Diabetes, arthritis, urinary incontinence, poor self‐rated health, higher body mass index and lower handgrip strength are associated with falls among community‐dwelling middle‐aged and older adults: Pooled analyses from two cross‐sectional Malaysian datasets

2019 ◽  
Vol 19 (8) ◽  
pp. 798-803 ◽  
Author(s):  
Devinder Kaur Ajit Singh ◽  
Suzana Shahar ◽  
Divya Vanoh ◽  
Shahrul Bahyah Kamaruzzaman ◽  
Maw Pin Tan
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Urinary Incontinence ◽  
Body Mass ◽  
Handgrip Strength ◽  
Community Dwelling ◽  
Middle Aged ◽  
Cross Sectional ◽  
Self Rated Health

scholarly journals A U-Shaped Relationship between the Prevalence of Frailty and Body Mass Index in Community-Dwelling Japanese Older Adults: The Kyoto–Kameoka Study

2020 ◽  
Vol 9 (5) ◽  
pp. 1367 ◽  
Author(s):  
Daiki Watanabe ◽  
Tsukasa Yoshida ◽  
Yuya Watanabe ◽  
Yosuke Yamada ◽  
Misaka Kimura
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Assessment Tools ◽  
Cross Sectional ◽  
Frailty Assessment ◽  
Japanese Older Adults ◽  
The Relationship

The relationship between body mass index (BMI) and frailty remains unclear. Using two validated frailty assessment tools, this study aimed to investigate the relationship between the prevalence of frailty and BMI in Japanese older adults. This cross-sectional study used baseline data of 7191 individuals aged ≥65 years, living in Kameoka City, Kyoto, Japan. The BMI was calculated based on self-reported height and body weight, and classified into six categories. Frailty was defined using two validated assessment tools, the Fried phenotype (FP) model and Kihon Checklist (KCL). We evaluated the relationship between frailty and BMI using a multivariate restricted cubic spline logistic regression. The prevalence of frailty defined using the FP model was 25.3%, 19.6%, 14.3%, 12.4%, 12.6%, and 19.4% for each BMI category of <18.5, 18.5–19.9, 20.0–22.4, 22.5–24.9, 25.0–27.4, and ≥27.5 kg/m2, respectively. The spline model showed a significant U-shaped relationship between BMI and the prevalence of frailty defined using both, KCL and FP models. This study found that the BMI range corresponding to lowest prevalence of frailty defined using both tools was 21.4–25.7 kg/m2. Thus, a healthy BMI may reduce the prevalence of frailty, and the risk of frailty needs to be evaluated in individuals who are underweight or overweight.

scholarly journals Increased Gut Microbiota-Dependent Trimethylamine-N-Oxide and Body Mass Index Associated With Metabolic Syndrome Risk in a Community-Dwelling Elders

2021 ◽  
Vol 5 (Supplement_2) ◽  
pp. 171-171
Author(s):  
Esti Nurwanti ◽  
Chyi-Huey Bai
Keyword(s):  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Logistic Regression ◽  
Body Mass ◽  
Community Dwelling ◽  
Enzyme Linked Immunosorbent Assay ◽  
Elderly Adults ◽  
Middle Aged ◽  
Community Based ◽  
Cross Sectional

Abstract Objectives In this cross-sectional community-based study, we explored the relationship between TMAO and BMI with metabolic syndrome among middle-aged and elderly adults in Taiwan. Methods Population in this study were from a cross-sectional, community-based study in northern Taipei City, Taiwan. Eighty-six adults subject aged over 40 years (men and women) were enrolled. All subjects live near the Shin Kong Hospital. Body mass index (BMI) calculated based on body height and weight data. TMAO measured by enzyme-linked immunosorbent assay (ELISA) according to the manufactory's instruction. Metabolic syndrome was defined based on the 2005 revised National Cholesterol Education Program Adult Treatment Panel III (NCEP ATP III). The logistic regression, odds ratios (OR) and 95% confidence intervals (CIs) were calculated. Results This study reported that the metabolic syndrome group had higher TMAO levels (17.62 ng/mL) compare to participants without metabolic syndrome. In a multiple logistic regression, after adjusted with age, gender, weekly red meat consumption, log Hs-CRP, log choline, l-carnitine, and total body fat percentage, TMAO (adjusted OR = 5.89, 95% CI: 1.08–32.37) and BMI (adjusted OR = 1.39, 95% CI: 1.08–1.79) were more likely to increase metabolic syndrome risk. Conclusions TMAO and BMI have roles in increasing metabolic syndrome risk. TMAO associated with higher OR of metabolic syndrome than BMI. Therefore, these findings showed that TMAO is a potential biomarker to predict metabolic syndrome risk in middle-aged and elderly adults in Taiwan. Funding Sources Indonesia Endowment Fund for Education (LPDP-BUDI LN), the Ministry of Finance, and the Ministry of Research Technology Higher Education, Republic of Indonesia.

