Obesity and healthy aging: social, functional and mental well-being among older Canadians.

Abstract:

INTRODUCTION:Canadians are living longer than before, and a large proportion of them are living with obesity. The present study sought to describe how older participants in the Canadian Longitudinal Study on Aging (CLSA) who are living with obesity are aging, through an examination of measures of social, functional and mental well-being. METHODS:We used data from the first wave of the CLSA for people aged 55 to 85 years in this study. We used descriptive statistics to describe characteristics of this population and adjusted generalized logistic models to assess measures of social, functional and mental well-being among obese participants (body mass index ≥ 30 kg/m2) relative to non-obese participants. Findings are presented separately for females and males. RESULTS:More than half of the participants reported living with a low personal income (less than $50 000); females were particularly affected. Less than half of the participants were obese; those who were had higher odds of multimorbidity than those who were not living with obesity (among those aged 55-64 years: odds ratio [OR] 2.7, 95% CI: 2.0-3.5 males; OR 2.8, 95% CI: 2.2-2.5 females). Low social participation was associated with obesity among older female participants, but not males. Physical functioning issues and impairments in activities of daily living were strongly associated with obesity for both females and males. While happiness and life satisfaction were not associated with obesity status, older females living with obesity reported negative impressions of whether their aging was healthy. CONCLUSION:The odds of multimorbidity were higher among participants who were obese, relative to those who were not. Obese female participants tended to have a negative perception of whether they were aging healthily and had lower odds of involvement in social activities, while both sexes reported impairments in functional health. The associations we observed, independent of multimorbidity in older age, highlight areas where healthy aging initiatives may be merited. INTRODUCTION:Si les Canadiens vivent plus longtemps qu’avant, bon nombre d’entre eux souffrent cependant d’obésité. Cette étude vise à décrire, par un examen de mesures du bien-être social, fonctionnel et mental, le vieillissement des personnes âgées souffrant d’obésité ayant participé à l’Étude longitudinale canadienne sur le vieillissement (ELCV). MÉTHODOLOGIE:Nous avons extrait des données du premier cycle de l’ELCV portant sur les personnes de 55 à 85 ans. Nous avons utilisé des statistiques descriptives pour caractériser cette population et ajusté des modèles logistiques généralisés pour comparer les mesures du bien-être social, fonctionnel et mental chez les participants souffrant d'obésité (indice de masse corporelle de 30 kg/m2 et plus) et chez les participants n'en souffrant pas. Nos résultats sont présentés en fonction du sexe. RÉSULTATS:Plus de la moitié des participants ont déclaré avoir un revenu personnel relativement faible (moins de 50 000 $), les femmes étant particulièrement affectées. Moins de la moitié des participants souffraient d'obésité et la multimorbidité était plus fréquente parmi ceux souffrant d'obésité que parmi ceux n'en souffrant pas (participants de 55 à 64 ans; rapport de cotes [RC] : 2,7; intervalle de confiance [IC] à 95 % : 2,0 à 3,5 chez les hommes; RC : 2,8; IC à 95 % : 2,2 à 2,5 chez les femmes). La faible participation sociale était associée à l’obésité chez les femmes plus âgées mais pas chez les hommes plus âgés. La présence de problèmes de fonctionnement physique et de limitations dans la vie quotidienne était fortement associée à l’obésité tant chez les femmes que chez les hommes. Bien que le bonheur et la satisfaction à l’égard de la vie ne soient pas associés à l'obésité, les femmes âgées souffrant d’obésité ont déclaré avoir une perception défavorable de leur état de santé. CONCLUSION:La multimorbidité était plus fréquente chez les participants souffrant d'obésité que chez ceux n'en souffrant pas. Les femmes souffrant d'obésité étaient plus nombreuses que les hommes à avoir une perception défavorable de leur état de santé et à ne pas prendre part à des activités sociales. Les participants des deux sexes ont fait état de problèmes de santé fonctionnelle. Les associations observées, qui sont indépendantes de la multimorbidité chez les personnes âgées, mettent en relief les secteurs où des actions en faveur d'un vieillissement en santé pourraient être bénéfiques.

authors

Rao DP,Patel P,Roberts KC,Thompson W

doi

10.24095/hpcdp.38.12.01

subject

Has Abstract

pub_date

2018-12-01 00:00:00

pages

437-444

issue

12

issn

2368-738X

journal_volume

38

pub_type

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