Evidence map›Paper›PMID 31641728›Full record

ArticleThe journal of nutrition, health & aging2019

Obesity Paradox in Caucasian Seniors: Results of the PolSenior Study.

M Puzianowska-Kuznicka, A Kuryłowicz, D Walkiewicz, J Borkowska, M Owczarz, M Olszanecka-Glinianowicz, K Wieczorowska-Tobis, A Skalska, A Szybalska, M Mossakowska

Abstract read
In one paragraph

Article in The journal of nutrition, health & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Comparative analysis of the relationship of sarcopenia or sarcopenic obesity with functional impairment: A cross-sectional study.Nutrition in clinical practice : official publication of the American Society for Parenteral and Enteral Nutrition · 2026
    Article
  3. Comparison of Body Mass Index Range Criteria and Their Association with Nutrition-Related Risk: A Cross-Sectional Study in Polish Older Adults.Medical science monitor : international medical journal of experimental and clinical research · 2025
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  18. Body mass index and cognitive decline among community-living older adults: the modifying effect of physical activity.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2022
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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

10 authors.

M Puzianowska-KuznickaMonika Puzianowska-Kuznicka, MD, PhD, Department of Human Epigenetics, Mossakowski Medical Research Centre, PAS, Pawinskiego 5, 02-106 Warsaw, Poland; phone/fax: +48 22 6086591; email: mpuzianowska@imdik.pan.pl.
A Kuryłowicz
D Walkiewicz
J Borkowska
M Owczarz
M Olszanecka-Glinianowicz
K Wieczorowska-Tobis
A Skalska
A Szybalska
M Mossakowska

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the influence of overweight and obesity on general performance and mortality in seniors.

designCross-sectional multidisciplinary study on ageing of the Polish population.

settingCommunity-dwelling individuals aged 65 years or older, selected using three-stage stratified, proportional draw.

participants4944 Polish Caucasian seniors, aged 65 years or older recruited between October 2007 and October 2010. MEASUREMENTS: All study subjects underwent measurement of body mass index (BMI), waist circumference (WC), and arm circumference (AC). The physical and cognitive performance was evaluated using the Katz Activities of Daily Living (ADL) score and Mini-Mental State Examination (MMSE), respectively. Morbidity data were obtained from a medical questionnaire. Mortality data were obtained from the Population Register of Poland between October 2015 and October 2018.

resultsIncreasing age was associated with a decreased prevalence of obesity (all p<0.001). Higher BMI, WC and AC values were associated with higher ADL and MMSE scores (all p<0.001). On multivariate analysis, all three body measurements in women remained independent predictors of the ADL score (BMI p=0.002, WC p=0.005, AC p<0.001) and MMSE score (p<0.001, p=0.003, p<0.001). In men, physical functioning was associated with AC (p=0.003), and cognitive status was associated with AC (p<0.001) and BMI (p=0.013). There was no association between general obesity, abdominal obesity, or AC with several aging-related adverse conditions. Kaplan-Meier survival curves showed that overweight and obesity were associated with the lowest mortality. On multivariate analysis, BMI and AC values remained independent predictors of mortality. In successfully aging individuals, neither BMI, WC, nor AC remained such predictors.

conclusionsOverweight and obesity in Caucasian seniors are not associated with deterioration of physical and cognitive function or with increased mortality.

Indexed as

Health StatusActivities of Daily LivingAgedAged, 80 and overAgingBody Mass IndexCognitionCross-Sectional StudiesFemaleHumansIndependent LivingKaplan-Meier EstimateMaleMiddle AgedObesity, AbdominalPolandarm circumference (AC)Body mass index (BMI)morbiditymortalitywaist circumference (WC)

Identifiers

PMID31641728
PMCPMC6800404

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Registered trials

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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.