Abstract
Little is known about the effects of obesity late in life. Using data from the Longitudinal Study of Aging and the Assets and Health Dynamics of the Oldest Old Survey, this study finds an increased prevalence of obesity, over time, among those 70 and older. Obesity is related most strongly to limitations in activities of daily living (ADLs) for women and to activities related to mobility. One ADL, eating, has a negative association to obesity. Obesity is associated with an increased prevalence of arthritis, diabetes, and hypertension. These results are cross-sectional and are based on self-reports of height and weight; they must be interpreted cautiously.
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References
Allison, D.B., Gallagher, D., Heo, M., Pi-Sunyer, F.X., & Heymsfield, S.B. (
1997
). Body Mass Index and All-Cause Mortality Among People Age 70 and Over: The Longitudinal Study of Aging
. International Journal of Obesity
, 21
, 424
–31
. 10.1038/sj.ijo.0800423Andriola, V., Tang, S., Gurba, K., Schmitt, K., & Kral, J.G. (
1988
). Accuracy of Self-Reported Height and Weight in Morbidly Obese Women
. International Journal of Obesity
, 12
, 601
–601
.Baumgartner, R.N., Heymsfield, S.B., & Roche, A.F. (
1995
). Human Body Composition and the Epidemiology of Chronic Disease
. Obesity Research
, 3
, 73
–95
.Bender, R., Jockel, K.H., Traunter, C., Spraul, M., & Berger, M. (
1999
). Effect of Age on Excess Mortality in Obesity
. Journal of the American Medical Association
, 281
, 1498
–1504
. 10.1001/jama.281.16.1498Cornoni-Huntley, J.C., Harris, T.B., Everett, D.F., Albanes, D., Micozzi, M.S., Miles, T.P., & Feldman, J.J. (
1991
). An Overview of Body Weight of Older Persons, Including the Impact on Mortality
. Journal of Clinical Epidemiology
, 44
, 743
–53
. 10.1016/0895-4356(91)90126-TCrimmins, E.M., Saito, Y., & Ingegneri, D. (
1989
). Changes in Life Expectancy and Disability-Free Life Expectancy in the United States
. Population and Development Review
, 15
, 235
–67
. 10.2307/1973704Crimmins, E.M., Saito, Y., & Reynolds, S.L. (
1997
). Further Evidence on Recent Trends in the Prevalence and Incidence of Disability Among Older Americans from Two Sources: The LSOA and the NHIS
. Journal of Gerontology: Social Sciences
, 52B
, S59
–71
.Dietary Guidelines for Americans. 1995. Washington, DC: U.S. Government Printing Office.
Felson, D.T., Zhang, Y., Anthony, J.M., Naimark, A., & Anderson, J.J. (
1992
). Weight Loss Reduces the Risk for Symptomatic Knee Osteoarthritis in Women
. Annals of Internal Medicine
, 116
, 535
–39
.Flegal, K.M., Troiano, R.P., Pamuk, E.R., Kuczmarski, R.J., & Campbell, S.M. (
1995
). The Influence of Smoking Cessation on the Prevalence of Overweight in the United States
. New England Journal of Medicine
, 333
, 1165
–70
. 10.1056/NEJM199511023331801Flegal, K.M., Carroll, M.D., Kuczmarski, R.J., & Johnson, C.L. (
1998
). Overweight and Obesity in the United States: Prevalence and Trends, 1960–1994
. International Journal of Obesity
, 22
, 39
–47
. 10.1038/sj.ijo.0800541Folsom, A.R., Kaye, S.A., Sellers, T.A., Hong, C., Cerhan, J.R., Potter, J.D., & Prineas, R.J. (
1993
). Body Fat Distribution and 5-Year Risk of Death in Older Women
. Journal of the American Medical Association
, 269
, 483
–87
. 10.1001/jama.269.4.483Freedman, V.A. and L.G. Martin. 1997. “The Role of Education in Explaining and Forecasting Trends in Functional Limitations Among Older Americans.” Presented at the 1997 annual meetings of the Gerontological Society of America, Cincinnati.
Garrison, R.J., Feinleib, M., Castelli, W.P., & McNamara, P.M. (
1983
). Cigarette Smoking as a Confounder of the Relationship Between Relative Weight and Long Term Mortality: The Framingham Heart Study
. Journal of the American Medical Association
, 249
, 2199
–2223
. 10.1001/jama.249.16.2199Goldblatt, P.B., Moore, M.E., & Stunkard, A.J. (
1965
). Social Factors in Obesity
. Journal of the American Medical Association
, 152
, 1039
–42
.Harris, T., Cook, E.F., Garrison, R., Higgins, M., Kannel, W., & Goldman, L. (
1988
). Body Mass Index and Mortality Among Nonsmoking Older Persons
. Journal of the American Medical Association
, 259
, 1520
–24
. 10.1001/jama.259.10.1520Kumanyika, S.K. (
1993
). Special Issues Regarding Obesity in Minority Populations
. Annals of Internal Medicine
, 119
, 650
–54
.Launer, L.J., Harris, T., Rumpel, C., & Madans, J. (
1994
). Body Mass Index, Weight Change, and Risk of Mobility Disability in Middle-Aged and Older Women
. Journal of the American Medical Association
, 71
, 1093
–98
. 10.1001/jama.271.14.1093Losonczy, K.G., Harris, T.B., Coroni-Huntley, J., Simonsick, E.M., Wallace, R.B., Cook, N.R., Osfeld, A.M., & Blazer, D.G. (
1995
). Does Weight Loss from Middle Age to Old Age Explain the Inverse Weight Mortality Relation in Old Age?
