Does Lower Lean Body Mass Mediate the Relationship Between Falls and Higher Body Mass Index in Asian Older Persons?

被引：4

作者：

Kioh, Sheng H. ^{[1
,2
]}

Mat, Sumaiyah ^{[1
]}

Kamaruzzaman, Shahrul B. ^{[1
,5
]}

Ibrahim, Fatimah ^{[1
,3
,4
]}

Mohktar, Mas S. ^{[1
,4
,6
]}

Hairi, Noran N. ^{[6
]}

Cumming, Robert G. ^{[7
]}

Myint, Phyo K. ^{[2
]}

Tan, Maw P. ^{[1
,3
,5
,6
,8
]}

机构：

[1] Univ Malaya, Ageing & Age Associated Disorders Res Grp, Kuala Lumpur, Malaysia

[2] Univ Aberdeen, Ageing Clin & Expt Res Unit, Aberdeen, Scotland

[3] Univ Malaya, Fac Engn, Ctr Innovat Med Engn CIME, Kuala Lumpur, Malaysia

[4] Univ Malaya, Fac Engn, Dept Biomed Engn, Kuala Lumpur, Malaysia

[5] Univ Malaya, Fac Med, Dept Med, Kuala Lumpur, Malaysia

[6] Univ Malaya, Fac Med, Dept Social & Prevent Med, Ctr Clin Epidemiol & Evidence Based Med, Kuala Lumpur, Malaysia

[7] Univ Sydney, Sch Publ Hlth, Sydney, NSW, Australia

[8] Sunway Univ, Fac Hlth Sci, Petaling Jaya, Malaysia

来源：

JOURNAL OF AGING AND PHYSICAL ACTIVITY | 2020年 / 28卷 / 03期

关键词：

accidental falls; aged; muscle mass; obesity; sarcopenia; RISK-FACTORS; WEIGHT CHANGE; MUSCLE MASS; OBESITY; PEOPLE; SARCOPENIA; ADULTS; MEN; EPIDEMIOLOGY; STRENGTH;

D O I：

10.1123/japa.2019-0011

中图分类号：

R592 [老年病学]; C [社会科学总论];

学科分类号：

03 ; 0303 ; 100203 ;

摘要：

The current evidence on the relationship between a higher body mass index (BMI) and falls in older adults is conflicting. This study, therefore, evaluated the relationship between BMI and falls and explored underlying mechanisms for this relationship. Data from 1,340 individuals from the Malaysian Elders Longitudinal Research study, obtained through home-based computer-assisted interviews and followed by hospital-based health checks, were utilized. A history of the presence of falls in the previous 12 months was obtained. The presence of at least one fall in the past 12 months was associated with a higher BMI (odds ratio = 1.03, 95% confidence interval [1.01, 1.06]). The relationship between a higher BMI and falls was, however, attenuated by a lower percentage of lean body mass, which accounted for 69% of the total effect of BMI on the risk of falls. Future studies should now investigate this aforementioned relationship prospectively.

引用

页码：426 / 433

页数：8

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