Evidence map›Paper›PMID 40731163›Full record

ArticleCommunications medicine2025

Physical multimorbidity and dynapenic abdominal obesity among older adults from low- and middle-income countries.

Lee Smith, Guillermo F López Sánchez, Nicola Veronese, Pinar Soysal, Mark A Tully, Karel Kostev, Laurie Butler, Helen Keyes, Yvonne Barnett, Jae Il Shin and 1 more

Abstract read
In one paragraph

Article in Communications medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Article
  2. Review
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

11 authors.

Lee SmithCentre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.ORCID http://orcid.org/0000-0002-5340-9833
Guillermo F López SánchezDivision of Preventive Medicine and Public Health, Department of Public Health Sciences, School of Medicine, University of Murcia, Murcia, Spain. gfls@um.es.ORCID http://orcid.org/0000-0002-9897-5273
Nicola VeroneseFaculty of Medicine, Saint Camillus University, Rome, Italy.
Pinar SoysalDepartment of Geriatric Medicine, Faculty of Medicine, Bezmialem Vakif University, Istanbul, Turkey.
Mark A TullySchool of Medicine, Ulster University, Londonderry, Northern Ireland, UK.
Karel KostevUniversity Clinic of Marburg, Marburg, Germany.
Laurie ButlerCentre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Helen KeyesSchool of Psychology and Sport Science, Anglia Ruskin University, Cambridge, UK.
Yvonne BarnettCentre for Health Performance and Wellbeing, Anglia Ruskin University, Cambridge, UK.
Jae Il ShinDepartment of Pediatrics, Yonsei University College of Medicine, Seoul, Republic of Korea. shinji@yuhs.ac.ORCID http://orcid.org/0000-0003-2326-1820
Ai KoyanagiResearch and Development Unit, Parc Sanitari Sant Joan de Déu, Dr. Antoni Pujadas, Sant Boi de Llobregat, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAs far as we are aware, to date, there are no studies on the association between dynapenic abdominal obesity (DAO) and physical multimorbidity (i.e., ≥2 chronic conditions). Thus, we aimed to examine this association among older adults from six low- and middle-income countries (LMICs).

methodsCross-sectional, nationally representative data from the Study on Global Ageing and Adult Health were analyzed. Data on 20,198 adults aged ≥60 years were analyzed [mean (SD) age 69.4 (13.1) years; 54.1% females]. Information on 11 chronic physical conditions was obtained. Dynapenia was defined as <26 kg for men and <16 kg for women. Abdominal obesity was defined as waist circumference of >88 cm for women and >102 cm for men. DAO was defined as having both dynapenia and abdominal obesity. Multivariable logistic regression was conducted.

resultsAfter adjustment for potential confounders, compared to no dynapenia and no abdominal obesity, dynapenia alone, abdominal obesity alone, and DAO are associated with 1.34 (95% CI = 1.16-1.55), 1.64 (95% CI = 1.36-1.98), and 2.49 (95% CI = 1.94-3.19) times higher odds for physical multimorbidity, respectively.

conclusionsDynapenic abdominal obesity is significantly associated with higher odds for physical multimorbidity among older adults in LMICs. Prevention and management of dynapenic abdominal obesity may aid in reducing the burden of physical multimorbidity, pending future longitudinal research.

Identifiers

PMID40731163
PMCPMC12307868

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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.