Body Mass Index and Disability in Adulthood: A 20-Year Panel Study

Ferraro, Kenneth F.; Su, Ya-ping; Gretebeck, Randall J.; Black, David R.; Badylak, Stephen F.

doi:10.2105/ajph.92.5.834

Cited by 215 publications

(183 citation statements)

References 37 publications

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“…This finding echoes a previous study in a sample of adults of all ages and not limited by health conditions, which found that being overweight was not consistently associated with higher disability 12 . The reasons may be analogous to the "effects of life-threatening disease on behavioral change," which has been found in the link of heart attack and smoking cessation behavior 26 .…”

Section: Discussionsupporting

confidence: 84%

“…We argue that the simultaneous measure of BMI and disability in their study may have obscured the real (or lagged) association between change in BMI and change in disability. In another study that examined the lagged effect of BMI on disability, Ferraro and colleagues 12 found that disability risk was higher for obese persons, but that overweight was not consistently associated with higher disability. Whether this pattern exists in adults living with diabetes is not yet known.…”

mentioning

confidence: 99%

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BMI Change Patterns and Disability Development of Middle-aged Adults with Diabetes: A Dual Trajectory Modeling Approach

Chiu

Wray

et al. 2013

J GEN INTERN MED

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BACKGROUND: Few longitudinal studies have examined associations between body mass index (BMI) changes in adults with diabetes and the development of disability. OBJECTIVE: To investigate association patterns between BMI and disability in middle-aged adults with diabetes. DESIGN AND SETTING: Retrospective cohort design with data from the 1992-2006 Health and Retirement Study (HRS). A group-based joint trajectory method identified distinct BMI change trajectories and their link to subsequent disability trajectories. PARTICIPANTS: U.S. nationally representative adults aged 51-61 who reported a diagnosis of diabetes in the 1992 HRS (N=1,064). MEASUREMENTS: BMI and self-reported disability score were the main variables. Sociodemographic, clinical, behavioral, and diabetes-related factors were also examined. RESULTS: Four distinct weight trajectories (stable normal weight, 28.7 %; stable overweight, 46.2 %; loss and regain obese, 18.0 %; weight cumulating morbidly obese, 7.1 %) and three disability trajectories (little or low increase, 34.4 %; moderate increase, 45.4 %; chronic high increase, 20.2 %) best characterized the long-term patterns of BMI and disability change in middle-aged adults with diabetes. Adults in stable normal weight had the highest probability of being in the little/low increase disability group; however, one in five adults in that group progressed into chronic high disability, a higher proportion compared to the stable overweight group. CONCLUSIONS: Although there were various ways in which the two trajectories were linked, the beneficial impacts of optimizing weight in adults with diabetes were supported. In addition, the complexity of diabetes control in those with relatively normal weight was highlighted from this study.

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Section: Discussionsupporting

confidence: 84%

mentioning

confidence: 99%

BMI Change Patterns and Disability Development of Middle-aged Adults with Diabetes: A Dual Trajectory Modeling Approach

Chiu

Wray

et al. 2013

J GEN INTERN MED

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“…[25][26][27] These findings indicate that BMI is indeed a causal factor at least in the upper end of the BMI spectrum. The findings by Ferraro et al 28 also support this, although they investigated self-reported disability and not disability pension. On the basis of repeated BMI measurements, they found subjects becoming obese over 10-20 years to experience increased disability.…”

Section: Bmi Status and Disability Pension M Neovius Et Almentioning

confidence: 72%

Association between obesity status in young adulthood and disability pension

2008

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“…2 It is well known that obesity increases the risk of cardiovascular disease, several cancers, diabetes, as well as other chronic conditions. 3,4 Obesity in middle-aged and older adults has also been shown to increase the risk of physical disability, [5][6][7][8][9][10] possibly as a result of these chronic conditions or by other mechanisms. Some have suggested that the growing prevalence of obesity, particularly among younger age groups, could reverse the recent declines in disability rates among future generations of elderly as well as contribute to increasing disability rates among middle-aged and younger adults.…”

Section: Introductionmentioning

confidence: 99%

“…Some have suggested that the growing prevalence of obesity, particularly among younger age groups, could reverse the recent declines in disability rates among future generations of elderly as well as contribute to increasing disability rates among middle-aged and younger adults. 11,12 Although the association between obesity in middle and late adulthood and physical disability is well documented, [5][6][7][8][9][10] few studies have examined the impact of obesity among younger adults or the cumulative effect of obesity from young to late adulthood on physical disability later in life. [13][14][15] In the National Health and Nutrition Examination Survey, recalled weights at ages 25 and 40 were significantly correlated with self-reported physical disability in men and women aged 60-87.…”

Section: Introductionmentioning

confidence: 99%

The association between weight history and physical performance in the Health, Aging and Body Composition study

et al. 2007

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Objective: Although the association between current obesity and physical disability is well known, the cumulative effect of obesity is unknown. Using data from the Health, Aging and Body Composition study, we examined the association between weight history in young and middle adulthood and weight status in late adulthood with physical performance in late adulthood. Design: Longitudinal cohort study. Subjects: White and black men and women aged 70-79 years at study baseline (n ¼ 2803). Measures: Body mass index (BMI; kg/m 2 ) was calculated using recalled height at age 25 and weight at age 25 and 50 and measured height and weight at ages 70-79. Physical performance at ages 70-79 was assessed using a short physical performance battery (SPPB) and a 400-m walk test. Results: In this well-functioning cohort, approximately 24% of men and 8% of women reported being overweight or obese (BMI X25 kg/m 2 ) at age 25, 51% of men and 37% of women reported being overweight or obese at age 50, and 69% of men and 66% of women were overweight or obese at ages 70-79. Men and women who were obese (BMI X30 kg/m 2 ) at ages 25, 50 and 70-79 had significantly worse SPPB scores and 400-m walk times than those who were normal weight. Women who were overweight (BMI 25-29.9 kg/m 2 ) at ages 25, 50 and 70-79 also had significantly worse physical performance. Furthermore, men and women who had a history of being overweight or obese at ages 25 or 50 had worse physical performance compared to those who were normal weight throughout or who were overweight or obese at ages 70-79 but not in midlife or earlier.Conclusions: Maintaining a healthy body weight throughout adulthood may play a role in preventing or delaying the onset of physical disability.

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Body Mass Index and Disability in Adulthood: A 20-Year Panel Study

Abstract: Disability risk was higher for obese persons, but overweight was not consistently associated with higher disability.

Cited by 215 publications

References 37 publications

BMI Change Patterns and Disability Development of Middle-aged Adults with Diabetes: A Dual Trajectory Modeling Approach

BMI Change Patterns and Disability Development of Middle-aged Adults with Diabetes: A Dual Trajectory Modeling Approach

Association between obesity status in young adulthood and disability pension

The association between weight history and physical performance in the Health, Aging and Body Composition study

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