Waist circumference, physical activity, and functional impairments in older U.S. Adults: Results from the NHANES 2005-2010

John A. Batsis, Cassandra M. Germain, Elizabeth Vásquez, Francisco Lopez-Jimenez, Stephen J. Bartels

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Physical activity (PA) improves function in older obese adults. However, body mass index is an unreliable adiposity indicator better reflected by waist circumference (WC). The impact of PA on physical impairment and mobility with high WC is unclear. We performed a secondary data analysis of 4,976 adults ≥ 60 years of age using the National Health and Nutrition Examination Survey (NHANES) 2005-2010. Physical limitations (PL), activities of daily living (ADL) impairments, and PA (low = < 1 day/week or high = > 1 day/week) were self-reported. WC was dichotomized (females: 88 cm; males: 102 cm). Mean age was 70.1 years and 55.1% were female. Prevalence of PL and ADL impairment in the high WC group were 57.7% and 18.8%, respectively, and high PA was present in 53.9%. Among those with high WC, high PA vs. low PA participants were at lower risk of PL (OR 0.58 [0.48-0.70]) and ADL impairment (OR 0.46 [0.32-0.65]). Those with high WC had higher odds of PL irrespective of PA (high PA: OR 1.57 [1.30-1.88]; low PA: OR 1.52 [1.29-1.79]) and ADL impairment (high PA: OR 1.27 [1.02-1.57] and low PA: OR 1.24 [0.99-1.54]). High PA in viscerally obese individuals is associated with impairments.

Original languageEnglish (US)
Pages (from-to)369-376
Number of pages8
JournalJournal of Aging and Physical Activity
Volume23
Issue number3
DOIs
StatePublished - Jul 1 2015

Fingerprint

Nutrition Surveys
Waist Circumference
Exercise
Activities of Daily Living
Adiposity
Body Mass Index

Keywords

  • Disability
  • Older adults
  • Physical activity
  • Physical limitations
  • Visceral adiposity
  • Waist circumference

ASJC Scopus subject areas

  • Geriatrics and Gerontology
  • Gerontology
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Waist circumference, physical activity, and functional impairments in older U.S. Adults : Results from the NHANES 2005-2010. / Batsis, John A.; Germain, Cassandra M.; Vásquez, Elizabeth; Lopez-Jimenez, Francisco; Bartels, Stephen J.

In: Journal of Aging and Physical Activity, Vol. 23, No. 3, 01.07.2015, p. 369-376.

Research output: Contribution to journalArticle

Batsis, John A. ; Germain, Cassandra M. ; Vásquez, Elizabeth ; Lopez-Jimenez, Francisco ; Bartels, Stephen J. / Waist circumference, physical activity, and functional impairments in older U.S. Adults : Results from the NHANES 2005-2010. In: Journal of Aging and Physical Activity. 2015 ; Vol. 23, No. 3. pp. 369-376.
@article{ead3b54cfbb14b0d8f66340b35227984,
title = "Waist circumference, physical activity, and functional impairments in older U.S. Adults: Results from the NHANES 2005-2010",
abstract = "Physical activity (PA) improves function in older obese adults. However, body mass index is an unreliable adiposity indicator better reflected by waist circumference (WC). The impact of PA on physical impairment and mobility with high WC is unclear. We performed a secondary data analysis of 4,976 adults ≥ 60 years of age using the National Health and Nutrition Examination Survey (NHANES) 2005-2010. Physical limitations (PL), activities of daily living (ADL) impairments, and PA (low = < 1 day/week or high = > 1 day/week) were self-reported. WC was dichotomized (females: 88 cm; males: 102 cm). Mean age was 70.1 years and 55.1{\%} were female. Prevalence of PL and ADL impairment in the high WC group were 57.7{\%} and 18.8{\%}, respectively, and high PA was present in 53.9{\%}. Among those with high WC, high PA vs. low PA participants were at lower risk of PL (OR 0.58 [0.48-0.70]) and ADL impairment (OR 0.46 [0.32-0.65]). Those with high WC had higher odds of PL irrespective of PA (high PA: OR 1.57 [1.30-1.88]; low PA: OR 1.52 [1.29-1.79]) and ADL impairment (high PA: OR 1.27 [1.02-1.57] and low PA: OR 1.24 [0.99-1.54]). High PA in viscerally obese individuals is associated with impairments.",
keywords = "Disability, Older adults, Physical activity, Physical limitations, Visceral adiposity, Waist circumference",
author = "Batsis, {John A.} and Germain, {Cassandra M.} and Elizabeth V{\'a}squez and Francisco Lopez-Jimenez and Bartels, {Stephen J.}",
year = "2015",
month = "7",
day = "1",
doi = "10.1123/japa.2014-0007",
language = "English (US)",
volume = "23",
pages = "369--376",
journal = "Journal of Aging and Physical Activity",
issn = "1063-8652",
publisher = "Human Kinetics Publishers Inc.",
number = "3",

