Abdominal obesity, dynapenia and dynapenic-abdominal obesity as factors associated with falls

Abstract

Objective: To investigate whether abdominal obesity, dynapenia and dynapenic-abdominal obesity are associated to the prevalence of single or recurrent falls in older adults. Methods: We analyzed data from 1,046 community-dwelling participants of the SABE Study (Saúde, Bem-estar e Envelhecimento/Health, Well-Being and Ageing). Participants were classified as non-dynapenic/non-abdominal obese, abdominal obese only, dynapenic only, and dynapenic-abdominal obese based on waist circumference (>102 cm for men and >88 cm for women) and handgrip strength (<26 kg for men and <16 kg for women). Multinomial logistic regression models were ran to determine associations between dynapenia/obesity/dynapenicabdominal obesity and single/recurring falls, taking non-fallers as reference. Results: Abdominal obesity (RRR = 1.90 95% CI: 1.02-3.55), dynapenia (RRR = 1.80 95% CI: 1.02-3.19), and dynapenic-abdominal obesity (RRR = 2.06 95% CI: 1.04-4.10) were associated with a single fall. A stronger association for dynapenic-abdominal obesity compared to the other two conditions alone was found. Dynapenia was the unique condition associated with recurrent falls (RRR = 2.33, 95% CI: 1.13-4.81).

Falls, fractures, and areal bone mineral density in older adults with sarcopenic obesity: A systematic review and meta‐analysis

“…A total of N = 37,124 individuals (66% women) aged 50 to 94 years were included. Eight studies included women only, 20,22,24,26,27,30,42,44 two included men only, 14,25 and 16 included both men and women 21,23,28,29,31–41,43 . Twenty studies were cross‐sectional in design, 20,22–25,28–38,41–44 and six studies were cohort studies 14,21,26,27,39,40 .…”

“…Eight studies included women only, 20,22,24,26,27,30,42,44 two included men only, 14,25 and 16 included both men and women 21,23,28,29,31–41,43 . Twenty studies were cross‐sectional in design, 20,22–25,28–38,41–44 and six studies were cohort studies 14,21,26,27,39,40 . Twenty‐five studies included community‐dwelling older adults, 14,20–35,37–44 and one study was conducted in hospitalized older adults 36 .…”

What are the factors associated with sarcopenia-related variables in adult women with severe obesity?

“…However, without previous studies, it is difficult to draw some parallel [56]. Different clinical outcomes, such as increased risk of developing metabolic syndrome, difficulties in performing daily living activities of and mortality are related to muscle mass and low quality of muscle functions [35,68,69]. Recent evidence shows that low quality muscle mass is associated with the development of frailty in obese individuals [70].…”

The Associations between Functional Fitness Test Performance and Abdominal Obesity in Healthy Elderly People: Results from the National Physical Fitness Examination Survey in Taiwan

“…Souza Barbosa and colleagues [ 10 ] based on a 4-year follow-up study pointed out that abdominal obesity significantly increased the risk of mobility disability within a population aged 64 to 74 years. Moreover, abdominal obesity accompanied with dynapenia (known as dynapenic abdominal obesity) significantly increase the risk of single fall among elderly people [ 11 ]. Nevertheless, a consistent finding from the previous review suggested that abdominal obesity in elderly people threatens their walking, stair-climbing, and chair-rise abilities, subsequently reducing their quality of life [ 12 ].…”