Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study
Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the assoc...
Ausführliche Beschreibung
Autor*in: |
Nien Xiang Tou [verfasserIn] Shiou Liang Wee [verfasserIn] Benedict Wei Jun Pang [verfasserIn] Lay Khoon Lau [verfasserIn] Khalid Abdul Jabbar [verfasserIn] Wei Ting Seah [verfasserIn] Kenneth Kexun Chen [verfasserIn] Tze Pin Ng [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2022 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Aging and Health Research - Elsevier, 2021, 2(2022), 3, Seite 100097- |
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Übergeordnetes Werk: |
volume:2 ; year:2022 ; number:3 ; pages:100097- |
Links: |
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DOI / URN: |
10.1016/j.ahr.2022.100097 |
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Katalog-ID: |
DOAJ033471800 |
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520 | |a Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. | ||
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650 | 4 | |a Body composition | |
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650 | 4 | |a Fat mass index | |
650 | 4 | |a Appendicular lean mass index | |
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700 | 0 | |a Benedict Wei Jun Pang |e verfasserin |4 aut | |
700 | 0 | |a Lay Khoon Lau |e verfasserin |4 aut | |
700 | 0 | |a Khalid Abdul Jabbar |e verfasserin |4 aut | |
700 | 0 | |a Wei Ting Seah |e verfasserin |4 aut | |
700 | 0 | |a Kenneth Kexun Chen |e verfasserin |4 aut | |
700 | 0 | |a Tze Pin Ng |e verfasserin |4 aut | |
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10.1016/j.ahr.2022.100097 doi (DE-627)DOAJ033471800 (DE-599)DOAJ8da574f8e9fe43a99398888eae000cdf DE-627 ger DE-627 rakwb eng RC952-954.6 Nien Xiang Tou verfasserin aut Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. Aging Body composition Physical performance Fat mass index Appendicular lean mass index Geriatrics Shiou Liang Wee verfasserin aut Benedict Wei Jun Pang verfasserin aut Lay Khoon Lau verfasserin aut Khalid Abdul Jabbar verfasserin aut Wei Ting Seah verfasserin aut Kenneth Kexun Chen verfasserin aut Tze Pin Ng verfasserin aut In Aging and Health Research Elsevier, 2021 2(2022), 3, Seite 100097- (DE-627)176129976X 26670321 nnns volume:2 year:2022 number:3 pages:100097- https://doi.org/10.1016/j.ahr.2022.100097 kostenfrei https://doaj.org/article/8da574f8e9fe43a99398888eae000cdf kostenfrei http://www.sciencedirect.com/science/article/pii/S2667032122000439 kostenfrei https://doaj.org/toc/2667-0321 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 3 100097- |
spelling |
10.1016/j.ahr.2022.100097 doi (DE-627)DOAJ033471800 (DE-599)DOAJ8da574f8e9fe43a99398888eae000cdf DE-627 ger DE-627 rakwb eng RC952-954.6 Nien Xiang Tou verfasserin aut Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. Aging Body composition Physical performance Fat mass index Appendicular lean mass index Geriatrics Shiou Liang Wee verfasserin aut Benedict Wei Jun Pang verfasserin aut Lay Khoon Lau verfasserin aut Khalid Abdul Jabbar verfasserin aut Wei Ting Seah verfasserin aut Kenneth Kexun Chen verfasserin aut Tze Pin Ng verfasserin aut In Aging and Health Research Elsevier, 2021 2(2022), 3, Seite 100097- (DE-627)176129976X 26670321 nnns volume:2 year:2022 number:3 pages:100097- https://doi.org/10.1016/j.ahr.2022.100097 kostenfrei https://doaj.org/article/8da574f8e9fe43a99398888eae000cdf kostenfrei http://www.sciencedirect.com/science/article/pii/S2667032122000439 kostenfrei https://doaj.org/toc/2667-0321 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 3 100097- |
allfields_unstemmed |
10.1016/j.ahr.2022.100097 doi (DE-627)DOAJ033471800 (DE-599)DOAJ8da574f8e9fe43a99398888eae000cdf DE-627 ger DE-627 rakwb eng RC952-954.6 Nien Xiang Tou verfasserin aut Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. Aging Body composition Physical performance Fat mass index Appendicular lean mass index Geriatrics Shiou Liang Wee verfasserin aut Benedict Wei Jun Pang verfasserin aut Lay Khoon Lau verfasserin aut Khalid Abdul Jabbar verfasserin aut Wei Ting Seah verfasserin aut Kenneth Kexun Chen verfasserin aut Tze Pin Ng verfasserin aut In Aging and Health Research Elsevier, 2021 2(2022), 3, Seite 100097- (DE-627)176129976X 26670321 nnns volume:2 year:2022 number:3 pages:100097- https://doi.org/10.1016/j.ahr.2022.100097 kostenfrei https://doaj.org/article/8da574f8e9fe43a99398888eae000cdf kostenfrei http://www.sciencedirect.com/science/article/pii/S2667032122000439 kostenfrei https://doaj.org/toc/2667-0321 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 3 100097- |
