Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study

Abstract Obesity is a chief lifestyle disease globally and causes a significant increase in morbidities. Overweight/ obesity prevalence has been rising faster in India compared to the world average. Therefore, the study examined the association between overweight/ obesity and successful ageing among...

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Main Authors: T. Muhammad, Arun Balachandran, Pradeep Kumar, Shobhit Srivastava
Format: Article
Language:English
Published: Nature Portfolio 2022-10-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-21523-7
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author T. Muhammad
Arun Balachandran
Pradeep Kumar
Shobhit Srivastava
author_facet T. Muhammad
Arun Balachandran
Pradeep Kumar
Shobhit Srivastava
author_sort T. Muhammad
collection DOAJ
description Abstract Obesity is a chief lifestyle disease globally and causes a significant increase in morbidities. Overweight/ obesity prevalence has been rising faster in India compared to the world average. Therefore, the study examined the association between overweight/ obesity and successful ageing among older population in India. We also explored the gender difference in risks posed by obesity on successful ageing and the different socio-economic correlates associated with successful ageing. This study utilized data from India’s first nationally representative longitudinal ageing survey (LASI-2017-18). The effective sample size for the present study was 31,464 older adults with a mean age of 69.2 years (SD: 7.53). Overweight/ obesity was defined as having a body mass index of 25 or above. The study carried out a bivariate analysis to observe the association between dependent and independent variables. Further, multivariable analysis was conducted to examine the associations after controlling for individual socio-demographic, lifestyle and household/community-related factors. The study included 47.5% men and 52.5% women. It was found that the prevalence of obesity/overweight was higher among older women compared to older men (23.2% vs 15.5%). Similarly, high-risk waist circumference (32.7% vs 7.9%) and high-risk waist-hip ratio (69.2% vs 66.5%) were more prevalent among older women than older men. The study found significant gender differences (men-women: 8.7%) in the prevalence rate of successful ageing (p < 0.001). The chances of successful ageing were significantly higher among older adults who were not obese/overweight [AOR: 1.31; CI 1.31–1.55], had no high-risk waist circumference [AOR: 1.41; CI 1.29–1.54], and those who had no high-risk waist-hip ratio [AOR: 1.16; CI 1.09–1.24] compared to their respective counterparts. Interaction results revealed that older women who were not obese/overweight had a lower likelihood of successful ageing compared to the older men who was not obese/overweight [AOR: 0.86; CI 0.80–0.93]. Similarly, older womens who had no high-risk waist circumference [AOR: 0.86; CI 0.80–0.96] and no high risk-hip ratio [AOR: 0.81; CI 0.73–0.89] were less likely to have successful ageing compared to their counterparts, respectively. Being overweight/ obese and having high-risk waist circumference and waist-hip ratio were found to be significant factors associated with less successful ageing among older adults, especially women in this study. The current findings highlight the importance of understanding the modifiable factors, including nutritional awareness and developing targeted strategies for promoting successful ageing.
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spelling doaj.art-1777a51870484c1a9fba5df5da7b80072022-12-22T04:31:54ZengNature PortfolioScientific Reports2045-23222022-10-0112111210.1038/s41598-022-21523-7Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional studyT. Muhammad0Arun Balachandran1Pradeep Kumar2Shobhit Srivastava3International Institute for Population SciencesUniversity of MarylandPopulation CouncilInternational Institute for Population SciencesAbstract Obesity is a chief lifestyle disease globally and causes a significant increase in morbidities. Overweight/ obesity prevalence has been rising faster in India compared to the world average. Therefore, the study examined the association between overweight/ obesity and successful ageing among older population in India. We also explored the gender difference in risks posed by obesity on successful ageing and the different socio-economic correlates associated with successful ageing. This study utilized data from India’s first nationally representative longitudinal ageing survey (LASI-2017-18). The effective sample size for the present study was 31,464 older adults with a mean age of 69.2 years (SD: 7.53). Overweight/ obesity was defined as having a body mass index of 25 or above. The study carried out a bivariate analysis to observe the association between dependent and independent variables. Further, multivariable analysis was conducted to examine the associations after controlling for individual socio-demographic, lifestyle and household/community-related factors. The study included 47.5% men and 52.5% women. It was found that the prevalence of obesity/overweight was higher among older women compared to older men (23.2% vs 15.5%). Similarly, high-risk waist circumference (32.7% vs 7.9%) and high-risk waist-hip ratio (69.2% vs 66.5%) were more prevalent among older women than older men. The study found significant gender differences (men-women: 8.7%) in the prevalence rate of successful ageing (p < 0.001). The chances of successful ageing were significantly higher among older adults who were not obese/overweight [AOR: 1.31; CI 1.31–1.55], had no high-risk waist circumference [AOR: 1.41; CI 1.29–1.54], and those who had no high-risk waist-hip ratio [AOR: 1.16; CI 1.09–1.24] compared to their respective counterparts. Interaction results revealed that older women who were not obese/overweight had a lower likelihood of successful ageing compared to the older men who was not obese/overweight [AOR: 0.86; CI 0.80–0.93]. Similarly, older womens who had no high-risk waist circumference [AOR: 0.86; CI 0.80–0.96] and no high risk-hip ratio [AOR: 0.81; CI 0.73–0.89] were less likely to have successful ageing compared to their counterparts, respectively. Being overweight/ obese and having high-risk waist circumference and waist-hip ratio were found to be significant factors associated with less successful ageing among older adults, especially women in this study. The current findings highlight the importance of understanding the modifiable factors, including nutritional awareness and developing targeted strategies for promoting successful ageing.https://doi.org/10.1038/s41598-022-21523-7
spellingShingle T. Muhammad
Arun Balachandran
Pradeep Kumar
Shobhit Srivastava
Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study
Scientific Reports
title Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study
title_full Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study
title_fullStr Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study
title_full_unstemmed Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study
title_short Obesity-related measures and successful ageing among community-dwelling older adults in India: a cross-sectional study
title_sort obesity related measures and successful ageing among community dwelling older adults in india a cross sectional study
url https://doi.org/10.1038/s41598-022-21523-7
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AT pradeepkumar obesityrelatedmeasuresandsuccessfulageingamongcommunitydwellingolderadultsinindiaacrosssectionalstudy
AT shobhitsrivastava obesityrelatedmeasuresandsuccessfulageingamongcommunitydwellingolderadultsinindiaacrosssectionalstudy