scholarly journals Correlation of Body Mass Index with Handgrip Strength and Endurance of Dominant Hand in Medical Students

2020 ◽  
Vol 42 (3) ◽  
pp. 57-61
Author(s):  
Lava Shrestha ◽  
Sanyukta Gurung ◽  
Neeti Bhat ◽  
Narayan B Mahotra ◽  
Mahesh M Bajimaya ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Medical Students ◽  
Body Mass ◽  
Undergraduate Students ◽  
Handgrip Strength ◽  
Extended Period ◽  
Dominant Hand ◽  
Cross Sectional ◽  
Positive Correlation ◽  
Hand Dynamometer

Introduction Hand grip strength is used in evaluation of muscle strength and is also increasingly being used as an indicator for nutritional status. The maximum force applied voluntarily by the subject is called maximum handgrip strength, which is measured in kilograms. Muscular endurance is the ability of a muscle or muscle group to perform against a load for an extended period of time, measured in seconds. This study aims to correlate body mass index with handgrip strength and handgrip endurance in medical students. MethodsThis is a cross sectional, observational study which included 74 undergraduate students of Maharajgunj Medical Campus by convenient sampling method. Body mass index was calculated by Quetelet’s formula. Camry digital hand dynamometer was used to measure handgrip strength in the dominant hand in kilograms. Participants were instructed to hold dynamometer with maintained pressure of 30% of maximum handgrip strength for as long as possible to determine the handgrip endurance. Statistical analyses were performed with SPSS Statistics software. ResultsThe handgrip strength was more in males than females with a mean of 43.09±3.72 kg, while handgrip endurance was more in females with a mean of 123.60±50.65 sec. Positive correlation was seen between body mass index and handgrip strength (r=0.23 and p=0.045). Body mass index and handgrip endurance also showed positive correlation (r=0.34 and p=0.003). ConclusionSignificant correlation of body mass index with handgrip strength and handgrip endurance was seen in medical students.

scholarly journals Religiosity and self-rated health among older adults in Colombia

2019 ◽  
pp. 67-76
Author(s):  
Carlos A Reyes Ortiz ◽  
Claudia Payan ◽  
Geraldine Altamar ◽  
Jose F Gomez Montes ◽  
Harold G Koenig
Keyword(s):  
Older Adults ◽  
Rural Areas ◽  
Community Dwelling ◽  
Cross Sectional Survey ◽  
Significant Interaction Effect ◽  
Cross Sectional ◽  
Self Rated Health ◽  
Urban And Rural Areas ◽  
Fair Poor ◽  
The Relationship

Objective: To identify the relationship between religiosity and self-rated health among older adults in Colombia. Methods: Data are drawn from the SABE (Salud, Bienestar y Envejecimiento) Colombia Study, a cross-sectional survey conducted in 2015 involving 18,871 community-dwelling adults aged 60 years and older living in urban and rural areas of Colombia. Religiosity was assessed by self-rated religiosity (how religious are you: not at all, somewhat or very). Self-rated health during previous 30 days was assessed as very good, good, fair, poor or very poor, analyzed as an ordinal variable(1-5) using weighted logistic regression, adjusting for confounders. Results: Those who were more religious were older, female, had lower socioeconomic status, and were more likely to be married. Multivariate analyses demonstrated that older adults who were more religious had better self-rated health (OR 0.92 95% CI 0.86- 0.99, p= 0.038); however, there was a significant interaction effect between gender and religiosity on self-rated health (p= 0.002), such that the relationship between religiosity and health was stronger in men (OR 0.86, 95% CI: 0.79-0.94, p= 0.001) but not significant in women. Conclusion: Older adults in Colombia who consider themselves more religious, especially men, are less likely to perceive their physical health as poor compared to those who are less religious.

