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Which anthropometric measures best identify excess weight in older adults? / Quais medidas antropométricas apresentam melhor desempenho para identificar excesso de peso em idosos?
Assumpção, Daniela de; Francisco, Priscila Maria Stolses Bergamo; Borim, Flávia Silva Arbex; Yassuda, Monica Sanches; Neri, Anita Liberalesso.
  • Assumpção, Daniela de; Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil. Campinas. BR
  • Francisco, Priscila Maria Stolses Bergamo; Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil. Campinas. BR
  • Borim, Flávia Silva Arbex; Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil. Campinas. BR
  • Yassuda, Monica Sanches; Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil. Campinas. BR
  • Neri, Anita Liberalesso; Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil. Campinas. BR
Article in English | LILACS | ID: biblio-1349318
ABSTRACT

OBJECTIVES:

To estimate the prevalence of and factors associated with excess weight in older adults according to body mass index (BMI), waist circumference (WC) and waist-to-height ratio (WtHR), as well as to measure the differences between the prevalences estimated by WC and WtHR in relation to BMI.

METHODS:

This cross-sectional study was conducted in 2016 ­ 2017 with 549 older adults (72­102 years) from Campinas and Ermelino Matarazzo, two cities in the state of São Paulo, Brazil. Excess weight was defined according to cut-off points established for older adults. Multiple Poisson regression analysis was performed.

RESULTS:

The overweight/obesity prevalences were 47.36% (BMI), 61.38% (WC) and 65.57% (WtHR), being higher in women and in those with hypertension, diabetes, polypharmacy, and normal calf circumference. They were also higher in the youngest age strata (BMI and WC), in those with arthritis/rheumatism (BMI), and in those with slow gait (WtHR). The estimated overweight/obesity prevalences according to WC and WtHR were 29.00% and 38.00% higher, respectively, than BMI. In the multiple model, there was a higher prevalence of adiposity among diabetics and those with normal calf circumference.

CONCLUSIONS:

Measures of abdominal adiposity provided a better diagnosis of excess weight. We recommended that health professionals consider using WtHR in anthropometric assessment of older adults, especially regarding adiposity
RESUMO

OBJETIVOS:

Estimar as prevalências e os fatores associados ao excesso de peso em idosos, segundo índice de massa corporal (IMC), circunferência da cintura (CC) e razão cintura-estatura (RCE); mensurar as diferenças entre as prevalências estimadas pela CC e RCE, em relação ao IMC.

METODOLOGIA:

Estudo transversal com 549 idosos (72 ­ 102 anos), realizado em Campinas (SP) e Ermelino Matarazzo (SP) em 2016-17. A definição de excesso de peso baseou-se em pontos de corte propostos para idosos. Utilizou-se análise múltipla de regressão de Poisson.

RESULTADOS:

As prevalências de excesso de peso atingiram 47,36% (IMC), 61,38% (CC) e 65,57% (RCE) e foram maiores nas mulheres, nos hipertensos, nos diabéticos, nos polimedicados e naqueles com circunferência da panturrilha (CP) adequada. Foram também superiores nos mais jovens (IMC e CC), naqueles com artrite/reumatismo (IMC) e com lentidão da marcha (RCE). A prevalência de excesso de peso estimada pela CC foi 29,00% maior e pela RCE 38,00% maior em relação ao IMC. No modelo múltiplo, observaram-se maiores prevalências de adiposidade nos diabéticos e nos idosos com CP adequada.

CONCLUSÕES:

As medidas de adiposidade abdominal melhor diagnosticaram o excesso de peso. Recomenda-se que profissionais da saúde considerem o uso da RCE para a avaliação antropométrica de idosos, especialmente de adiposidade.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Geriatric Assessment / Anthropometry / Obesity Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Aged / Aged80 / Female / Humans / Male Language: English Journal: Geriatr., Gerontol. Aging (Online) Journal subject: Envelhecimento / Geriatria / Medicina Cl¡nica / Patologia Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil/BR

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Full text: Available Index: LILACS (Americas) Main subject: Geriatric Assessment / Anthropometry / Obesity Type of study: Diagnostic study / Observational study / Prevalence study / Prognostic study / Risk factors Limits: Aged / Aged80 / Female / Humans / Male Language: English Journal: Geriatr., Gerontol. Aging (Online) Journal subject: Envelhecimento / Geriatria / Medicina Cl¡nica / Patologia Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Graduate Gerontology Program, Faculty of Medical Sciences, Universidade Estadual de Campinas ­ Campinas (SP), Brazil/BR