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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.132”
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Metadata
- 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 (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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