Key summary points
The aim of this study was to association between dynapenic abdominal obesity (DAO) and pulmonary function in community-dwelling older adults.
AbstractSection FindingsMost of the pulmonary function variables were associated with abdominal obesity, dynapenia, and DAO conditions. In the adjusted model, there was an association of reduced FVC, FEV1, and PEF values only with dynapenia.
AbstractSection MessageNo studies have previously analyzed the association between DAO and pulmonary function in older adults. Further longitudinal studies may provide additional information and confirm these findings.
Abstract
Purpose
No studies have previously analyzed the association between dynapenic abdominal obesity (DAO) and pulmonary function in older adults. The aim of this study was to analyze whether there is an association between pulmonary function and abdominal obesity, dynapenia, and DAO in community-dwelling older adults.
Methods
A cross-sectional study was conducted with community-dwelling older adults (n = 383) of Macapá, Amapá, Brazil. Pulmonary function variables were evaluated with spirometry; and DAO was evaluated with the combination of dynapenia and abdominal obesity. Cutoff points for handgrip strength, 26 kg force for men and 16 kg force for women, were used to detect dynapenia; and cutoff points of abdominal circumference of > 102 cm for men and > 88 cm for women were used to identify abdominal obesity.
Results
Most of the studied pulmonary function variables (obtained values and obtained versus predicted values) were associated with abdominal obesity, dynapenia, and DAO. However, in the adjusted model, there was an association of FVC (β = − 0.163; p < 0.001), FEV1 (β = − 0.119; p = 0.006), and PEF (β = − 0.110; p = 0.017) only with dynapenia.
Conclusions
Older adults with abdominal obesity, dynapenia, and DAO presented impaired pulmonary function when compared to those without these conditions. Most of the pulmonary function variables were associated with abdominal obesity, dynapenia, and DAO conditions. However, in the adjusted model, there was an association of reduced FVC, FEV1, and PEF values only with dynapenia.
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Funding
This work was supported by the Foundation for Research Support of the State of Amapá (FAPEAP, Concession no. 250.203.029/2016).
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CDGO, YPM, CFRS, and MSP: contributed to the conception and design of the study, its critical review and approval of the version to be published; ACPNP, MJ, TOG, and APM contributed to the conception and design and the writing of the article; MSP performed data analysis and contributed to the writing of the article.
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This study was approved by the Ethics Committee of the Federal University of Amapa (Opinion no. 1.738.671).
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The study was approved by the local research ethics committee. All participants provided their written informed consent.
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Ohara, D.G., Moreira, Y.P., Silva, C.F.R. et al. Impaired pulmonary function is associated with dynapenia, but not with abdominal obesity and dynapenic abdominal obesity in older adults. Eur Geriatr Med 13, 475–482 (2022). https://doi.org/10.1007/s41999-021-00560-x
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DOI: https://doi.org/10.1007/s41999-021-00560-x