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Height and quality of life among older adults (50+) in India: a cross-sectional study

Published online by Cambridge University Press:  14 April 2021

Y. Selvamani*
Affiliation:
International Institute for Population Sciences (IIPS), Mumbai, India
P. Arokiasamy
Affiliation:
International Institute for Population Sciences (IIPS), Mumbai, India
*
*Corresponding author. Email: [email protected]

Abstract

Adult height is a summary measure of health and net nutrition in early childhood. This study examines the association between height and quality-of-life outcomes in older adults (50+) in India. Cross-sectional data from Wave 1 of the World Health Organization (WHO) Study on global AGEing and adult health (SAGE) conducted in 2007 were analysed. The association between height and quality of life was assessed using bivariate and multivariate logistic and linear regression models. The mean WHO quality-of-life score (WHO-QoL) increased from 45.2 among the older adults in the lowest height quintile to 53.2 for those in the highest height quintile. However, the prevalence of self-rated poor quality of life declined from 16.4% in the lowest height quintile to 6.1% in the highest height quintile. In the fully adjusted regression model, height was found to be positively associated with quality-of-life outcomes among both men and women, independent of socioeconomic and physical health confounders. The association was particularly strong for women. Women in the highest height quintile had a 2.65 point higher WHO-QoL score than those in the lowest height quintile. Similarly, the likelihood of reporting a poor quality of life was lower among women in the highest height quintile. Furthermore, measures of economic status, handgrip strength, cognitive ability and poor self-rated health were significantly associated with WHO-QoL and self-rated poor quality of life. Overall, this study revealed a significant association between height and quality of life among older adults in India, suggesting a significant role of childhood circumstances in quality of life in later life.

Type
Research Article
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Aartsen, MJ, Cheval, B, Sieber, S, Van der Linden, BW, Gabriel, R, Courvoisier, DS et al. (2019) Advantaged socioeconomic conditions in childhood are associated with higher cognitive functioning but stronger cognitive decline in older age. Proceedings of the National Academy of Sciences of the USA 116(12), 54785486.CrossRefGoogle ScholarPubMed
Agarwal, A, Lubet, A, Mitgang, E, Mohanty, S and Bloom, DE (2020) Population aging in India: facts, issues, and options. In Poot, J and Roskruge, M (eds) Population Change and Impacts in Asia and the Pacific. Springer, Singapore, pp. 289311.CrossRefGoogle Scholar
Alcañiz, M and Solé-Auró, A (2018) Feeling good in old age: factors explaining health-related quality of life. Health and Quality of Life Outcomes 16(1), 48.CrossRefGoogle ScholarPubMed
Arokiasamy, P and Selvamani, Y (2018) Age, socioeconomic patterns and regional variations in grip strength among older adults (50+) in India: evidence from WHO’s Study on Global Ageing and Adult Health (SAGE). Archives of Gerontology and Geriatrics 76, 100105.CrossRefGoogle Scholar
Arokiasamy, P, Uttamacharya, U, Jain, K, Biritwum, RB, Yawson, AE, Wu, F et al. (2015) The impact of multimorbidity on adult physical and mental health in low-and middle-income countries: what does the study on global ageing and adult health (SAGE) reveal? BMC Medicine 13(1), 178.CrossRefGoogle Scholar
Arokiasamy, P, Uttamacharya, Kowal P and Chatterji, S (2016) Age and socioeconomic gradients of health of Indian adults: an assessment of self-reported and biological measures of health. Journal of Cross-Cultural Gerontology 31(2), 193211.CrossRefGoogle ScholarPubMed
Banjare, P, Dwivedi, R and Pradhan, J (2015) Factors associated with the life satisfaction amongst the rural elderly in Odisha, India. Health and Quality of Life Outcomes 13(1), 201.CrossRefGoogle ScholarPubMed
