Waist circumference as a predictor of disability among older adults
Waist circumference as a predictor of disability among older adults
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DOI：
10.1038/oby.2007.532
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发表时间：
2007-01-01
期刊：
影响因子：
6.9
通讯作者：
Rodriguez-Artalejo, Fernando
中科院分区：
文献类型：
--
作者：
Guallar-Castillon, Pilar;Sagardui-Villamor, Jon;Rodriguez-Artalejo, Fernando
目的：很少有研究涉及腹部肥胖（通过腰围（WC）测量）与老年人残疾之间的关系。此外，这些研究是跨部门的，得出的结果不一致。本研究的目的是纵向研究WC和自我报告的残疾之间的关联老年adults.Research方法和程序：一个前瞻性队列研究进行了从2004年至2003年在3235人（1411名男性和1824名女性）的非制度化的西班牙人口年龄在60岁及以上。基线信息收集家庭为基础的个人访谈和测量WC，体重和身高。两年后，通过电话访谈获得了有关残疾的信息。利益的关联进行了总结与优势比获得logistic regulation.Results：在没有残疾的人报告在基线，WC预测残疾2年后。在调整年龄，教育，吸烟，饮酒和体力活动后，WC最高五分之一的男性比最低五分之一的男性有2.17倍（95%置信区间，1.15至4.09）的运动障碍风险和4.77倍（95%置信区间，2.50至9.13）的敏捷性残疾风险。对BMI、慢性疾病和认知功能的额外调整仅导致这种关联轻微降低。女性的结果相似。WC和限制的日常活动，限制在日常生活中的工具性活动，限制在洗澡或穿衣，在男性或women.Discussion：WC预测在老年的流动性和敏捷性残疾之间没有统计学显着的关联。避免WC的最高值可能会降低老年人残疾的风险。
Objective: Few studies have addressed the association between abdominal obesity, as measured by waist circumference (WC), and disability in the elderly. Moreover, those studies were cross-sectional and yielded inconsistent results. The objective of this study was to examine longitudinally the association between WC and self-reported disability among older adults.Research Methods and Procedures: A prospective cohort study was conducted from 2004 to 2003 in 3235 persons (1411 men and 1824 women) representative of the non-institutionalized Spanish population ages 60 years and older. Baseline information was collected by home-based personal interviews and measurement of WC, weight, and height. Two years later, information on disability was obtained by telephone interview. The association of interest was summarized with odds ratios obtained by logistic regression.Results: Among persons reporting no disability at baseline, WC predicted disability 2 years later. After adjustment for age, education, tobacco use, alcohol consumption, and physical activity, men in the highest WC quintile had 2.17 (95% confidence interval, 1.15 to 4.09) times more risk of mobility disability and 4.77 (95% confidence interval, 2.50 to 9.13) times more risk of agility disability than those in the lowest quintile. Additional adjustment for BMI, chronic diseases, and cognitive function led to only a slight reduction in this association. Results were similar for women. No statistically significant association was observed between WC and restriction of daily activities, limitation in instrumental activities of daily living, and limitation in bathing or dressing, in either men or women.Discussion: WC predicts mobility and agility disability in old age. Avoidance of the highest values of WC might decrease the risk of disability in older adults.