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Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study
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| Zeitschriftentitel: | Public Health Nutrition |
|---|---|
| Personen und Körperschaften: | , , , , , , |
| In: | Public Health Nutrition, 19, 2016, 18, S. 3276-3286 |
| Format: | E-Article |
| Sprache: | Englisch |
| veröffentlicht: |
Cambridge University Press (CUP)
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| Schlagwörter: |
| author_facet |
Riedl, Anna Vogt, Susanne Holle, Rolf de las Heras Gala, Tonia Laxy, Michael Peters, Annette Thorand, Barbara Riedl, Anna Vogt, Susanne Holle, Rolf de las Heras Gala, Tonia Laxy, Michael Peters, Annette Thorand, Barbara |
|---|---|
| author |
Riedl, Anna Vogt, Susanne Holle, Rolf de las Heras Gala, Tonia Laxy, Michael Peters, Annette Thorand, Barbara |
| spellingShingle |
Riedl, Anna Vogt, Susanne Holle, Rolf de las Heras Gala, Tonia Laxy, Michael Peters, Annette Thorand, Barbara Public Health Nutrition Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study Public Health, Environmental and Occupational Health Nutrition and Dietetics Medicine (miscellaneous) |
| author_sort |
riedl, anna |
| spelling |
Riedl, Anna Vogt, Susanne Holle, Rolf de las Heras Gala, Tonia Laxy, Michael Peters, Annette Thorand, Barbara 1368-9800 1475-2727 Cambridge University Press (CUP) Public Health, Environmental and Occupational Health Nutrition and Dietetics Medicine (miscellaneous) http://dx.doi.org/10.1017/s1368980016001270 <jats:title>Abstract</jats:title><jats:sec id="S1368980016001270_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>As ageing is associated with changes in body composition, BMI may not be the appropriate obesity measure for older adults. To date, little is known about associations between obesity measures and health-related quality of life (HRQoL). Thus, we aimed to compare different obesity measures in their association with HRQoL and self-rated physical constitution (SRPC) in older adults.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Seven obesity measures (BMI, waist circumference (WC), waist-to-hip ratio, waist-to-height ratio, fat mass percentage based on bioelectrical impedance analysis, hypertriglyceridaemic waist (HTGW) and sarcopenic obesity) were assessed at baseline in 2009. HRQoL, using the EQ-5D questionnaire, and SRPC, using one single question, were collected at baseline and at the 3-year follow-up in 2012. Linear and logistic regression analyses were used to examine the associations between the obesity measures and both outcomes. Model comparisons were conducted by area under the receiver-operating characteristic curve, <jats:italic>R</jats:italic><jats:sup>2</jats:sup>, Akaike and Schwarz Bayesian information criteria.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs3" sec-type="general"><jats:title>Setting</jats:title><jats:p>KORA-Age study in Southern Germany (2009–2012).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs4" sec-type="subjects"><jats:title>Subjects</jats:title><jats:p>Older adults (<jats:italic>n</jats:italic> 883; aged ≥65 years).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs5" sec-type="results"><jats:title>Results</jats:title><jats:p>Nearly all obesity measures were significantly inversely associated with both outcomes in cross-sectional analyses. Concerning HRQoL, the WC model explained most of the variance and had the best model adaption, followed by the BMI model. Regarding SRPC, the HTGW and BMI models were best as rated by model quality criteria, followed closely by the WC model. Longitudinal analyses showed no significant associations.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs6" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>These results suggest that, with regard to HRQoL/SRPC, simple anthropometric measures are sufficient to determine obesity in older adults in medical practice.</jats:p></jats:sec> Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study Public Health Nutrition |
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10.1017/s1368980016001270 |
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Cambridge University Press (CUP), 2016 |
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Cambridge University Press (CUP), 2016 |
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Public Health Nutrition |
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| title |
Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_unstemmed |
Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_full |
Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_fullStr |
Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_full_unstemmed |
Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_short |
Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_sort |
comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the kora-age study |
| topic |
Public Health, Environmental and Occupational Health Nutrition and Dietetics Medicine (miscellaneous) |
| url |
http://dx.doi.org/10.1017/s1368980016001270 |
| publishDate |
2016 |
| physical |
3276-3286 |
| description |
<jats:title>Abstract</jats:title><jats:sec id="S1368980016001270_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>As ageing is associated with changes in body composition, BMI may not be the appropriate obesity measure for older adults. To date, little is known about associations between obesity measures and health-related quality of life (HRQoL). Thus, we aimed to compare different obesity measures in their association with HRQoL and self-rated physical constitution (SRPC) in older adults.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Seven obesity measures (BMI, waist circumference (WC), waist-to-hip ratio, waist-to-height ratio, fat mass percentage based on bioelectrical impedance analysis, hypertriglyceridaemic waist (HTGW) and sarcopenic obesity) were assessed at baseline in 2009. HRQoL, using the EQ-5D questionnaire, and SRPC, using one single question, were collected at baseline and at the 3-year follow-up in 2012. Linear and logistic regression analyses were used to examine the associations between the obesity measures and both outcomes. Model comparisons were conducted by area under the receiver-operating characteristic curve, <jats:italic>R</jats:italic><jats:sup>2</jats:sup>, Akaike and Schwarz Bayesian information criteria.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs3" sec-type="general"><jats:title>Setting</jats:title><jats:p>KORA-Age study in Southern Germany (2009–2012).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs4" sec-type="subjects"><jats:title>Subjects</jats:title><jats:p>Older adults (<jats:italic>n</jats:italic> 883; aged ≥65 years).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs5" sec-type="results"><jats:title>Results</jats:title><jats:p>Nearly all obesity measures were significantly inversely associated with both outcomes in cross-sectional analyses. Concerning HRQoL, the WC model explained most of the variance and had the best model adaption, followed by the BMI model. Regarding SRPC, the HTGW and BMI models were best as rated by model quality criteria, followed closely by the WC model. Longitudinal analyses showed no significant associations.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs6" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>These results suggest that, with regard to HRQoL/SRPC, simple anthropometric measures are sufficient to determine obesity in older adults in medical practice.</jats:p></jats:sec> |
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| author | Riedl, Anna, Vogt, Susanne, Holle, Rolf, de las Heras Gala, Tonia, Laxy, Michael, Peters, Annette, Thorand, Barbara |
| author_facet | Riedl, Anna, Vogt, Susanne, Holle, Rolf, de las Heras Gala, Tonia, Laxy, Michael, Peters, Annette, Thorand, Barbara, Riedl, Anna, Vogt, Susanne, Holle, Rolf, de las Heras Gala, Tonia, Laxy, Michael, Peters, Annette, Thorand, Barbara |
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| description | <jats:title>Abstract</jats:title><jats:sec id="S1368980016001270_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>As ageing is associated with changes in body composition, BMI may not be the appropriate obesity measure for older adults. To date, little is known about associations between obesity measures and health-related quality of life (HRQoL). Thus, we aimed to compare different obesity measures in their association with HRQoL and self-rated physical constitution (SRPC) in older adults.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Seven obesity measures (BMI, waist circumference (WC), waist-to-hip ratio, waist-to-height ratio, fat mass percentage based on bioelectrical impedance analysis, hypertriglyceridaemic waist (HTGW) and sarcopenic obesity) were assessed at baseline in 2009. HRQoL, using the EQ-5D questionnaire, and SRPC, using one single question, were collected at baseline and at the 3-year follow-up in 2012. Linear and logistic regression analyses were used to examine the associations between the obesity measures and both outcomes. Model comparisons were conducted by area under the receiver-operating characteristic curve, <jats:italic>R</jats:italic><jats:sup>2</jats:sup>, Akaike and Schwarz Bayesian information criteria.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs3" sec-type="general"><jats:title>Setting</jats:title><jats:p>KORA-Age study in Southern Germany (2009–2012).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs4" sec-type="subjects"><jats:title>Subjects</jats:title><jats:p>Older adults (<jats:italic>n</jats:italic> 883; aged ≥65 years).