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Diabetes Obesity and Metabolism
Article . 2024 . Peer-reviewed
License: CC BY NC ND
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Associations of body mass index, waist circumference and the weight‐adjusted waist index with daily living ability impairment in older Chinese people: A cross‐sectional study of the Chinese Longitudinal Healthy Longevity Survey

Authors: Jie Sun; Jie Lin; Wenqin Shen; Pan Ding; Wenjuan Yang; Li Huang; Huajian Chen;

Associations of body mass index, waist circumference and the weight‐adjusted waist index with daily living ability impairment in older Chinese people: A cross‐sectional study of the Chinese Longitudinal Healthy Longevity Survey

Abstract

Abstract Aim To investigate the associations of body mass index (BMI), waist circumference (WC) and the weight‐adjusted waist index (WWI) with the impairment of activities of daily living (ADL) in older Chinese people. Methods A total of 13 260 participants aged 65 years and older from the 2018 Chinese Longitudinal Healthy Longevity Survey were included in this cross‐sectional study. BMI, WC and the WWI were calculated from measurements of height, weight and WC. Binary logistic regression was used to estimate odds ratios (ORs) and 95% confidence intervals (95% CIs). Non‐linear correlations were investigated using restricted cubic spline curves. Results In multivariate logistic regression fully adjusted for confounding variables, our analyses revealed significant associations between WC and WWI and ADL impairment, with adjusted ORs (95% CI) of 1.01 (1.00, 1.01) and 1.08 (1.03, 1.12), respectively. Meanwhile, participants with a high WWI had a higher risk of ADL impairment compared with those with a low WWI, with an adjusted OR (95% CI) of 1.12 (1.02, 1.23). Subgroup analyses showed that only the association between WWI and ADL impairment did not differ in any of the different populations. In addition, we found that BMI, WC and WWI were non‐linearly associated with ADL impairment. Conclusions There are significant associations between WC and WWI and ADL impairment in older Chinese people. The findings show the ability of the WWI to serve as a comprehensive and effective indicator of obesity in older Chinese people and emphasize the importance of assessing WWI in screening and preventing ADL impairment in older people.

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Keywords

Male, Aged, 80 and over, China, Longevity, Body Weight, East Asian People, Health Surveys, Body Mass Index, Cross-Sectional Studies, Activities of Daily Living, Humans, Female, Longitudinal Studies, Obesity, Waist Circumference, Aged

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
16
Top 10%
Average
Top 10%
hybrid