scholarly journals Neurocognitive markers of passive suicidal ideation in late-life depression

2020 ◽  
pp. 1-11
Author(s):  
Joshua T. Jordan ◽  
Christina F. Chick ◽  
Camarin E. Rolle ◽  
Nathan Hantke ◽  
Christine E. Gould ◽  
...  
Keyword(s):  
Older Adults ◽  
Suicidal Ideation ◽  
Cognitive Flexibility ◽  
Early Stage ◽  
Cross Sectional Study ◽  
Community Dwelling ◽  
Late Life Depression ◽  
Middle Aged ◽  
Cross Sectional ◽  
Inhibitory Ability

ABSTRACT Objectives: (1) To delineate whether cognitive flexibility and inhibitory ability are neurocognitive markers of passive suicidal ideation (PSI), an early stage of suicide risk in depression and (2) to determine whether PSI is associated with volumetric differences in regions of the prefrontal cortex (PFC) in middle-aged and older adults with depression. Design: Cross-sectional study. Setting: University medical school. Participants: Forty community-dwelling middle-aged and older adults with depression from a larger study of depression and anxiety (NIMH R01 MH091342-05 PI: O’Hara). Measurements: Psychiatric measures were assessed for the presence of a DSM-5 depressive disorder and PSI. A neurocognitive battery assessed cognitive flexibility, inhibitory ability, as well as other neurocognitive domains. Results: The PSI group (n = 18) performed significantly worse on cognitive flexibility and inhibitory ability, but not on other neurocognitive tasks, compared to the group without PSI (n = 22). The group with PSI had larger left mid-frontal gyri (MFG) than the no-PSI group. There was no association between cognitive flexibility/inhibitory ability and left MFG volume. Conclusions: Findings implicate a neurocognitive signature of PSI: poorer cognitive flexibility and poor inhibitory ability not better accounted for by other domains of cognitive dysfunction and not associated with volumetric differences in the left MFG. This suggests that there are two specific but independent risk factors of PSI in middle- and older-aged adults.

scholarly journals Sex Differences in the Influence of Sleep on Body Mass Index and Risk of Metabolic Syndrome in Middle-Aged Adults

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 561
Author(s):  
Hyun-E Yeom ◽  
Jungmin Lee
Keyword(s):  
Metabolic Syndrome ◽  
Body Mass Index ◽  
Body Mass ◽  
Cross Sectional Study ◽  
Poor Sleep ◽  
Middle Aged ◽  
Cross Sectional ◽  
Aged People ◽  
Middle Aged Adults ◽  
The Impact

Poor sleep and obesity are intimately related to cardiovascular diseases. We aimed to examine whether the influence of sleep and body mass index (BMI) on the risk of metabolic syndrome (MetS) differed by sex in middle-aged people. It is a cross-sectional study of 458 Korean participants who completed self-administered surveys; the data were analyzed using the PROCESS macro for SPSS. We found that both sleep and BMI were significant predictors of MetS risk in women, particularly by the role of BMI connecting the impact of sleep to MetS risk. However, the association was not found in men, showing that BMI, but not sleep, was a significant predictor of MetS. This sex-related difference was due to different relationships between sleep and BMI, indicating that BMI was more dependent on sleep quality for women than for men. Therefore, a sex-specific approach to decrease the risk of MetS is warranted.

scholarly journals Socioeconomic differences in hearing among middle-aged and older adults: cross-sectional analyses using the Health Survey for England

BMJ Open ◽  
2018 ◽  
Vol 8 (2) ◽  
pp. e019615 ◽  
Author(s):  
Shaun Scholes ◽  
Jane Biddulph ◽  
Adrian Davis ◽  
Jennifer S. Mindell
Keyword(s):  
Older Adults ◽  
Hearing Loss ◽  
Health Survey ◽  
Hearing Aids ◽  
Hearing Aid ◽  
Community Dwelling ◽  
Middle Aged ◽  
Cross Sectional ◽  
Hearing Aid Use ◽  
Health Survey For England

