Association between the metabolic syndrome and its components and gait speed among U.S. adults aged 50 years and older: a cross-sectional analysis

Okoro, Catherine A.; Zhong, Yuna; Ford, Earl S.; Balluz, Lina; Strine, Tara W.; Mokdad, Ali H.

doi:10.1186/1471-2458-6-282

Cited by 49 publications

(45 citation statements)

References 38 publications

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“…Similar to our results, Angleman et al reported that a high waist circumference was associated with impaired gait speed in adults aged 55-74 years (35). However, Okoro et al found a waist circumference among women to be inversely associated with gait speed impairment and found no such association among men (18). However, they examined waist circumference along with components of the metabolic syndrome, possible intermediaries in the causal pathway between obesity, and loss of physical function (36).…”

Section: Discussionsupporting

confidence: 91%

“…Thus, we hypothesized that the association between obesity and gait speed may also vary by race=ethnicity. However, among the previous studies of obesity and gait speed, race=ethnicity differences were either not examined (17,18,22,23) or not observed (20,21). The purpose of this study was to examine the relationship between obesity, measured by body mass index (BMI) and waist circumference, and habitual gait speed in order to determine whether this relationship varies by race=ethnicity.…”

Section: Introductionmentioning

confidence: 94%

“…Gait speed tends to slow early in the disabling process and therefore may be amenable to interventions to improve mobility or to prevent or delay disability, mortality, hospitalization, and other adverse events (10,13). A variety of methods have been used to measure gait speed, ranging from sophisticated techniques using motion analysis systems and accelerometry, to simple methods such as measuring the time taken to walk a given distance (14), such as 4 m (9,15,16), 6 m (17)(18)(19), or 400 m (20,21), or the distance walked in a defined period (22). Although different methods have been used, most studies have found obesity to be associated with slower gait speed (15)(16)(17)(18)(19)(20)(21)(22)(23).…”

Section: Introductionmentioning

confidence: 99%

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Race/Ethnicity Differences in the Relationship Between Obesity and Gait Speed Among Older Americans

Houston

Gropper

et al. 2009

Journal of Nutrition For the Elderly

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Projections indicate that the older American population will become more racially diverse in the future. Therefore, eliminating health disparities among older adults should be a public health priority. Using data from the 1999-2002 National Health and Nutrition Examination Survey, we examined the relationship between obesity, measured by BMI and waist circumference, and gait speed, a performance-based measure of physical function, in 2,285 older adults (≥60 y) in order to determine whether this relationship varies by race/ethnicity. Overweight and obesity, indicated by a BMI ≥ 25 kg/m(2) and a waist circumference in quartiles 3 (male: 102.4-109.9 cm; female: 97.3-106.3 cm) and 4 (male: 110.2-156.6 cm; female: 106.4-147.5 cm), were associated with slower gait speed in non-Hispanic Whites. Among non-Hispanic Blacks, only extreme obesity, indicated by a BMI ≥ 35 kg/m(2) and a waist circumference in quartile 4 (male: 110.2-149.6 cm; female: 106.4-137.7 cm), was associated with a slower gait speed. Among Mexican Americans, only extreme obesity, indicated by a BMI ≥ 35 kg/m(2), was associated with a slower gait speed. Thus we found the relationship between obesity and gait speed differed by race/ethnicity. The goal of eliminating health disparities in access to and quality of health care is only possible when differences in the associations between possible risk factors and physical function are identified.

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Section: Discussionsupporting

confidence: 91%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Race/Ethnicity Differences in the Relationship Between Obesity and Gait Speed Among Older Americans

Houston

Gropper

et al. 2009

Journal of Nutrition For the Elderly

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“…Mobility is also critical to maintaining independence and social interaction in the later years of life and is an essential aspect of quality of life. Persons with poor lower extremity function, slow gait speed, and particularly those with walking disability, are at higher risk of chronic disease, hospitalization, and death than their peers who walk normally 10,11 .…”

Section: Introductionmentioning

confidence: 99%

Birth cohort differences in physical functioning levels among elderly Brazilians: findings from the Bambuí cohort study of aging (1997-2008)

Oliveira

Lima‐Costa

2011

Cad. Saúde Pública

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“…Results describe that there is a positive correlation between peripheral vestibular disorders and vascular changes associated to atherosclerosis. An epidemiological study from the National Health and Nutrition Examination Survey which included 1,685 individuals with age equal to or higher than 50 years, observed a gait problem in women with low levels of HDL-cholesterol and a greater frequency of abdominal obesity 10 . Other studies also describe an association between gait disorders and abdominal obesity 11,12 .…”

Section: Introductionmentioning

confidence: 99%

Equilíbrio dinâmico, estilo de vida e estados emocionais em adultos jovens

Cruz¹,

Barreto²,

Fronza³

et al. 2010

Braz. j. otorhinolaryngol. (Impr.)

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A one hypothesis to explain some vestibular peripheral disorders is their association with life style. Thus, studies with young adults are relevant.Aim: to analyze the prevalence of dynamic balance alterations in young adults and their possible association with life style variables, health and negative emotional states (since they can impact the outcome). Materials and Methods:we carried out a non-probabilistic cross-sectional, clinical-retrospective study with young adults (18-32 years of age) from a university with 751 individuals, with a mean age of 22.45± 3.32 years. Life style, health and negative emotional states (NES) variables -depression, stress and anxiety, were collected by means of an interview. The Unterberger test was used in order to check for indications of dynamic balance alterations. Individuals with altered dynamic balance (ADB) were compared to those without these alterations (controls).Results: From our sample, 642 (83.6%) had less than 45º of deviation, while 109 (14.2%) had greater than 45º deviation and were the considered with ADB. The ADB group had a greater prevalence of smoking, alcohol abuse/dependence, high blood pressure and NES.Conclusion: the study highlights the occurrence of ADB which needs to be corroborated in future studies. Braz J Otorhinolaryngol. 2010;76(3):392-8. ORIGINAL ARTICLE BJORL

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Association between the metabolic syndrome and its components and gait speed among U.S. adults aged 50 years and older: a cross-sectional analysis

Abstract: Background: To examine the relationship between the metabolic syndrome and its components and gait speed among older U.S. men and women. Whether these associations are independent of physical activity was also explored.

Cited by 49 publications

References 38 publications

Race/Ethnicity Differences in the Relationship Between Obesity and Gait Speed Among Older Americans

Race/Ethnicity Differences in the Relationship Between Obesity and Gait Speed Among Older Americans

Birth cohort differences in physical functioning levels among elderly Brazilians: findings from the Bambuí cohort study of aging (1997-2008)

Equilíbrio dinâmico, estilo de vida e estados emocionais em adultos jovens

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