Batty, GD, Deary, IJ and Zaninotto, P (2016) Association of cognitive function with cause-specific mortality in middle and older age: follow-up of participants in the English longitudinal study of ageing. American Journal of Epidemiology 183(3), 183190.CrossRefGoogle ScholarPubMed
Batty, GD, Shipley, MJ, Gunnell, D, Huxley, R, Kivimaki, M, Woodward, M et al. (2009) Height, wealth, and health: an overview with new data from three longitudinal studies. Economics & Human Biology 7(2), 137152.CrossRefGoogle ScholarPubMed
Bhan, N, Rao, N and Raj, A (2020) Gender differences in the associations between informal caregiving and wellbeing in low-and middle-income countries. Journal of Women’s Health 29(10), 13281338.CrossRefGoogle ScholarPubMed
Bozzoli, C, Deaton, A and Quintana-Domeque, C (2009) Adult height and childhood disease. Demography 46(4), 647669.CrossRefGoogle ScholarPubMed
Carrieri, V and De Paola, M (2012) Height and subjective well-being in Italy. Economics & Human Biology 10(3), 289298.CrossRefGoogle ScholarPubMed
Case, A and Paxson, C (2008a) Height, health, and cognitive function at older ages. American Economic Review 98(2), 463467.CrossRefGoogle ScholarPubMed
Case, A and Paxson, C (2008b) Stature and status: height, ability, and labor market outcomes. Journal of Political Economy 116(3), 499532.CrossRefGoogle ScholarPubMed
Case, A and Paxson, C (2010) Causes and consequences of early-life health. Demography 47(1), S65S85.CrossRefGoogle ScholarPubMed
Celis-Morales, CA, Welsh, P, Lyall, DM, Steell, L, Petermann, F, Anderson, J et al. (2018) Associations of grip strength with cardiovascular, respiratory, and cancer outcomes and all cause mortality: prospective cohort study of half a million UK Biobank participants. BMJ 361, doi: https://doi.org/10.1136/bmj.k1651.Google ScholarPubMed
Census of India (2011) Office of the Registrar General and Census Commissioner. URL: http://www.censusindia.gov.in/vital_statistics/srs_report/9chap%202%20-%202011.pdf (accessed 25th August 2020).Google Scholar
Chatterji, S, Kowal, P, Mathers, C, Naidoo, N, Verdes, E, Smith, JP and Suzman, R (2008) The health of aging populations in China and India. Health Affairs 27(4), 10521063.CrossRefGoogle ScholarPubMed
Chen, C (2001) Aging and life satisfaction. Social Indicators Research 54(1), 5779.CrossRefGoogle Scholar
Cheval, B, Boisgontier, MP, Orsholits, D, Sieber, S, Guessous, I, Gabriel, R et al. (2018) Association of early- and adult-life socioeconomic circumstances with muscle strength in older age. Age and Ageing 47(3), 398407.CrossRefGoogle ScholarPubMed
Cinnirella, F, Piopiunik, M and Winter, J (2011) Why does height matter for educational attainment? Evidence from German children. Economics & Human Biology 9(4), 407418.CrossRefGoogle ScholarPubMed
Coste, J, Pouchot, J and Carel, JC (2012) Height and health-related quality of life: a nationwide population study. Journal of Clinical Endocrinology & Metabolism 97(9), 32313239.CrossRefGoogle ScholarPubMed
Currie, J and Vogl, T (2013) Early-life health and adult circumstance in developing countries. Annual Review of Economics 5(1), 136.CrossRefGoogle Scholar
Deaton, A and Arora, R (2009) Life at the top: the benefits of height. Economics & Human Biology 7(2), 133136.CrossRefGoogle ScholarPubMed
Denny, K (2017) Are the effects of height on well-being a tall tale? Journal of Happiness Studies 18(5), 14451458.CrossRefGoogle Scholar
Emami, E, de Souza, RF, Kabawat, M and Feine, JS (2013) The impact of edentulism on oral and general health. International Journal of Dentistry, doi: 10.1155/2013/498305.CrossRefGoogle ScholarPubMed
Fernihough, A and McGovern, ME (2015) Physical stature decline and the health status of the elderly population in England. Economics & Human Biology 16, 3044.CrossRefGoogle ScholarPubMed
Fujiwara, T, Kondo, K, Shirai, K, Suzuki, K and Kawachi, I (2014) Associations of childhood socioeconomic status and adulthood height with functional limitations among Japanese older people: results from the JAGES 2010 Project. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences 69(7), 852859.CrossRefGoogle ScholarPubMed
