Body shape, fear of falling, physical performance, and falls among individuals aged 55 years and above

Kioh, Sheng Hui; Mat, Sumaiyah; Kamaruzzaman, Shahrul Bahyah; Ibrahim, Fatimah; Mokhtar, Mas Sahidayana; Hairi, Noran Naqiah; Cumming, Robert; Myint, Phyo Kyaw; Tan, Maw Pin

doi:10.1007/s41999-019-00220-1

Cited by 4 publications

(3 citation statements)

References 33 publications

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“…Further, Masimo et al found that central obesity is positively associated with single and recurrent falls in Brazilians 60 years of age and older [ 39 ]. Meanwhile, Kioh et al showed that a higher waist-to-hip ratio, an indicator of central obesity, remains independently associated with an increased risk of falls compared to the risk in individuals with a lower waist-to-hip ratio [ 40 ]. Consistent with these findings, the present study showed that central obesity, defined based on both WC and WHtR, is associated with a higher risk of falls compared to non-central obesity.…”

Section: Discussionmentioning

confidence: 99%

Obesity, Physical Performance, Balance Confidence, and Falls in Community-Dwelling Older Adults: Results from the Korean Frailty and Aging Cohort Study

Shim,

Yoo,

Soh

et al. 2024

Nutrients

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Obesity affects physical functions in numerous ways. We aimed to evaluate the association between obesity and falls, physical performance, and balance confidence in community-dwelling older adults. Using first-year baseline data from the Korean Frailty and Aging Cohort Study, 979 older adults were included. General obesity was defined based on the body mass index and body fat percentage, whereas central obesity was classified based on the waist circumference and waist-to-height ratio. Data regarding fall history and balance confidence were acquired using self-questionnaires, and a timed up-and-go test was performed to measure balance-related physical performance. Overall, 17.3% of participants experienced falls in the previous year. Central obesity, as determined by waist circumference (odds ratio, 1.461; 95% confidence interval, 1.024–2.086; p-value, 0.037) and by waist-to-height ratio (odds ratio, 1.808; 95% confidence interval, 1.015–3.221; p-value, 0.044) was significantly associated with falls. Interestingly, general obesity, measured by body fat percentage, was protective against fall-related fractures (odds ratio, 0.211; 95% confidence interval, 0.072–0.615; p-value, 0.004). Participants with central obesity had poorer physical performances in the timed up-and-go test (odds ratio, 2.162; 95% confidence interval, 1.203–3.889; p-value, 0.010) and lower balance confidence according to the Activities-specific Balance Confidence scale (odds ratio, 1.681; 95% confidence interval, 1.153–2.341; p-value 0.007). In conclusion, assessment of central obesity, particularly waist circumference, should be considered as a screening strategy for falls, and older adults with a high waist circumference should receive advice on fall prevention.

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Section: Discussionmentioning

confidence: 99%

Obesity, Physical Performance, Balance Confidence, and Falls in Community-Dwelling Older Adults: Results from the Korean Frailty and Aging Cohort Study

Shim,

Yoo,

Soh

et al. 2024

Nutrients

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“…The sample population comprised individuals aged 60 years and over with a history of at least one fall in the past 12 months recruited via word of mouth, community health promotion events, and from the primary care department, outpatient clinics, or emergency department at the University of Malaya Medical Centre. In addition, participants were recruited from wave three follow-up interviews of the Malaysian Elders Longitudinal Research study who reported falls in the past 12 months [7]. Control participants were primarily recruited through spouses, siblings, accompanying persons and acquaintances of the participants who meet the age criteria and did not have any falls in the past 12 months.…”

