Association Between Dynapenic Abdominal Obesity and Fall Risk in Older Adults

Abstract

Danmei Lv, Shanshan Shen, Xujiao Chen Department of Geriatrics, Zhejiang Hospital, Hangzhou, 310013, People’s Republic of ChinaCorrespondence: Xujiao Chen, Department of Geriatrics, Zhejiang Hospital, Lingyin Road #12, Hangzhou, 310013, People’s Republic of China, Email [email protected]: In recent years, dynapenic abdominal obesity has received more and more attention. This article aimed to explore the relationship between dynapenic abdominal obesity and fall risk in older adults.Methods: In this cross-sectional study, according to waist circumference (≥ 90 cm for men and ≥ 85 cm for women) and handgrip strength (< 28 kg for men and < 18 kg for women), 551 older adults were divided into four groups: dynapenic abdominal obese (D/AO), dynapenic nonabdominal obese (D/NAO), nondynapenic abdominal obese (ND/AO) and nondynapenic nonabdominal obese (ND/NAO). Fall risk was measured by the Tinetti performance-oriented mobility assessment (POMA). Binary logistic regression was used to explore the relationship between D/AO and fall risk.Results: D/AO was related to POMA score (odds ratio [OR]=3.39; 95% confidence interval [CI]: 1.47– 7.81; P=0.004) after adjusting the confounding variables. However, D/NAO (OR=1.51; 95% CI:0.69– 3.32; P=0.302) and ND/AO (OR=1.48; 95% CI:0.74– 2.99; P=0.272) were not associated with POMA score.Conclusion: This study suggests that older adults with D/AO have a higher risk of falls. Therefore, it is necessary to strengthen the attention to D/AO and relevant interventions should be implemented.Keywords: dynapenic abdominal obesity, fall risk, older adult

Keywords

• dynapenic abdominal obesity
• balance function
• older adult