BackgroundHearing loss impacts on cognitive, social and physical functioning. Both hearing loss and hearing aid use vary across population subgroups. We examined whether hearing loss, and reported current hearing aid use among persons with hearing loss, were associated with different markers of socioeconomic status (SES) in a nationally representative sample of community-dwelling middle-aged and older adults.MethodsHearing was measured using an audiometric screening device in the Health Survey for England 2014 (3292 participants aged 45 years and over). Hearing loss was defined as >35 dB HL at 3.0 kHz in the better-hearing ear. Using sex-specific logistic regression modelling, we evaluated the associations between SES and hearing after adjustment for potential confounders.Results26% of men and 20% of women aged 45 years and over had hearing loss. Hearing loss was higher among men in the lowest SES groups. For example, the multivariable-adjusted odds of hearing loss were almost two times as high for those in the lowest versus the highest income tertile (OR 1.77, 95% CI 1.15 to 2.74). Among those with hearing loss, 30% of men and 27% of women were currently using a hearing aid. Compared with men in the highest income tertile, the multivariable-adjusted odds of using a hearing aid nowadays were lower for men in the middle (OR 0.50, 95% CI 0.25 to 0.99) and the lowest (OR 0.47, 95% CI 0.23 to 0.97) income tertiles. Associations between SES and hearing were weaker or null among women.ConclusionsWhile the burden of hearing loss fell highest among men in the lowest SES groups, current hearing aid use was demonstrably lower. Initiatives to detect hearing loss early and increase the uptake and the use of hearing aids may provide substantial public health benefits and reduce socioeconomic inequalities in health.

scholarly journals The relationship between increased body mass index and frailty on falls in community dwelling older adults

2013 ◽  
Vol 13 (1) ◽  
Author(s):  
Katie J Sheehan ◽  
Matthew DL O’Connell ◽  
Clodagh Cunningham ◽  
Lisa Crosby ◽  
Rose Anne Kenny
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Body Mass ◽  
Community Dwelling ◽  
Community Dwelling Older Adults ◽  
The Relationship

scholarly journals BODY MASS INDEX TRAJECTORY BEFORE DEATH IN COMMUNITY-DWELLING OLDER ADULTS. POPULATION-BASED COHORT STUDY

2021 ◽  
Author(s):  
Hari Venkatesh Pai ◽  
Martin C Gulliford
Keyword(s):  
Older Adults ◽  
Body Mass Index ◽  
Cohort Study ◽  
Body Mass ◽  
High Body Mass Index ◽  
Population Based ◽  
Community Dwelling ◽  
Housing Tenure ◽  
Age Related ◽  
Community Dwelling Older Adults

Background and objective: Both low and high body mass index (BMI) have been associated with greater mortality in older adults. This study evaluated the trajectory of BMI in the final years of life. Design: Population-based cohort study. Setting: Community-dwelling adults in the English Longitudinal Study of Ageing between 1998 and 2012. Measurements: Body mass index, years before death and all-cause mortality. Analyses were adjusted for age, gender, educational level, housing tenure and social class. Results: Data were analysed for 16,924 participants with 31,857 BMI records; mean age at study start, 61.6 (SD 10.9) years; mean BMI, 27.5 (4.7) Kg/m2. There were 3,686 participants (4,794 BMI records) who died and 13,238 participants (27,063 BMI records) who were alive at last follow-up. Mean BMI increased with age to 60-69 years but then declined, but the age-related decline was more rapid in decedents. At ages 80-89 years, mean BMI in decedents was 26.1 (4.7) compared with 27.1 (4.4) Kg/m2 in survivors. After adjusting for age and covariates, mean BMI declined in the five years before death. From 9 to 5 years before death or end of study, adjusted mean BMI was 0.51 (95% confidence interval 0.24 to 0.78) Kg/m2 lower for decedents than survivors; and from four to zero years before death, 1.55 (1.26 to 1.84) Kg/m2 lower in decedents. Conclusions: In community-dwelling older adults, mean body mass index enters an accelerating decline during five years before death. Reverse causation may account for the association of lower BMI with mortality.

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