ArticleThe journal of nutrition, health & aging2020
The Relationship between Frailty, Obesity and Social Deprivation in Non-Institutionalized Elderly People.
Article in The journal of nutrition, health & aging, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 16 citations in OpenAlex.
- Associations between sensory impairment and neuropsychiatric symptoms among older adults: a moderated mediating model.BMC public health · 2026Article
- Impact of individual socioeconomic deprivation on hemodialysis care and patient behavior: a multicenter French study (Precadia).Clinical kidney journal · 2025Article
- Characteristics of Italian, German and Spanish Socio-Economic, Public Health and Long-Term Care Systems Associated with COVID-19 Incidence and Mortality in the First Pandemic Year: Lessons for Future Sustainability in an International Perspective.Healthcare (Basel, Switzerland) · 2024Article
- [Multidimensional Social Deprivation Impacts on Frailty in the Elderly: The Mediating Effect of Depression].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2024Article
- A pilot study to identify factors associated with frailty within the World Trade Center general responder cohort.American journal of industrial medicine · 2024Article
- Effects of Physical Activity on Body Composition, Muscle Strength, and Physical Function in Old Age: Bibliometric and Meta-Analyses.Healthcare (Basel, Switzerland) · 2024Review
- Calf circumference predicts frailty in older adults: the Chinese longitudinal healthy longevity survey.BMC geriatrics · 2022Article
- The Combined Effects of Dietary Diversity and Frailty on Mortality in Older Taiwanese People.Nutrients · 2022Article
- The Role of Traditional Obesity Parameters in Predicting Frailty among Coronary Artery Disease Patients Undergoing Cardiac Catheterization.International journal of clinical practice · 2022Article
- Frailty Severity and Cognitive Impairment Associated with Dietary Diversity in Older Adults in Taiwan.Nutrients · 2021Article
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWith the increasing prevalence of obesity and the risk of increased dependency among the elderly, it becomes important to characterize the link between obesity and frailty. The relationship between obesity and social deprivation would be bidirectional, with each influencing the other.
objectivesMain objective was to study the relationship between frailty as defined by Fried and obesity (Body Mass Index (BMI) and abdominal obesity). Secondary objective was to assess the relationship between frailty and social deprivation. MATERIALS AND
methodsThis was a cross-sectional study, with data collected between January 2014 and December 2015 using a senior periodic health prevention examination form used in the 4 sites of the health examination center, in Rhone, among non-institutionalized seniors (≥ 65 years). Frailty was defined according to Fried's criteria. Obesity was defined by a BMI ≥ 30 kg / m2 and a waist circumference > 88 cm for women and >102 cm for men. We studied the association between obesity according to BMI ≥ 30kg / m2 on the one hand and abdominal obesity on the other hand with frailty according to Fried. The analyzes were adjusted for gender, age, education level, not being in a relationship and social deprivation quantified by the assessment score of deprivation and health inequalities (EPICES score).
results1593 senior health prevention examination forms were studied. According to BMI, senior women were almost twice as likely to be frail when obese (RR = 1.92, 95% CI [1.06 - 3.45], p = 0.018). The results were similar for abdominal obesity in women aged 65-74 years (RR = 2.12, 95% CI [1.03-4.35], p = 0.029). There was no relationship in men for both types of obesity. Seniors who were socially deprived were 2.7 times more likely to be frail than non-deprived seniors (adjusted RR = 2.76, 95% CI [1.808 - 4.203], p <0.001).
conclusionsObesity (BMI ≥ 30kg / m2 and high waist circumference) was associated with increased frailty among older, non-institutionalized women who came for a periodic health prevention examination. Screening and prevention of obesity in the elderly appears to be a major public health issue, and remains a priority target for action.
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