Sex differences in the association between dynapenic abdominal obesity and onset of disability in activities of daily living among adults aged ≥50 years: a prospective analysis of the Irish longitudinal study on ageing
Fecha
2023Autor
Versión
Acceso abierto / Sarbide irekia
Tipo
Artículo / Artikulua
Versión
Versión publicada / Argitaratu den bertsioa
Impacto
|
10.1016/j.maturitas.2023.04.006
Resumen
Background: Sex differences in the longitudinal relationship between dynapenic abdominal obesity, i.e.,
impairment in muscle strength and high waist circumference, and disability in activities of daily living have not
been investigated to date. Therefore, we aimed to examine sex differences in the longitudinal association between dynapenic abdominal obesity at baseline and the onset of disabili ...
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Background: Sex differences in the longitudinal relationship between dynapenic abdominal obesity, i.e.,
impairment in muscle strength and high waist circumference, and disability in activities of daily living have not
been investigated to date. Therefore, we aimed to examine sex differences in the longitudinal association between dynapenic abdominal obesity at baseline and the onset of disability in activities of daily living during a
four-year follow-up period among Irish adults aged ≥50 years.
Methods: Data from Wave 1 (2009–2011) and Wave 3 (2014–2015) of the Irish Longitudinal Study on Ageing
survey were analyzed. Dynapenia was defined as handgrip strength of <26 kg for men and <16 kg for women.
Abdominal obesity was defined as waist circumference of >88 cm for women and >102 cm for men. Dynapenic
abdominal obesity was defined as having both dynapenia and abdominal obesity. Disability was defined as
having difficulty with at least one of six activities of daily living (dressing, walking, bathing, eating, getting in or
out of bed, using the toilet). Multivariable logistic regression was conducted to assess associations.
Results: Data on 4471 individuals aged ≥50 years and free of disability at baseline were analyzed [mean (SD) age
62.3 (8.6) years; 48.3 % males]. In the overall sample, compared to no dynapenia and no abdominal obesity,
dynapenic abdominal obesity was associated with 2.15 (95%CI = 1.17–3.93) times higher odds for incident
disability at 4-year follow-up. This association was significant among men (OR = 3.78; 95%CI = 1.70–8.38) but
not among women (OR = 1.34; 95%CI = 0.60–2.98).
Conclusions: Interventions to prevent or address dynapenic abdominal obesity may aid in the prevention of
disability, especially among men. [--]
Materias
Abdominal obesity,
Disability,
Dynapenia,
Dynapenic abdominal obesity,
Epidemiology,
Ireland,
Middle-aged to older adults
Editor
Elsevier
Publicado en
Maturitas, 176 (2023) 107763
Departamento
Universidad Pública de Navarra. Departamento de Ciencias de la Salud /
Nafarroako Unibertsitate Publikoa. Osasun Zientziak Saila
Versión del editor
Entidades Financiadoras
Dr. Guillermo F. López Sánchez is funded by the European Union – Next Generation EU. Dr. José Francisco López-Gil is a Margarita Salas Fellow (Universidad Pública de Navarra – 1225/2022)