Abstract
BACKGROUND: The increase in the prevalence of abdominal obesity (AO) among Malaysians contributes to the increased rate of diabetes, hypertension, high cholesterol, heart disease and certain types of cancer. METHODS: A total of 3,977 elderly aged 60 years and above participated in this study. This is a cross-sectional study with two stratified random sampling. Socio-demography was obtained through face-to-face interview and waist circumference was measured using SECA measuring tape. AO was classified using cut-off values of ?90cm for men and ?80cm for women based on the recommendation from World Health Organization. Complex sample descriptive and multiple logistic regression analysis were performed for statistical analysis. RESULTS: The findings showed that 67.3% of elderly have AO. The prevalence of AO was higher among elderly from urban areas (69.7%, 95%CI: 66.01, 93.01), females (78.4%, 95%CI: 75.01, 81.39), and those were married (68.7%, 95%CI: 64.42, 72.66). Besides, the prevalence of AO was higher among elderly who had tertiary education (73.6%, 95%CI: 66.14,79.86) and who were unemployed (70.9%, 95%CI: 63.84, 73.79)]. The complex sample logistic regression analysis shows that elderly from urban (aOR: 1.51, 95%CI: 1.21, 1.88), females (aOR: 2.72, 95%CI: 2.17, 3.40), who were unemployed (aOR: 1.21, 95%CI: 0.89, 1.40), with hypertension (aOR: 1.47, 95%CI: 1.22, 1.75), with hypercholesterol (aOR: 1.33, 95%CI: 1.09, 1.62) and with diabetic mellitus (aOR: 2.08, 95%CI: 1.62, 2.66) were significantly associated with AO. DISCUSSION/CONCLUSIONS: In conclusion, most of the socio-demographic factors and history of having non-communicable diseases were the contributing factors to AO among Malaysian elderly. Implementing of obesity intervention among pre-elderly and elderly is vital to combat the epidemic of AO in Malaysia.
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@proceedings{APCPH-2019-112, title = {Abdominal Obesity Among Malaysian Elderly: The Contributing Factors}, author = {Azli Baharudin}, year = {2019}, date = {2019-07-22}, urldate = {2019-07-22}, journal = {6th Asia-Pacific Conference on Public Health 2019 Proceedings}, issue = {6}, abstract = {BACKGROUND: The increase in the prevalence of abdominal obesity (AO) among Malaysians contributes to the increased rate of diabetes, hypertension, high cholesterol, heart disease and certain types of cancer. METHODS: A total of 3,977 elderly aged 60 years and above participated in this study. This is a cross-sectional study with two stratified random sampling. Socio-demography was obtained through face-to-face interview and waist circumference was measured using SECA measuring tape. AO was classified using cut-off values of ?90cm for men and ?80cm for women based on the recommendation from World Health Organization. Complex sample descriptive and multiple logistic regression analysis were performed for statistical analysis. RESULTS: The findings showed that 67.3% of elderly have AO. The prevalence of AO was higher among elderly from urban areas (69.7%, 95%CI: 66.01, 93.01), females (78.4%, 95%CI: 75.01, 81.39), and those were married (68.7%, 95%CI: 64.42, 72.66). Besides, the prevalence of AO was higher among elderly who had tertiary education (73.6%, 95%CI: 66.14,79.86) and who were unemployed (70.9%, 95%CI: 63.84, 73.79)]. The complex sample logistic regression analysis shows that elderly from urban (aOR: 1.51, 95%CI: 1.21, 1.88), females (aOR: 2.72, 95%CI: 2.17, 3.40), who were unemployed (aOR: 1.21, 95%CI: 0.89, 1.40), with hypertension (aOR: 1.47, 95%CI: 1.22, 1.75), with hypercholesterol (aOR: 1.33, 95%CI: 1.09, 1.62) and with diabetic mellitus (aOR: 2.08, 95%CI: 1.62, 2.66) were significantly associated with AO. DISCUSSION/CONCLUSIONS: In conclusion, most of the socio-demographic factors and history of having non-communicable diseases were the contributing factors to AO among Malaysian elderly. Implementing of obesity intervention among pre-elderly and elderly is vital to combat the epidemic of AO in Malaysia.}, note = {Type: POSTER PRESENTATION; Organisation: Institute for Public Health, National Institutes of Health}, keywords = {abdominal obesity, apcph2019, Elderly, Malaysia, National Health \& Morbidity Survey}, pubstate = {published}, tppubtype = {proceedings} }