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Abdominal Obesity and Mobility Disability in Older Adults: A 4-Year Follow-Up of the International Mobility in Aging Study

  • Juliana Fernandes de Souza Barbosa
  • C. dos Santos Gomes
  • J. Vilton Costa
  • T. Ahmed
  • M. V. Zunzunegui
  • C.-L. Curcio
  • F. Gomez
  • R. Oliveira Guerra
Article

Abstract

Background

Abdominal obesity is related to the disability process in older adults, however, little is known about this relationship when adjusted for important confounders such as depression and physical performance measures in a diverse international aged population.

Objectives

To explore the longitudinal relationship between abdominal obesity and mobility disability controlling for physical performance and depression.

Design and Setting

Longitudinal observational study using data from the International Mobility in Aging Study (IMIAS) Study.

Participants

1104 out of 2002 older adults aged 64–74 years old free of mobility disability at baseline (2012) and then reassessed in 2016.

Measurements

Mobility disability was defined as reporting difficulty in walking 400 m or climbing stairs. Activities of daily living (ADL) disability was based on any self-reported difficulty in five mobility-related ADLs. Abdominal obesity was defined as waist circumference ≥ 88cm for women or ≥ 102 cm for men. Four meters gait speed, handgrip strength and depressive symptoms (CES-D) were assessed. Generalized Estimating Equations (GEE) and multinomial regressions were used to estimate associations between disability and abdominal obesity.

Results

1104 free of disability participants were followed over 4 years, the mean age was 68.9 (±2.9) years among men and 68.7 (±2.6) years among women. Prevalence and incidence rates of mobility disability varied widely across research site and sex. The longitudinal associations between mobility disability and abdominal obesity remained significant even when adjusted by depressive symptoms, handgrip strength, gait speed, age, sex, education and research site. Participants with abdominal obesity had higher mobility disability (OR=1.68, 95% CI 1.23-1.76, p-value=0.01) and also increased risk for ADL disability (OR: 1.47, 95% CI 1.23-1.76, p-value=0.01). Abdominal obesity in baseline was also predictor of mobility disability in 2016 (OR: 1.93, 95% CI 1.17-3.17, p-value <0.01) but not for ADL disability (OR: 1.59, 95% CI 0.93-2.71, p-value =0.09) with accounting mortality.

Conclusion

Abdominal obesity is associated longitudinally and predicts mobility disability, even over a short period (4 years) in community-dwelling older adults from different epidemiological contexts.

Key words

Disability mobility activities of Daily Living abdominal obesity aging 

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Copyright information

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

Authors and Affiliations

  • Juliana Fernandes de Souza Barbosa
    • 1
  • C. dos Santos Gomes
    • 1
  • J. Vilton Costa
    • 2
  • T. Ahmed
    • 3
  • M. V. Zunzunegui
    • 4
  • C.-L. Curcio
    • 5
  • F. Gomez
    • 5
  • R. Oliveira Guerra
    • 1
  1. 1.Department of PhysiotherapyFederal University of Rio Grande do NorteNatal/RNBrazil
  2. 2.Department of Demography and Actuarial SciencesFederal University of Rio Grande do NorteNatalBrazil
  3. 3.University of Montreal Hospital Research Centre, University of MontrealMontrealCanada
  4. 4.Research Institute of Public HealthUniversity of MontrealMontrealCanada
  5. 5.Faculty of Health SciencesUniversidad de CaldasManizalesColombia

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