ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2018
Body Mass Index and Rural Status on Self-Reported Health in Older Adults: 2004-2013 Medicare Expenditure Panel Survey.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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5 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The relationship between non-permanent migration and non-communicable chronic disease outcomes for cancer, heart disease and diabetes - a systematic review.BMC public health · 2019Pooled it
- Novel Clinical and Pre-clinical Obesity Estimates in Older Indian Adults: Insights from a Nationally Representative Dataset.Diabetes therapy : research, treatment and education of diabetes and related disorders · 2026Article
- Prevalence of overweight and obesity and associated factors among women of childbearing age in Brazil.Public health nutrition · 2021Article
- Associations between Body Mass Index and Subjective Health Outcomes among Older Adults: Findings from the Yilan Study, Taiwan.International journal of environmental research and public health · 2018Article
- Obesity in the Older Adult: Special Issue.Journal of nutrition in gerontology and geriatricsArticle
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Abstract
purposeTo ascertain whether rural status impacts self-reported health and whether the effect of rural status on self-reported health differs by obesity status.
methodsWe identified 22,307 subjects aged ≥60 from the Medical Expenditure Panel Survey 2004-2013. Body mass index (BMI) was categorized as underweight, normal, overweight, or obese. Physical and mental component scores of the Short Form-12 assessed self-reported health status. Rural/urban status was defined using metropolitan statistical area. Weighted regression models ascertained the relative contribution of predictors (including rural and BMI) on each subscale.
findingsMean age was 70.7 years. Rural settings had higher proportions classified as obese (30.7 vs 27.6%; P < .001), and rural residents had lower physical health status (41.7 ± 0.3) than urban (43.4 ± 0.1; P < .001). Obese or underweight persons had lower physical health status (39.5 ± 0.20 and 37.0 ± 0.82, respectively) than normal (44.7 ± 0.18) or overweight (44.6 ± 0.16) persons (P < .001). BMI category stratification was associated with differences in physical health between rural/urban by BMI. Individuals classified as underweight or obese had lower physical health compared to normal, while the differences were less pronounced for mental health. No differences in mental health existed between rural/urban status. A BMI
conclusionsRural residents report lower self-reported physical health status compared to urban residents, particularly older adults who are obese or underweight. No interaction was observed between BMI and rural status.
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