Abdominal obesity, dynapenia and dynapenic-abdominal obesity as factors associated with falls

Author(s)

Maximo, Roberta de Oliveira ^[1] ; Ferreira Santos, Jair Licio ^[2] ; Perracini, Monica Rodrigues ^{[3, 4]} ; de Oliveira, Cesar ^[5] ; de Oliveira Duarte, Yeda Aparecida ^[6] ; Alexandre, Tiago da Silva ^{[5, 7]}

Affiliation

^[1] Univ Fed Sao Carlos UFSCar, Dept Phys Therapy, Sao Carlos, SP - Brazil

^[2] Univ Sao Paulo, Dept Social Med, Ribeirao Preto, SP - Brazil

^[3] Univ Cidade Sao Paulo UNICID, Masters & Doctoral Programs Phys Therapy, Sao Paulo, SP - Brazil

^[4] Univ Estadual Campinas, Masters & Doctoral Programs Gerontol, Fac Med Sci, UNICAMP, Campinas, SP - Brazil

^[5] UCL, Dept Epidemiol & Publ Hlth, London - England

^[6] Univ Sao Paulo, Dept Med Surg Nursing, Sao Paulo, SP - Brazil

^[7] Univ Fed Sao Carlos, Dept Gerontol, Sao Carlos, SP - Brazil

• Document type: Journal article
• Source: BRAZILIAN JOURNAL OF PHYSICAL THERAPY; v. 23, n. 6, p. 497-505, NOV-DEC 2019.
• Web of Science Citations: 1

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 (Saude, 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 (>102 cm for men and >88 cm for women) and handgrip strength (<26 kg for men and <16 kg 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. Crown Copyright (C) 2018 Published by Elsevier Editora Ltda. on behalf of Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. All rights reserved. (AU)

• 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: 15/18291-7 - Obesity, dynapenia and dynapenic obesity as factors associated with falls in community dwelling elderly in São Paulo - SABE Study
• Grantee: Roberta de Oliveira Máximo
• Support Opportunities: Scholarships in Brazil - Master