Gender differences in association between measures of central obesity and falls in community-dwelling middle-aged and older adults in Malaysia

Sheng Hui Kioh; S Mat; G J Tan; S B Kamaruzzaman; R. Cumming; N N Hairi; Phyo Kyaw Myint; M P Tan

doi:10.33879/AMH.123.2020.07024

Gender differences in association between measures of central obesity and falls in community-dwelling middle-aged and older adults in Malaysia

Sheng Hui Kioh, S Mat, G J Tan, S B Kamaruzzaman, R. Cumming, N N Hairi, Phyo Kyaw Myint^* (Corresponding Author), M P Tan

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

1 Citation (Scopus)

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Abstract

Background/Purpose: Conflicting findings of the previous studies on association of obesity and fall may be attributed to the potential limitations associated with utilizing body mass index (BMI) to define obesity. Therefore, we aim to evaluate the relationship between central obesity measures waist circumference (WC) and waist-hip ratio (WHR) with falls in individuals recruited to the Malaysian Elders Longitudinal Research (MELoR) study.
Methods: A cross-sectional analysis was conducted using first-wave MELoR
data. Sociodemographic, medical history, lifestyle factors, self-reported falls,
measures of central obesity (WC & WHR), and physical performance were
obtained. Individuals were considered in the high fall risk group if they either
had a history of falls in the past 12 months or had a timed-up and go (TUG)
score of ≥13.5s.
Results: Data on WC and WHR were available for 1,335 participants, 574
(43.0%) men. No difference in self-reported falls or falls risk across WC
quartiles among men but women in the third quartile (87cm <WC <97cm)
were significantly more likely to have self-reported falls than those in the
lowest quartile (reference group), odds ratio (OR)=2.05, 95% confidence
interval (CI)=1.17-3.60.
Conclusion: A ‘J’ shaped relationship was apparent among men between
WHR and probability of being considered at high risk of falls. Among women,
those with WC in the third quartile and WHR in the highest quartile were
significantly more likely to have fallen in the past 12 months.

Original language	English
Pages (from-to)	95-104
Number of pages	10
Journal	Aging Medicine and Healthcare
Volume	12
Issue number	3
Early online date	30 Sept 2021
DOIs	https://doi.org/10.33879/AMH.123.2020.07024
Publication status	Published - Sept 2021

Bibliographical note

Acknowledgements
This study was partially funded by the Ministry of Higher Education Fundamental Research Grant Scheme (FRGS/1/2019/SKK02/UM/01/1). We would like to thank all MELoR investigators for helping in the data collection. The MELoR study is now the
Transforming Cognitive Frailty to Later Life SelfSufficiency (AGELESS) study, which is funded by the Ministry of Higher Education Malaysia Long Term Research Grant Scheme.

Keywords

central obesity
accidental falls
aged
adiposity

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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Cite this

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title = "Gender differences in association between measures of central obesity and falls in community-dwelling middle-aged and older adults in Malaysia",

abstract = "Background/Purpose: Conflicting findings of the previous studies on association of obesity and fall may be attributed to the potential limitations associated with utilizing body mass index (BMI) to define obesity. Therefore, we aim to evaluate the relationship between central obesity measures waist circumference (WC) and waist-hip ratio (WHR) with falls in individuals recruited to the Malaysian Elders Longitudinal Research (MELoR) study.Methods: A cross-sectional analysis was conducted using first-wave MELoRdata. Sociodemographic, medical history, lifestyle factors, self-reported falls,measures of central obesity (WC & WHR), and physical performance wereobtained. Individuals were considered in the high fall risk group if they eitherhad a history of falls in the past 12 months or had a timed-up and go (TUG)score of ≥13.5s.Results: Data on WC and WHR were available for 1,335 participants, 574(43.0%) men. No difference in self-reported falls or falls risk across WCquartiles among men but women in the third quartile (87cm <WC <97cm)were significantly more likely to have self-reported falls than those in thelowest quartile (reference group), odds ratio (OR)=2.05, 95% confidenceinterval (CI)=1.17-3.60.Conclusion: A {\textquoteleft}J{\textquoteright} shaped relationship was apparent among men betweenWHR and probability of being considered at high risk of falls. Among women,those with WC in the third quartile and WHR in the highest quartile weresignificantly more likely to have fallen in the past 12 months.",

keywords = "central obesity, accidental falls, aged, adiposity",

author = "Kioh, {Sheng Hui} and S Mat and Tan, {G J} and Kamaruzzaman, {S B} and R. Cumming and Hairi, {N N} and Myint, {Phyo Kyaw} and Tan, {M P}",

