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  • Original Article
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Physical activity and body mass index in elderly Iranians in Sweden: a population-based study

Abstract

Background/Objectives:

To analyze whether elderly Iranians in Sweden have a higher mean body mass index (BMI) and are less physically active than elderly Swedes after adjustment for possible confounders.

Subjects/Methods:

A total of 402 men and women (167 Iranian-born and 235 Swedish-born) aged 60–84 years residing in Stockholm, Sweden, were included in this population-based survey. Iranian participants were weighed and their height was measured. BMI values from the Swedish participants were based on self-reported data adjusted for the known discrepancy between objectively measured and self-reported weight and height. The outcome variables, BMI and self-reported leisure-time physical activity, were analyzed by linear regression and unconditional logistic regression.

Results:

Overall, Iranian women had the highest mean BMI (29.2) of all subgroups. The model that included an interaction between sex and length of time in Sweden showed that there was no significant difference in BMI between Swedish men (reference) and Swedish women or Iranian men. In contrast, Iranian women had significantly higher BMI than the reference group after adjustment for age, education and marital status. The largest difference in BMI compared to the reference group was found among Iranian women who immigrated to Sweden in 1989 or later (β-coefficient=3.41, 95% CI=1.99–4.83). Iranians and Swedes had almost the same odds of once-weekly leisure-time physical activity.

Conclusions:

Elderly Iranian immigrants and especially women who immigrated to Sweden in 1989 or later must be targeted in order to decrease their burden of risk factors for cardiovascular disease.

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References

  • Ahmadi F, Tornstam L (1996). The old flying Dutchmen: shuttling immigrants with double assets. J Aging Identity 1, 191–210.

    Google Scholar 

  • Arbab-Zadeh A, Dijk E, Prasad A, Fu Q, Torres P, Zhang R et al. (2004). Effect of aging and physical activity on left ventricular compliance. Circulation 110, 1799–1805.

    Article  Google Scholar 

  • Azizi F (2001). Tehran Lipid and Glucose Study 2001. Study methodology and summarized findings: Endocrine Research Centre, Shaheed Beheshti University of Medical Sciences.

    Google Scholar 

  • Azizi F, Azadbakht L, Mirmiran P (2005). Trends in overweight, obesity and central fat accumulation among Tehranian adults between 1998–1999 and 2001–2002: Tehran lipid and glucose study. Ann Nutr Metab 49, 3–8.

    Article  CAS  Google Scholar 

  • Beaufrere B, Morio B (2000). Fat and protein redistribution with aging: metabolic considerations. Eur J Clin Nutr 54 (Suppl 3), S48–S53.

    Article  Google Scholar 

  • Daryani A, Berglund L, Andersson A, Kocturk T, Becker W, Vessby B (2005). Risk factors for coronary heart disease among immigrant women from Iran and Turkey, compared to women of Swedish ethnicity. Ethn Dis 15, 213–220.

    PubMed  Google Scholar 

  • Dawson AJ, Sundquist J, Johansson SE (2005). The influence of ethnicity and length of time since immigration on physical activity. Ethn Health 10, 293–309.

    Article  Google Scholar 

  • Deurenberg P, Yap M, van Staveren WA (1998). Body mass index and percent body fat: a meta analysis among different ethnic groups. Int J Obes Relat Metab Disord 22, 1164–1171.

    Article  CAS  Google Scholar 

  • Ferreira I, Snijder MB, Twisk JW, van Mechelen W, Kemper HC, Seidell JC et al. (2004). Central fat mass versus peripheral fat and lean mass: opposite (adverse versus favorable) associations with arterial stiffness? The Amsterdam Growth and Health Longitudinal Study. J Clin Endocrinol Metab 89, 2632–2639.

    Article  CAS  Google Scholar 

  • Gadd M, Johansson SE, Sundquist J, Wandell P (2003). Morbidity in cardiovascular diseases in immigrants in Sweden. J Intern Med 254, 236–243.

    Article  CAS  Google Scholar 

  • Galanos AN, Pieper CF, Cornoni-Huntley JC, Bales CW, Fillenbaum GG (1994). Nutrition and function: is there a relationship between body mass index and the functional capabilities of community-dwelling elderly? J Am Geriatr Soc 42, 368–373.

    Article  CAS  Google Scholar 

  • Ghassemi H, Harrison G, Mohammad K (2002). An accelerated nutrition transition in Iran. Public Health Nutr 5, 149–155.

    Article  Google Scholar 

  • Groessl EJ, Kaplan RM, Barrett-Connor E, Ganiats TG (2004). Body mass index and quality of well-being in a community of older adults. Am J Prev Med 26, 126–129.

