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

Maximo, RDO; Ferreira Santos, JL; Perracini, MR; de Oliveira, C; de Oliveira Duarte, YA; Alexandre, TDS; (2019) Abdominal obesity, dynapenia and dynapenic-abdominal obesity as factors associated with falls. Brazilian Journal of Physical Therapy , 23 (6) pp. 497-505. 10.1016/j.bjpt.2018.10.009. Green open access

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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 (>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.

Type: Article
Title: Abdominal obesity, dynapenia and dynapenic-abdominal obesity as factors associated with falls
Open access status: An open access version is available from UCL Discovery
DOI: 10.1016/j.bjpt.2018.10.009
Publisher version: https://doi.org/10.1016/j.bjpt.2018.10.009
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
Keywords: Ageing, Dynapenic-abdominal obesity, Falls, Handgrip strength, Waist circumference
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health
URI: https://discovery.ucl.ac.uk/id/eprint/10095445
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