note = "Acknowledgements This study was partially funded by the Ministry of Higher Education Fundamental Research Grant Scheme (FRGS/1/2019/SKK02/UM/01/1). We would like to thank all MELoR investigators for helping in the data collection. The MELoR study is now the Transforming Cognitive Frailty to Later Life SelfSufficiency (AGELESS) study, which is funded by the Ministry of Higher Education Malaysia Long Term Research Grant Scheme. ",

year = "2021",

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AU - Kioh, Sheng Hui

AU - Mat, S

AU - Tan, G J

AU - Kamaruzzaman, S B

AU - Cumming, R.

AU - Hairi, N N

AU - Myint, Phyo Kyaw

AU - Tan, M P

N1 - Acknowledgements This study was partially funded by the Ministry of Higher Education Fundamental Research Grant Scheme (FRGS/1/2019/SKK02/UM/01/1). We would like to thank all MELoR investigators for helping in the data collection. The MELoR study is now the Transforming Cognitive Frailty to Later Life SelfSufficiency (AGELESS) study, which is funded by the Ministry of Higher Education Malaysia Long Term Research Grant Scheme.

PY - 2021/9

Y1 - 2021/9

N2 - Background/Purpose: Conflicting findings of the previous studies on association of obesity and fall may be attributed to the potential limitations associated with utilizing body mass index (BMI) to define obesity. Therefore, we aim to evaluate the relationship between central obesity measures waist circumference (WC) and waist-hip ratio (WHR) with falls in individuals recruited to the Malaysian Elders Longitudinal Research (MELoR) study.Methods: A cross-sectional analysis was conducted using first-wave MELoRdata. Sociodemographic, medical history, lifestyle factors, self-reported falls,measures of central obesity (WC & WHR), and physical performance wereobtained. Individuals were considered in the high fall risk group if they eitherhad a history of falls in the past 12 months or had a timed-up and go (TUG)score of ≥13.5s.Results: Data on WC and WHR were available for 1,335 participants, 574(43.0%) men. No difference in self-reported falls or falls risk across WCquartiles among men but women in the third quartile (87cm <WC <97cm)were significantly more likely to have self-reported falls than those in thelowest quartile (reference group), odds ratio (OR)=2.05, 95% confidenceinterval (CI)=1.17-3.60.Conclusion: A ‘J’ shaped relationship was apparent among men betweenWHR and probability of being considered at high risk of falls. Among women,those with WC in the third quartile and WHR in the highest quartile weresignificantly more likely to have fallen in the past 12 months.

AB - Background/Purpose: Conflicting findings of the previous studies on association of obesity and fall may be attributed to the potential limitations associated with utilizing body mass index (BMI) to define obesity. Therefore, we aim to evaluate the relationship between central obesity measures waist circumference (WC) and waist-hip ratio (WHR) with falls in individuals recruited to the Malaysian Elders Longitudinal Research (MELoR) study.Methods: A cross-sectional analysis was conducted using first-wave MELoRdata. Sociodemographic, medical history, lifestyle factors, self-reported falls,measures of central obesity (WC & WHR), and physical performance wereobtained. Individuals were considered in the high fall risk group if they eitherhad a history of falls in the past 12 months or had a timed-up and go (TUG)score of ≥13.5s.Results: Data on WC and WHR were available for 1,335 participants, 574(43.0%) men. No difference in self-reported falls or falls risk across WCquartiles among men but women in the third quartile (87cm <WC <97cm)were significantly more likely to have self-reported falls than those in thelowest quartile (reference group), odds ratio (OR)=2.05, 95% confidenceinterval (CI)=1.17-3.60.Conclusion: A ‘J’ shaped relationship was apparent among men betweenWHR and probability of being considered at high risk of falls. Among women,those with WC in the third quartile and WHR in the highest quartile weresignificantly more likely to have fallen in the past 12 months.

KW - central obesity

KW - accidental falls

KW - aged

KW - adiposity

U2 - 10.33879/AMH.123.2020.07024

DO - 10.33879/AMH.123.2020.07024

M3 - Article

SN - 2663-8851

VL - 12

SP - 95

EP - 104

JO - Aging Medicine and Healthcare

JF - Aging Medicine and Healthcare

IS - 3

ER -

Gender differences in association between measures of central obesity and falls in community-dwelling middle-aged and older adults in Malaysia

Abstract

Bibliographical note

Keywords

UN SDGs

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