    Article  Google Scholar 

  • Gu D, He J, Duan X, Reynolds K, Wu X, Chen J et al. (2006). Body weight and mortality among men and women in China. JAMA 295, 776–783.

    Article  CAS  Google Scholar 

  • Haapanen-Niemi N, Miilunpalo S, Pasanen M, Vuori I, Oja P, Malmberg J (2000). Body mass index, physical inactivity and low level of physical fitness as determinants of all-cause and cardiovascular disease mortality—16 y follow-up of middle-aged and elderly men and women. Int J Obes Relat Metab Disord 24, 1465–1474.

    Article  CAS  Google Scholar 

  • Harris TB, Launer LJ, Madans J, Feldman JJ (1997). Cohort study of effect of being overweight and change in weight on risk of coronary heart disease in old age. BMJ 314, 1791–1794.

    Article  CAS  Google Scholar 

  • Heiat A, Vaccarino V, Krumholz HM (2001). An evidence-based assessment of federal guidelines for overweight and obesity as they apply to elderly persons. Arch Intern Med 161, 1194–1203.

    Article  CAS  Google Scholar 

  • Hosmer DW, Lemeshow S (1989). Applied Logistic Regression. Wiley: New York.

    Google Scholar 

  • Johansson SE, Sundquist J (1999). Change in lifestyle factors and their influence on health status and all-cause mortality. Int J Epidemiol 28, 1073–1080.

    Article  CAS  Google Scholar 

  • Jonnalagadda SS, Diwan S (2005). Health behaviors, chronic disease prevalence and self-rated health of older Asian Indian immigrants in the US. J Immigr Health 7, 75–83.

    Article  Google Scholar 

  • Kuskowska-Wolk A, Rossner S (1989). The ‘true’ prevalence of obesity. A comparison of objective weight and height measures versus self-reported and calibrated data. Scand J Prim Health Care 7, 79–82.

    Article  CAS  Google Scholar 

  • Kuskowska-Wolk A, Karlsson P, Stolt M, Rossner S (1989). The predictive validity of body mass index based on self-reported weight and height. Int J Obes 4, 441–453.

    Google Scholar 

  • Launer LJ, Harris T, Rumpel C, Madans J (1994). Body mass index, weight change, and risk of mobility disability in middle-aged and older women. The epidemiologic follow-up study of NHANES I. JAMA 271, 1093–1098.

    Article  CAS  Google Scholar 

  • Lawlor DA, Bedford C, Taylor M, Ebrahim S (2002). Agreement between measured and self-reported weight in older women. Results from the British Women's Heart and Health Study. Age Ageing 3, 169–174.

    Article  Google Scholar 

  • Lindstrom M, Sundquist K (2005). The impact of country of birth and time in Sweden on overweight and obesity: a population-based study. Scand J Public Health 33, 276–284.

    Article  Google Scholar 

  • Maddah M, Eshraghian MR, Djazayery A, Mirdamadi R (2003). Association of body mass index with educational level in Iranian men and women. Eur J Clin Nutr 57, 819–823.

    Article  CAS  Google Scholar 

  • Martorell R, Khan LK, Hughes ML, Grummer-Strawn LM (2000). Obesity in women from developing countries. Eur J Clin Nutr 54, 247–252.

    Article  CAS  Google Scholar 

  • McKie L, MacInnes A, Hendry J, Donal S, Peace H (2000). The food consumption patterns and perceptions of dietary advice of older people. J Hum Nutr Diet 13, 173–183.

    Article  Google Scholar 

  • Mendez MA, Popkin BM (2004). Globalisation, urbanisation and nutritional changes in the developing world. Electron J Agric Dev Econ 1, 220–241.

    Google Scholar 

  • Mirmiran P, Esmaillzadeh A, Azizi F (2004). Detection of cardiovascular risk factors by anthropometric measures in Tehranian adults: receiver operating characteristic (ROC) curve analysis. Eur J Clin Nutr 58, 1110–1118.

    Article  CAS  Google Scholar 

  • Mirmiran P, Mohammadi F, Sarbazi N, Allahverdian S, Azizi F (2003). Gender differences in dietary intakes, anthropometrical measurements and biochemical indices in an urban adult population: the Tehran Lipid and Glucose Study. Nutr Metab Cardiovasc Dis 13, 64–71.

    Article  CAS  Google Scholar 

  • Mykkanen L, Laakso M, Pyorala K (1992). Association of obesity and distribution of obesity with glucose tolerance and cardiovascular risk factors in the elderly. Int J Obes Relat Metab Disord 16, 695–704.

