Identifying risk factors for developing obesity: a record linkage longitudinal study in metropolitan Sydney using the 45 and Up Study
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Le résumé fourni par la source
BACKGROUND: Primary care clinicians have key responsibilities in obesity prevention and weight management. AIMS: We aimed to identify risk factors for developing obesity among people aged ≥45 years. METHODS: We conducted a record linkage longitudinal study of residents of metropolitan Sydney, Australia using data from the: (1) 45 and Up Study at baseline (2005-2009) and first follow-up (2012-2015); (2) Medicare claims; (3) Pharmaceutical Benefits Scheme; and (4) deaths registry. We examined risk factors for developing obesity (body mass index [BMI]: 30-40) at follow-up, separately for people within the: (1) healthy weight range (BMI 18.5-<25) and (2) overweight range (BMI 25-<30) at baseline. Covariates included demographics, modifiable behaviours, health status, allied health use, and medication use. Crude and adjusted relative risks were estimated using Poisson regression modelling. RESULTS: At follow-up, 1.1% (180/16,205) of those in the healthy weight range group, and 12.7% (1,939/15,266) of those in the overweight range group developed obesity. In both groups, the following were associated with developing obesity: current smoking at baseline, physical functioning limitations, and allied health service use through team care planning, while any alcohol consumption and adequate physical activity were found to be associated with a lower risk of developing obesity. In the healthy weight group, high psychological distress and the use of antiepileptics were associated with developing obesity. In the overweight group, female sex and full-time work were associated with developing obesity, while older age was found to be associated with a lower risk of developing obesity. CONCLUSIONS: These findings may inform the targeting of preventive interventions for obesity in clinical practice and broader public health programs.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Identifying risk factors for developing obesity: a record linkage longitudinal study in metropolitan Sydney using the 45 and Up Study
- Date Crossref
- 13/03/2024
- Éditeur
- Oxford University Press (OUP)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Griffith University pays non établi dans la noticeUniversité ou école supérieure
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New South Wales Department of Health pays non établi dans la noticeOrganisme public
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UNSW Sydney pays non établi dans la noticeUniversité ou école supérieure
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New South Wales Institute of Psychiatry pays non établi dans la noticeUniversité ou école supérieure
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South Eastern Sydney Local Health District pays non établi dans la noticeÉtablissement de santé
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Kirby Institute pays non établi dans la noticeStructure de recherche
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School of Medicine and Dentistry pays non établi dans la noticeUniversité ou école supérieure
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School of Population Health pays non établi dans la noticeUniversité ou école supérieure
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University of New South Wales Centre for Primary Health Care and Equity pays non établi dans la noticeUniversité ou école supérieure
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Population and Community Health Directorate pays non établi dans la noticeInstitution
Griffith University, New South Wales Department of Health et UNSW Sydney, avec 7 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.