RT Journal Article T1 The Obesity Paradox: Associations between the Body Mass Index and Self-Perceived Health, Depression Status, and Pain Level in Older People A1 Denche Zamorano, Ángel Manuel A1 Salas Gómez, Diana A1 Carlos Vivas, Jorge A1 Barrios Fernández, Sabina A1 Merellano Navarro, Eugenio A1 Collado Mateo, Daniel A1 Olivares Sánchez-Toledo, Pedro Rufino A1 Adsuar, José Carmelo AB Population growth and physical inactivity have led to health and social consequencesderived from chronic diseases and decreased quality of life in the elderly. Some research suggeststhat overweight in older people may not be associated with the negative effects on some healthindicators. This study analysed the associations between Self-Perceived Health (SPH), Depressionstatus, Pain Level, and Body Mass Index (BMI) in people over 70 years who are residents in Spain,with a final sample composed of 13,895 participants. A cross-sectional study using data from theEuropean Health Surveys in Spain (EHIS2014 and 2020) and the National Health Survey (ENSE2017)was conducted. Dependency associations were observed between SPH, Depression Status, andPain Level with BMI in the outcomes from the three surveys analysed (p < 0.001). Negative SPH,Depression Status, and Severe/Extreme Pain Degree prevalence were higher in the Underweightgroups, being the lowest in Normal-weight and Overweight groups (p < 0.05). High levels of negativeSPH, Depression, and Severe/Extreme Pain risks were found in the Underweight compared to theNormal-weight group, but not in Overweight ones. Overweight was not linked with an increased riskof the conditions analysed compared to the Normal-weight groups in older residents in Spain. TheUnderweight group presented the highest negative SPH prevalence, Depression, and Severe/ExtremePain. Moreover, Obesity increased the negative SPH, Depression, and Pain Degree risks compared tothe Normal-weight and Overweight groups in this population. PB MDPI SN 2076-3417 (electrónico) YR 2022 FD 2022-12 LK https://hdl.handle.net/10272/22291 UL https://hdl.handle.net/10272/22291 LA eng NO Denche-Zamorano, Á., Salas-Gómez, D., Carlos-Vivas, J., Barrios-Fernandez, S., Merellano-Navarro, E., Collado-Mateo, D., Olivares, P. R., & Adsuar, J. C. (2022). The Obesity Paradox: Associations between the Body Mass Index and Self-Perceived Health, Depression Status, and Pain Level in Older People. In Applied Sciences (Vol. 13, Issue 1, p. 588). MDPI AG. https://doi.org/10.3390/app13010588 NO The author Á.D.-Z. (FPU20/04201) was supported by a grant from the Spanish Ministry of Education, Culture and Sport, Grant FPU20/04201 funded by MCIN/AEI/10.13039/501100011033, and, as appropriate, by “European Social Fund Investing in your future” or by “European Union NextGenerationEU/PRTR”. DS Repositorio Institucional de la Universidad de Huelva RD 1 jun 2026