    CAS  PubMed  Google Scholar 

  • Nazroo JY (2003). The structuring of ethnic inequalities in health: economic position, racial discrimination, and racism. Am J Public Health 93, 277–284.

    Article  Google Scholar 

  • Pan WH, Flegal KM, Chang HY, Yeh WT, Yeh CJ, Lee WC (2004). Body mass index and obesity-related metabolic disorders in Taiwanese and US whites and blacks: implications for definitions of overweight and obesity for Asians. Am J Clin Nutr 79, 31–39.

    Article  CAS  Google Scholar 

  • Persson D, Olsson C (2006). Yearbook of agricultural statistics 2006, including food statistics. Statistics Sweden: Sweden.

    Google Scholar 

  • Pudaric S, Sundquist J, Johansson SE (2000). Major risk factors for cardiovascular disease in elderly migrants in Sweden. Ethn Health 5, 137–150.

    Article  CAS  Google Scholar 

  • Rashidi A, Mohammadpour-Ahranjani B, Vafa MR, Karandish M (2005). Prevalence of obesity in Iran. Obes Rev 6, 191–192.

    Article  CAS  Google Scholar 

  • Spiegelman D, Israel RG, Bouchard C, Willett WC (1992). Absolute fat mass, percent body fat, and body-fat distribution: which is the real determinant of blood pressure and serum glucose? Am J Clin Nutr 55, 1033–1044.

    Article  CAS  Google Scholar 

  • StataCorp (2001). Stata Statistical Software. Stata Press: Texas.

  • Statistics Sweden (2006). Foreign-born persons in Sweden by country of birth, age and sex. Year 2000–2005http://www.ssd.scb.se/databaser/makro/Produkt.asp?produktid=BE0101(In Swedish: Utrikes födda i riket efter födelseland, ålder och kön. År 2000–2005).

  • Stewart A (1982). The reliability and validity of self-reported weight and height. J Chronic Dis 4, 295–309.

    Article  Google Scholar 

  • Stunkard AJ, Albaum JA (1981). The accuracy of self-reported weights. Am J Clin Nutr 34, 1593–1599.

    Article  CAS  Google Scholar 

  • Sundquist J (1994). Migration and health.Epidemiological studies in Swedish primary health care. University of Lund: Sweden.

    Google Scholar 

  • Sundquist J, Winkleby M (2000). Country of birth, acculturation status and abdominal obesity in a national sample of Mexican-American women and men. Int J Epidemiol 29, 470–477.

    CAS  PubMed  Google Scholar 

  • Sundquist J, Winkleby MA, Pudaric S (2001). Cardiovascular disease risk factors among older black, Mexican-American, and white women and men: an analysis of NHANES III, 1988–1994. Third National Health and Nutrition Examination Survey. J Am Geriatr Soc 49, 109–116.

    Article  CAS  Google Scholar 

  • Visser M, Langlois J, Guralnik JM, Cauley JA, Kronmal RA, Robbins J et al. (1998). High body fatness, but not low fat-free mass, predicts disability in older men and women: the Cardiovascular Health Study. Am J Clin Nutr 68, 584–590.

    Article  CAS  Google Scholar 

  • Wärneryd B (1991). Levnadsförhållanden. Aterintervjustudie i undersökningen av levnadsförhållanden 1989 (ULF). Living conditions. Reinterview in ULF 1989. Appendix 12: Statistics Sweden.

  • Willett WC, Dietz WH, Colditz GA (1999). Guidelines for healthy weight. N Engl J Med 341, 427–434.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

This work was supported by grants from the Swedish Council for Working Life and Social Research (Grant no. 2001-2373), the Swedish Research Council (Grant no. K2004-21X-11651-09A), the National Institutes of Health (1 R01 HL71084-01), the Swedish Research Council to Dr Kristina Sundquist (K2005-27X-15428-01A) and ALF projektmedel, Stockholm.

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Correspondence to A Koochek.

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Guarantor: J Sundquist.

Contributors: AK conceived the study, collected the data, performed the analysis and wrote the first draft; S-EJ supervised the data analysis; TOK and JS supervised the data collection and data management. All authors contributed to the data interpretation and the final draft.

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Koochek, A., Johansson, SE., Kocturk, T. et al. Physical activity and body mass index in elderly Iranians in Sweden: a population-based study. Eur J Clin Nutr 62, 1326–1332 (2008). https://doi.org/10.1038/sj.ejcn.1602851

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