Self-perceptions of aging (SPA) are a critical issue in the mental health of middle-aged and older adults, yet the complex relationship with obesity remains insufficiently explored. This study analyzes the impact of obesity on SPA among this demographic.
Utilizing longitudinal follow-up data from the Health and Retirement Study (HRS) in the United States, logistic regression was employed to examine the relationship between Body Mass Index (BMI) and SPA, while restricted cubic splines (RCS) were used to reveal potential nonlinear associations.
After adjusting for baseline age, gender, race, education level, marital status, number of chronic diseases, depressive symptoms, functional limitations, and baseline SPA levels, grade 2/3 obesity was associated with negative SPA (OR=1.50, 95%CI: 1.08-2.07), and a significant nonlinear relationship between BMI and SPA was observed (P-overall < 0.001, P-nonlinear = 0.042). Subgroup analysis indicated that among individuals under 80 years old, females, those with a high school education or lower, Caucasians, individuals with depressive symptoms, and those without functional limitations, grade 2/3 obesity was positively correlated with negative SPA.
Obesity in middle-aged and older adults is related to negative SPA. Healthcare professionals should pay attention to the potential psychological impacts of obesity during the aging process and develop more targeted prevention and intervention strategies to assist obese individuals in improving their mental health as they age.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |