Relationship of BMI, waist circumference, and weight change with use of health services by older adults.
Identifieur interne : 000616 ( Main/Exploration ); précédent : 000615; suivant : 000617Relationship of BMI, waist circumference, and weight change with use of health services by older adults.
Auteurs : Luz M. Le N-Mu Oz [Espagne] ; Pilar Guallar-Castill N ; Esther L Pez García ; José R. Banegas ; Juan L. Gutiérrez-Fisac ; Fernando Rodríguez-ArtalejoSource :
- Obesity research [ 1071-7323 ] ; 2005.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen (MeSH), Enquêtes et questionnaires (MeSH), Espagne (MeSH), Femelle (MeSH), Humains (MeSH), Indice de masse corporelle (MeSH), Mâle (MeSH), Obésité (MeSH), Perte de poids (MeSH), Poids (MeSH), Rapport taille-hanches (MeSH), Services de santé pour personnes âgées (statistiques et données numériques), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Études de cohortes (MeSH), Études prospectives (MeSH).
- MESH :
- statistiques et données numériques : Services de santé pour personnes âgées.
- Adulte d'âge moyen, Enquêtes et questionnaires, Espagne, Femelle, Humains, Indice de masse corporelle, Mâle, Obésité, Perte de poids, Poids, Rapport taille-hanches, Sujet âgé, Sujet âgé de 80 ans ou plus, Études de cohortes, Études prospectives.
English descriptors
- KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Body Mass Index (MeSH), Body Weight (MeSH), Cohort Studies (MeSH), Female (MeSH), Health Services for the Aged (statistics & numerical data), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Obesity (MeSH), Prospective Studies (MeSH), Spain (MeSH), Surveys and Questionnaires (MeSH), Waist-Hip Ratio (MeSH), Weight Loss (MeSH).
- MESH :
- statistics & numerical data : Health Services for the Aged.
- Aged, Aged, 80 and over, Body Mass Index, Body Weight, Cohort Studies, Female, Humans, Male, Middle Aged, Obesity, Prospective Studies, Spain, Surveys and Questionnaires, Waist-Hip Ratio, Weight Loss.
Abstract
OBJECTIVE
To examine the relationship of BMI, waist circumference (WC), and weight change with use of health care services by older adults.
RESEARCH METHODS AND PROCEDURES
This was a prospective cohort study conducted from 2001 to 2003 among 2919 persons representative of the non-institutionalized Spanish population > or =60 years of age. Analyses were performed using logistic regression, with adjustment for age, educational level, size of place of residence, tobacco use, alcohol consumption, and presence of chronic disease.
RESULTS
Obesity (BMI > or = 30 kg/m(2)) and abdominal obesity (WC >102 cm in men and >88 cm in women) in 2001 were associated with greater use of certain health care services among men and women in the period 2001-2003. Compared with women with WC < or = 88 cm, women with abdominal obesity were more likely to visit primary care physicians [odds ratio (OR): 1.36; 95% confidence limit (CL): 1.06-1.73] and receive influenza vaccination (OR: 1.30; 95% CL: 1.03-1.63). Weight gain was not associated with greater health service use by either sex, regardless of baseline BMI. Weight loss was associated with greater health service use by obese and non-obese subjects of both sexes. In comparison with those who reported no important weight change, non-obese women who lost weight were more likely to visit hospital specialists (OR: 1.45; 95% CL: 1.02-2.06), receive home medical visits (OR: 1.61; 95% CL: 1.06-2.45), be hospitalized (OR: 1.88; 95% CL: 1.29-2.74), and have more than one hospital admission (OR: 2.31; 95% CL: 1.19-4.47).
DISCUSSION
Obesity and weight loss are associated with greater health service use among the elderly.
DOI: 10.1038/oby.2005.169
PubMed: 16129722
Affiliations:
Links toward previous steps (curation, corpus...)
