"Fat but powerful'' paradox: association of muscle power and adiposity markers with all-cause mortality in older adults from the EXERNET multicentre study
Alcazar, J. ; Navarrete-Villanueva, D. (Universidad de Zaragoza) ; Mañas, A. ; Gómez-Cabello, A. ; Pedrero-Chamizo, R. ; Alegre, L.M. ; Villa, G. ; Gusi, N. ; González-Gross, M. ; Casajús, J.A. (Universidad de Zaragoza) ; Vicente-Rodriguez, G. (Universidad de Zaragoza) ; Ara, I.
Resumen: Objectives: To assess the influence of muscle power and adiposity on all-cause mortality risk and to evaluate the fat but powerful'' (F+P) (or fat but fit'') paradox in older adults. Methods: A total of 2563 older adults (65 €''91 years old) from the EXERNET multicentre study were included. Adiposity (body mass index (BMI), waist circumference, body fat percentage (BF%) and fat index), allometric and relative power (sit-to-stand muscle power test) and various covariates (age, sex, hypertension, smoking status and walking and sitting times per day) were registered at baseline. All-cause mortality was recorded during a median follow-up of 8.9 years. Participants were classified into four groups: lean and powerful (L+P), F+P, lean but weak and fat and weak (F+W). Cox proportional hazard regression models and adjusted HRs were calculated. Results: According to BMI and waist circumference, all-cause mortality risk was reduced in the F+P (HR=0.55 and 0.63, p=0.044 and 0.049, respectively) and L+P (HR=0.57 and 0.58, p=0.043 and 0.025, respectively) groups. According to BF%, all-cause mortality decreased in the L+P group (HR=0.53; p=0.021), and a trend for a reduction was reported in the F+P group (HR=0.57; p=0.060). According to fat index, a survival benefit was only noted in the L+P group (HR=0.50; p=0.049). Higher levels of relative power reduced all-cause mortality risk among older people (HR=0.63 and 0.53, p=0.006 and 0.011, respectively). Conclusion: Powerful older people exhibited a reduced 9-year all-cause mortality regardless of BMI, waist circumference and BF%. Obesity according to fat index blunted the survival benefits of being powerful.
Idioma: Inglés
DOI: 10.1136/bjsports-2020-103720
Año: 2021
Publicado en: British Journal of Sports Medicine 55, 21 (2021), 103720 [8 pp.]
ISSN: 0306-3674
Factor impacto JCR: 18.479 (2021)
Categ. JCR: SPORT SCIENCES rank: 1 / 88 = 0.011 (2021) - Q1 - T1
Factor impacto CITESCORE: 21.3 - Health Professions (Q1) - Medicine (Q1)
Factor impacto SCIMAGO: 3.867 - Medicine (miscellaneous) (Q1) - Sports Science (Q1) - Orthopedics and Sports Medicine (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes.
Exportado de SIDERAL (2023-05-18-14:34:43)
Visitas y descargas
Idioma: Inglés
DOI: 10.1136/bjsports-2020-103720
Año: 2021
Publicado en: British Journal of Sports Medicine 55, 21 (2021), 103720 [8 pp.]
ISSN: 0306-3674
Factor impacto JCR: 18.479 (2021)
Categ. JCR: SPORT SCIENCES rank: 1 / 88 = 0.011 (2021) - Q1 - T1
Factor impacto CITESCORE: 21.3 - Health Professions (Q1) - Medicine (Q1)
Factor impacto SCIMAGO: 3.867 - Medicine (miscellaneous) (Q1) - Sports Science (Q1) - Orthopedics and Sports Medicine (Q1)
Tipo y forma: Article (Published version)
Área (Departamento): Área Enfermería (Dpto. Fisiatría y Enfermería)
Área (Departamento): Área Educación Física y Depor. (Dpto. Fisiatría y Enfermería)
You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use. You may not use the material for commercial purposes. Exportado de SIDERAL (2023-05-18-14:34:43)
Permalink:
Visitas y descargas
Este artículo se encuentra en las siguientes colecciones:
Articles
Record created 2021-05-26, last modified 2023-05-19