Physical multimorbidity and dynapenic abdominal obesity among older adults from low- and middle-income countries
Por:
Smith L, López Sánchez GF, Veronese N, Soysal P, Tully MA, Kostev K, Butler L, Keyes H, Barnett Y, Shin JI and Koyanagi A
Publicada:
29 jul 2025
Ahead of Print:
29 jul 2025
Resumen:
BackgroundAs far as we are aware, to date, there are no studies on the association between dynapenic abdominal obesity (DAO) and physical multimorbidity (i.e., >= 2 chronic conditions). Thus, we aimed to examine this association among older adults from six low- and middle-income countries (LMICs).MethodsCross-sectional, nationally representative data from the Study on Global Ageing and Adult Health were analyzed. Data on 20,198 adults aged >= 60 years were analyzed [mean (SD) age 69.4 (13.1) years; 54.1% females]. Information on 11 chronic physical conditions was obtained. Dynapenia was defined as <26 kg for men and <16 kg for women. Abdominal obesity was defined as waist circumference of >88 cm for women and >102 cm for men. DAO was defined as having both dynapenia and abdominal obesity. Multivariable logistic regression was conducted.ResultsAfter adjustment for potential confounders, compared to no dynapenia and no abdominal obesity, dynapenia alone, abdominal obesity alone, and DAO are associated with 1.34 (95% CI = 1.16-1.55), 1.64 (95% CI = 1.36-1.98), and 2.49 (95% CI = 1.94-3.19) times higher odds for physical multimorbidity, respectively.ConclusionsDynapenic abdominal obesity is significantly associated with higher odds for physical multimorbidity among older adults in LMICs. Prevention and management of dynapenic abdominal obesity may aid in reducing the burden of physical multimorbidity, pending future longitudinal research.
Filiaciones:
Smith L:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Department of Public Health, Faculty of Medicine, Biruni University, Istanbul, Turkey
López Sánchez GF:
Division of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain
Veronese N:
Faculty of Medicine, Saint Camillus University, Rome, Italy
Primary Care Department, Azienda ULSS (Unità Locale Socio Sanitaria) 3 "Serenissima", 30174, Venice, Italy
Soysal P:
Department of geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey
Tully MA:
School of Medicine, Ulster University, Londonderry, Northern Ireland, UK
Kostev K:
University Clinic of Marburg, Marburg, Germany
Butler L:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Keyes H:
School of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK
Barnett Y:
Centre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK
Shin JI:
Department of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea
Severance Underwood Meta-Research Center, Institute of Convergence Science, Yonsei University, Seoul, Republic of Korea
Koyanagi A:
Research and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain
Green Submitted, gold
|