Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016
Abstract Introduction Pre-frailty provides an ideal opportunity to prevent physical frailty and promote healthy ageing. Excess adiposity has been associated with an increased risk of pre-frailty, but limited studies have explored whether the association between adiposity measures and pre-frailty var...
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ftdoajarticles:oai:doaj.org/article:0548ad1049444ce2ab23d93514053fff 2024-09-15T18:39:25+00:00 Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 Shreeshti Uchai Lene Frost Andersen Magne Thoresen Laila A. Hopstock Anette Hjartåker 2024-05-01T00:00:00Z https://doi.org/10.1186/s12889-024-18939-3 https://doaj.org/article/0548ad1049444ce2ab23d93514053fff EN eng BMC https://doi.org/10.1186/s12889-024-18939-3 https://doaj.org/toc/1471-2458 doi:10.1186/s12889-024-18939-3 1471-2458 https://doaj.org/article/0548ad1049444ce2ab23d93514053fff BMC Public Health, Vol 24, Iss 1, Pp 1-13 (2024) Pre-frailty Obesity Adiposity Social position BMI Waist circumference Public aspects of medicine RA1-1270 article 2024 ftdoajarticles https://doi.org/10.1186/s12889-024-18939-3 2024-08-05T17:49:16Z Abstract Introduction Pre-frailty provides an ideal opportunity to prevent physical frailty and promote healthy ageing. Excess adiposity has been associated with an increased risk of pre-frailty, but limited studies have explored whether the association between adiposity measures and pre-frailty varies by social position. Methods We used data from the seventh survey of the Tromsø Study (Tromsø7) conducted in 2015–2016. Our primary sample consisted of 2,945 women and 2,794 men aged ≥ 65 years. Pre-frailty was defined as the presence of one or two of the five frailty components: low grip strength, slow walking speed, exhaustion, unintentional weight loss and low physical activity. Adiposity was defined by body mass index (BMI), waist circumference (WC), fat mass index (FMI) and visceral adipose tissue (VAT) mass. Education and subjective social position were used as measures of social position. Poisson regression with robust variance was used to assess the association between adiposity measures and pre-frailty, and the interaction term between adiposity measures and social position measures were utilised to explore whether the association varied by social position. Results In our sample, 28.7% of women and 25.5% of men were pre-frail. We found sub-multiplicative interaction of BMI-defined obesity with education in women and subjective social position in men with respect to development of pre-frailty. No other adiposity measures showed significant variation by education or subjective social position. Regardless of the levels of education or subjective social position, participants with excess adiposity (high BMI, high WC, high FMI and high VAT mass) had a higher risk of pre-frailty compared to those with low adiposity. Conclusion We consistently observed that women and men with excess adiposity had a greater risk of pre-frailty than those with low adiposity, with only slight variation by social position. These results emphasize the importance of preventing excess adiposity to promote healthy ageing and prevent ... Article in Journal/Newspaper Tromsø Directory of Open Access Journals: DOAJ Articles BMC Public Health 24 1 |
institution |
Open Polar |
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Directory of Open Access Journals: DOAJ Articles |
op_collection_id |
ftdoajarticles |
language |
English |
topic |
Pre-frailty Obesity Adiposity Social position BMI Waist circumference Public aspects of medicine RA1-1270 |
spellingShingle |
Pre-frailty Obesity Adiposity Social position BMI Waist circumference Public aspects of medicine RA1-1270 Shreeshti Uchai Lene Frost Andersen Magne Thoresen Laila A. Hopstock Anette Hjartåker Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
topic_facet |
Pre-frailty Obesity Adiposity Social position BMI Waist circumference Public aspects of medicine RA1-1270 |
description |
Abstract Introduction Pre-frailty provides an ideal opportunity to prevent physical frailty and promote healthy ageing. Excess adiposity has been associated with an increased risk of pre-frailty, but limited studies have explored whether the association between adiposity measures and pre-frailty varies by social position. Methods We used data from the seventh survey of the Tromsø Study (Tromsø7) conducted in 2015–2016. Our primary sample consisted of 2,945 women and 2,794 men aged ≥ 65 years. Pre-frailty was defined as the presence of one or two of the five frailty components: low grip strength, slow walking speed, exhaustion, unintentional weight loss and low physical activity. Adiposity was defined by body mass index (BMI), waist circumference (WC), fat mass index (FMI) and visceral adipose tissue (VAT) mass. Education and subjective social position were used as measures of social position. Poisson regression with robust variance was used to assess the association between adiposity measures and pre-frailty, and the interaction term between adiposity measures and social position measures were utilised to explore whether the association varied by social position. Results In our sample, 28.7% of women and 25.5% of men were pre-frail. We found sub-multiplicative interaction of BMI-defined obesity with education in women and subjective social position in men with respect to development of pre-frailty. No other adiposity measures showed significant variation by education or subjective social position. Regardless of the levels of education or subjective social position, participants with excess adiposity (high BMI, high WC, high FMI and high VAT mass) had a higher risk of pre-frailty compared to those with low adiposity. Conclusion We consistently observed that women and men with excess adiposity had a greater risk of pre-frailty than those with low adiposity, with only slight variation by social position. These results emphasize the importance of preventing excess adiposity to promote healthy ageing and prevent ... |
format |
Article in Journal/Newspaper |
author |
Shreeshti Uchai Lene Frost Andersen Magne Thoresen Laila A. Hopstock Anette Hjartåker |
author_facet |
Shreeshti Uchai Lene Frost Andersen Magne Thoresen Laila A. Hopstock Anette Hjartåker |
author_sort |
Shreeshti Uchai |
title |
Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
title_short |
Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
title_full |
Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
title_fullStr |
Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
title_full_unstemmed |
Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
title_sort |
does the association between adiposity measures and pre-frailty among older adults vary by social position? findings from the tromsø study 2015/2016 |
publisher |
BMC |
publishDate |
2024 |
url |
https://doi.org/10.1186/s12889-024-18939-3 https://doaj.org/article/0548ad1049444ce2ab23d93514053fff |
genre |
Tromsø |
genre_facet |
Tromsø |
op_source |
BMC Public Health, Vol 24, Iss 1, Pp 1-13 (2024) |
op_relation |
https://doi.org/10.1186/s12889-024-18939-3 https://doaj.org/toc/1471-2458 doi:10.1186/s12889-024-18939-3 1471-2458 https://doaj.org/article/0548ad1049444ce2ab23d93514053fff |
op_doi |
https://doi.org/10.1186/s12889-024-18939-3 |
container_title |
BMC Public Health |
container_volume |
24 |
container_issue |
1 |
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1810483799266426880 |