Waist Circumference and Weight Change Are Associated With Disability Among Elderly Hispanics

Chen, Honglei; Bermúdez, Odilia I.; Tucker, Katherine L.

doi:10.1093/gerona/57.1.m19

Cited by 73 publications

(90 citation statements)

References 41 publications

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“…These sex differences have been demonstrated in other studies 4,24,25 and may reflect known sex differences in fat distribution, 26 recovery from disability 27 and/or sex-specific causal pathways between obesity and disability. 28 Furthermore, as women are more likely to have conditions that disable (for example, musculoskeletal disease) and men are more likely Figure 2.…”

Section: Discussionsupporting

confidence: 70%

The relationship between body mass index prior to old age and disability in old age

et al. 2012

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OBJECTIVES: To analyse the relationship between body mass index (BMI) in middle-age and disability status in old-age using data from the Melbourne Collaborative Cohort Study (MCCS). METHODS: A total of 41 514 participants enroled in the MCCS between 1990-1994. Height and weight were measured at baseline and disability, defined as limitations to self-care activities of daily living (ADLs) and self-care plus mobility activities, was identified at follow-up (2003-2007). In all, 6300 participants were o65 years at baseline, X70 years at follow-up and not missing BMI at baseline or ADLs at follow-up. The association between BMI in six categories (30)(31)(32)(33)(34)(35); 35 þ ) and disability status was analysed using logistic regression. Models were stratified by sex, and sequentially adjusted for age, education, country of birth, then smoking, alcohol, fruit and vegetable intake, and physical activity. RESULTS: Adjusted odds ratios for composite self-care ADL and mobility limitations compared with BMI 18.5-22.5 kg m À 2 were 1.73 (95%CI 1.14-2.64) for BMI 30-35 kg m À 2 and 3.46 (1.78-6.73) for BMI 35 þ kg m À 2 in males. In females, adjusted odds ratios were 1.29 (1.00-1.68) for BMI 22.5-25 kg m À 2 , 1.74 (1.35-2.24) for BMI 25-27.5 kg m À 2 , 2.58 (1.98-3.36) for BMI 27.5-30 kg m À 2 , 2.74 (2.10-3.58) for BMI 30-35 kg m À 2 and 4.21 (3.12-5.88) for BMI 35 þ kg m À 2 . CONCLUSION: A graded relationship was observed between BMI and disability in males and females, across the continuum of BMI. These results highlight the importance of a healthy body weight at middle age in order to reduce the risk of disability in old age.

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Section: Discussionsupporting

confidence: 70%

The relationship between body mass index prior to old age and disability in old age

et al. 2012

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“…In general, previous cross-sectional and longitudinal studies have reported that older adults with a high WC (40,41) or those with an obese BMI (30 kg/m 2 or more) (5,41,42) are at a two to three times greater risk of functional impairment. The findings of the present study suggest that in older persons with HF, the effects of obesity may not influence physical function to the same degree as in older adults without this chronic illness.…”

Section: Discussionmentioning

confidence: 97%

Influences of body mass index and waist circumference on physical function in older persons with heart failure

Prince

Janssen

Tranmer

2008

Canadian Journal of Cardiology

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“…21 In elderly Hispanics, large waist circumference was positively associated with disability. 18 In addition, the association between waist circumference, but not BMI, and disability remained significant and was stronger when both waist circumference and BMI were in the same model, leading the authors to suggest that abdominal fat was more important than total obesity for disability in elderly Hispanics. In contrast, we found that the associations with functional limitations and disability were attenuated for waist circumference and WHR when adjusting for BMI in the same model; however, for waist circumference and WHR, the associations generally remained significant after adjusting for BMI.…”

Section: Discussionmentioning

confidence: 99%

“…Several cross-sectional studies have found an association between abdominal fat and functional limitations [14][15][16] and disability. 17,18 For example, large waist circumference and waist-to-hip ratio (WHR) were positively associated with disability among the elderly. 17,18 In addition, large waist circumference, but not WHR, increased the risk of functional limitations at 2-y follow-up among elderly Australians.…”

Section: Introductionmentioning

confidence: 99%

“…17,18 For example, large waist circumference and waist-to-hip ratio (WHR) were positively associated with disability among the elderly. 17,18 In addition, large waist circumference, but not WHR, increased the risk of functional limitations at 2-y follow-up among elderly Australians. 19 Although the prevalence of functional limitations and disability 20,21 are greater in African Americans than whites, few studies have examined the associations between obesity and functional limitations and disability in this group.…”

Section: Introductionmentioning

confidence: 99%

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Abdominal fat distribution and functional limitations and disability in a biracial cohort: the Atherosclerosis Risk in Communities Study

2005

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OBJECTIVE:To examine the associations of abdominal fat and obesity with functional limitations and disability in late adulthood. DESIGN: Longitudinal, cohort study. PARTICIPANTS: African American and white men and women aged 45-64 y at baseline with measured waist circumference, waist-to-hip ratio (WHR), and body mass index (BMI) who participated in the Atherosclerosis Risk in Communities (ARIC) Study (n ¼ 9416). OUTCOME MEASURES: Self-reported functional limitations, activities of daily living (ADLs), and instrumental activities of daily living (IADLs) at ages 52-75 y. RESULTS: Waist circumference, WHR, and BMI were positively associated with functional limitations and ADL and IADL impairment approximately 9 y later among African American and white men and women. For example, in African American women the odds ratios (95% CI) associated with a one standard deviation (s.d.) increment in waist circumference (13.3 cm) for severe functional limitations and ADL and IADL impairment were 2.36 (2.00-2.79), 1.41 (1.25-1.58), and 1.49 (1.34-1.66), respectively. In white women, the odds ratios (95% CI) were 2.66 (2.39-2.96), 1.60 (1.47-1.74), and 1.42 (1.31-1.53), respectively. Similar associations were found in men. A 1 s.d. increment in WHR (0.08 U) and BMI (5.06 kg/m 2 ) produced similar results. The associations of waist circumference and WHR with functional limitations and ADL and IADL impairment were attenuated but, in general, remained statistically significant when BMI was added to the models. CONCLUSIONS: Maintaining a healthy body weight and avoiding increases in abdominal fat should be investigated for their potential to reduce the risk of functional limitations and disability in an aging population.

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Waist Circumference and Weight Change Are Associated With Disability Among Elderly Hispanics

Cited by 73 publications

References 41 publications

The relationship between body mass index prior to old age and disability in old age

The relationship between body mass index prior to old age and disability in old age

Influences of body mass index and waist circumference on physical function in older persons with heart failure

Abdominal fat distribution and functional limitations and disability in a biracial cohort: the Atherosclerosis Risk in Communities Study

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