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10.1016/j.ahr.2022.100097 doi (DE-627)DOAJ033471800 (DE-599)DOAJ8da574f8e9fe43a99398888eae000cdf DE-627 ger DE-627 rakwb eng RC952-954.6 Nien Xiang Tou verfasserin aut Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. Aging Body composition Physical performance Fat mass index Appendicular lean mass index Geriatrics Shiou Liang Wee verfasserin aut Benedict Wei Jun Pang verfasserin aut Lay Khoon Lau verfasserin aut Khalid Abdul Jabbar verfasserin aut Wei Ting Seah verfasserin aut Kenneth Kexun Chen verfasserin aut Tze Pin Ng verfasserin aut In Aging and Health Research Elsevier, 2021 2(2022), 3, Seite 100097- (DE-627)176129976X 26670321 nnns volume:2 year:2022 number:3 pages:100097- https://doi.org/10.1016/j.ahr.2022.100097 kostenfrei https://doaj.org/article/8da574f8e9fe43a99398888eae000cdf kostenfrei http://www.sciencedirect.com/science/article/pii/S2667032122000439 kostenfrei https://doaj.org/toc/2667-0321 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 3 100097- |
allfieldsSound |
10.1016/j.ahr.2022.100097 doi (DE-627)DOAJ033471800 (DE-599)DOAJ8da574f8e9fe43a99398888eae000cdf DE-627 ger DE-627 rakwb eng RC952-954.6 Nien Xiang Tou verfasserin aut Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. Aging Body composition Physical performance Fat mass index Appendicular lean mass index Geriatrics Shiou Liang Wee verfasserin aut Benedict Wei Jun Pang verfasserin aut Lay Khoon Lau verfasserin aut Khalid Abdul Jabbar verfasserin aut Wei Ting Seah verfasserin aut Kenneth Kexun Chen verfasserin aut Tze Pin Ng verfasserin aut In Aging and Health Research Elsevier, 2021 2(2022), 3, Seite 100097- (DE-627)176129976X 26670321 nnns volume:2 year:2022 number:3 pages:100097- https://doi.org/10.1016/j.ahr.2022.100097 kostenfrei https://doaj.org/article/8da574f8e9fe43a99398888eae000cdf kostenfrei http://www.sciencedirect.com/science/article/pii/S2667032122000439 kostenfrei https://doaj.org/toc/2667-0321 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 2 2022 3 100097- |
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Nien Xiang Tou Shiou Liang Wee Benedict Wei Jun Pang Lay Khoon Lau Khalid Abdul Jabbar Wei Ting Seah Kenneth Kexun Chen Tze Pin Ng |
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association of fat mass index versus appendicular lean mass index with physical function – the yishun study |
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Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study |
abstract |
Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. |
abstractGer |
Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. |
abstract_unstemmed |
Background: Increase in body fat and reduced muscle mass are common body composition changes with age and precedes functional impairment. However, it remains unclear whether increased adiposity or less lean mass is a stronger determinant of worse functional performance. This study compared the association between fat versus lean mass indices with physical function among community-dwelling adults after adjusting for age and muscle strength. Methods: 542 community-dwelling adults aged between 21 and 90 years were recruited. All participants were assessed for body composition (dual X-ray absorptiometry), knee extensor strength (KES) and physical function. Fat mass and lean mass (weight in kg) were adjusted by height (in meters) squared - measured as fat mass index (FMI) and appendicular lean mass index (ALMI), respectively. Physical function was assessed using the Short Physical Performance Battery (SPPB) and the timed up and go (TUG) test. Results: FMI was significantly associated with both SPPB (ß = -0.130, p = 0.019) and TUG (ß = 0.182, p < 0.01) after accounting for ALMI and other covariates. This association was moderated by age and KES. FMI was associated with SPPB and TUG in individuals who are older or with weaker KES. While ALMI was found to be significantly associated with TUG (ß = 0.121, p = 0.023), no significant association was found between ALMI and physical function after accounting for FMI. Conclusions: Our results show that FMI is a stronger determinant of physical function than ALMI. This emphasizes the importance of reducing body fat to mitigate functional decline especially in older and weaker adults. |
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Association of fat mass index versus appendicular lean mass index with physical function – The Yishun Study |
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