Fitness but not weight status is associated with projected physical independence in older adults

详细信息    查看全文

• 作者：Luis B. Sardinha ; Edilson S. Cyrino ; Leandro dos Santos ; Ulf Ekelund…
• 刊名：AGE
• 出版年：2016
• 出版时间：June 2016
• 年：2016
• 卷：38
• 期：3
• 全文大小：635 KB
• 刊物类别：Biomedical and Life Sciences
• 刊物主题：Life Sciences
  Cell Biology
  Geriatrics and Gerontology
  Molecular Medicine
  
• 出版者：Springer Netherlands
• ISSN：1574-4647
• 卷排序：38

文摘

Obesity and fitness have been associated with older adults’ physical independence. We aimed to investigate the independent and combined associations of physical fitness and adiposity, assessed by body mass index (BMI) and waist circumference (WC) with the projected ability for physical independence. A total of 3496 non-institutionalized older adults aged 65 and older (1167 male) were included in the analysis. BMI and WC were assessed and categorized according to established criteria. Physical fitness was evaluated with the Senior Fitness Test and individual test results were expressed as Z-scores. Projected ability for physical independence was assessed with the 12-item composite physical function scale. Logistic regression was used to estimate the odds ratio (OR) for being physically dependent. A total of 30.1 % of participants were classified as at risk for losing physical independence at age 90 years. Combined fitness and fatness analysis demonstrated that unfit older adults had increased odds ratio for being physically dependent in all BMI categories (normal: OR = 9.5, 95 %CI = 6.5–13.8; overweight: OR = 6.0, 95 %CI = 4.3–8.3; obese: OR = 6.7, 95 %CI = 4.6–10.0) and all WC categories (normal: OR = 10.4, 95%CI = 6.5–16.8; middle: OR = 6.2, 95 %CI = 4.1–9.3; upper: OR = 7.0, 95 %CI = 4.8–10.0) compared to fit participants that were of normal weight and fit participants with normal WC, respectively. No increased odds ratio was observed for fit participants that had increased BMI or WC. In conclusion, projected physical independence may be enhanced by a normal weight, a normal WC, or an increased physical fitness. Adiposity measures were not associated with physical independence, whereas fitness is independently related to physical independence. Independent of their weight and WC status, unfit older adults are at increased risk for losing physical independence.KeywordsPhysical fitnessBMIWaist circumferenceAdiposity