Gale, CR, Martyn, CN, Cooper, C and Sayer, AA (2007) Grip strength, body composition, and mortality. International Journal of Epidemiology 36(1), 228235.CrossRefGoogle ScholarPubMed
Giampaoli, S, Ferrucci, L, Cecchi, F, Lo Noce, C, Poce, A, Dima, F et al. (1999) Hand-grip strength predicts incident disability in non-disabled older men. Age and Ageing 28(3), 283288.CrossRefGoogle ScholarPubMed
Gottfredson, LS and Deary, IJ (2004) Intelligence predicts health and longevity, but why? Current Directions in Psychological Science 13(1), 14.CrossRefGoogle Scholar
Greenfield, EA and Moorman, SM (2019) Childhood socioeconomic status and later life cognition: evidence from the Wisconsin Longitudinal Study. Journal of Aging and Health 31(9), 15891615.CrossRefGoogle ScholarPubMed
Guven, C and Lee, WS (2013) Height and cognitive function at older ages: is height a useful summary measure of early childhood experiences? Health Economics 22(2), 224233.CrossRefGoogle ScholarPubMed
Guven, C and Lee, WS (2015) Height, aging and cognitive abilities across Europe. Economics & Human Biology 16, 1629.CrossRefGoogle ScholarPubMed
Howel, D (2012) Interpreting and evaluating the CASP-19 quality of life measure in older people. Age and Ageing 41(5), 612617.CrossRefGoogle ScholarPubMed
Ibragimova, N and Salahodjaev, R (2020) Does height matter for earnings? Evidence from Russia. Journal of Biosocial Science 52(6), 885894.CrossRefGoogle ScholarPubMed
Idler, EL and Benyamini, Y (1997) Self-rated health and mortality: a review of twenty-seven community studies. Journal of Health and Social Behavior 38(1), 2137.CrossRefGoogle ScholarPubMed
Ihira, H, Sawada, N, Iwasaki, M, Yamaji, T, Goto, A, Noda, M et al. (2018) Adult height and all-cause and cause-specific mortality in the Japan Public Health Center-based Prospective Study (JPHC). PloS One 13(5), e0197164.CrossRefGoogle Scholar
Ingle, GK and Nath, A (2008) Geriatric health in India: concerns and solutions. Indian Journal of Community Medicine 33(4), 214.Google ScholarPubMed
Kim, TH and Han, E (2017) Height premium for job performance. Economics & Human Biology 26, 1320.CrossRefGoogle ScholarPubMed
Kobayashi, LC, Berkman, LF, Wagner, RG, Kahn, K, Tollman, S and Subramanian, SV (2019) Education modifies the relationship between height and cognitive function in a cross-sectional population-based study of older adults in rural South Africa. European Journal of Epidemiology 34(2), 131139.CrossRefGoogle Scholar
Kojima, G, Iliffe, S, Jivraj, S and Walters, K (2016) Association between frailty and quality of life among community-dwelling older people: a systematic review and meta-analysis. Journal of Epidemiology Community Health 70(7), 716721.CrossRefGoogle ScholarPubMed
Kowal, P, Chatterji, S, Naidoo, N, Biritwum, R, Fan, W, Lopez Ridaura, R et al. (2012) Data resource profile: the World Health Organization Study on global AGEing and adult health (SAGE). International Journal of Epidemiology 41(6), 16391649.CrossRefGoogle Scholar
Kuruvilla, S, Sadana, R, Montesinos, EV, Beard, J, Vasdeki, JF, de Carvalho, IA et al. (2018) A life-course approach to health: synergy with sustainable development goals. Bulletin of the World Health Organization 96(1), 4250.CrossRefGoogle ScholarPubMed
LaFave, D and Thomas, D (2017) Height and cognition at work: labor market productivity in a low income setting. Economics & Human Biology 25, 5264.CrossRefGoogle Scholar
Layte, R, Sexton, E and Savva, G (2013) Quality of life in older age: evidence from an Irish cohort study. Journal of the American Geriatrics Society 61, S299S305.CrossRefGoogle ScholarPubMed
Lee, J, Shih, R, Feeney, K and Langa, KM (2014) Gender disparity in late-life cognitive functioning in India: findings from the longitudinal aging study in India. Journals of Gerontology Series B: Psychological Sciences and Social Sciences 69(4), 603611.CrossRefGoogle ScholarPubMed
Lee, WS and Zhao, Z (2017) Height, weight and well-being for rural, urban and migrant workers in China. Social Indicators Research 132(1), 117136.CrossRefGoogle Scholar