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs5" sec-type="results"><jats:title>Results</jats:title><jats:p>Nearly all obesity measures were significantly inversely associated with both outcomes in cross-sectional analyses. Concerning HRQoL, the WC model explained most of the variance and had the best model adaption, followed by the BMI model. Regarding SRPC, the HTGW and BMI models were best as rated by model quality criteria, followed closely by the WC model. Longitudinal analyses showed no significant associations.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs6" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>These results suggest that, with regard to HRQoL/SRPC, simple anthropometric measures are sufficient to determine obesity in older adults in medical practice.</jats:p></jats:sec> |
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| spelling | Riedl, Anna Vogt, Susanne Holle, Rolf de las Heras Gala, Tonia Laxy, Michael Peters, Annette Thorand, Barbara 1368-9800 1475-2727 Cambridge University Press (CUP) Public Health, Environmental and Occupational Health Nutrition and Dietetics Medicine (miscellaneous) http://dx.doi.org/10.1017/s1368980016001270 <jats:title>Abstract</jats:title><jats:sec id="S1368980016001270_abs1" sec-type="general"><jats:title>Objective</jats:title><jats:p>As ageing is associated with changes in body composition, BMI may not be the appropriate obesity measure for older adults. To date, little is known about associations between obesity measures and health-related quality of life (HRQoL). Thus, we aimed to compare different obesity measures in their association with HRQoL and self-rated physical constitution (SRPC) in older adults.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs2" sec-type="general"><jats:title>Design</jats:title><jats:p>Seven obesity measures (BMI, waist circumference (WC), waist-to-hip ratio, waist-to-height ratio, fat mass percentage based on bioelectrical impedance analysis, hypertriglyceridaemic waist (HTGW) and sarcopenic obesity) were assessed at baseline in 2009. HRQoL, using the EQ-5D questionnaire, and SRPC, using one single question, were collected at baseline and at the 3-year follow-up in 2012. Linear and logistic regression analyses were used to examine the associations between the obesity measures and both outcomes. Model comparisons were conducted by area under the receiver-operating characteristic curve, <jats:italic>R</jats:italic><jats:sup>2</jats:sup>, Akaike and Schwarz Bayesian information criteria.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs3" sec-type="general"><jats:title>Setting</jats:title><jats:p>KORA-Age study in Southern Germany (2009–2012).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs4" sec-type="subjects"><jats:title>Subjects</jats:title><jats:p>Older adults (<jats:italic>n</jats:italic> 883; aged ≥65 years).</jats:p></jats:sec><jats:sec id="S1368980016001270_abs5" sec-type="results"><jats:title>Results</jats:title><jats:p>Nearly all obesity measures were significantly inversely associated with both outcomes in cross-sectional analyses. Concerning HRQoL, the WC model explained most of the variance and had the best model adaption, followed by the BMI model. Regarding SRPC, the HTGW and BMI models were best as rated by model quality criteria, followed closely by the WC model. Longitudinal analyses showed no significant associations.</jats:p></jats:sec><jats:sec id="S1368980016001270_abs6" sec-type="conclusions"><jats:title>Conclusions</jats:title><jats:p>These results suggest that, with regard to HRQoL/SRPC, simple anthropometric measures are sufficient to determine obesity in older adults in medical practice.</jats:p></jats:sec> Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study Public Health Nutrition |
| spellingShingle | Riedl, Anna, Vogt, Susanne, Holle, Rolf, de las Heras Gala, Tonia, Laxy, Michael, Peters, Annette, Thorand, Barbara, Public Health Nutrition, Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study, Public Health, Environmental and Occupational Health, Nutrition and Dietetics, Medicine (miscellaneous) |
| title | Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_full | Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_fullStr | Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_full_unstemmed | Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_short | Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| title_sort | comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the kora-age study |
| title_unstemmed | Comparison of different measures of obesity in their association with health-related quality of life in older adults – results from the KORA-Age study |
| topic | Public Health, Environmental and Occupational Health, Nutrition and Dietetics, Medicine (miscellaneous) |
| url | http://dx.doi.org/10.1017/s1368980016001270 |