Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity : a cross-sectional study.
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Data
2022
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BACKGROUND: Obesity is a risk factor for falls in older adults, but the effects of body fat distribution and
its interaction with other factors are not well established.
OBJECTIVES: To verify the occurrence of falls among older adults with and without abdominal obesity
and the effects of sociodemographic, health, and behavioral variables on this outcome.
DESIGN AND SETTING: A cross-sectional study in an urban area of Alcobaça, Brazil.
METHODS: Men and women older than 60 years with (270) and without (184) abdominal obesity were
included. Sociodemographic, health, and behavioral data were collected using validated questionnaires in
Brazil. Descriptive and path analyses were performed (P < 0.05).
RESULTS: The occurrence of falls was high in participants with abdominal obesity (33.0%). In both groups,
a higher number of morbidities (β = 0.25, P < 0.001; β = 0.26, P = 0.002) was directly associated with a
higher occurrence of falls. Among participants without abdominal obesity, a lower number of medications
(β = -0.16; P = 0.04), a higher number of depressive symptoms (β = 0.15; P = 0.04), worse performance on
the agility and dynamic balance tests (β = 0.37; P < 0.001), and lower functional disability for basic activities
of daily living (β = -0.21; P = 0.006) were directly associated with the occurrence of falls.
CONCLUSION: Adults older than 60 years with abdominal obesity have a higher prevalence of falls. Different factors were associated with the occurrence of falls in both groups.
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Aged, Accidental falls, Obesity, Abdominal, Models
Citação
MONTEIRO, E. L. de F. et al. Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity : a cross-sectional study. Sao Paulo Medical Journal, v. 14, n. 1, p. 51-59, jan./fev. 2023. Disponível em: <https://www.scielo.br/j/spmj/a/ZBjt5M8q5XcBWwkD73xxsdR/>. Acesso em: 01 ago. 2023.