Leong, DP, Teo, KK, Rangarajan, S, Lopez-Jaramillo, P, Avezum, A Jr, Orlandini, A et al. (2015) Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. The Lancet 386(9990), 266273.CrossRefGoogle ScholarPubMed
Lezak, MD, Howieson, DB, Loring, DW and Fischer, JS (2004) Neuropsychological Assessment. Oxford University Press.Google Scholar
Lundborg, P, Nystedt, P and Rooth, DO (2009) The height premium in Earnings: the role of physical capacity and cognitive and non-cognitive skills. IDA Discussion Paper 4266. IZA: Bonn, Germany.CrossRefGoogle Scholar
McEniry, M (2013) Early-life conditions and older adult health in low-and middle-income countries: a review. Journal of Developmental Origins of Health And Disease 4(1), 10.CrossRefGoogle ScholarPubMed
McGovern, ME (2014) Comparing the relationship between stature and later life health in six low and middle income countries. Journal of the Economics of Ageing 4, 128148.CrossRefGoogle ScholarPubMed
McGuire, LC, Ford, ES and Ajani, UA (2006) Cognitive functioning as a predictor of functional disability in later life. American Journal of Geriatric Psychiatry 14(1), 3642.CrossRefGoogle ScholarPubMed
Mamidi, RS, Kulkarni, B and Singh, A (2011) Secular trends in height in different states of India in relation to socioeconomic characteristics and dietary intakes. Food and Nutrition Bulletin 32(1), 2334.CrossRefGoogle ScholarPubMed
Marmot, MG, Stansfeld, S, Patel, C, North, F, Head, J, White, I et al. (1991) Health inequalities among British civil servants: the Whitehall II study. The Lancet 337(8754), 13871393.CrossRefGoogle ScholarPubMed
Moeini, B, Barati, M, Farhadian, M and Ara, MH (2018) The association between social support and happiness among elderly in Iran. Korean Journal of Family Medicine 39(4), 260.CrossRefGoogle ScholarPubMed
Murasko, JE (2019) Sorting by height: education and economic outcomes of women in less-developed countries. Journal of Development Studies 55(11), 23472364.CrossRefGoogle Scholar
Murasko, JE (2020) Height, marriage, and partner characteristics for women in low-and middle-income countries. Economics & Human Biology 38, 100876.CrossRefGoogle ScholarPubMed
Musalek, C and Kirchengast, S (2017) Grip strength as an indicator of health-related quality of life in old age – a pilot study. International Journal of Environmental Research and Public Health 14(12), 1447.CrossRefGoogle ScholarPubMed
Nédó, E and Paulik, E (2012) Association of smoking, physical activity, and dietary habits with socioeconomic variables: a cross-sectional study in adults on both sides of the Hungarian-Romanian border. BMC Public Health 12(1), 60.CrossRefGoogle ScholarPubMed
Newman, AB, Kupelian, V, Visser, M, Simonsick, EM, Goodpaster, BH, Kritchevsky, SB et al. (2006) Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. Journals of Gerontology Series A: Biological Sciences and Medical Sciences 61(1), 7277.CrossRefGoogle Scholar
Ng, ST, Tey, NP and Asadullah, MN (2017) What matters for life satisfaction among the oldest-old? Evidence from China. PloS One 12(2), e0171799.CrossRefGoogle ScholarPubMed
Onland-Moret, NC, Peeters, PHM, Van Gils, CH, Clavel-Chapelon, F, Key, T, Tjønneland, A et al. (2005) Age at menarche in relation to adult height: the EPIC study. American Journal of Epidemiology 162(7), 623632.CrossRefGoogle ScholarPubMed
Öztürk, A, Şimşek, TT, Yümin, ET, Sertel, M and Yümin, M (2011) The relationship between physical, functional capacity and quality of life (QoL) among elderly people with a chronic disease. Archives of Gerontology and Geriatrics 53(3), 278283.CrossRefGoogle ScholarPubMed
Patel, PC and Devaraj, S (2018) Height–income association in developing countries: evidence from 14 countries. American Journal of Human Biology 30(3), e23093.CrossRefGoogle ScholarPubMed
Peck, AM and Vågerö, DH (1989) Adult body height, self perceived health and mortality in the Swedish population. Journal of Epidemiology & Community Health 43(4), 380384.CrossRefGoogle ScholarPubMed
