Nonlinear relationship between waist to hip ratio, weight and strength in elders: is gender the key?

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• 作者：Carmen Castillo ; José A. Carnicero ; Mari ángeles de la Torre…
• 关键词：Body composition ; Sarcopenia ; Abdominal obesity ; Frailty ; Strength
• 刊名：Biogerontology
• 出版年：2015
• 出版时间：October 2015
• 年：2015
• 卷：16
• 期：5
• 页码：685-692
• 全文大小：1,155 KB
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• 作者单位：Carmen Castillo (1)
  José A. Carnicero (1)
  Mari ángeles de la Torre (1)
  Solange Amor (1)
  Amelia Guadalupe-Grau (1)
  Leocadio Rodríguez-Ma?as (2)
  Francisco J. García-García (1)
  
  1. Geriatrics Department, Hospital Virgen del Valle, Toledo, Spain
  2. Geriatrics Department, Hospital Universitario de Getafe, 45071, Madrid, Spain
  
• 刊物类别：Biomedical and Life Sciences
• 刊物主题：Life Sciences
  Cell Biology
  Geriatrics and Gerontology
  Developmental Biology
  
• 出版者：Springer Netherlands
• ISSN：1573-6768

文摘

Visceral fat has a high metabolic activity with deleterious effects on health contributing to the risk for the frailty syndrome. We studied the association between waist to hip ratio (an indirect measure of visceral fat stores) on upper and lower extremities strength. 1741 individuals aged ?5 participated in this study. The data was obtained from the Toledo Study for Healthy Aging. For each gender, we studied the relationship between the waist-to-hip ratio (WHR), body mass index (BMI) and regional muscle strength (grip, shoulder, knee and hip) using multivariate linear regression and kernel regression statistical models. WHR was higher in men than in women (0.98 ± 0.07 vs. 0.91 ± 0.08, respectively, P < 0.05). In women with high WHR, we observed a decrease in strength especially in those with a normal BMI. As the WHR lowered, the strength increased regardless of the BMI. In men, lower strength was generally related to the lowest and highest WHR’s. Maximum strength in men corresponded at a WHR around 1 and the highest BMI. Muscle strength depends on the joined distribution of WHR and BMI according to gender. In consequence, sex, WHR and BMI should be analyzed conjointly to study the relationship among fat distribution, weight and muscle strength. Keywords Body composition Sarcopenia Abdominal obesity Frailty Strength