Obesity and the risk of developing chronic diseases in middle-aged and older adults: Findings from an Australian longitudinal population survey, 2009–2017
Article
Article Title | Obesity and the risk of developing chronic diseases in middle-aged and older adults: Findings from an Australian longitudinal population survey, 2009–2017 |
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ERA Journal ID | 39745 |
Article Category | Article |
Authors | Keramat, Syed Afroz (Author), Alam, Khorshed (Author), Rana, Rezwanul Hasan (Author), Chowdhury, Rupok (Author), Farjana, Fariha (Author), Hashmi, Rubayyat (Author), Gow, Jeff (Author) and Biddle, Stuart J. H. (Author) |
Journal Title | PLoS One |
Journal Citation | 16 (11), pp. 1-16 |
Article Number | e0260158 |
Number of Pages | 16 |
Year | 2021 |
Publisher | Public Library of Science (PLoS) |
Place of Publication | United States |
ISSN | 1932-6203 |
Digital Object Identifier (DOI) | https://doi.org/10.1371/journal.pone.0260158 |
Web Address (URL) | https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0260158 |
Abstract | Background: Overweight and obesity impose a significant health burden in Australia, predominantly the middle-aged and older adults. Studies of the association between obesity and chronic diseases are primarily based on cross-sectional data, which is insufficient to deduce a temporal relationship. Using nationally representative panel data, this study aims to investigate whether obesity is a significant risk factor for type 2 diabetes, heart diseases, asthma, arthritis, and depression in Australian middle-aged and older adults. Methods: Longitudinal data comprising three waves (waves 9, 13 and 17) of the Household, Income and Labour Dynamics in Australia (HILDA) survey were used in this study. This study fitted longitudinal random-effect logistic regression models to estimate the between-person differences in the association between obesity and chronic diseases. Results: The findings indicated that obesity was associated with a higher prevalence of chronic diseases among Australian middle-aged and older adults. Obese adults (Body Mass Index [BMI] ≥ 30) were at 12.76, 2.05, 1.97, 2.25, and 1.96, times of higher risks of having type 2 diabetes (OR: 12.76, CI 95%: 8.88-18.36), heart disease (OR: 2.05, CI 95%: 1.54-2.74), asthma (OR: 1.97, CI 95%: 1.49-2.62), arthritis (OR: 2.25, 95% CI: 1.90-2.68) and depression (OR: 1.96, CI 95%: 1.56-2.48), respectively, compared with healthy weight counterparts. However, the study did not find any evidence of a statistically significant association between obesity and cancer. Besides, gender stratified regression results showed that obesity is associated with a higher likelihood of asthma (OR: 2.64, 95% CI: 1.84-3.80) among female adults, but not in the case of male adults. Conclusion: Excessive weight is strongly associated with a higher incidence of chronic disease in Australian middle-aged and older adults. This finding has clear public health implications. Health promotion programs and strategies would be helpful to meet the challenge of excessive weight gain and thus contribute to the prevention of chronic diseases. |
Keywords | adult; aged; arthritis; Article; asthma; Australian; body mass; chronic disease; depression; female; heart disease; human; major clinical study; male; malignant neoplasm; middle aged; non insulin dependent diabetes mellitus; obesity; population research; risk factor; sex difference |
ANZSRC Field of Research 2020 | 380108. Health economics |
380204. Panel data analysis | |
420699. Public health not elsewhere classified | |
Public Notes | Copyright: © 2021 Keramat et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. |
Byline Affiliations | Khulna University, Bangladesh |
School of Business | |
Centre for Health Research | |
Institution of Origin | University of Southern Queensland |
https://research.usq.edu.au/item/q6x93/obesity-and-the-risk-of-developing-chronic-diseases-in-middle-aged-and-older-adults-findings-from-an-australian-longitudinal-population-survey-2009-2017
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