Perkins, JM, Lee, HY, James, KS, Oh, J, Krishna, A, Heo, J et al. (2016a) Marital status, widowhood duration, gender and health outcomes: a cross-sectional study among older adults in India. BMC Public Health 16(1), 1032.CrossRefGoogle ScholarPubMed
Perkins, JM, Subramanian, SV, Davey Smith, G and Özaltin, E (2016b) Adult height, nutrition, and population health. Nutrition Reviews 74(3), 149165.CrossRefGoogle ScholarPubMed
Raggi, A, Corso, B, Minicuci, N, Quintas, R, Sattin, D, De Torres, L et al. (2016) Determinants of quality of life in ageing populations: results from a cross-sectional study in Finland, Poland and Spain. PLoS One 11(7), e0159293.CrossRefGoogle ScholarPubMed
Rees, DI, Sabia, JJ and Argys, LM (2009) A head above the rest: height and adolescent psychological well-being. Economics & Human Biology 7(2), 217228.CrossRefGoogle ScholarPubMed
Sayer, AA, Syddall, HE, Martin, HJ, Dennison, EM, Roberts, HC and Cooper, C (2006) Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study. Age and Ageing 35(4), 409415.CrossRefGoogle ScholarPubMed
Schmidt, S, Mühlan, H and Power, M (2006) The EUROHIS-QOL 8-item index: psychometric results of a cross-cultural field study. European Journal of Public Health 16(4), 420428.CrossRefGoogle ScholarPubMed
Selvamani, Y and Singh, P (2018) Socioeconomic patterns of underweight and its association with self-rated health, cognition and quality of life among older adults in India. PLoS One 13(3), e0193979.CrossRefGoogle ScholarPubMed
Silventoinen, K (2003) Determinants of variation in adult body height. Journal of Biosocial Science 35(2), 263.CrossRefGoogle ScholarPubMed
Silventoinen, K, Lahelma, E and Rahkonen, O (1999) Social background, adult body-height and health. International Journal of Epidemiology 28(5), 911918.CrossRefGoogle ScholarPubMed
Singh, P, Govil, D, Kumar, V and Kumar, J (2017) Cognitive impairment and quality of life among elderly in India. Applied Research in Quality of Life 12(4), 963979.CrossRefGoogle Scholar
Sohn, K (2016) Height and happiness in a developing country. Journal of Happiness Studies 17(1), 123.CrossRefGoogle Scholar
Srivastava, A and Mohanty, SK (2012) Poverty among elderly in India. Social Indicators Research 109(3), 493514.CrossRefGoogle Scholar
Steptoe, A and Zaninotto, P (2020) Lower socioeconomic status and the acceleration of aging: an outcome-wide analysis. Proceedings of the National Academy of Sciences of the USA 117(26), 1491114917.CrossRefGoogle ScholarPubMed
Strauss, J and Thomas, D (1998) Health, nutrition, and economic development. Journal of Economic Literature 36(2), 766817.Google Scholar
Tucker-Seeley, RD and Subramanian, SV (2011) Childhood circumstances and height among older adults in the United States. Economics & Human Biology 9(2), 194202.CrossRefGoogle ScholarPubMed
Ugargol, AP and Bailey, A (2018) Family caregiving for older adults: gendered roles and caregiver burden in emigrant households of Kerala, India. Asian Population Studies 14(2), 194210.CrossRefGoogle Scholar
Ugargol, AP, Hutter, I, James, KS and Bailey, A (2016) Care needs and caregivers: associations and effects of living arrangements on caregiving to older adults in India. Ageing International 41(2), 193213.CrossRefGoogle ScholarPubMed
United Nations (2015) World Population Ageing. United Nations Department of Economics and Social Affairs. URL: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2015_Report.pdf Google Scholar
Victora, CG, Adair, L, Fall, C, Hallal, PC, Martorell, R, Richter, L et al. (2008) Maternal and child undernutrition: consequences for adult health and human capital. The Lancet 371(9609), 340357.CrossRefGoogle ScholarPubMed
Vogl, TS (2014) Height, skills, and labor market outcomes in Mexico. Journal of Development Economics 107, 8496.CrossRefGoogle Scholar
Vyas, S and Kumaranayake, L (2006) Constructing socio-economic status indices: how to use principal components analysis. Health Policy and Planning 21(6), 459468.CrossRefGoogle ScholarPubMed
WHOQoL Group (1993) Study protocol for the World Health Organization project to develop a Quality of Life assessment instrument (WHOQOL). Quality of Life Research 2(2), 153159.CrossRefGoogle Scholar