Overweight in Older Adults: A Follow-Up of Fifteen Years of the SABE Survey

Tânia Aparecida de Araujo (), Isabela Martins Oliveira, Tarsila Guimarães Vieira da Silva, Vanderlei Carneiro da Silva and Yeda Aparecida de Oliveira Duarte
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Tânia Aparecida de Araujo: Leônidas and Maria Deane Institute, Fiocruz Amazônia, Manaus 69057-070, Brazil
Isabela Martins Oliveira: Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
Tarsila Guimarães Vieira da Silva: Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
Vanderlei Carneiro da Silva: Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil
Yeda Aparecida de Oliveira Duarte: Faculty of Public Health, University of São Paulo, São Paulo 01246-904, Brazil

IJERPH, 2023, vol. 20, issue 6, 1-12

Abstract: Despite extensive research on overweight and obesity, there are few studies that present longitudinal statistical analyses among non-institutionalized older adults, particularly in low- and middle-income countries. This study aimed to assess the prevalence and factors associated with excess weight in older adults from the same cohort over a period of fifteen years. A total of 264 subjects aged (≥60 years) from the SABE survey (Health, Wellbeing and Aging) in the years 2000, 2006, 2010, and 2015 in the city of São Paulo, Brazil, were evaluated. Overweight was assessed by a BMI of ≥28 kg/m 2 . Multinomial logistic regression models adjusted for sociodemographic and health data were used to assess factors associated with excess weight. After normal weight, overweight was the most prevalent nutritional status in all evaluated periods: 34.02% in 2000 (95%CI: 28.29–40.26); 34.86% in 2006 (95%CI: 28.77–41.49%); 41.38% in 2010 (95%CI: 35.25–47.79); 33.75% in 2015 (95%CI: 28.02–40.01). Being male was negatively associated with being overweight in all years (OR: 0.34 in 2000; OR: 0.36 in 2006; OR: 0.27 in 2010; and OR: 0.43 in 2015). A greater number of chronic diseases and worse functionality were the main factors associated with overweight, regardless of gender, age, marital status, education, physical activity, and alcohol or tobacco consumption. Older adults with overweight and obesity, a greater number of chronic diseases, and difficulties in carrying out daily tasks required a greater commitment to healthcare. Health services must be prepared to accommodate this rapidly growing population in low- and middle-income countries.

Keywords: nutritional status; overweight; obesity; aging; longitudinal study (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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