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Journal of Diabetes & Metabolic Disorders
Published in:

26-12-2023 | Obesity | Research article

The association between frailty and body composition among the elderly: Birjand Longitudinal Aging Study (BLAS)

Authors: Maysa Eslami, Hossein Fakhrzadeh, Farzad Pourghazi, Mitra Moodi, Zohreh Sajadi Hezaveh, Seyed Masoud Arzaghi, Huriye Khodabakhshi, Masoumeh Khorashadizadeh, Hanieh-Sadat Ejtahed, Farshad Sharifi

Published in: Journal of Diabetes & Metabolic Disorders | Issue 1/2024

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Abstract

Background

This study aims to assess the possible relationship between frailty and anthropometric indices in older adults using data from the first phase of the Birjand Longitudinal Aging Study (BLAS).

Methods

In this cross-sectional study, we assessed the association between frailty (Frailty index (FI) and Fried frailty phenotype) and body composition indices in 1364 participants aged ≥ 60 years (September 2018 to April 2019). Analysis was conducted using one-way ANOVA and ordinal logistic regression.

Results

Participants were categorized as frail (n = 164), non-frail (n = 415), and pre-frail (n = 785) based on FI. A significant positive association was observed between the frailty and body mass index (BMI) (OR: 1.04, 95% CI:1.01- 1.07), waist circumference (WC) (OR: 1.02, 95% CI: 1.01- 1.03), waist-to-hip ratio (WHR) (OR: 2.36, 95% CI 1.05- 5.27) and waist-to-height ratio (WHtR) (OR: 1.27, 95%CI: 1.09- 1.47). Body shape index, body roundness index, and body adiposity index showed no significant association with frailty. Moreover, a BMI greater than 29 kg/m2 increased the odds of frailty and prefrailty by 79% (OR = 1.79, 95%CI = 1.30- 2.46, P < 0.001).

Conclusion

Results of this study showed that the risk of frailty increases as BMI and abdominal obesity indices increase. Therefore, BMI and abdominal obesity indices (WC, WHR, and WHtR) could serve as suitable tools for evaluating frailty in the elderly. However, additional studies are needed to evaluate the utility of the newly developed anthropometric indices in older adults.
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Metadata
Title
The association between frailty and body composition among the elderly: Birjand Longitudinal Aging Study (BLAS)
Authors
Maysa Eslami
Hossein Fakhrzadeh
Farzad Pourghazi
Mitra Moodi
Zohreh Sajadi Hezaveh
Seyed Masoud Arzaghi
Huriye Khodabakhshi
Masoumeh Khorashadizadeh
Hanieh-Sadat Ejtahed
Farshad Sharifi
Publication date
26-12-2023
Publisher
Springer International Publishing
Keywords
Obesity
Obesity
Published in
Journal of Diabetes & Metabolic Disorders / Issue 1/2024
Electronic ISSN: 2251-6581
DOI
https://doi.org/10.1007/s40200-023-01373-4

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