Le document en format XML
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Le N-Mu Oz</name><affiliation wicri:level="4"><nlm:affiliation>Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, 28029 Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, 28029 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region><settlement type="city">Madrid</settlement></placeName><orgName type="university">Université autonome de Madrid</orgName></affiliation></author><author><name sortKey="Guallar Castill N, Pilar" sort="Guallar Castill N, Pilar" uniqKey="Guallar Castill N P" first="Pilar" last="Guallar-Castill N">Pilar Guallar-Castill N</name></author><author><name sortKey="L Pez Garcia, Esther" sort="L Pez Garcia, Esther" uniqKey="L Pez Garcia E" first="Esther" last="L Pez García">Esther L Pez García</name></author><author><name sortKey="Banegas, Jose R" sort="Banegas, Jose R" uniqKey="Banegas J" first="José R" last="Banegas">José R. Banegas</name></author><author><name sortKey="Gutierrez Fisac, Juan L" sort="Gutierrez Fisac, Juan L" uniqKey="Gutierrez Fisac J" first="Juan L" last="Gutiérrez-Fisac">Juan L. Gutiérrez-Fisac</name></author><author><name sortKey="Rodriguez Artalejo, Fernando" sort="Rodriguez Artalejo, Fernando" uniqKey="Rodriguez Artalejo F" first="Fernando" last="Rodríguez-Artalejo">Fernando Rodríguez-Artalejo</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2005">2005</date><idno type="RBID">pubmed:16129722</idno><idno type="pmid">16129722</idno><idno type="doi">10.1038/oby.2005.169</idno><idno type="wicri:Area/Main/Corpus">00616</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">00616</idno><idno type="wicri:Area/Main/Curation">000616</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000616</idno><idno type="wicri:Area/Main/Exploration">000616</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Relationship of BMI, waist circumference, and weight change with use of health services by older adults.</title><author><name sortKey="Le N Mu Oz, Luz M" sort="Le N Mu Oz, Luz M" uniqKey="Le N Mu Oz L" first="Luz M" last="Le N-Mu Oz">Luz M. Le N-Mu Oz</name><affiliation wicri:level="4"><nlm:affiliation>Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, 28029 Madrid, Spain.</nlm:affiliation><country xml:lang="fr">Espagne</country><wicri:regionArea>Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, 28029 Madrid</wicri:regionArea><placeName><region nuts="2" type="communauté">Communauté de Madrid</region><settlement type="city">Madrid</settlement></placeName><orgName type="university">Université autonome de Madrid</orgName></affiliation></author><author><name sortKey="Guallar Castill N, Pilar" sort="Guallar Castill N, Pilar" uniqKey="Guallar Castill N P" first="Pilar" last="Guallar-Castill N">Pilar Guallar-Castill N</name></author><author><name sortKey="L Pez Garcia, Esther" sort="L Pez Garcia, Esther" uniqKey="L Pez Garcia E" first="Esther" last="L Pez García">Esther L Pez García</name></author><author><name sortKey="Banegas, Jose R" sort="Banegas, Jose R" uniqKey="Banegas J" first="José R" last="Banegas">José R. Banegas</name></author><author><name sortKey="Gutierrez Fisac, Juan L" sort="Gutierrez Fisac, Juan L" uniqKey="Gutierrez Fisac J" first="Juan L" last="Gutiérrez-Fisac">Juan L. Gutiérrez-Fisac</name></author><author><name sortKey="Rodriguez Artalejo, Fernando" sort="Rodriguez Artalejo, Fernando" uniqKey="Rodriguez Artalejo F" first="Fernando" last="Rodríguez-Artalejo">Fernando Rodríguez-Artalejo</name></author></analytic><series><title level="j">Obesity research</title><idno type="ISSN">1071-7323</idno><imprint><date when="2005" type="published">2005</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged (MeSH)</term><term>Aged, 80 and over (MeSH)</term><term>Body Mass Index (MeSH)</term><term>Body Weight (MeSH)</term><term>Cohort Studies (MeSH)</term><term>Female (MeSH)</term><term>Health Services for the Aged (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Obesity (MeSH)</term><term>Prospective Studies (MeSH)</term><term>Spain (MeSH)</term><term>Surveys and Questionnaires (MeSH)</term><term>Waist-Hip Ratio (MeSH)</term><term>Weight Loss (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen (MeSH)</term><term>Enquêtes et questionnaires (MeSH)</term><term>Espagne (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Indice de masse corporelle (MeSH)</term><term>Mâle (MeSH)</term><term>Obésité (MeSH)</term><term>Perte de poids (MeSH)</term><term>Poids (MeSH)</term><term>Rapport taille-hanches (MeSH)</term><term>Services de santé pour personnes âgées (statistiques et données