263287 Impact of body weight status on disability and mortality in Brazil

Sunday, October 28, 2012

Flavia Andrade, PhD , Department of Kinesiology and Community Health, University of Illinois at Urbana-Champaign, Champaign, IL
Maria Lebrao, PhD , School of Public Health, Universidade de São Paulo, Sao Paulo, Brazil
Yeda Duarte, PhD , School of Nursing, Universidade de São Paulo, Sao Paulo, Brazil
In the past three decades, obesity rates in Brazil tripled among men and almost doubled among women. Obesity has been associated with disability and mortality, but little is known about these associations in Brazil. We explore this gap using two waves of SABE in Sao Paulo, Brazil. Three measures of disability are included: activities of daily living (ADL), instrumental activities of daily living (IADL) and Nagi. Prevalence of ADL and Nagi was highest among obese individuals, followed by those underweight. Compared to normal weight individuals, those obese were 2.4 times (95% CI, 1.52-3.80) more develop ADL between waves and more likely to remain disabled (for all disability measures). Recovery from Nagi was lower among individuals who were underweight. Those who were underweight faced higher mortality risks than those who were normal weight. This study confirms that obesity is associated with increased disability in Brazil.

Learning Areas:
Diversity and culture
Epidemiology
Public health or related research

Learning Objectives:
Estimate the impact of body weight on prevalence and incidence of disability, recovery from disability and mortality.

Keywords: Disability, Obesity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator in a grant focusing on the impact of chronic conditions on disability in Brazil.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.