. American Journal of Epidemiology
, 141
, 312
–21
. 10.1093/aje/141.4.312Manson, J.E., Stampfer, M.J., Hennekens, C.H., & Willett, W.C. (
1987
). Body Weight and Longevity: A Reassessment
. Journal of the American Medical Association
, 257
, 353
–58
. 10.1001/jama.257.3.353Manson, J.E., Willett, W.C., Stampfer, M.J., Colditz, G.A., Hunter, D.J., Hankison, S.E., Hennekens, C.H., & Speizer, F.E. (
1995
). Body Weight and Mortality Among Women
. New England Journal of Medicine
, 333
, 677
–85
. 10.1056/NEJM199509143331101Manton, K.G., Corder, L., & Stallard, E. (
1993
). Estimates of Change in Chronic Disability and Institutional Incidence and Prevalence Rates in the U.S. Elderly Population From the 1982, 1984 and 1989 National Long Term Care Survey
. Journal of Gerontology: Social Sciences
, 48
, S153
–66
.Manton, K.G., & Stallard, E. (
1994
). Medical Demography: Interaction of Disability Dynamics and Mortality
. In L.G. Martin, & S.H. Preston (Eds.), Demography of Aging
(pp. 217
–78
). Washington, DC
: National Academy Press
.Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults
. (1998
). Washington, DC
: U.S. Public Health Service
.Peyron, J.G. (
1984
). The Epidemiology of Osteoarthritis
. In R.W. Moskowitz, D.S. Howell, V.M. Goldberg, & H.J. Mankin (Eds.), Osteoarthritis: Diagnosis and Management
(pp. 9
–28
). Philadelphia
: Saunders
.Pi-Sunyer, F.X. (
1991
). Health Implications of Obesity
. American Journal of Clinical Nutrition
, 53
, 1595S
–1603S
.Plankey, M.W., Stevens, J., Flegal, K.M., & Rust, P.F. (
1997
). Prediction Equations Do Not Eliminate Systematic Error in Self-Reported Body Mass Index
. Obesity Research
, 5
, 308
–14
.Preston, S.H. (
1992
). Cohort Succession and the Future of the Oldest Old
. In R.M. Suzman, D.P. Willis, & K.G. Manton (Eds.), The Oldest Old
(pp. 50
–57
). New York
: Oxford University Press
.Rodgers, W., & Miller, B. (
1997
). A Comparative Analysis of ADL Questions in Surveys of Older People
. Journal of Gerontology: Social Sciences
, 52B
, 21
–36
.Rogers, A., Rogers, R., & Belanger, A. (
1990
). Longer Life but Worse Health? Measurement and Dynamics
. The Gerontologist
, 30
, 640
–49
.Soldo, B.J., Hurd, M.D., Rodgers, W.L., & Wallace, R.B. (
1997
). Asset and Health Dynamics Among the Oldest Old: An Overview of the AHEAD Study
. Journal of Gerontology
, 52B
, 1
–20
.Stevens, J., Cai, J., Pamuk, E.R., Williamson, D.F., Thun, M.J., & Wood, J.L. (
1998
). The Effect of Age on the Association Between Body-Mass Index and Mortality
. New England Journal of Medicine
, 338
, 1
–7
. 10.1056/NEJM199801013380101Stunkard, A.J., & Sorenson, T.I.A. (
1993
). Obesity and Socioeconomic Status—A Complex Relationship
. New England Journal of Medicine
, 329
, 1036
–37
. 10.1056/NEJM199309303291411Tayback, M., Kumanyika, S., & Chee, E. (
1990
). Body Weight as a Risk Factor in the Elderly
. Archives of Internal Medicine
, 150
, 1065
–72
. 10.1001/archinte.150.5.1065Van Itallie, T.B. (
1979
). Obesity: Adverse Effects on Health and Longevity
. American Journal of Clinical Nutrition
, 32
, 2723
–33
.Physical Status: The Use and Interpretation of Anthropometry
. (1995
). Geneva
: World Health Organization
.Obesity: Preventing and Managing the Global Epidemic
. (1997
). Geneva
: World Health Organization
.Williamson, D.F. (
1993
). Descriptive Epidemiology of Body Weight and Weight Change in U.S. Adults
. Annals of Internal Medicine
, 119
, 646
–49
.© Population Association of America 2000
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