numériques)</term><term>Sujet âgé (MeSH)</term><term>Sujet âgé de 80 ans ou plus (MeSH)</term><term>Études de cohortes (MeSH)</term><term>Études prospectives (MeSH)</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Health Services for the Aged</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Services de santé pour personnes âgées</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Body Mass Index</term><term>Body Weight</term><term>Cohort Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Obesity</term><term>Prospective Studies</term><term>Spain</term><term>Surveys and Questionnaires</term><term>Waist-Hip Ratio</term><term>Weight Loss</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term><term>Enquêtes et questionnaires</term><term>Espagne</term><term>Femelle</term><term>Humains</term><term>Indice de masse corporelle</term><term>Mâle</term><term>Obésité</term><term>Perte de poids</term><term>Poids</term><term>Rapport taille-hanches</term><term>Sujet âgé</term><term>Sujet âgé de 80 ans ou plus</term><term>Études de cohortes</term><term>Études prospectives</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVE</b></p><p>To examine the relationship of BMI, waist circumference (WC), and weight change with use of health care services by older adults.</p></div><div type="abstract" xml:lang="en"><p><b>RESEARCH METHODS AND PROCEDURES</b></p><p>This was a prospective cohort study conducted from 2001 to 2003 among 2919 persons representative of the non-institutionalized Spanish population > or =60 years of age. Analyses were performed using logistic regression, with adjustment for age, educational level, size of place of residence, tobacco use, alcohol consumption, and presence of chronic disease.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Obesity (BMI > or = 30 kg/m(2)) and abdominal obesity (WC >102 cm in men and >88 cm in women) in 2001 were associated with greater use of certain health care services among men and women in the period 2001-2003. Compared with women with WC < or = 88 cm, women with abdominal obesity were more likely to visit primary care physicians [odds ratio (OR): 1.36; 95% confidence limit (CL): 1.06-1.73] and receive influenza vaccination (OR: 1.30; 95% CL: 1.03-1.63). Weight gain was not associated with greater health service use by either sex, regardless of baseline BMI. Weight loss was associated with greater health service use by obese and non-obese subjects of both sexes. In comparison with those who reported no important weight change, non-obese women who lost weight were more likely to visit hospital specialists (OR: 1.45; 95% CL: 1.02-2.06), receive home medical visits (OR: 1.61; 95% CL: 1.06-2.45), be hospitalized (OR: 1.88; 95% CL: 1.29-2.74), and have more than one hospital admission (OR: 2.31; 95% CL: 1.19-4.47).</p></div><div type="abstract" xml:lang="en"><p><b>DISCUSSION</b></p><p>Obesity and weight loss are associated with greater health service use among the elderly.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">16129722</PMID><DateCompleted><Year>2005</Year><Month>12</Month><Day>07</Day></DateCompleted><DateRevised><Year>2018</Year><Month>12</Month><Day>01</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1071-7323</ISSN><JournalIssue CitedMedium="Print"><Volume>13</Volume><Issue>8</Issue><PubDate><Year>2005</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Obesity research</Title><ISOAbbreviation>Obes. Res.</ISOAbbreviation></Journal><ArticleTitle>Relationship of BMI, waist circumference, and weight change with use of health services by older adults.</ArticleTitle><Pagination><MedlinePgn>1398-404</MedlinePgn></Pagination><Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To examine the relationship of BMI, waist circumference (WC), and weight change with use of health care services by older adults.</AbstractText><AbstractText Label="RESEARCH METHODS AND PROCEDURES" NlmCategory="METHODS">This was a prospective cohort study conducted from 2001 to 2003 among 2919 persons representative of the non-institutionalized Spanish population > or =60 years of age. Analyses were performed using logistic regression, with adjustment for age, educational level, size of place of residence, tobacco use, alcohol consumption, and presence of chronic disease.