The influence of obesity on falls and quality of life
Open accessAbstract
Objective: To determine (1) whether obese older adults had higher prevalence of falls and ambulatory stumbling, impaired balance and lower health-related quality of life (HRQL) than their normal weight counterparts, and (2) whether the falls and balance measures were associated with HRQL in obese adults. Methods: Subjects who had a body mass index (BMI) greater than 30 kg/m 2 were classified into an obese group (n = 128) while those with BMI between 18.5 and 24.9 kg/m 2 were included into a normal weight group (n = 88). Functional tests were performed to assess balance, and questionnaires were administered to assess history of falls, ambulatory stumbling, and HRQL. Results: The obese group reported a higher prevalence of falls (27% vs. 15%), and ambulatory stumbling (32% vs. 14%) than the normal weight group. Furthermore, the obese group had lower HRQL, (p ≤ 0.05) for physical function (63 ± 27 vs. 75 ± 26; mean ± SD), role-physical (59 ± 40 vs. 74 ± 37), vitality (58 ± 23 vs. 66 ± 20), bodily pain (62 ± 25 vs. 74 ± 21) and general health (64 ± 19 vs. 70 ± 18). In the obese group, a history of falls was related (p ≤ 0.05) to lower scores in 4 domains of HRQL, and ambulatory stumbling was related (p ≤ 0.01) to 7 domains. Conclusion: In middle-aged and older adults, obesity was associated with a higher prevalence of falls and stumbling during ambulation, as well as lower values in multiple domains of HRQL. Furthermore, a history of falls and ambulatory stumbling were related to lower measures of HRQL in obese adults.
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Peripheral neuropathy and chronic pain are related to clinical obesity and can contribute to functional impairment.
“Peripheral neuropathy and chronic pain are related to clinical obesity and can contribute to functional impairment.132”
From Definition and diagnostic criteria of clinical obesity (2025) · cites this paper as [132]
The Results (page unavailable) show that the obese group had worse bodily-pain and physical-function scores than the non-obese group. They do not establish that the pain was chronic or that pain contributed to functional impairment. Peripheral neuropathy appears only in a reference about falls; our copy does not link it to obesity. (LLM, conf=0.86)
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- Authors
- Fjeldstad, C., Fjeldstad, A. S., Acree, L. S., Nickel, K. J., & Gardner, A. W.
- Affiliations
- University of Oklahoma (US)
- University of Oklahoma Health Sciences Center (US)
- Corresponding author
- Gardner, Andrew W
- Venue
- Dynamic Medicine
- Published
- 2008-02-27
- Volume
- 7
- Issue
- 1
- Pages
- 4-4
- ISSN
- 1476-5918 (ISSN-L)
- PMC
- PMC2288598
- OpenAlex
- W2025943494
- Cited by
- 230
- References
- 36
- Citations by year
- 2026: 4 · 2025: 7 · 2024: 15 · 2023: 10 · 2022: 13 · 2021: 20 · 2020: 11 · 2019: 16 · 2018: 14 · 2017: 17 · 2016: 19 · 2015: 13 · 2014: 10 · 2013: 12 · 2012: 11
- FWCI
- 32.62
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- cc-by
- Locations
- Dynamic Medicine (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Funders
- University of Oklahoma
- National Institutes of Health
- University of Oklahoma Health Sciences Center
- National Institute on Aging (R01AG016685, R01-AG-16685, M01-RR-14467)
- National Center for Research Resources (M01 RR-14467, M01RR014467)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Keywords
- obesity, falls, health-related quality of life, balance disorders, older adults, middle-aged adults, body mass index, physical function
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