ArticleThe journal of nutrition, health & aging2012
Physical function mitigates the adverse effects of being thin on mortality in a free-living older Taiwanese cohort.
Article in The journal of nutrition, health & aging, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.
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Who cites it
8 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Quality of life and mortality in the general population: a systematic review and meta-analysis.BMC public health · 2020Pooled it
- Body Mass Index Combined With Possible Sarcopenia Status Is Better Than BMI or Possible Sarcopenia Status Alone for Predicting All-Cause Mortality Among Asian Community-Dwelling Older Adults.Frontiers in nutrition · 2022Article
- Fatigue-Related Factors for Community-Dwelling Older Adults with Diabetes: A Theory-Guided Multi-Dimensional Approach Using the Dynamic Biopsychosocial Model.International journal of environmental research and public health · 2019Article
- A non-invasive modifiable Healthy Ageing Nutrition Index (HANI) predicts longevity in free-living older Taiwanese.Scientific reports · 2018Article
- Association between body mass index and mortality in the Korean elderly: A nationwide cohort study.PloS one · 2018Article
- Gender differences in longevity in free-living older adults who eat-with-others: a prospective study in Taiwan.BMJ open · 2017Article
- Optimal Dietary and Plasma Magnesium Statuses Depend on Dietary Quality for a Reduction in the Risk of All-Cause Mortality in Older Adults.Nutrients · 2015Article
- Cardiometabolic risk in overweight subjects with or without relative fat-free mass deficiency: the Strong Heart Study.Nutrition, metabolism, and cardiovascular diseases : NMCD · 2014Article
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5 authors.
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Abstract
objectivesTo examine the significance of underweight and physical function as well as their interaction on mortality in the aged.
designProspective cohort.
settingThe Elderly Nutrition and Health Survey in Taiwan during 1999-2000.
participantsTotal of 1435 representative free-living elders (739 men and 696 women). MEASUREMENTS: Body composition was assessed by various anthropometrics. Physical function score (PF, ranged 0-100) was derived from the SF-36(®). Death by December 31, 2006 was the outcome measure.
resultsAfter 7.9 (median: 7.0) years follow-up, 381 (223 men, 158 women) of 1435 eligible participants had died. Those with the lowest PF (<45) had 3.43 (hazards ratio (HR), 95% confidence interval (CI) = 2.20-5.36) times the all-cause mortality risk of the highest PF (≥58). Interactions for PF and BMI (P =0.02) and for PF and wrist circumference (P =0.09) on death were found after controlling for potential confounders. Jointly, compared to normal-BMI-highest-PF, the greatest HR for death occurred where BMI <18.5 kg/m2 was combined with the lowest-PF after covariate adjustments (HR = 8.67, 95% CI = 3.77-20.0). Similarly, the lowest arm muscle circumference (MAMC)-PF had a HR of 5.22 compared to mid-MAMC-highest-PF. However, percent and absolute body fat, estimated by bioelectrical impedance, was comparable to non-sarcopenic individuals.
conclusionThin elderly Taiwanese with sarcopenia, and less skeleton, are at the most risk of death, especially if physical function is limited.
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