IDEAS home Printed from https://ideas.repec.org/a/gam/jijerp/v17y2020i22p8355-d443551.html
   My bibliography  Save this article

Association between Overweight, Obesity and the Prevalence of Multimorbidity among the Elderly: Evidence from a Cross-Sectional Analysis in Shandong, China

Author

Listed:
  • Fangfang Hu

    (NHC Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    Center for Health Economics Experiment and Public Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Lingzhong Xu

    (NHC Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    Center for Health Economics Experiment and Public Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Jinling Zhou

    (NHC Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    Center for Health Economics Experiment and Public Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Jiao Zhang

    (NHC Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    Center for Health Economics Experiment and Public Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Zhaorong Gao

    (NHC Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    Center for Health Economics Experiment and Public Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

  • Zhuang Hong

    (NHC Key Laboratory of Health Economics and Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, China
    Center for Health Economics Experiment and Public Policy Research, Cheeloo College of Medicine, Shandong University, Jinan 250012, China)

Abstract

(1) Background: Multimorbidity, defined as the occurrence of two or more chronic diseases, is a global public health problem which has a significant negative impact on individuals, families and the society. The aim of this study was to evaluate the association between overweight, obesity and the prevalence of multimorbidity among male and female older adults; (2) Methods: Cross-sectional data of the 7070 participants from China, aged 60 years and above included in 2017 the Shandong Elderly Family Health Service Survey were analyzed. Multivariate logistic regression analysis was used to examine the relationship between overweight, obesity and the prevalence of multimorbidity in males and females; (3) Results: Among the 7070 participants, of which 40.25% were males and 59.75% were females, the average age of all participants was (69.81 ± 6.45) years old. The prevalence of multimorbidity in older adults was 34.71%, and the overweight and obesity rates were 39.25% and 16.89%. Among the male elderly, the likelihood of multimorbidity was more than two times higher among the obese than the normal BMI population (OR: 2.14; 95%CI: 1.63–2.82). A less strong association was found in the overweight male older population (OR: 1.43; 95%CI: 1.18–1.74). In the females, compared with individuals with normal BMI, the risks for incident multimorbidity were high in the overweight and obese groups, with odds ratios of 1.42 (95%CI: 1.21–1.65) and 1.81 (95%CI: 1.51–2.17), respectively. (4) Conclusions: In this study, overweight and obesity had the strongest association with the prevalence of multimorbidity among Chinese older adults, and the associations were different between the male and female elderly. The prevalence of multimorbidity might be effectively prevented by controlling body mass index. Encouraging the elderly to eat the recommended amount of vegetables and fruits, walk at least 30 min a day and have enough sleep to maintain a healthy weight.

Suggested Citation

  • Fangfang Hu & Lingzhong Xu & Jinling Zhou & Jiao Zhang & Zhaorong Gao & Zhuang Hong, 2020. "Association between Overweight, Obesity and the Prevalence of Multimorbidity among the Elderly: Evidence from a Cross-Sectional Analysis in Shandong, China," IJERPH, MDPI, vol. 17(22), pages 1-10, November.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8355-:d:443551
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/1660-4601/17/22/8355/pdf
    Download Restriction: no

    File URL: https://www.mdpi.com/1660-4601/17/22/8355/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Qian Wang & Lingzhong Xu & Jiajia Li & Long Sun & Wenzhe Qin & Gan Ding & Jing Zhu & Jiao Zhang & Zihang Yu & Su Xie, 2018. "Association of Anthropometric Indices of Obesity with Hypertension in Chinese Elderly: An Analysis of Age and Gender Differences," IJERPH, MDPI, vol. 15(4), pages 1-14, April.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Yiming Chen & Lei Shi & Xiao Zheng & Juan Yang & Yaqing Xue & Shujuan Xiao & Benli Xue & Jiachi Zhang & Xinru Li & Huang Lin & Chao Ma & Chichen Zhang, 2022. "Patterns and Determinants of Multimorbidity in Older Adults: Study in Health-Ecological Perspective," IJERPH, MDPI, vol. 19(24), pages 1-15, December.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Xichen Wang & Mei Sun & Xiaohong Li & Jun Lu & Gang Chen, 2020. "Effects of Disability Type on the Association between Age and Non-Communicable Disease Risk Factors among Elderly Persons with Disabilities in Shanghai, China," IJERPH, MDPI, vol. 17(15), pages 1-13, July.
    2. Zhuang Hong & Lingzhong Xu & Jinling Zhou & Long Sun & Jiajia Li & Jiao Zhang & Fangfang Hu & Zhaorong Gao, 2020. "The Relationship between Self-Rated Economic Status and Falls among the Elderly in Shandong Province, China," IJERPH, MDPI, vol. 17(6), pages 1-9, March.
    3. Ningze Xu & Shiyu Xie & Yingyao Chen & Jiajia Li & Long Sun, 2020. "Factors Influencing Medication Non-Adherence among Chinese Older Adults with Diabetes Mellitus," IJERPH, MDPI, vol. 17(17), pages 1-10, August.
    4. Machoene D. Sekgala & Ronel Sewpaul & Maretha Opperman & Zandile J. Mchiza, 2022. "Comparison of the Ability of Anthropometric Indices to Predict the Risk of Diabetes Mellitus in South African Males: SANHANES-1," IJERPH, MDPI, vol. 19(6), pages 1-16, March.
    5. Rajaa Al-Raddadi & Jawaher Al-Ahmadi & Suhad Bahijri & Ghada M. Ajabnoor & Hanan Jambi & Sumia Enani & Basmah Medhat Eldakhakhny & Lubna Alsheikh & Anwar Borai & Jaakko Tuomilehto, 2021. "Gender Differences in The Factors associated with Hypertension in Non-Diabetic Saudi Adults—A Cross-Sectional Study," IJERPH, MDPI, vol. 18(21), pages 1-14, October.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jijerp:v:17:y:2020:i:22:p:8355-:d:443551. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.