The association between visceral fat obesity and prefrailty in Chinese older adults: a cross-sectional study

作者：Yue Wang, Suxing Shen, Peipei Han, Kai Zheng, Cheng Chen, Yahui Wu, Chuanjun Huang, Jiangling Guo, Yiqiong Qi, Xiaoyu Chen, Yuxuan Zheng, Xinwei Xia, Siyan Peng, Qi Guo · 发表于：BMC Endocrine Disorders · 年份：2024 · DOI：10.1186/s12902-024-01625-1 · 被引用次数：7 · 研究领域：Frailty in Older Adults、Nutrition and Health in Aging、Cardiovascular Function and Risk Factors

BACKGROUND: The prevalence of obesity is escalating. Previous research has concentrated on the link between frailty and obesity; however, the association between prefrailty and obesity has been less studied. Prefrailty screening and intervention may prevent or postpone frailty in older persons. OBJECTIVE: The study was to investigate into the relationship between prefrailty and several obesity indicators in Chinese community-dwelling older individuals. METHODS: This research employed the Frailty Screening Index to investigate the frailty phenotype of people living in Shanghai. Bioelectrical impedance analysis was used for evaluating body composition. RESULTS: There were 510 participants (39.0%) with high visceral adipose areas. Participants with a high visceral adipose area showed a higher risk of prefrailty (adjusted OR, 1.53; 95% CI, 1.19-1.96), according to multivariate models. When body mass index (BMI) and visceral fat area (VFA) were combined, it was discovered that having an overweight BMI with normal VFA was a protective factor for prefrailty (corrected OR, 0.62; 95% CI, 0.43-0.90), but having a normal weight but excess VFA increased the risk of prefrailty (corrected OR, 1.87; 95% CI, 1.15-3.03). CONCLUSION: Visceral fat obesity is an independent risk factor for prefrailty in Chinese older adults. Implementing targeted interventions, such as dietary modifications, increased physical activity, and other lifestyle changes, could play a crucial role in reducing the risk ...