Stratification of BMI categories among older adults within and across countries

Public Health Nutr. 2020 Feb;23(2):254-263. doi: 10.1017/S1368980019001587. Epub 2019 Jul 1.

Abstract

Objective: Within- and across-country nutritional disparities were examined among older adults in six different countries at varying levels of development.

Design: Cross-sectional study.

Participants: Older adults (aged 50 years or over) in China, Ghana, India, Mexico, Russia and South Africa using the Study on global AGEing and adult health (SAGE).

Results: While the distribution of BMI categories varied by country, development-related characteristics were generally related to BMI category in a similar way: urban-living, educated and wealthier individuals were typically more likely to be in a higher BMI category. However, there were some exceptions that corroborate findings in more developed countries. Indeed, a pooled partial proportional odds model which included gross domestic product per capita interactions made the case for intertwining processes of development and the nutrition transition.

Conclusions: Population segments to be targeted by nutrition policy and programme implementation might need to change over the course of development.

Keywords: BMI; Development; Nutrition; Stratification.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Aged, 80 and over
  • Aging
  • Body Mass Index*
  • China / epidemiology
  • Cross-Sectional Studies
  • Developed Countries / statistics & numerical data*
  • Developing Countries / statistics & numerical data*
  • Female
  • Ghana / epidemiology
  • Global Health
  • Health Status Disparities*
  • Humans
  • India / epidemiology
  • Male
  • Mexico / epidemiology
  • Middle Aged
  • Nutritional Status*
  • Russia / epidemiology
  • Socioeconomic Factors
  • South Africa / epidemiology
  • Surveys and Questionnaires