Body Mass Index Trajectories in Relation to Change in Lean Mass and Physical Function: The Health, Aging and Body Composition Study

Ilse Reinders*, Rachel A. Murphy, Kathryn R. Martin, Ingeborg A. Brouwer, Marjolein Visser, Daniel K. White, Anne B. Newman, Denise K. Houston, Alka M. Kanaya, Daniel S. Nagin, Tamara B. Harris

*Corresponding author for this work

Research output: Contribution to journalArticle

12 Citations (Scopus)



To examine body mass index (BMI) trajectories with change in lean mass and physical function in old age.


Prospective cohort study.


Health, Aging and Body Composition Study.


Black and white men (n=482) and women (n=516) aged 73.12.7 and initially free of disability.


A group-based trajectory model was used to determine BMI trajectories, the path a person's BMI followed over 9years. Lean mass, gait speed, grip strength, and knee extension strength were assessed at baseline and after 9years, and relative changes were calculated. Multivariable linear regression was used to determine associations between trajectories and relative change in lean mass and physical function.


Four BMI trajectories were identified for men and four for women. Although all demonstrated a decline in BMI, the rate of decline differed according to trajectory for women only. Men in Trajectory 4 (mean BMI at baseline 33.9 +/- 2.3kg/m(2)) declined more than those in Trajectory 1 (mean BMI at baseline 22.9 +/- 1.6kg/m(2)) in gaitspeed (-9.91%, 95% confidence interval (CI)=-15.15% to -4.67%) and leg strength (-8.63%, 95% CI=-15.62% to -1.64%). Women in Trajectory 4 (mean BMI at baseline 34.9 +/- 3.0kg/m(2)) had greater losses than those in Trajectory 1 (mean BMI at baseline 20.5 +/- 1.6kg/m(2)) in lean mass in the arms (-3.19%, 95% CI=-6.16% to -0.23%). No other associations were observed.


Obese men had the highest risk of decline in physical function despite similar weight loss between trajectories, whereas overweight and obese women who lost the most weight had the greatest risk of lean mass loss. The weight at which a person enters old age is informative for predicting loss in lean mass and physical function, illustrating the importance of monitoring weight.

Original languageEnglish
Pages (from-to)1615-1621
Number of pages7
JournalJournal of the American Geriatrics Society
Issue number8
Early online date20 Aug 2015
Publication statusPublished - Aug 2015


  • aging
  • body mass index
  • lean mass
  • physical function
  • trajectories
  • AGE
  • ABC

ASJC Scopus subject areas

  • Medicine(all)

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