المؤلفون: Carolina Santamaría-Ulloa, Anne Chinnock, Melina Montero-López

المصدر: BMC Public Health, Vol 22, Iss 1, Pp 1-11 (2022)

مصطلحات موضوعية: Obesity, Mortality, Elderly population, Chronic conditions, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Costa Rica, along with other Latin American countries, is undergoing population aging, with an increase in the prevalence of chronic conditions, many of them resulting from a growing prevalence of obesity. As a result of the demographic and epidemiological transitions, the causes of morbidity and mortality have changed from communicable to non-communicable diseases. An increase in overweight and obesity is hypothesized to be related to premature mortality. This study assesses the association between obesity and both all-cause and cardiovascular mortality in a Costa Rican elderly population. Methods This is a secondary data analysis of the Costa Rican Longevity and Healthy Aging Study (CRELES, for its Spanish acronym), a longitudinal nationally representative cohort study of health and life-course experiences of the Costa Rican elderly. A baseline (n = 2827) and two subsequent 2-year follow-up interviews were conducted. Data analyses include descriptive statistics and survival models. Cox and Gompertz distributions were used to model general mortality and cardiovascular mortality as a function of obesity and controlling for confounders. Anthropometric measures used were Body Mass Index (BMI) and Waist Circumference (WC). Results Each one-unit increment in BMI was significantly associated to a 3,1% (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2458Test

الوصول الحر: https://doaj.org/article/d25dc842f44a4c70a905788265d65406Test

المؤلفون: Santamaría-Ulloa, Carolina¹ (AUTHOR) carolina.santamaria@ucr.ac.cr, Chinnock, Anne² (AUTHOR), Montero-López, Melina¹ (AUTHOR)

المصدر: BMC Public Health. 5/18/2022, Vol. 22 Issue 1, p1-11. 11p. 6 Charts, 2 Graphs.

مصطلحات موضوعية: *COHORT analysis, *EPIDEMIOLOGICAL transition, *DEMOGRAPHIC transition, *DISTRIBUTION (Probability theory), *OBESITY

مصطلحات جغرافية: COSTA Rica

مستخلص: Background: Costa Rica, along with other Latin American countries, is undergoing population aging, with an increase in the prevalence of chronic conditions, many of them resulting from a growing prevalence of obesity. As a result of the demographic and epidemiological transitions, the causes of morbidity and mortality have changed from communicable to non-communicable diseases. An increase in overweight and obesity is hypothesized to be related to premature mortality. This study assesses the association between obesity and both all-cause and cardiovascular mortality in a Costa Rican elderly population.Methods: This is a secondary data analysis of the Costa Rican Longevity and Healthy Aging Study (CRELES, for its Spanish acronym), a longitudinal nationally representative cohort study of health and life-course experiences of the Costa Rican elderly. A baseline (n = 2827) and two subsequent 2-year follow-up interviews were conducted. Data analyses include descriptive statistics and survival models. Cox and Gompertz distributions were used to model general mortality and cardiovascular mortality as a function of obesity and controlling for confounders. Anthropometric measures used were Body Mass Index (BMI) and Waist Circumference (WC).Results: Each one-unit increment in BMI was significantly associated to a 3,1% (p < 0.001) and 2,6% (p = 0.021) increment in general and cardiovascular mortality respectively. Each one-unit increment in WC was significantly associated with a 0,8% (p = 0.006) increment in general mortality, whereas WC was not significantly associated with cardiovascular mortality.Conclusions: Obesity is associated with mortality in the Costa Rican elderly. This association is strongest between obesity and all-cause mortality. As general obesity increases, all-cause and cardiovascular mortality also increase in this population. Similarly, as central obesity increases, all-cause mortality increases. Policies aimed at preventing obesity and chronic conditions are warranted for a better survival in this population. [ABSTRACT FROM AUTHOR]