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A comprehensive examination of health conditions associated with obesity in older adults.

Abstract

BACKGROUND

Over 70% of older adults in the United States are overweight or obese. To examine the overall health burden of obesity in older adults, the Vitamins and Lifestyle cohort study of western Washington State recruited 73,003 adults aged 50 to 76 who completed a self-administered questionnaire on current height and weight, medical history, and risk factors.

METHODS

Cross-sectional analysis of body mass index (BMI) and health conditions was performed using data collected in 2000 to 2002. Participants were categorized as normal weight, overweight, obese I, or obese II/III using BMI cut-points. Health conditions included 7 serious diseases, 2 conditions associated with cardiovascular disease risk, 23 medical conditions, and 11 health complaints. Odds ratios (ORs) from logistic regression models were used to examine associations of the four BMI categories with each health condition. Analyses were gender stratified and adjusted for age, education, race/ethnicity, and smoking status.

RESULTS

Among women, 34% were overweight, 16% in the obese I category, and 10% in obese categories II/III. Among men, 49% were overweight, 18% in the obese I category, and 6% in obese categories II/III. Overall, 37 of 41 conditions examined for women and 29 of 41 conditions examined for men were associated with increased levels of BMI (trend p <0.05 for all models). For women and men, respectively, the highest ORs comparing obese II/III to normal weight were diabetes (OR=12.5 and 8.3), knee replacement (OR=11.7 and 6.1), and hypertension (OR=5.4 and 5.6). Obesity also increased the odds of several rare diseases such as pancreatitis (OR=1.9 and 1.5) and health complaints such as chronic fatigue (OR=3.7 and 3.5) and insomnia (OR=3.5 and 3.1).

CONCLUSIONS

A broad range of diseases and health complaints are associated with obesity. Clinicians should be aware of the diverse ways in which being overweight or obese may affect the health of their patients when counseling them about weight loss.

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  • Authors+Show Affiliations

    ,

    Cancer Prevention Research Program, Fred Hutchinson Cancer Research Center, Seattle, Washington 98109-1024, USA. ruthp@sdfoundation.org

    , ,

    Source

    MeSH

    Age Distribution
    Aged
    Body Composition
    Body Mass Index
    Cardiovascular Diseases
    Cross-Sectional Studies
    Diabetes Mellitus, Type 2
    Female
    Health Status Indicators
    Humans
    Hypertension
    Incidence
    Life Style
    Logistic Models
    Male
    Middle Aged
    Obesity
    Probability
    Prognosis
    Risk Assessment
    Severity of Illness Index
    Sex Distribution
    Surveys and Questionnaires
    Survival Rate
    United States

    Pub Type(s)

    Journal Article
    Research Support, U.S. Gov't, P.H.S.

    Language

    eng

    PubMed ID

    15556738

    Citation

    Patterson, Ruth E., et al. "A Comprehensive Examination of Health Conditions Associated With Obesity in Older Adults." American Journal of Preventive Medicine, vol. 27, no. 5, 2004, pp. 385-90.
    Patterson RE, Frank LL, Kristal AR, et al. A comprehensive examination of health conditions associated with obesity in older adults. Am J Prev Med. 2004;27(5):385-90.
    Patterson, R. E., Frank, L. L., Kristal, A. R., & White, E. (2004). A comprehensive examination of health conditions associated with obesity in older adults. American Journal of Preventive Medicine, 27(5), pp. 385-90.
    Patterson RE, et al. A Comprehensive Examination of Health Conditions Associated With Obesity in Older Adults. Am J Prev Med. 2004;27(5):385-90. PubMed PMID: 15556738.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - A comprehensive examination of health conditions associated with obesity in older adults. AU - Patterson,Ruth E, AU - Frank,Laura L, AU - Kristal,Alan R, AU - White,Emily, PY - 2004/11/24/pubmed PY - 2005/3/11/medline PY - 2004/11/24/entrez SP - 385 EP - 90 JF - American journal of preventive medicine JO - Am J Prev Med VL - 27 IS - 5 N2 - BACKGROUND: Over 70% of older adults in the United States are overweight or obese. To examine the overall health burden of obesity in older adults, the Vitamins and Lifestyle cohort study of western Washington State recruited 73,003 adults aged 50 to 76 who completed a self-administered questionnaire on current height and weight, medical history, and risk factors. METHODS: Cross-sectional analysis of body mass index (BMI) and health conditions was performed using data collected in 2000 to 2002. Participants were categorized as normal weight, overweight, obese I, or obese II/III using BMI cut-points. Health conditions included 7 serious diseases, 2 conditions associated with cardiovascular disease risk, 23 medical conditions, and 11 health complaints. Odds ratios (ORs) from logistic regression models were used to examine associations of the four BMI categories with each health condition. Analyses were gender stratified and adjusted for age, education, race/ethnicity, and smoking status. RESULTS: Among women, 34% were overweight, 16% in the obese I category, and 10% in obese categories II/III. Among men, 49% were overweight, 18% in the obese I category, and 6% in obese categories II/III. Overall, 37 of 41 conditions examined for women and 29 of 41 conditions examined for men were associated with increased levels of BMI (trend p <0.05 for all models). For women and men, respectively, the highest ORs comparing obese II/III to normal weight were diabetes (OR=12.5 and 8.3), knee replacement (OR=11.7 and 6.1), and hypertension (OR=5.4 and 5.6). Obesity also increased the odds of several rare diseases such as pancreatitis (OR=1.9 and 1.5) and health complaints such as chronic fatigue (OR=3.7 and 3.5) and insomnia (OR=3.5 and 3.1). CONCLUSIONS: A broad range of diseases and health complaints are associated with obesity. Clinicians should be aware of the diverse ways in which being overweight or obese may affect the health of their patients when counseling them about weight loss. SN - 0749-3797 UR - https://www.unboundmedicine.com/medline/citation/15556738/A_comprehensive_examination_of_health_conditions_associated_with_obesity_in_older_adults_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0749-3797(04)00197-7 DB - PRIME DP - Unbound Medicine ER -