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Obesity (BMI > or = 30 kg/m(2)) and abdominal obesity (WC >102 cm in men and >88 cm in women) in 2001 were associated with greater use of certain health care services among men and women in the period 2001-2003. Compared with women with WC < or = 88 cm, women with abdominal obesity were more likely to visit primary care physicians [odds ratio (OR): 1.36; 95% confidence limit (CL): 1.06-1.73] and receive influenza vaccination (OR: 1.30; 95% CL: 1.03-1.63). Weight gain was not associated with greater health service use by either sex, regardless of baseline BMI. Weight loss was associated with greater health service use by obese and non-obese subjects of both sexes. In comparison with those who reported no important weight change, non-obese women who lost weight were more likely to visit hospital specialists (OR: 1.45; 95% CL: 1.02-2.06), receive home medical visits (OR: 1.61; 95% CL: 1.06-2.45), be hospitalized (OR: 1.88; 95% CL: 1.29-2.74), and have more than one hospital admission (OR: 2.31; 95% CL: 1.19-4.47).</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Obesity and weight loss are associated with greater health service use among the elderly.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>León-Muñoz</LastName><ForeName>Luz M</ForeName><Initials>LM</Initials><AffiliationInfo><Affiliation>Department of Preventive Medicine and Public Health, Universidad Autónoma de Madrid, 28029 Madrid, Spain.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guallar-Castillón</LastName><ForeName>Pilar</ForeName><Initials>P</Initials></Author><Author ValidYN="Y"><LastName>López García</LastName><ForeName>Esther</ForeName><Initials>E</Initials></Author><Author ValidYN="Y"><LastName>Banegas</LastName><ForeName>José R</ForeName><Initials>JR</Initials></Author><Author ValidYN="Y"><LastName>Gutiérrez-Fisac</LastName><ForeName>Juan L</ForeName><Initials>JL</Initials></Author><Author ValidYN="Y"><LastName>Rodríguez-Artalejo</LastName><ForeName>Fernando</ForeName><Initials>F</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Obes Res</MedlineTA><NlmUniqueID>9305691</NlmUniqueID><ISSNLinking>1071-7323</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000369" MajorTopicYN="N">Aged, 80 and over</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015992" MajorTopicYN="N">Body Mass Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D001835" MajorTopicYN="Y">Body Weight</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015331" MajorTopicYN="N">Cohort Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006299" MajorTopicYN="N">Health Services for the Aged</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009765" MajorTopicYN="N">Obesity</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D013030" MajorTopicYN="N">Spain</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011795" MajorTopicYN="N">Surveys and Questionnaires</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D049629" MajorTopicYN="N">Waist-Hip Ratio</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015431" MajorTopicYN="N">Weight Loss</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2005</Year><Month>9</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2005</Year><Month>12</Month><Day>13</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2005</Year><Month>9</Month><Day>1</Day><Hour>9</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">16129722</ArticleId><ArticleId IdType="pii">13/8/1398</ArticleId><ArticleId IdType="doi">10.1038/oby.2005.169</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Espagne</li></country><region><li>Communauté de Madrid</li></region><settlement><li>Madrid</li></settlement><orgName><li>Université autonome de Madrid</li></orgName></list><tree><noCountry><name sortKey="Banegas, Jose R" sort="Banegas, Jose R" uniqKey="Banegas J" first="José R" last="Banegas">José R. Banegas</name><name sortKey="Guallar Castill N, Pilar" sort="Guallar Castill N, Pilar" uniqKey="Guallar Castill N P" first="Pilar" last="Guallar-Castill N">Pilar Guallar-Castill N</name><name sortKey="Gutierrez Fisac, Juan L" sort="Gutierrez Fisac, Juan L" uniqKey="Gutierrez Fisac J" first="Juan L" last="Gutiérrez-Fisac">Juan L. Gutiérrez-Fisac</name><name sortKey="L Pez Garcia, Esther" sort="L Pez Garcia, Esther" uniqKey="L Pez Garcia E" first="Esther" last="L Pez García">Esther L Pez García</name><name sortKey="Rodriguez Artalejo, Fernando" sort="Rodriguez Artalejo, Fernando" uniqKey="Rodriguez Artalejo F" first="Fernando" last="Rodríguez-Artalejo">Fernando Rodríguez-Artalejo</name></noCountry><country name="Espagne"><region name="Communauté de Madrid"><name sortKey="Le N Mu Oz, Luz M" sort="Le N Mu Oz, Luz M" uniqKey="Le N Mu Oz L" first="Luz M" last="Le N-Mu Oz">Luz M. Le N-Mu Oz</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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