The bidirectional association between body weight and mobility disability: A population-based cohort

Munter, Jeroen S. de; Tynelius, Per; Ahlström, Gerd; Rasmussen, Finn

doi:10.1016/j.dhjo.2016.06.001

Cited by 21 publications

(17 citation statements)

References 26 publications

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“…MD and obesity are more likely to co-exist over the life course. A Swedish population-based study found that compared with normal weight people without MD, people with obesity (middle-aged women especially), were almost four times as likely to develop MD after 8 years of follow-up [11]. The study also found that people with MD were more likely to increase in BMI over the study period [11].…”

Section: Introductionmentioning

confidence: 99%

“…A Swedish population-based study found that compared with normal weight people without MD, people with obesity (middle-aged women especially), were almost four times as likely to develop MD after 8 years of follow-up [11]. The study also found that people with MD were more likely to increase in BMI over the study period [11]. Previous studies have reported that around 0.5–1% of Swedish adults live with both MD and obesity [11–13].…”

Section: Introductionmentioning

confidence: 99%

“…The study also found that people with MD were more likely to increase in BMI over the study period [11]. Previous studies have reported that around 0.5–1% of Swedish adults live with both MD and obesity [11–13]. This is a relatively large and overlooked group of people that has an excess risk of poor health, reduced functioning, and decreased quality of life beyond the risk attributed to MD or obesity alone [14, 15].…”

Section: Introductionmentioning

confidence: 99%

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The association of mobility disability and obesity with risk of unemployment in two cohorts from Sweden

et al. 2019

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Background People with mobility disability (MD) or obesity often have more health problems and are less able to participate in work than individuals without these conditions. This study investigated whether people burdened with MD and obesity have a greater risk of unemployment than people with either one (MD only or obesity only) or none of these conditions. Methods The study included two Swedish population-based cohorts, a national cohort ( n = 39,947) and a regional cohort ( n = 40,088). Six exposure groups were created using baseline self-reported data on MD and body mass index from participants aged 19 to 64 years. The MD definition differed between the cohorts. Various sources of socio-demographic factors were used to address confounding. Participants’ risks of unemployment were assessed longitudinally in a nationwide register with objective data and with almost no loss of follow-up (< 1%). Cox regression was used to analyse associations of MD and/or obesity (BMI ≥ 30) with risk of any (≥1 day) and long-term unemployment (≥90 days during two consecutive years). Quantile regression was used to estimate participants’ unemployment risks as average days of unemployment. Normal-weight people without MD were used as a reference group. The Wald test was applied for specific group comparisons other than to the reference group. Results In summary, the groups with MD and the obese group without MD had a higher risk of becoming unemployed than the reference group (regional survey adjusted hazard ratio range: 1.30–1.59; 95% CI range: 1.06–1.90, national survey adjusted hazard ratio range: 1.11–1.34; 95% CI range: 0.88–1.81). The obese group with MD did not differ from the groups with MD only or obesity only in terms of unemployment risk. Conclusions People with MD and/or obesity are vulnerable groups at risk of prolonged unemployment during their working life in a country with a highly developed welfare system. Electronic supplementary material The online version of this article (10.1186/s12889-019-6627-2) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The association of mobility disability and obesity with risk of unemployment in two cohorts from Sweden

et al. 2019

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“…However, this cannot be investigated in the present study because of the cross-sectional study design, which is a limitation. The presence of the bidirectional association between body weight and MD has been studied by de Munter and colleagues, using a population-based sample from Stockholm, Sweden [ 30 ]. The study showed that people with MD at baseline increased more in BMI at the eight-year follow-up compared to people without MD, and also that people with overweight or obesity had a greater risk of reporting MD over the eight year period.…”

Section: Discussionmentioning

confidence: 99%

Is Obesity More Than a Double Burden among People with Mobility Disability? The Effect of Obesity on HRQoL and Participation in Society

et al. 2017

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Obesity is more common in individuals with mobility disability than in those without this condition. Individuals with mobility disability also have lower health-related quality of life (HRQoL) and are limited in their participation in society. Therefore, this study aimed to investigate the body mass index (BMI) status and the association of overweight or obesity on HRQoL and participation in society among those with mobility disability in comparison to those without mobility disability. This cross-sectional study was based on a health survey conducted in Sweden in 2012 (n = 18,322; age, 18–64 years). Logistic regression with and without interaction analysis was applied. Effect modification by overweight status was significant for, moderate pain. For obesity, effect modification was seen for low general health, pain (moderate and severe), and not participating in work. BMI was higher among those with mobility disability, but no associations between overweight or obesity and HRQoL or participation in society were observed for those with mobility disability. Overweight and obesity did not add an additional burden to mobility disability, probably because mobility disability is associated with low HRQoL and low participation in society. Despite these results, population obesity prevention strategies are still needed.

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“…Previous research has suggested that mobility difficulty is more frequent in people with than without visual impairment, 52 and there is a bidirectional relationship between mobility disability and BMI. 53 Therefore, trouble seeing may lead to reduced physical activity and reduced mobility that likely leads to weight gain and hypokinetic dis- 55 and those with obesity have higher levels of oxidative stress. 56…”

Section: Interpretation Of the Findingsmentioning

confidence: 99%

Associations between obesity and ocular health in Spanish adults

et al. 2020

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Introduction: Obesity has been associated with poor vascular health, but not in a Spanish population. Therefore, the study aimed to investigate associations between obesity and cataract, wearing glasses or contact lenses, and trouble seeing in a large representative sample of the Spanish adult population. Methods: Cross-sectional data from the Spanish National Health Survey 2017 were analyzed. Body mass index (BMI) was calculated and obesity was defined as BMI ≥ 30 kg/m 2. Ocular health included three dichotomous variables (presence vs absence): self-reported cataract, wearing glasses or contact lenses, and trouble seeing. Multivariable logistic regressions were used to assess associations between obesity (independent variable) and ocular health outcomes (dependent variables). Covariates included in the analysis were sex, age, marital status, education, smoking, alcohol, and diabetes. Results: A total of 23 089 participants were included (54.1% female; mean [SD] age = 53.4 [18.9] years). After adjusting for sex, age, marital status, education, smoking, alcohol, diabetes, and wearing glasses or contact lenses (for the trouble seeing analysis only), obesity was found to be a risk factor for cataract (odds ratio [OR] = 1.22; 95% confidence interval [CI], 1.09-1.37) and trouble seeing (OR = 1.20; 95% CI, 1.09-1.32) but not for wearing glasses or contact lenses (OR = 0.99; 95% CI, 0.91-1.08). These findings were corroborated in participants ≥64 years. This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

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The bidirectional association between body weight and mobility disability: A population-based cohort

Cited by 21 publications

References 26 publications

The association of mobility disability and obesity with risk of unemployment in two cohorts from Sweden

The association of mobility disability and obesity with risk of unemployment in two cohorts from Sweden

Is Obesity More Than a Double Burden among People with Mobility Disability? The Effect of Obesity on HRQoL and Participation in Society

Associations between obesity and ocular health in Spanish adults

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