Cited by 230Balance, Gait, and Falls PreventionNutrition and Health in AgingFrailty in Older Adults

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The influence of obesity on falls and quality of life

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Fjeldstad, Cecilie, Fjeldstad, Anette S, Acree, Luke S, Nickel, Kevin J, Gardner, Andrew W·2008·Dynamic Medicine

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Abstract

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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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
ORCID: Fjeldstad, Anette S
Nickel, Kevin J
Gardner, Andrew W
Venue: Dynamic Medicine
Publisher: Springer Science and Business Media LLC
Published: 2008-02-27
Volume: 7
Issue: 1
Pages: 4-4
ISSN: 1476-5918 (ISSN-L)
DOI: 10.1186/1476-5918-7-4
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 (medical) › 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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The influence of obesity on falls and quality of life

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