Waist Circumference and All-Cause Mortality among Older Adults in Rural Indonesia

Dados Bibliográficos

ID15480461
AutoresCahya Utamie Pujilestari (0000-0002-7348-5286, Umeå University, autor correspondente), Lennarth Nyström (0000-0002-5095-3454, Umeå University), Madlena Norberg (0000-0003-2475-7131, Umeå University), Margareta Norberg (Umeå University), Nawi Ng (0000-0003-0556-1483, Umeå University)
Ano2019
Volume16
Fascículo1
Páginas116-116
Data de publicação2019-01-03
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoInternational Journal of Environmental Research and Public Health (JOURNAL)
Identificadores do periódicoISSN: 1661-7827 • E-ISSN: 1660-4601
EditoraMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16010116
PMID30609857
OpenAlexW2902981714
IdiomaEN
Citações recebidas3
Referências citadas42

Waist circumference, a measure of abdominal obesity, is associated with all-cause mortality in general adult population. However, the link between abdominal obesity with all-cause mortality in the studies of older adults is unclear. This study aims to determine the association between waist circumference and all-cause mortality in older adults in Indonesia. The association between waist circumference and all-cause mortality was examined in 10,997 men and women aged 50 years and older, in the World Health Organization (WHO) and International Network of field sites for continuous Demographic Evaluation of Populations and their Health in developing countries (INDEPTH) collaboration Study on global AGEing and adult health (SAGE) in Purworejo District Central Java, Indonesia during 2007−2010. Multivariate Cox regression analysis with restricted cubic splines was used to assess the non-linear association between waist circumference and all-cause mortality. During the 3-year follow-up, a total of 511 men and 470 women died. The hazard ratio plot shows a pattern of U-shape relationship between waist circumference and all-cause mortality among rich women, though the result was significant only for women in the lower end of waist circumference distribution ( p < 0.05). Poor men with a low waist circumference (5th percentile) have a two times higher mortality risk (HR = 2.1; 95% CI = 1.3, 3.3) relative to those with a waist circumference of 90 cm. Poor women with a low waist circumference (25th percentile) have a 1.4 times higher mortality risk (HR = 1.4; 95% CI = 1.1, 1.8) relative to those with a waist circumference of 80 cm. This study shows a significant association between low waist circumference measure and mortality, particularly among poor men and women. Though the association between large waist circumference and mortality was not significant, we observed a trend of higher mortality risk particularly among rich women with large waist circumference measure. Public health intervention should include efforts to improve nutritional status among older people and promoting healthy lifestyle behaviours including healthy food and active lifestyle

Abdominal obesity · Body mass index · Circumference · Confidence interval · Environmental health · Hazard ratio · Obesity · Percentile · Population · Statistics · Waist · Demography · Diabetes, Cardiovascular Risks, and Lipoproteins · Global Health and Epidemiology · Global Public Health Policies and Epidemiology · Medicine · Gerontology · Internal Medicine