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Overweight

A Protective Factor against Comorbidity in the Elderly

Bibliographic Data

ID15468480
AuthorsGiovanni Mario Pes (0000-0003-3265-2823, University of Sassari, corresponding author), Giulia Licheri (University of Sassari), Sara Soro (University of Sassari), Nunzio Pio Longo (University of Sassari), Roberta Salis (University of Sassari), Giulia Tomassini (University of Sassari), Caterina Niolu (University of Sassari), Alessandra Errigo (University of Sassari), Maria Pina Dore (0000-0001-7305-3531, University of Sassari)
Year2019
Volume16
Issue19
Pages3656-3656
Publication date2019-09-29
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16193656
PMID31569448
OpenAlexW2974981633
LanguageEN
Citations received4
References cited8

The aim of this study was to investigate the relationship between body mass index (BMI) categories and comorbidity in 9067 patients (age range 18‒94 years) who underwent upper digestive endoscopy in Northern Sardinia, Italy. The majority of participants (62.2%) had a BMI under 25 kg/m 2 , overweight was detected in 30.4%, and obesity (BMI ≥ 30 kg/m 2 ) in 7.4% of patients. The most frequent illness recorded was hypertension followed by cardiovascular and liver disease. The multivariate analysis, after adjusting for sex, residence, marital status, smoking habits, occupation and hospitalization detected an association between comorbidity and aging that was statistically significant and progressive. Among patients younger than 60 years ( n = 5612) the comorbidity risk was higher for BMI ranging 27.5‒29.9 kg/m 2 compared with BMI 25.0‒27.4 kg/m 2 (RR = 1.38; 95% CI 1.27‒1.50 vs. RR = 0.86; 95% CI 0.81‒0.90). In patients older than 60 years ( n = 3455) the risk was lower for a BMI in the range 27.5-29.9 kg/m 2 compared with a BMI in the range 25.0-27.4 kg/m 2 (RR = 1.11; 95% CI 1.05‒1.18 vs. RR = 1.28; 95% CI 1.21‒1.35). These results suggest that being moderately overweight is a marker of a healthy aging process and might protect, at least in part, against comorbidity. However, further research is needed to better understand this unexpected finding

Body mass index · Comorbidity · Environmental health · Marital status · Multivariate analysis · Obesity · Overweight · Population · Risk factor · Chronic Disease Management Strategies · Frailty in Older Adults · Medicine · Nutrition and Health in Aging · Internal Medicine

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Citations per year0.67
Citation span2020 - 2026 (7)
Highly citedNo

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