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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Dynapenic Abdominal Obesity Increases Mortality Risk Among English and Brazilian Older Adults: A 10-Year Follow-Up of the ELSA and SABE Studies

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Author(s):
Alexandre, T. da Silva [1, 2] ; Scholes, S. [1] ; Ferreira Santos, J. L. [3] ; De Oliveira Duarte, Y. A. [4] ; De Oliveira, C. [1]
Total Authors: 5
Affiliation:
[1] UCL, Dept Epidemiol & Publ Hlth, London - England
[2] Univ Fed Sao Carlos, Dept Gerontol, Sao Carlos, SP - Brazil
[3] Univ Sao Paulo, Dept Social Med, Ribeirao Preto - Brazil
[4] Univ Sao Paulo, Dept Med Surg Nursing, Sao Paulo - Brazil
Total Affiliations: 4
Document type: Journal article
Source: Journal of Nutrition Health & Aging; v. 22, n. 1, p. 138-144, JAN 2018.
Web of Science Citations: 4
Abstract

There is little epidemiological evidence demonstrating that dynapenic abdominal obesity has higher mortality risk than dynapenia and abdominal obesity alone. Our main aim was to investigate whether dynapenia combined with abdominal obesity increases mortality risk among English and Brazilian older adults over ten-year follow-up. Cohort study. United Kingdom and Brazil. Data came from 4,683 individuals from the English Longitudinal Study of Ageing (ELSA) and 1,490 from the Brazilian Health, Well-being and Aging study (SABE), hence the final sample of this study was 6,173 older adults. The study population was categorized into the following groups: nondynapenic/ non-abdominal obese, abdominal obese, dynapenic, and dynapenic abdominal obese according to their handgrip strength (< 26 kg for men and < 16 kg for women) and waist circumference (> 102 cm for men and > 88 cm for women). The outcome was all-cause mortality over a ten-year follow-up. Adjusted hazard ratios by sociodemographic, behavioural and clinical characteristics were estimated using Cox proportional hazards models. Results: The fully adjusted model showed that dynapenic abdominal obesity has a higher mortality risk among the groups. The hazard ratios (HR) were 1.37 for dynapenic abdominal obesity (95% CI = 1.12-1.68), 1.15 for abdominal obesity (95% CI = 0.98-1.35), and 1.23 for dynapenia (95% CI = 1.04-1.45). Dynapenia is an important risk factor for mortality but dynapenic abdominal obesity has the highest mortality risk among English and Brazilian older adults. (AU)

FAPESP's process: 15/20294-4 - The addictive effect of dynapenia and obesity (dynapenic obesity) on the incidence of disability and mortality among older adults: a comparison between Brazil and England
Grantee:Tiago da Silva Alexandre
Support Opportunities: Scholarships abroad - Research
FAPESP's process: 09/53778-3 - SABE Study 2010: Health, well-being and aging
Grantee:Maria Lúcia Lebrão
Support Opportunities: Research Projects - Thematic Grants
FAPESP's process: 05/54947-2 - SABE study - 2005: well-being and ageing: longitudinal study of living conditions and health of elderly in the municipality of São Paulo
Grantee:Ruy Laurenti
Support Opportunities: Research Projects - Thematic Grants