000102183 001__ 102183
000102183 005__ 20230519145442.0
000102183 0247_ $$2doi$$a10.1136/bjsports-2020-103720
000102183 0248_ $$2sideral$$a124151
000102183 037__ $$aART-2021-124151
000102183 041__ $$aeng
000102183 100__ $$aAlcazar, J.
000102183 245__ $$a"Fat but powerful'' paradox: association of muscle power and adiposity markers with all-cause mortality in older adults from the EXERNET multicentre study
000102183 260__ $$c2021
000102183 5060_ $$aAccess copy available to the general public$$fUnrestricted
000102183 5203_ $$aObjectives: 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.
000102183 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc$$uhttp://creativecommons.org/licenses/by-nc/3.0/es/
000102183 590__ $$a18.479$$b2021
000102183 592__ $$a3.867$$b2021
000102183 594__ $$a21.3$$b2021
000102183 591__ $$aSPORT SCIENCES$$b1 / 88 = 0.011$$c2021$$dQ1$$eT1
000102183 593__ $$aMedicine (miscellaneous)$$c2021$$dQ1
000102183 593__ $$aSports Science$$c2021$$dQ1
000102183 593__ $$aOrthopedics and Sports Medicine$$c2021$$dQ1
000102183 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000102183 700__ $$0(orcid)0000-0001-6523-5511$$aNavarrete-Villanueva, D.$$uUniversidad de Zaragoza
000102183 700__ $$aMañas, A.
000102183 700__ $$0(orcid)0000-0001-6492-2512$$aGómez-Cabello, A.
000102183 700__ $$aPedrero-Chamizo, R.
000102183 700__ $$aAlegre, L.M.
000102183 700__ $$aVilla, G.
000102183 700__ $$aGusi, N.
000102183 700__ $$aGonzález-Gross, M.
000102183 700__ $$0(orcid)0000-0002-7215-6931$$aCasajús, J.A.$$uUniversidad de Zaragoza
000102183 700__ $$0(orcid)0000-0002-4303-4097$$aVicente-Rodriguez, G.$$uUniversidad de Zaragoza
000102183 700__ $$aAra, I.
000102183 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000102183 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000102183 773__ $$g55, 21 (2021), 103720 [8 pp.]$$pBr. j. sports med.$$tBritish Journal of Sports Medicine$$x0306-3674
000102183 8564_ $$s1043510$$uhttps://zaguan.unizar.es/record/102183/files/texto_completo.pdf$$yVersión publicada
000102183 8564_ $$s3290233$$uhttps://zaguan.unizar.es/record/102183/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000102183 909CO $$ooai:zaguan.unizar.es:102183$$particulos$$pdriver
000102183 951__ $$a2023-05-18-14:34:43
000102183 980__ $$aARTICLE