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Published in: The journal of nutrition, health & aging 9/2019

Open Access 01-11-2019 | Obesity

Obesity Paradox in Caucasian Seniors: Results of the PolSenior Study

Authors: Monika Puzianowska-Kuznicka, A. Kuryłowicz, D. Walkiewicz, J. Borkowska, M. Owczarz, M. Olszanecka-Glinianowicz, K. Wieczorowska-Tobis, A. Skalska, A. Szybalska, M. Mossakowska

Published in: The journal of nutrition, health & aging | Issue 9/2019

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Abstract

Objectives

To investigate the influence of overweight and obesity on general performance and mortality in seniors.

Design

Cross-sectional multidisciplinary study on ageing of the Polish population.

Setting

Community-dwelling individuals aged 65 years or older, selected using three-stage stratified, proportional draw.

Participants

4944 Polish Caucasian seniors, aged 65 years or older recruited between October 2007 and October 2010.

Measurements

All study subjects underwent measurement of body mass index (BMI), waist circumference (WC), and arm circumference (AC). The physical and cognitive performance was evaluated using the Katz Activities of Daily Living (ADL) score and Mini-Mental State Examination (MMSE), respectively. Morbidity data were obtained from a medical questionnaire. Mortality data were obtained from the Population Register of Poland between October 2015 and October 2018.

Results

Increasing age was associated with a decreased prevalence of obesity (all p<0.001). Higher BMI, WC and AC values were associated with higher ADL and MMSE scores (all p<0.001). On multivariate analysis, all three body measurements in women remained independent predictors of the ADL score (BMI p=0.002, WC p=0.005, AC p<0.001) and MMSE score (p<0.001, p=0.003, p<0.001). In men, physical functioning was associated with AC (p=0.003), and cognitive status was associated with AC (p<0.001) and BMI (p=0.013). There was no association between general obesity, abdominal obesity, or AC with several aging-related adverse conditions. Kaplan-Meier survival curves showed that overweight and obesity were associated with the lowest mortality. On multivariate analysis, BMI and AC values remained independent predictors of mortality. In successfully aging individuals, neither BMI, WC, nor AC remained such predictors.

Conclusions

Overweight and obesity in Caucasian seniors are not associated with deterioration of physical and cognitive function or with increased mortality.
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Metadata
Title
Obesity Paradox in Caucasian Seniors: Results of the PolSenior Study
Authors
Monika Puzianowska-Kuznicka
A. Kuryłowicz
D. Walkiewicz
J. Borkowska
M. Owczarz
M. Olszanecka-Glinianowicz
K. Wieczorowska-Tobis
A. Skalska
A. Szybalska
M. Mossakowska
Publication date
01-11-2019
Publisher
Springer Paris
Published in
The journal of nutrition, health & aging / Issue 9/2019
Print ISSN: 1279-7707
Electronic ISSN: 1760-4788
DOI
https://doi.org/10.1007/s12603-019-1257-z

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