The journal of nutrition, health & aging

, Volume 22, Issue 1, pp 138–144 | Cite as

Dynapenic Abdominal Obesity Increases Mortality Risk Among English and Brazilian Older Adults: A 10-Year Follow-Up of the ELSA and SABE Studies

  • Tiago da Silva AlexandreEmail author
  • S. Scholes
  • J. L. Ferreira Santos
  • Y. A. de Oliveira Duarte
  • C. de Oliveira



There is little epidemiological evidence demonstrating that dynapenic abdominal obesity has higher mortality risk than dynapenia and abdominal obesity alone. Our main aim was to investigate whether dynapenia combined with abdominal obesity increases mortality risk among English and Brazilian older adults over ten-year follow-up.


Cohort study.


United Kingdom and Brazil.


Data came from 4,683 individuals from the English Longitudinal Study of Ageing (ELSA) and 1,490 from the Brazilian Health, Well-being and Aging study (SABE), hence the final sample of this study was 6,173 older adults.


The study population was categorized into the following groups: nondynapenic/ non-abdominal obese, abdominal obese, dynapenic, and dynapenic abdominal obese according to their handgrip strength (< 26 kg for men and < 16 kg for women) and waist circumference (> 102 cm for men and > 88 cm for women). The outcome was all-cause mortality over a ten-year follow-up. Adjusted hazard ratios by sociodemographic, behavioural and clinical characteristics were estimated using Cox proportional hazards models. Results: The fully adjusted model showed that dynapenic abdominal obesity has a higher mortality risk among the groups. The hazard ratios (HR) were 1.37 for dynapenic abdominal obesity (95% CI = 1.12–1.68), 1.15 for abdominal obesity (95% CI = 0.98–1.35), and 1.23 for dynapenia (95% CI = 1.04–1.45).


Dynapenia is an important risk factor for mortality but dynapenic abdominal obesity has the highest mortality risk among English and Brazilian older adults.

Key words

Dynapenia handgrip waist circumference obesity mortality 

Supplementary material

12603_2017_966_MOESM1_ESM.docx (43 kb)
Supplemental Table 1. Baseline characteristics of 6,173 older adults from the ELSA (4,683) and SABE (1,490) Studies according abdominal obesity and dynapenia status.


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Copyright information

© Serdi and Springer-Verlag France SAS, part of Springer Nature 2018

Authors and Affiliations

  • Tiago da Silva Alexandre
    • 1
    • 2
    Email author
  • S. Scholes
    • 1
  • J. L. Ferreira Santos
    • 3
  • Y. A. de Oliveira Duarte
    • 4
  • C. de Oliveira
    • 1
  1. 1.Department of Epidemiology and Public HealthUniversity College LondonLondonUK
  2. 2.Department of GerontologyFederal University of Sao CarlosSao CarlosBrazil
  3. 3.Department of Social MedicineUniversity of Sao PauloRibeirao PretoBrazil
  4. 4.Department of Medical-Surgical NursingUniversity of Sao PauloSao PauloBrazil

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