie and Jebb, 2005), Spain (37%) (Gutierrez-Fisac et al, 2004) and Mexico (27% for adults aged 60-69 years) (Arroyo et al, 2000).…”

Section: Discussionmentioning

confidence: 80%

Overweight and obesity in Italian adults 2004, and an overview of trends since 1983

Gallus

Colombo²,

Scarpino³

et al. 2006

Eur J Clin Nutr

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Objective: Overweight has been increasing in several developed countries over the last few decades. No update information on the issue is available for Italy. Design and setting: We conducted a computer assisted personal in-house interview survey in March-April 2004, on a sample of 2932 Italian individuals (1407 men and 1525 women) aged 18 years or over, representative of the general adult Italian population. Information on weight and height was self-reported. Results: Overall, 3.4% of the Italian adult population were underweight (o18.5 kg/m 2 , 0.9% of men and 5.8% of women), 31.3% were overweight (25.0-29.9 kg/m 2 , 38.4% of men, 24.7% of women), and 8.2% were obese (X30.0 kg/m 2 , 7.4% of men and 8.9% of women). Overweight or obesity was reported by 14.2% of subjects aged 18-24 years (20.6% of men and 7.6% of women). The highest proportions of overweight and obese subjects were in the 45-64 year age group for men (51.4% overweight, 10.0% obese) and in the X65 year age group for women (38.8% overweight, 13.8% obese). Age-and sex-standardised prevalence of overweight or obesity was 36.0% for more educated subjects, and 54.0% for less educated ones. It was 32.3% in northern, 44.3% in central and 47.0% in southern Italy. Overweight increased from 1983 to the early 1990s, and levelled off thereafter. Prevalence of obesity remained around 8-9% across the last 20 years. Conclusions: Trends of overweight and obesity in Italy are more favourable than in several developed countries. Still, approximately 15 million of Italian adults are overweight and 4 million obese.

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Section: Discussionmentioning

confidence: 80%

Overweight and obesity in Italian adults 2004, and an overview of trends since 1983

Gallus

Colombo²,

Scarpino³

et al. 2006

Eur J Clin Nutr

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“…5 The prevalence of overweight and obesity is increasing among older age groups in developed countries, 3,4,11,12 in both sexes, all ages, all races, all educational levels, both smokers and nonsmokers; 3,13 an increase in BMI has been observed even among people with the highest levels of BMI. 14 In women aged 60-69 y, the highest prevalence in the period 1999-2000 was 42.5%, with an increase of 12.7% compared to the period 1988-1994 (NHANES III), 31.9% in those aged 70-79 y and 19.5% in those aged 80 y or older.…”

Section: Prevalence Of Obesity In the Elderlymentioning

confidence: 99%

Health consequences of obesity in the elderly: a review of four unresolved questions

et al. 2005

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Obesity prevalence is growing progressively even among older age groups. Controversy exists about the potential harms of obesity in the elderly. Debate persists about the relation between obesity in old age and total or disease-specific mortality, the definition of obesity in the elderly, its clinical relevance, and about the need for its treatment. Knowledge of age-related body composition and fat distribution changes will help us to better understand the relationships between obesity, morbidity and mortality in the elderly. Review of the literature supports that central fat and relative loss of fat-free mass may become relatively more important than BMI in determining the health risk associated with obesity in older ages. Weight gain or fat redistribution in older age may still confer adverse health risks (for earlier mortality, comorbidities conferring independent adverse health risks, or for functional decline). Evaluation of comorbidity and weight history should be performed in the elderly in order to generate a comprehensive assessment of the potential adverse health effects of overweight or obesity. The risks of obesity in the elderly have been underestimated by a number of confounders such as survival effect, competing mortalities, relatively shortened life expectancy in older persons, smoking, weight change and unintentional weight loss. Identification of elderly subjects with sarcopenic obesity is probably clinically relevant, but the definition of sarcopenic obesity, the benefits of its clinical identification, as well as its relation to clinical consequences require further study. Studies on the effect of voluntary weight loss in the elderly are scarce, but they suggest that even small amounts of weight loss (between 5-10% of initial body weight) may be beneficial. In older as well as in younger adults, voluntary weight loss may help to prevent the adverse health consequences of obesity.

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“…We used data from the UAM-cohort, comprising 4008 individuals representative of the non-institutionalized population aged 60 years and older in Spain (15,16). This cohort was established in 2000/2001 using probabilistic sampling by multistage clusters.…”

Section: Study Design and Participantsmentioning

confidence: 99%

“…Those belonging to the highest active category were considered physically active. Also, weight and height were measured using standardized procedures (15), and the body mass index (BMI) was calculated as weight (kg) divided by squared height (m 2 ). Waist circumference was measured with an inelastic belt-type tape at the midpoint between the lowest rib and the iliac crest after breathing out normally (15).…”

Section: Covariatesmentioning

confidence: 99%

“…Also, weight and height were measured using standardized procedures (15), and the body mass index (BMI) was calculated as weight (kg) divided by squared height (m 2 ). Waist circumference was measured with an inelastic belt-type tape at the midpoint between the lowest rib and the iliac crest after breathing out normally (15). Blood pressure was measured six times in the right arm at the level of the heart using standardized methods (20).…”

Section: Covariatesmentioning

confidence: 99%

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Sitting Time and Mortality in Older Adults With Disability: A National Cohort Study

Martínez‐Gómez

Guallar‐Castillón

Rodríguez‐Artalejo

2016

Journal of the American Medical Directors Association

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Prevalence of Overweight and Obesity in Elderly People in Spain

Cited by 168 publications

References 25 publications

Overweight and obesity in Italian adults 2004, and an overview of trends since 1983

Overweight and obesity in Italian adults 2004, and an overview of trends since 1983

Health consequences of obesity in the elderly: a review of four unresolved questions

Sitting Time and Mortality in Older Adults With Disability: A National Cohort Study

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