Evidence map›Paper›PMID 40604489›Full record

ArticleBMC geriatrics2025

Impact of socioeconomic status on obesity in older adults: the suppressive effect of social support and sleep quality.

Xi Yang, Xi Gao, Yang Shu, Lei Li, Ying Xiong, Xueyan Zhou, Wanyanhan Jiang, Qun Sun, Chengchao Zhou, Lian Yang

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Xi YangHEOA Group, School of Public Health, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Chengdu, 611137, China.
Xi GaoDepartment of Operation, Sichuan People's Hospital, Sichuan Academy of Medical Sciences, University of Electronic Science and Technology of China, Chengdu, 610072, China.
Yang ShuHEOA Group, School of Public Health, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Chengdu, 611137, China.
Lei LiDeyang Hospital, Hospital of Chengdu University of Traditional Chinese Medicine, Deyang Integrated Traditional Chinese and Western Medicine Hospital, Deyang, 618000, China.
Ying XiongHealth Commission of Deyang City, Deyang, 618000, China.
Xueyan ZhouCentre for Aging Health Service of Deyang City, Deyang, 618000, China.
Wanyanhan JiangHEOA Group, School of Public Health, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Chengdu, 611137, China.
Qun SunSchool of Management, HEOA Group, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Chengdu, 611137, China.
Chengchao ZhouCentre for Health Management and Policy Research, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, 250100, China. zhouchengchao@sdu.edu.cn.
Lian YangHEOA Group, School of Public Health, Chengdu University of Traditional Chinese Medicine, No. 1166 Liutai Road, Chengdu, 611137, China. yyanglian@163.com.

Funding

Investigation on health status and risk factors of the elderly over 65 years old in Deyang City 301021062
6 · The paper itself

Abstract

backgroundWith the acceleration of population aging, the problem of obesity among older adults is becoming increasingly prominent, representing a major public health problem affecting the health of older adults. In recent years, socioeconomic status(SES) has become a hotspot in research into the mechanisms influencing obesity(OB). However, few studies have explored the process and mechanism of action by which SES affects obesity.

methodsThe sample consisted of 5,576 older adults (≥ 65 years), from a large cross-sectional study conducted in Deyang City, China. Different factors associated with OB in older adults were assessed using χ2 test. Pearson correlation analysis and the SPSS function "PROCESS macro" were used for correlation and serial multiple mediation analysis, respectively, to analyze the relationship between SES and OB, and the mediating role of social support and sleep quality.

resultsThe prevalence of obesity among older adults aged ≥ 65 years was 11.05%. The risk of obesity was higher among older adults who were women, relatively young, less educated, non-smokers, or with chronic diseases. SES directly affects obesity (SE = 0.187, 95% CI: 0.105, 0.270), accounting for 88.21% of the total effect. Additionally, social support and sleep quality were found to mitigate the negative effect of high SES on obesity (SE = - 0.025, 95% CI: - 0.045, - 0.006), resulting in a suppressing effect that accounts for 11.79% of the total effect.

conclusionsGreater social support and sleep quality lower the obesity risk associated with SES in older adults. Therefore, targeted prevention, control, and intervention measures, such as increasing social support and improving sleep quality, can be applied based on the characteristics of older adults of different socioeconomic statuses to minimize the socioeconomic status-associated obesity risks and thus achieve the goal of reducing obesity.

Indexed as

ObesitySleep QualitySocial ClassSocial SupportAgedAged, 80 and overChinaCross-Sectional StudiesFemaleHumansMaleObesity in older adultsSleep qualitySocial supportSocioeconomic statusSuppressing effect

Identifiers

PMID40604489
PMCPMC12219691

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.