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

Author

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  • 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
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    References listed on IDEAS

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    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.
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    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.

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