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Abdominal obesity and its associated factors among older adults in Malaysia
Author(s) -
Baharudin@Shaharuddin Azli,
Abdul Aziz Nur Shahida,
Ahmad Mohamad Hasnan,
Manjit Singh Jayvikramjit Singh,
Chan Ying Ying,
Palaniveloo Lalitha,
Kee Chee Cheong,
Zulkafly Norlida,
Ibrahim Wong Norazizah,
Salleh Ruhaya,
Selamat Rusidah
Publication year - 2020
Publication title -
geriatrics and gerontology international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.823
H-Index - 57
eISSN - 1447-0594
pISSN - 1444-1586
DOI - 10.1111/ggi.13962
Subject(s) - medicine , abdominal obesity , waist , logistic regression , obesity , odds ratio , diabetes mellitus , cross sectional study , stratified sampling , demography , odds , gerontology , disease , environmental health , pathology , sociology , endocrinology
Aim The rise in the prevalence of abdominal obesity (AO), in particular, has become a major concern as it contributes to diabetes, hypertension, high cholesterol, heart disease and certain types of cancer. The aim of this study is to determine the prevalence and associated factors of AO among older adults aged ≥60 years in Malaysia. Methods This was a nationwide cross‐sectional study using two‐stage stratified random sampling. In total, 3977 older adults aged ≥60 years were involved in this study. Socio‐demography characteristics were obtained using self‐administered questionnaire. AO was measured using waist circumference and classified according to the cut‐off values of ≥90 cm for men and ≥80 cm for women based on the WHO recommendation. Descriptive and multiple logistic regression analysis using a complex sample design were performed for data analysis. Results Our findings showed that 2371 (67.3%) older adults had AO. Older adults who were from urban areas (69.7%), of women (78.4%), married (66.7%), with tertiary education (73.6%) and unemployed (70.9%) had the highest prevalence of AO. Those from urban areas (adjusted odds ratio [aOR] = 1.29), women (aOR = 3.12), unemployed (aOR = 1.14), diagnosed with hypertension (aOR = 1.56) and diabetes mellitus (aOR = 2.08) were also significantly associated with a higher risk of AO. Conclusions This study identified several risk factors that are associated with AO among older adults in Malaysia. Such information is important and needed to improve the healthcare system systematically, enable nutrition screening and appropriate intervention to combat the growing AO in Malaysia. Geriatr Gerontol Int 2020; 20: 68–72 .