}

TY - JOUR

T1 - Waist circumference, physical activity, and functional impairments in older U.S. Adults

T2 - Results from the NHANES 2005-2010

AU - Batsis, John A.

AU - Germain, Cassandra M.

AU - Vásquez, Elizabeth

AU - Lopez-Jimenez, Francisco

AU - Bartels, Stephen J.

PY - 2015/7/1

Y1 - 2015/7/1

N2 - Physical activity (PA) improves function in older obese adults. However, body mass index is an unreliable adiposity indicator better reflected by waist circumference (WC). The impact of PA on physical impairment and mobility with high WC is unclear. We performed a secondary data analysis of 4,976 adults ≥ 60 years of age using the National Health and Nutrition Examination Survey (NHANES) 2005-2010. Physical limitations (PL), activities of daily living (ADL) impairments, and PA (low = < 1 day/week or high = > 1 day/week) were self-reported. WC was dichotomized (females: 88 cm; males: 102 cm). Mean age was 70.1 years and 55.1% were female. Prevalence of PL and ADL impairment in the high WC group were 57.7% and 18.8%, respectively, and high PA was present in 53.9%. Among those with high WC, high PA vs. low PA participants were at lower risk of PL (OR 0.58 [0.48-0.70]) and ADL impairment (OR 0.46 [0.32-0.65]). Those with high WC had higher odds of PL irrespective of PA (high PA: OR 1.57 [1.30-1.88]; low PA: OR 1.52 [1.29-1.79]) and ADL impairment (high PA: OR 1.27 [1.02-1.57] and low PA: OR 1.24 [0.99-1.54]). High PA in viscerally obese individuals is associated with impairments.

AB - Physical activity (PA) improves function in older obese adults. However, body mass index is an unreliable adiposity indicator better reflected by waist circumference (WC). The impact of PA on physical impairment and mobility with high WC is unclear. We performed a secondary data analysis of 4,976 adults ≥ 60 years of age using the National Health and Nutrition Examination Survey (NHANES) 2005-2010. Physical limitations (PL), activities of daily living (ADL) impairments, and PA (low = < 1 day/week or high = > 1 day/week) were self-reported. WC was dichotomized (females: 88 cm; males: 102 cm). Mean age was 70.1 years and 55.1% were female. Prevalence of PL and ADL impairment in the high WC group were 57.7% and 18.8%, respectively, and high PA was present in 53.9%. Among those with high WC, high PA vs. low PA participants were at lower risk of PL (OR 0.58 [0.48-0.70]) and ADL impairment (OR 0.46 [0.32-0.65]). Those with high WC had higher odds of PL irrespective of PA (high PA: OR 1.57 [1.30-1.88]; low PA: OR 1.52 [1.29-1.79]) and ADL impairment (high PA: OR 1.27 [1.02-1.57] and low PA: OR 1.24 [0.99-1.54]). High PA in viscerally obese individuals is associated with impairments.

KW - Disability

KW - Older adults

KW - Physical activity

KW - Physical limitations

KW - Visceral adiposity

KW - Waist circumference

UR - http://www.scopus.com/inward/record.url?scp=84937693677&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84937693677&partnerID=8YFLogxK

U2 - 10.1123/japa.2014-0007

DO - 10.1123/japa.2014-0007

M3 - Article

C2 - 25102405

AN - SCOPUS:84937693677

VL - 23

SP - 369

EP - 376

JO - Journal of Aging and Physical Activity

JF - Journal of Aging and Physical Activity

SN - 1063-8652

IS - 3

ER -