Publish in this journal
Journal Information
Vol. 23. Issue 6.
Pages 497-505 (01 November 2019)
Share
Share
Download PDF
More article options
ePub
Vol. 23. Issue 6.
Pages 497-505 (01 November 2019)
Original Research
DOI: 10.1016/j.bjpt.2018.10.009
Abdominal obesity, dynapenia and dynapenic-abdominal obesity as factors associated with falls
Visits
602
Roberta de Oliveira Máximoa,1,
Corresponding author
bhetamx@hotmail.com

Corresponding author at: Roberta de Oliveira Máximo – Department of Physical Therapy – Rodovia Washington Luís, km 235, CEP: 13565-905, Sao Carlos, SP, Brazil.
, Jair Licio Ferreira Santosb,1, Mônica Rodrigues Perracinic,d,1, Cesar de Oliveirae,1, Yeda Aparecida de Oliveira Duartef,1, Tiago da Silva Alexandree,g,1
a Department of Physical Therapy, Universidade Federal de São Carlos (UFSCar), São Carlos, SP, Brazil
b Department of Social Medicine, Universidade de São Paulo (USP), Ribeirão Preto, SP, Brazil
c Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil
d Master's and Doctoral Programs in Gerontology, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil
e Department of Epidemiology and Public Health, University College London, London, United Kingdom
f Department of Medical-Surgical Nursing, Universidade de São Paulo (USP), São Paulo, SP, Brazil
g Department of Gerontology, Universidade Federal de São Carlos, São Carlos, SP, Brazil
Highlights

  • Dynapenia and abdominal obesity were associated with single fall.

  • Dynapenic-abdominal obesity people are more likely to fall.

  • Dynapenia was the unique condition associated with recurrent falls.

This item has received
602
Visits
Article information
Abstract
Full Text
Bibliography
Download PDF
Statistics
Figures (1)
Tables (4)
Table 1. Characteristics of participants according to fall status among 1,046 community-dwelling older adults, SABE Study.
Table 2. Characteristics of participants according to fall status among 1,046 community-dwelling older adults, SABE Study.
Table 3. Multinomial regression model for a single and recurrent falls according to dynapenia and abdominal obesity status among community-dwelling older adults, SABE study (n=1,046).
Table 4. Multinomial regression models for a single and recurrent falls according to dynapenia and abdominal obesity status among community-dwelling older adults, SABE study (n=1,046) – sensitivity analysis.
Show moreShow less
Abstract
Objective

To investigate whether abdominal obesity, dynapenia and dynapenic-abdominal obesity are associated to the prevalence of single or recurrent falls in older adults.

Methods

We analyzed data from 1,046 community-dwelling participants of the SABE Study (Saúde, Bem-estar e Envelhecimento/Health, Well-Being and Ageing). Participants were classified as non-dynapenic/non-abdominal obese, abdominal obese only, dynapenic only, and dynapenic-abdominal obese based on waist circumference (>102cm for men and >88cm for women) and handgrip strength (<26kg for men and <16kg for women). Multinomial logistic regression models were ran to determine associations between dynapenia/obesity/dynapenic-abdominal obesity and single/recurring falls, taking non-fallers as reference.

Results

Abdominal obesity (RRR=1.90 95% CI: 1.02–3.55), dynapenia (RRR=1.80 95% CI: 1.02–3.19), and dynapenic-abdominal obesity (RRR=2.06 95% CI: 1.04–4.10) were associated with a single fall. A stronger association for dynapenic-abdominal obesity compared to the other two conditions alone was found. Dynapenia was the unique condition associated with recurrent falls (RRR=2.33, 95% CI: 1.13–4.81).

Conclusion

The present findings have important implications for the identification of older adults with a greater chance of falls and can help in the development of rehabilitation strategies. Therefore, abdominal obese, dynapenic, and dynapenic abdominal obese individuals should be target groups for the management of falls and their consequences.

Keywords:
Ageing
Dynapenic-abdominal obesity
Falls
Handgrip strength
Waist circumference

Article

These are the options to access the full texts of the publication Brazilian Journal of Physical Therapy
Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Brazilian Journal of Physical Therapy

Subscribe to our newsletter

Article options
Tools
en pt
Cookies policy Política de cookies
To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here. Utilizamos cookies próprios e de terceiros para melhorar nossos serviços e mostrar publicidade relacionada às suas preferências, analisando seus hábitos de navegação. Se continuar a navegar, consideramos que aceita o seu uso. Você pode alterar a configuração ou obter mais informações aqui.