Section: Sample Populationmentioning

confidence: 99%

Pandemic-Related Differences in Physical and Mental Health of Older Adults

Lau¹,

Shahimi²,

Mat³

et al. 2021

Preprint

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Background As a result of the COVID-19 pandemic, changes in data collection methods have been introduced in research to ensure continuity despite physical distancing and lockdown restrictions. However, little is currently known about the potential differences in information collected using these traditional face-to-face methods compared to the incorporation of virtual methods to address the above, particularly in studies involving older adults. Aims Our objectives were, therefore, to compare data collected during the pandemic using hybrid methods from older individuals participating in falls research to that collected through traditional face-to-face methods. Methods Participants comprised of individuals recruited to two fall studies which hurdled the start of the COVID-19 pandemic. Both studies recruited individuals aged 60 years and over with at least one fall in the past 12 months, and controls with no history of falls in the past 12 months. Pre-pandemic, individuals were interviewed face-to-face exclusively, those interviews after the start of the pandemic were conducted virtually with physical assessments conducted face-to-face to minimize physical contact. Cognitive, physical, and psychological status were determined using the visual cognitive assessment tool (VCAT), timed-up-and-go (TUG), functional reach (FR), handgrip strength (HGS), and the 21-item depression, anxiety and stress scale (DASS-21). In addition quality of life, physical activity and social participation were also measured. Results Of the 145 participants (median age (interquartile range, IQR) of 73.5 (67-81) years), 69 (47.6%) were interviewed face-to-face, while 76 (53.4%) were assessed using a hybrid method. Participants in both groups had similar age, gender, ethnic breakdown, marital status, education levels, anthropometric measurements, and medication burden. More face-to-face participants had hypertension and fall compared to hybrid participants Differences were observed in presence of fall characteristics, with fewer fallers seeing a doctor and more fallers attending the emergency department after the start of the pandemic. After adjustment for baseline differences, participants interviewed using hybrid status had lower depression scores (odds ratio, OR (95% confidence interval, CI)=0.29(0.14-0.61) and stress scores (OR(95%CI)=0.33(0.15-0.72)), but greater fear of falling (OR(95%CI)=2.16(1.04-4.48)) and reduced social participation (OR(95%CI)=2.64(1.20-5.79)). Conclusion Alterations in recruitment and data collection methods to overcome pandemic restrictions should take into consideration potential differences in individuals who agree to participate as well as the influence of major life events on the psychological status of participants.

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“…Likewise, anthropometric measurements are associated with functional and health outcomes. For example, an increase in measures of adiposity has been associated with increased frailty, increased risk of falls, reduced functional performance, increased dependency, cardiometabolic risk and cardiovascular problems (Gregson et al, 2019;Khosravian et al, 2021;Kioh et al, 2019;Wojzischke et al, 2021;Xu et al, 2020;Zhang et al, 2021). On the other hand, a low body mass index (BMI) is also related to greater frailty and dependence (Xu et al, 2020;Zhang et al, 2021).…”

Section: Introductionmentioning

confidence: 99%

Evaluation of anthropometric parameters in a national sample of Mexican older adults

2022

CCD

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The purpose of this study was to describe anthropometric parameters in a population of Mexican older adults (OA). 516 OA (277 women, 239 men) aged ≥ 65 years were interviewed. Anthropometry and a sociodemographic data questionnaire were performed. Means and standard deviations, prevalence (%) and confidence intervals are reported in the results. SPSS v20.0 was used in the statistical analysis. The combined prevalence of overweight and obesity in our population was 77%. The mean WHR values obtained were (0.97 in men and 0.89 in women). Finally, the percentage of fat in men was 30.6% and in women it was 39.8%. The results of this investigation showed significant differences between men and women in most of the anthropometric measures and nutrition indicators. The prevalence of overweight and obesity reported in the Mexican elderly population was higher than that reported in other studies, which shows an important public health problem in Mexican older adults. More studies are needed at the national level on nutritional parameters in the elderly in order to detect cardiovascular risk factors in a timely manner.

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Body shape, fear of falling, physical performance, and falls among individuals aged 55 years and above

Cited by 4 publications

References 33 publications

Obesity, Physical Performance, Balance Confidence, and Falls in Community-Dwelling Older Adults: Results from the Korean Frailty and Aging Cohort Study

Obesity, Physical Performance, Balance Confidence, and Falls in Community-Dwelling Older Adults: Results from the Korean Frailty and Aging Cohort Study

Pandemic-Related Differences in Physical and Mental Health of Older Adults

Evaluation of anthropometric parameters in a national sample of Mexican older adults

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