Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity
Background. Obesity and muscle weakness are independently associated with increased risk of physical and functional impairment in older adults. It is unknown whether physical activity (PA) and muscle strength combined provide added protection against functional impairment. This study examines the as...
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| Format: | Article |
| Language: | English |
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Wiley
2016-01-01
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| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.1155/2016/8387324 |
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| author | Cassandra M. Germain John A. Batsis Elizabeth Vasquez Douglas R. McQuoid |
| author_facet | Cassandra M. Germain John A. Batsis Elizabeth Vasquez Douglas R. McQuoid |
| author_sort | Cassandra M. Germain |
| collection | DOAJ |
| description | Background. Obesity and muscle weakness are independently associated with increased risk of physical and functional impairment in older adults. It is unknown whether physical activity (PA) and muscle strength combined provide added protection against functional impairment. This study examines the association between muscle strength, PA, and functional outcomes in older adults with central obesity. Methods. Prevalence and odds of physical (PL), ADL, and IADL limitation were calculated for 6,388 community dwelling adults aged ≥ 60 with central obesity. Individuals were stratified by sex-specific hand grip tertiles and PA. Logistic models were adjusted for age, education, comorbidities, and body-mass index and weighted. Results. Overall prevalence of PL and ADL and IADL limitations were progressively lower by grip category. Within grip categories, prevalence was lower for individuals who were active than those who were inactive. Adjusted models showed significantly lower odds of PL OR 0.42 [0.31, 0.56]; ADL OR 0.60 [0.43, 0.84], and IADL OR 0.46 [0.35, 0.61] for those in the highest grip strength category as compared to those in the lowest grip category. Conclusion. Improving grip strength in obese elders who are not able to engage in traditional exercise is important for reducing odds of physical and functional impairment. |
| format | Article |
| id | doaj-art-be0b3c23b5174a5d8cb0521620a996b3 |
| institution | Kabale University |
| issn | 2090-2204 2090-2212 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-be0b3c23b5174a5d8cb0521620a996b32025-02-03T06:14:16ZengWileyJournal of Aging Research2090-22042090-22122016-01-01201610.1155/2016/83873248387324Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central ObesityCassandra M. Germain0John A. Batsis1Elizabeth Vasquez2Douglas R. McQuoid3Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, P.O. Box 3119, Durham, NC 27710, USADepartment of Medicine, Geisel School of Medicine at Dartmouth, Dartmouth-Hitchcock Medical Center, 1 Medical Center Drive, Lebanon, NH 03756, USADepartment of Epidemiology and Biostatistics, School of Public Health, University at Albany (SUNY), One University Place, Albany, NY 12203, USADepartment of Psychiatry and Behavioral Sciences, Duke University Medical Center, P.O. Box 3119, Durham, NC 27710, USABackground. Obesity and muscle weakness are independently associated with increased risk of physical and functional impairment in older adults. It is unknown whether physical activity (PA) and muscle strength combined provide added protection against functional impairment. This study examines the association between muscle strength, PA, and functional outcomes in older adults with central obesity. Methods. Prevalence and odds of physical (PL), ADL, and IADL limitation were calculated for 6,388 community dwelling adults aged ≥ 60 with central obesity. Individuals were stratified by sex-specific hand grip tertiles and PA. Logistic models were adjusted for age, education, comorbidities, and body-mass index and weighted. Results. Overall prevalence of PL and ADL and IADL limitations were progressively lower by grip category. Within grip categories, prevalence was lower for individuals who were active than those who were inactive. Adjusted models showed significantly lower odds of PL OR 0.42 [0.31, 0.56]; ADL OR 0.60 [0.43, 0.84], and IADL OR 0.46 [0.35, 0.61] for those in the highest grip strength category as compared to those in the lowest grip category. Conclusion. Improving grip strength in obese elders who are not able to engage in traditional exercise is important for reducing odds of physical and functional impairment.http://dx.doi.org/10.1155/2016/8387324 |
| spellingShingle | Cassandra M. Germain John A. Batsis Elizabeth Vasquez Douglas R. McQuoid Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity Journal of Aging Research |
| title | Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity |
| title_full | Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity |
| title_fullStr | Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity |
| title_full_unstemmed | Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity |
| title_short | Muscle Strength, Physical Activity, and Functional Limitations in Older Adults with Central Obesity |
| title_sort | muscle strength physical activity and functional limitations in older adults with central obesity |
| url | http://dx.doi.org/10.1155/2016/8387324 |
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