Effect of Obesity on Falls, Injury, and Disability

Himes, Christine L.; Reynolds, Sandra L.

doi:10.1111/j.1532-5415.2011.03767.x

Cited by 251 publications

(187 citation statements)

References 31 publications

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“…A longitudinal study by Himes and Reynolds (2012) indicates that obese older adults are more likely to fall than others; moreover, obesity in Class 1 body mass index (BMI) 30.0-34.9 kg/m 2 , and Class 2 BMI 35.0-39.9 kg/m 2 was related to greater likelihood of more disability after a fall, whereas in obesity Class 3 BMI ≥ 40.0 kg/m 2 a protective effect was found, these people are significantly less likely to be injured in a fall than normal-weight individuals.…”

Section: Medell and Alexandermentioning

confidence: 99%

The contribution of postural balance analysis in older adult fallers: A narrative review

Pizzigalli

Cremasco

Mulasso

et al. 2016

Journal of Bodywork and Movement Therapies

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Section: Medell and Alexandermentioning

confidence: 99%

The contribution of postural balance analysis in older adult fallers: A narrative review

Pizzigalli

Cremasco

Mulasso

et al. 2016

Journal of Bodywork and Movement Therapies

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“…Obesity is associated with an increased risk of falls and disability in older adults (1). Age-related decreases in skeletal muscle mass that occur concurrently with obesity, termed "sarcopenic obesity" may result in substantially increased risk of morbidity and functional decline (2,3).…”

Section: Introductionmentioning

confidence: 99%

Sarcopenic obesity and dynapenic obesity: 5-year associations with falls risk in middle-aged and older adults

Scott

Sanders

Aitken

et al. 2014

Obesity

111

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Objectives: To determine whether obesity concurrent with sarcopenia (low muscle mass) or dynapenia (low muscle strength) is associated with increased falls risk in middle-aged and older adults. Methods: 5-year prospective cohort study including 674 community-dwelling volunteers (mean 6 SD age 61.4 6 7.0 years; 48% female). Sarcopenia and dynapenia were defined as lowest sex-specific tertiles for dual-energy X-ray (DXA)-assessed appendicular lean mass (adjusted for height and fat mass) or lowerlimb strength, respectively. Obesity was defined as the highest tertiles of DXA-assessed total or trunk fat mass. Change in falls risk was calculated using the Physiological Profile Assessment (z-scores: 0-1 5 mild increased risk; 1-2 5 moderate increased risk; >2 5 marked increased risk). Results: Multivariable linear regression analyses revealed mild but significantly increased falls risk scores for dynapenic obesity (change in mean z-score compared to non-dynapenic, non-obese group: 0.33, 95% CI 0.06-0.59 [men] and 0.46,) and dynapenia (0.25, 95% CI 0.05-0.46 [women only]). Conclusions: Dynapenic obesity, but not sarcopenic obesity, is predictive of increased falls risk score in middle-aged and older adults.s In clinical settings, muscle function assessments may be useful for predicting falls risk in obese patients.

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“…Epidemiological data indicate an increased risk of falls related to obesity 5,6,18 . Mitchell et al 5 observed that the prevalence of falls among obese subjects was 30%, whereas among those with normal weight was only 23%.…”

Section: Discussionmentioning

confidence: 99%

Associação entre obesidade, risco de quedas e medo de cair em mulheres idosas

Neri

Gadelha

Correia

et al. 2017

Rev. Bras. Cineantropom. Desempenho Hum.

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-The aim of this cross-sectional study was to investigate the association between obesity, risk of falls and fear of falling in older women. Two hundred and twenty-six volunteers (68.05 ± 6.22 years, 68.06 ± 11.79 kg, 1.56 ± 0.06 m) were classified as normal weight, overweight or obese, according to the body mass index. Risk of falls and fear of falling were evaluated using QuickScreen Clinical Falls Risk Assessment and Falls Efficiency Scale -International (FES-I), respectively. Comparisons between groups were conducted using Chi-square and ANOVA One-way tests. The significance level was set at p< 0.05. Obesity was associated with greater probability of falls (p< 0.001), which may be partly explained by decreased muscle strength (p< 0.001) and reaction time (p< 0.001). In addition, significant differences between groups was observed in FES-I score (p< 0.01), with obese women showing more pronounced fear of falling (30.10 ± 8.4) than normal weigh (25. 33 ± 7.11, p< 0.01) and overweight subjects (26.97 ± 7.05, p< 0.05). These findings corroborate previous evidence pointing obesity as a major risk factor for falls. Therefore, health professionals dealing with fall prevention should consider the effects of overweight.Key words: Accidental falls; Aging; Obesity. (68,05 ± 6,22 anos; 68,06 ± 11,79 kg; 1,56 ± 0,06 m) (30,10 ± 8,4) que as eutróficas (25,33 ± 7,11; p< 0,01) e as sobrepesadas (26,97 ± 7,05; p< 0,05 Resumo -O objetivo deste estudo transversal foi verificar a associação entre obesidade, risco de quedas e medo de cair em mulheres idosas. Duzentas e vinte e seis voluntárias

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Effect of Obesity on Falls, Injury, and Disability

Cited by 251 publications

References 31 publications

The contribution of postural balance analysis in older adult fallers: A narrative review

The contribution of postural balance analysis in older adult fallers: A narrative review

Sarcopenic obesity and dynapenic obesity: 5-year associations with falls risk in middle-aged and older adults

Associação entre obesidade, risco de quedas e medo de cair em mulheres idosas

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