Evidence map›Paper›PMID 28112078›Full record

ArticlePublic health nutrition2017

Abdominal obesity as a risk factor for disability in Brazilian older adults.

Ligiana Pires Corona, Tiago da Silva Alexandre, Yeda Aparecida de Oliveira Duarte, Maria Lúcia Lebrão

Open access · bronzeAbstract read
In one paragraph

Article in Public health nutrition, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Dynapenic Abdominal Obesity as a Risk Factor for Worse Trajectories of ADL Disability Among Older Adults: The ELSA Cohort Study.The journals of gerontology. Series A, Biological sciences and medical sciences · 2019
    Article
  16. Review
  17. Observational
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 1 country.

Ligiana Pires Corona1School of Applied Sciences,University of Campinas,R. Pedro Zaccaria 1300,Limeira - SP,Brazil,13484-350.
Tiago da Silva Alexandre2Department of Gerontology,Universidade Federal de São Carlos,São Carlos - SP,Brazil.
Yeda Aparecida de Oliveira Duarte3Department of Medical Surgical Nursing,School of Nursing,University of São Paulo,São Paulo - SP,Brazil.
Maria Lúcia Lebrão4Department of Epidemiology,School of Public Health,University of São Paulo,São Paulo - SP,Brazil.
Universidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BRUniversidade Federal de São Carlos · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the role of abdominal obesity in the incidence of disability in older adults living in São Paulo, Brazil, in a 5-year period.

designLongitudinal study, part of the SABE Study (Health, Wellbeing and Aging). We assessed the disability incidence in the period (reported difficulty in at least one activity of daily living (ADL) in 2010) in relation to abdominal obesity in 2006 (waist circumference ≥102 cm in men and ≥88 cm in women). We used Poisson regression to evaluate the association between obesity and disability incidence, adjusting for sociodemographic and clinical factors including BMI.

settingSão Paulo, Brazil. SUBJECTS: Older adults (n 1109) who were independent in ADL in 2006. In 2010, 789 of these were located and re-interviewed.

resultsThe crude disability incidence (at least one ADL) was 27·1/1000 person-years in the period. The incidence rate was two times higher in participants with abdominal obesity compared with those without (39·1/1000 and 19·4/1000 person-years, respectively; P<0·001). This pattern was observed in all BMI levels. In regression models, abdominal obesity remained associated with disability incidence (incidence rate ratio=1·90; P<0·03), even after controlling for BMI, gender, age, low grip strength, cognitive impairment, physical inactivity and chronic diseases.

conclusionsAbdominal obesity was strong risk factor for disability, showing a more significant effect than BMI, and thus should be an intervention target for older adults. Waist measure is simple, cost-effective and easily interpreted, and therefore can be used in several settings to identify individuals at higher risk of disability.

Indexed as

Persons with DisabilitiesActivities of Daily LivingAgedBody Mass IndexBrazilCost-Benefit AnalysisExerciseFemaleGeriatric AssessmentHumansIncidenceLongitudinal StudiesMaleObesity, AbdominalRisk FactorsSedentary BehaviorAbdominal obesityDisabilityObesityOlder adultsSABE Study

Identifiers

PMID28112078
PMCPMC10261643
OpenAlexW2580638545

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.