Obesity and Falls in a Prospective Study of Older Men: The Osteoporotic Fractures in Men Study
| Autor: | Smriti Shrestha, Lynn M. Marshall, Thuy-Tien L. Dam, Osteoporotic Fractures in Men (MrOS) Study, Carrie M. Nielson, Eric S. Orwoll, Christine G. Lee, Peggy M. Cawthon, Elizabeth R. Hooker, Marcia L. Stefanick, Melanie Abrahamson, K E Ensrud |
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| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Prescription Drugs Health Status Poison control Occupational safety and health Body Mass Index 03 medical and health sciences 0302 clinical medicine Injury prevention Humans Medicine Obesity Prospective Studies 030212 general & internal medicine Prospective cohort study Exercise Aged Aged 80 and over Community and Home Care business.industry medicine.disease Gait United States Confidence interval Physical therapy Accidental Falls Independent Living Geriatrics and Gerontology business Gerontology Body mass index Osteoporotic Fractures 030217 neurology & neurosurgery Demography |
| Zdroj: | Journal of Aging and Health. 29:1235-1250 |
| ISSN: | 1552-6887 0898-2643 |
| DOI: | 10.1177/0898264316660412 |
| Popis: | Objective: The aim of this study is to evaluate fall rates across body mass index (BMI) categories by age group, considering physical performance and comorbidities. Method: In the Osteoporotic Fractures in Men (MrOS) study, 5,834 men aged ≥65 reported falls every 4 months over 4.8 (±0.8) years. Adjusted associations between BMI and an incident fall were tested using mixed-effects models. Results: The fall rate (0.66/man-year overall, 95% confidence interval [CI] = [0.65, 0.67]) was lowest in the youngest, normal weight men (0.44/man-year, 95% CI = [0.41, 0.47]) and greatest in the oldest, highest BMI men (1.47 falls/man-year, 95% CI = [1.22, 1.76]). Obesity was associated with a 24% to 92% increased fall risk in men below 80 ( ptrend ≤ .0001, p for interaction by age = .03). Only adjustment for dynamic balance test altered the BMI–falls association substantially. Discussion: Obesity was independently associated with higher fall rates in men 65 to 80 years old. Narrow walk time, a measure of gait stability, may mediate the association. |
| Databáze: | OpenAIRE |
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