Dynapenic Abdominal Obesity as a Risk Factor for Worse Trajectories of ADL Disability Among Older Adults: The ELSA Cohort Study

The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences
Tiago da Silva AlexandreCesar de Oliveira

Abstract

There is little epidemiological evidence demonstrating that dynapenic abdominal obese individuals have worse trajectories of disability than those with dynapenia and abdominal obesity alone. Our aim was to investigate whether dynapenic abdominal obesity can result in worse trajectories of activities of daily living (ADL) over 8 years of follow-up. We used longitudinal data from 3,723 participants free from ADL disability at baseline from the English Longitudinal Study of Ageing. Using measures of handgrip strength (<26 kg for men; <16 kg for women) and waist circumference (>102 cm for men; >88 cm for women), participants were classified into four groups: nondynapenic/nonabdominal obese (reference group), abdominal obese only, dynapenic only, and dynapenic abdominal obese. We used generalized linear mixed models with ADL as the outcome and the four groups according to dynapenia and abdominal obesity status as the main exposure controlled by sociodemographic, behavioral, and clinical characteristics. The estimated change over time in ADL disability was significantly higher for participants with dynapenic abdominal obesity compared with those with neither condition (+0.018, 95% CI: 0.008 to 0.027). Compared with the results of our...Continue Reading

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Sep 7, 2019·Aging Clinical and Experimental Research·André Bonadias GadelhaRicardo M Lima
Apr 3, 2020·BMC Musculoskeletal Disorders·Pedro L ValenzuelaAlessandro Sartorio
Jan 7, 2020·Journal of Developmental Origins of Health and Disease·Angélica Marques Martins ValenteSandra Roberta G Ferreira
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Apr 21, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Shota UchidaJunya Ako
Jun 5, 2021·Age and Ageing·Roberta de Oliveira MáximoTiago da Silva Alexandre

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