Adiposity and the role of diverse social supports: an observational, gender-sensitive study using the baseline Canadian Longitudinal Study on Aging
Abstract Objective: To quantify associations between four types of social support and measured adiposity among women and men. Design: The cross-sectional sample from the Canadian Longitudinal Study on Aging (CLSA, 2012-15). Height, weight and waist circumference (WC) were clinically measured perceived availability of informational, tangible, emotional and belonging social supports were self-reported. Setting: Canada Participants: 28,779 adults 45 to 85 years from the CLSA Results: All social support types were associated with WC and body mass index (BMI) among women but not among men. Women reporting the lowest informational support had significantly higher mean BMI (28.84 kg/m2 [95%CI: 28.63-29.05]) and WC (90.81 cm [95%CI: 90.31-91.30]) compared to women reporting maximum support (respectively, 28.09 kg/m2 [95%CI: 27.88-28.30] and 88.92 cm [95%CI: 88.43-89.4]). Women’s abdominal obesity was associated with low levels of informational, emotional and belonging support, and women’s general obesity with informational and emotional support. Notably, informational and emotional support were associated with both obesity outcomes independent of other supports among women. Only a low level of informational support was significantly independently associated with higher odds of obesity among men. Conclusions: Our study provides novel insights into gender-specific associations between different types of social support and adiposity. Prospective studies are needed to further investigate potential causality of these associations between the specific social supports and future weight status, especially among women.