Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016
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 so...
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ftoslouniv:oai:www.duo.uio.no:10852/111055 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 Uchai, Shreeshti Andersen, Lene F. Thoresen, Magne Hopstock, Laila A. Hjartåker, Anette 2024 http://hdl.handle.net/10852/111055 https://doi.org/10.1186/s12889-024-18939-3 eng eng BMC Public Health. 2024 May 31;24(1):1457 http://hdl.handle.net/10852/111055 2273290 https://doi.org/10.1186/s12889-024-18939-3 The Author(s) Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ Journal article Tidsskriftartikkel Peer reviewed PublishedVersion 2024 ftoslouniv https://doi.org/10.1186/s12889-024-18939-3 2024-08-12T14:07:18Z 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 frailty among ... Article in Journal/Newspaper Tromsø Universitet i Oslo: Digitale utgivelser ved UiO (DUO) BMC Public Health 24 1 |
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Universitet i Oslo: Digitale utgivelser ved UiO (DUO) |
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English |
description |
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 frailty among ... |
format |
Article in Journal/Newspaper |
author |
Uchai, Shreeshti Andersen, Lene F. Thoresen, Magne Hopstock, Laila A. Hjartåker, Anette |
spellingShingle |
Uchai, Shreeshti Andersen, Lene F. Thoresen, Magne Hopstock, Laila A. Hjartåker, Anette Does the association between adiposity measures and pre-frailty among older adults vary by social position? Findings from the Tromsø study 2015/2016 |
author_facet |
Uchai, Shreeshti Andersen, Lene F. Thoresen, Magne Hopstock, Laila A. Hjartåker, Anette |
author_sort |
Uchai, Shreeshti |
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 |
publishDate |
2024 |
url |
http://hdl.handle.net/10852/111055 https://doi.org/10.1186/s12889-024-18939-3 |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
BMC Public Health. 2024 May 31;24(1):1457 http://hdl.handle.net/10852/111055 2273290 https://doi.org/10.1186/s12889-024-18939-3 |
op_rights |
The Author(s) Attribution 4.0 International http://creativecommons.org/licenses/by/4.0/ |
op_doi |
https://doi.org/10.1186/s12889-024-18939-3 |
container_title |
BMC Public Health |
container_volume |
24 |
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1 |
_version_ |
1810483789410861056 |