Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå 90187, Sweden.
Department of Epidemiology and Global Health, Faculty of Medicine, Umeå University, Umeå 90187, Sweden.
Obes Res Clin Pract. 2019 Sep-Oct;13(5):462-468. doi: 10.1016/j.orcp.2019.07.004. Epub 2019 Aug 29.
There is a lack of evidence regarding the impact of changes in waist circumference on disability among older populations in low- and middle-income countries (LMICs). This research examines the association between changes in waist circumference with disability in the older populations of Indonesia, and whether the associations are dependent on wealth or baseline abdominal obesity levels.
In 2007 the INDEPTH-WHO Study on global AGEing and adult health (SAGE) was conducted among 11,753 individuals aged 50 years and older in Purworejo District, Central Java Province, Indonesia. Of these, a total of 8,089 were followed up in 2010. On both occasions, individuals' waist circumferences were measured and the 12-item version of the WHO Disability Assessment Schedule version 2 (WHODAS-II) was implemented to measure disability.
A significant positive association was observed between waist circumference and disability at the baseline (β=0.066; p<0.001), and between the increase in waist circumference and the level of disability during the three-year follow-up period (β=0.094; p<0.001) after adjusting for baseline variables. This association was also significant among the poor, non-obese men, as well as poor and rich obese women. Among the non-obese women, a decrease in waist circumference was associated with more disabilities.
An increase in waist circumference is associated with increased disability among older people in Purworejo, Indonesia. Health promotion programmes aiming to prevent obesity could have positive effects in preventing and reducing disability among older adults.
在中低收入国家（LMICs），有关腰围变化对老年人残疾影响的证据不足。本研究考察了印度尼西亚老年人腰围变化与残疾之间的关系，以及这些关系是否依赖于财富或基线腹部肥胖水平。
2007 年，在印度尼西亚中爪哇省普鲁雷朱特区进行了 INDEPTH-WHO 全球老龄化和成人健康研究（SAGE），共有 11753 名 50 岁及以上的人参加。其中，共有 8089 人在 2010 年进行了随访。在这两次测量中，都测量了个体的腰围，并实施了 12 项世界卫生组织残疾评估量表 2 版（WHODAS-II）来衡量残疾。
在基线时，腰围与残疾之间存在显著的正相关关系（β=0.066；p<0.001），在三年的随访期间，腰围的增加与残疾程度之间也存在显著的正相关关系（β=0.094；p<0.001），调整了基线变量后仍然如此。在贫困、非肥胖男性以及贫困和富裕肥胖女性中，这种相关性也很显著。在非肥胖女性中，腰围的减少与更多的残疾有关。
在印度尼西亚普鲁雷朱，腰围的增加与老年人残疾的增加有关。旨在预防肥胖的健康促进计划可能对预防和减少老年人残疾有积极影响。
