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Cited by 18

The DOI matches its Crossref record; 7 of the 7 references it cites were found in a registry or an index.

Adiposity Without Obesity: Associations with Osteoporosis, Sarcopenia, and Falls in the Healthy Ageing Initiative Cohort Study

Scott, David, Johansson, Jonas, Ebeling, Peter R., Nordstrom, Peter, Nordstrom, Anna·2020·Obesity
DOI 10.1002/oby.22984
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Abstract

Objective: Obesity is commonly defined by BMI rather than adiposity, which may have differential effects on musculoskeletal health. Musculoskeletal outcomes were compared in older adults with normal adiposity and normal BMI (NA‐NBMI), those with high adiposity but normal BMI (HA‐NBMI), and those with high adiposity and high BMI (HA‐HBMI). Methods: In 3,411 70‐year‐olds, obesity was defined as BMI ≥ 30 kg/m 2 and adiposity as body fat percentage ≥ 25% (men) or ≥ 35% (women) from dual‐energy x‐ray absorptiometry. Bone parameters were measured by dual‐energy x‐ray absorptiometry and peripheral quantitative computed tomography. Sarcopenia was defined as low handgrip strength with or without low appendicular lean mass. Falls were self‐reported 6 and 12 months later. Results: Prevalence of NA‐NBMI, HA‐NBMI, and HA‐HBMI was 14.2%, 68.1%, and 17.7%, respectively. Compared with HA‐HBMI, HA‐NBMI had increased likelihood for sarcopenia (adjusted odds ratio: 3.99; 95% CI: 1.41‐11.32) and osteoporosis (2.91; 95% CI: 2.35‐3.61) but similar likelihood of falls (P > 0.05). HA‐NBMI had lower values for bone geometry parameters, as well as grip strength, than both NA‐NBMI and HA‐HBMI (all P < 0.05). Conclusions: High adiposity without high BMI is more common than BMI‐defined obesity in older Swedish adults but does not provide similar protection from osteoporosis and sarcopenia.

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Cited by

Metadata

Authors
Scott, D., Johansson, J., Ebeling, P. R., Nordstrom, P., & Nordstrom, A.
Affiliations
  • Institute for Physical Activity and Nutrition School of Exercise and Nutrition Sciences Deakin University Geelong Victoria Australia
  • Department of Public Health and Clinical Medicine Section of Sustainable Health Umeå University Umeå Sweden
  • Department of Medicine School of Clinical Sciences at Monash Health Monash University Clayton Victoria Australia
  • Department of Community Medicine and Rehabilitation Geriatric Medicine Umeå University Umeå Sweden
ORCID
Scott, David
Venue
Obesity
Publisher
Wiley
Published
2020-10-03
Volume
28
Issue
11
Pages
2232-2241
ISSN
  • 1930-7381
  • 1930-739X
DOI
10.1002/oby.22984
Cited by
18
References
7
Language
en
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Funders
Forskningsrådet om Hälsa, Arbetsliv och Välfärd (2011‐2976)

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