BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India
Background: This study explored the association between family history of hypertension and diabetes with their diagnosis among older Indian adults. The study further examined the role of body mass index (BMI) as a potential mediator in these associations. Methods: Data from the Longitudinal Ageing S...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-09-01
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| Series: | SSM: Population Health |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352827322001549 |
| _version_ | 1811340097463779328 |
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| author | T. Muhammad C.V. Irshad S. Irudaya Rajan |
| author_facet | T. Muhammad C.V. Irshad S. Irudaya Rajan |
| author_sort | T. Muhammad |
| collection | DOAJ |
| description | Background: This study explored the association between family history of hypertension and diabetes with their diagnosis among older Indian adults. The study further examined the role of body mass index (BMI) as a potential mediator in these associations. Methods: Data from the Longitudinal Ageing Study in India (LASI, 2017–18), wave-1 were used. The sample for the study included 31,464 older adults aged 60 years and above. Descriptive statistics and bivariate analysis has been conducted to assess the prevalence of self-reported hypertension and diabetes. Further, multivariable logistic regression models were used to test the research hypotheses of this study. The Karlson–Holm–Breen (KHB) mediation analysis was conducted to recover the direct and indirect effects of BMI in the association of family medical history and diagnosis of hypertension and diabetes. Results: A proportion of 32.70% of older adults were diagnosed with hypertension and 14.23% of older adults were diagnosed with diabetes. A proportion of 19.48% and 14.69% of older adults had a family history of hypertension and diabetes, respectively. Also, 16.57% and 5.53% of older adults were overweight and obese, respectively in the current study. Older adults who had family history of hypertension had higher odds of being diagnosed with hypertension [aOR: 2.23, CI: 2.07–2.39] than those who had no such family history. This association was mediated by BMI (percent mediated: 6.31%). Similarly, older adults who had family history of diabetes had higher odds of being diagnosed with diabetes [aOR: 2.63, CI: 2.41–2.88] than those who had no such family history. This association was mediated by BMI (percent effect mediated: 6.66%). Conclusion: The study highlights the relevance of using family medical history data along with information on BMI as potential source for the control and management of hypertension and diabetes among older population. |
| first_indexed | 2024-04-13T18:36:25Z |
| format | Article |
| id | doaj.art-b26d917f9cd04f79b5f0842a971057d1 |
| institution | Directory Open Access Journal |
| issn | 2352-8273 |
| language | English |
| last_indexed | 2024-04-13T18:36:25Z |
| publishDate | 2022-09-01 |
| publisher | Elsevier |
| record_format | Article |
| series | SSM: Population Health |
| spelling | doaj.art-b26d917f9cd04f79b5f0842a971057d12022-12-22T02:34:52ZengElsevierSSM: Population Health2352-82732022-09-0119101175BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in IndiaT. Muhammad0C.V. Irshad1S. Irudaya Rajan2Department of Family & Generations, International Institute for Population Sciences, Mumbai, 400088, India; Corresponding author.Department of Humanities & Social Sciences, Indian Institute of Technology, Madras, 600036, IndiaThe International Institute of Migration and Development, Thiruvananthapuram, 695011, IndiaBackground: This study explored the association between family history of hypertension and diabetes with their diagnosis among older Indian adults. The study further examined the role of body mass index (BMI) as a potential mediator in these associations. Methods: Data from the Longitudinal Ageing Study in India (LASI, 2017–18), wave-1 were used. The sample for the study included 31,464 older adults aged 60 years and above. Descriptive statistics and bivariate analysis has been conducted to assess the prevalence of self-reported hypertension and diabetes. Further, multivariable logistic regression models were used to test the research hypotheses of this study. The Karlson–Holm–Breen (KHB) mediation analysis was conducted to recover the direct and indirect effects of BMI in the association of family medical history and diagnosis of hypertension and diabetes. Results: A proportion of 32.70% of older adults were diagnosed with hypertension and 14.23% of older adults were diagnosed with diabetes. A proportion of 19.48% and 14.69% of older adults had a family history of hypertension and diabetes, respectively. Also, 16.57% and 5.53% of older adults were overweight and obese, respectively in the current study. Older adults who had family history of hypertension had higher odds of being diagnosed with hypertension [aOR: 2.23, CI: 2.07–2.39] than those who had no such family history. This association was mediated by BMI (percent mediated: 6.31%). Similarly, older adults who had family history of diabetes had higher odds of being diagnosed with diabetes [aOR: 2.63, CI: 2.41–2.88] than those who had no such family history. This association was mediated by BMI (percent effect mediated: 6.66%). Conclusion: The study highlights the relevance of using family medical history data along with information on BMI as potential source for the control and management of hypertension and diabetes among older population.http://www.sciencedirect.com/science/article/pii/S2352827322001549HypertensionDiabetesBody mass indexFamily medical historyOlder adults |
| spellingShingle | T. Muhammad C.V. Irshad S. Irudaya Rajan BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India SSM: Population Health Hypertension Diabetes Body mass index Family medical history Older adults |
| title | BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India |
| title_full | BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India |
| title_fullStr | BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India |
| title_full_unstemmed | BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India |
| title_short | BMI mediates the association of family medical history with self-reported hypertension and diabetes among older adults: Evidence from baseline wave of the longitudinal aging study in India |
| title_sort | bmi mediates the association of family medical history with self reported hypertension and diabetes among older adults evidence from baseline wave of the longitudinal aging study in india |
| topic | Hypertension Diabetes Body mass index Family medical history Older adults |
| url | http://www.sciencedirect.com/science/article/pii/S2352827322001549 |
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