10 A study in the USA among adults aged ≥60 years has shown a significant trend for a higher proportion of obese individuals to be living with disability compared to their normal-weight counterparts in more recent years when data of the National Health and Nutrition Examination Survey (NHANES) in 1988–1994 (time 1) and 1999–2004 (time 2) were compared. 11 In this US study, compared to normal-weight individuals, obese people had a 1.78 times higher odds for functional impairment at time 1 but this increased to 2.75 at time 2.
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The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: a cross-sectional study.
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In the analysis of the association of BMI, demographic and lifestyle factors with limitations of ADL in India (see online supplementary table A2a), the association between BMI 30.0–34.9 kg/m 2 (obesity class I) and ADL disability, which was only of borderline significance in the analysis without BMI<18.5 kg/m 2 , became significant (OR 2.14 (95% CI 1.22 to 3.77)).