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Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India

BACKGROUND: Underweight defined as body mass index (BMI) < 18.5 is associated with negative health and quality of life outcomes including mortality. Yet, little is known about the socioeconomic differentials in underweight and its association with health and well-being among older adults in India...

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Autores principales: Selvamani, Y., Singh, Pushpendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841798/
https://www.ncbi.nlm.nih.gov/pubmed/29513768
http://dx.doi.org/10.1371/journal.pone.0193979
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author Selvamani, Y.
Singh, Pushpendra
author_facet Selvamani, Y.
Singh, Pushpendra
author_sort Selvamani, Y.
collection PubMed
description BACKGROUND: Underweight defined as body mass index (BMI) < 18.5 is associated with negative health and quality of life outcomes including mortality. Yet, little is known about the socioeconomic differentials in underweight and its association with health and well-being among older adults in India. This study examined the socioeconomic differentials in underweight among respondents aged ≥50 in India. Consequently, three outcomes of the association of underweight were studied. These are poor self-rated health, cognition and quality of life. METHODS: Cross-sectional data on 6,372 older adults derived from the first wave of the WHO’s Study on global AGEing and adult health (SAGE), a nationally representative survey conducted in six states of India during 2007–8, were used. Bivariate and multivariate regression analyses were applied to fulfil the objectives. RESULTS: The overall prevalence of underweight was 38 percent in the study population. Further, socioeconomic status showed a significant and negative association with underweight. The association of underweight with poor self-rated health (OR = 1.60; p < .001), cognition (β = –0.95; p < .001) and quality of life (β = –1.90; p < .001) were remained statistically significant after adjusting for age, sex, place of residence, marital status, years of schooling, wealth quintile, sleep problems, chronic diseases, low back pain and state/province. CONCLUSION: The results indicated significant socioeconomic differentials in underweight and its association with poor self-rated health, cognition and quality of life outcomes. Interventions focussing on underweight older adults are important to enhance the overall wellbeing of the growing older population in India.
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spelling pubmed-58417982018-03-23 Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India Selvamani, Y. Singh, Pushpendra PLoS One Research Article BACKGROUND: Underweight defined as body mass index (BMI) < 18.5 is associated with negative health and quality of life outcomes including mortality. Yet, little is known about the socioeconomic differentials in underweight and its association with health and well-being among older adults in India. This study examined the socioeconomic differentials in underweight among respondents aged ≥50 in India. Consequently, three outcomes of the association of underweight were studied. These are poor self-rated health, cognition and quality of life. METHODS: Cross-sectional data on 6,372 older adults derived from the first wave of the WHO’s Study on global AGEing and adult health (SAGE), a nationally representative survey conducted in six states of India during 2007–8, were used. Bivariate and multivariate regression analyses were applied to fulfil the objectives. RESULTS: The overall prevalence of underweight was 38 percent in the study population. Further, socioeconomic status showed a significant and negative association with underweight. The association of underweight with poor self-rated health (OR = 1.60; p < .001), cognition (β = –0.95; p < .001) and quality of life (β = –1.90; p < .001) were remained statistically significant after adjusting for age, sex, place of residence, marital status, years of schooling, wealth quintile, sleep problems, chronic diseases, low back pain and state/province. CONCLUSION: The results indicated significant socioeconomic differentials in underweight and its association with poor self-rated health, cognition and quality of life outcomes. Interventions focussing on underweight older adults are important to enhance the overall wellbeing of the growing older population in India. Public Library of Science 2018-03-07 /pmc/articles/PMC5841798/ /pubmed/29513768 http://dx.doi.org/10.1371/journal.pone.0193979 Text en © 2018 Selvamani, Singh http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) , which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Research Article
Selvamani, Y.
Singh, Pushpendra
Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India
title Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India
title_full Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India
title_fullStr Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India
title_full_unstemmed Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India
title_short Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India
title_sort socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in india
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5841798/
https://www.ncbi.nlm.nih.gov/pubmed/29513768
http://dx.doi.org/10.1371/journal.pone.0193979
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