ArticleThe journal of nutrition, health & aging2017
Joint Association of Obesity and Hypertension with Disability in the Elderly-- A Community-Based Study of Residents in Shanghai, China.
Article in The journal of nutrition, health & aging, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 17 citations in OpenAlex.
- Association between body mass index and disability among older population in China: analysis of 2011-2020 data from the China Health and Retirement Longitudinal Study.Journal of global health · 2025Article
- Cardiovascular Health, Assessed by Life's Essential 8, Is Associated with Lower Risk of Disability Among Older, Community-Dwelling Men and Women.European journal of investigation in health, psychology and education · 2025Article
- Latent profile analysis of depression in elderly patients with cardio- and cerebrovascular diseases in China- based on CLHLS data.Frontiers in psychiatry · 2025Article
- Sex differences in the risk factors of disability among community-dwelling older adults with hypertension: Longitudinal results from the Health, Aging, and Retirement in Thailand study (HART).Frontiers in public health · 2023Article
- Muscle-to-fat ratio identifies functional impairments and cardiometabolic risk and predicts outcomes: biomarkers of sarcopenic obesity.Journal of cachexia, sarcopenia and muscle · 2022Article
- Health-related factors leading to disabilities in Korea: Survival analysis.Frontiers in public health · 2022Article
- Associations Between Obesity and Multidimensional Frailty in Older Chinese People with Hypertension.Clinical interventions in aging · 2020Article
- Resident and staff perspectives of person-centered climate in nursing homes: a cross-sectional study.BMC geriatrics · 2019Article
- Gut dysbiosis is associated with the reduced exercise capacity of elderly patients with hypertension.Hypertension research : official journal of the Japanese Society of Hypertension · 2018Article
- Socioeconomic Factors and Health Status Disparities Associated with Difficulty in ADLs and IADLs among Long-Lived Populations in Brazil: A Cross-Sectional Study.Inquiry : a journal of medical care organization, provision and financingArticle
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14 authors at 4 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundAlthough both obesity and hypertension are known risk factors for disability, the joint association of obesity and hypertension with risk of disability is unknown. This paper is aim to examine the joint association of obesity and hypertension with risk of disability.
methodsCross-sectional study with 8060 elderly community-dwelling individuals participating in the survey initiated by Shanghai Health and Family Planning Commission from March to September 2013. Obesity was measured using the body mass index (BMI) in World Health Organization (WHO) Asia criteria. Hypertension, based on the doctor's diagnosis, was obtained through face-to-face interview. Disability was measured using the self-reported physical self-maintenance scale (PSMS) and the instrumental activities of daily living (IADL) scale developed by Lawton and Brody.
resultsA total of 8.97% of participants reported ADL disability, and 15.18% for IADL disability. After adjusting social demographics and chronic conditions, the risk of ADL disability was progressively greater in obese persons with hypertension (OR=1.40, 95% CI=1.05-1.89), underweight persons without hypertension (OR=2.05, 95% CI=1.29-3.25), and underweight persons with hypertension (OR=2.14, 95% CI=1.36-3.36). For IADL disability, only underweight persons with hypertension were significantly associated (OR=1.65, 95% CI=1.23-2.21).
conclusionsLow or extremely high BMI, independent of its metabolic consequences, is a risk factor for disability among the elderly. Simple hypertension wasn't significantly associated with disability. In addition, having hypertension significantly increased the risk of ADL disability in obese individuals and IADL disability in underweight individuals.
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