142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

304993
An Exploration of the Longitudinal Association between Obesity, Diabetes, and Disability in Older Adults: Findings from the Hispanic EPESE

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Tuesday, November 18, 2014 : 12:30 PM - 12:45 PM

Sanggon Nam, PhD, MS , Department of Health Administration, Pfeiffer University, Morrisville, NC
Soham Al Snih, MD/PhD , Sealy Center on Aging, University of Texas Medical Branch, Galveston, Texas, UTMB, Galveston, TX
Kyriakos Markides, PhD , Preventive Medicine and Community Health, University of Texas Medical Branch, Galveston, TX
Purpose:  To determine the association of obesity and diabetes on disability in older Americans over over seventeen years of research concerning older Mexican Americans in the United States.

Methods: Longitudinal on-going population-based study, consisted of 3,050 Mexican Americans aged 65 and older from the Hispanic Established Population for the Epidemiological Study of the Elderly (1993-2011). Sociodemographic variables, time in years, medical conditions, CES-D, MMSE, BMI, and activities of daily living (ADL) were obtained.

Results: Of the 2,716 original participants, 56.19 % of the young old (65–74) were in Group 1 (no obesity & no diabetes) and 72.29% were in Group 4 (obesity and diabetes) while of the older people (75+) 32.10% were in Group 2 (obesity only) and 42.76% were in Group 3 (diabetes only). The diabetes-only group (OR=2.07; 95% CI= 1.37 – 3.14) and those with both obesity and diabetes (OR=1.83; 95% CI= 1.43 - 2.35) were significantly more likely to experience higher ADL disability (2.07 times odds of becoming ADL disabled and 1.83 times odds of becoming ADL disabled respectively) as compared to those who were not obese or diabetic, after controlling for all other variables.

Conclusion: Participants with obesity only were less likely to experience ADL disability as compared to those without obesity and diabetes. The analyses showed that those with diabetes only and those with both obesity and diabetes were more likely to experience higher ADL disability as compared to those who did not have obesity and diabetes.

Learning Areas:

Chronic disease management and prevention
Diversity and culture
Epidemiology
Planning of health education strategies, interventions, and programs
Protection of the public in relation to communicable diseases including prevention or control
Public health or related research

Learning Objectives:
Explain the association of obesity and diabetes on disability in older Americans over 17 years of follow-up. Examine age, gender, and nativity differences in the relationship between obesity, diabetes, and disability longitudinally seventeen years of research concerning older Mexican Americans in the United States.

Keyword(s): Aging, Minority Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Assistant Professor of Health Administration at Pfeiffer University since 2012. I have extensive experience with minority aging research and health disparities research as well as applied to clinical research studies. I have conducted research on cardiovascular conditions and outcomes among minority populations, and my previous research focused on obesity and disability among older Mexican Americans. Recently, he published four research papers, submitted two papers in major journals, and applied a few research grants.
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.