Repositorio Institucional de Documentos

000110849 001__ 110849
000110849 005__ 20240319080948.0
000110849 0247_ $$2doi$$a10.1093/gerona/glab179
000110849 0248_ $$2sideral$$a127660
000110849 037__ $$aART-2022-127660
000110849 041__ $$aeng
000110849 100__ $$0(orcid)0000-0001-6523-5511$$aNavarrete-Villanueva, David$$uUniversidad de Zaragoza
000110849 245__ $$aFitness vs Fatness as Determinants of Survival in Noninstitutionalized Older Adults: The EXERNET Multicenter Study
000110849 260__ $$c2022
000110849 5060_ $$aAccess copy available to the general public$$fUnrestricted
000110849 5203_ $$aBackground
Physical fitness and body composition are important health indicators; nevertheless, their combined pattern interrelationships and their association with mortality are poorly investigated.

Methods
This longitudinal study is part of the Spanish EXERNET-Elder project. Person-months of follow-up were calculated from the interview date, performed between June 2008 and November 2009, until the date of death or censoring on March 2018 (whichever came first). In order to be included, participants had to fulfill the following criteria: (a) be older than 65 years, (b) live independently at home, (c) not suffer dementia and/or cancer, and (d) have a body mass index above 18.5. Body fat and weight were assessed by a bioelectrical impedance analyzer. Fitness was measured with the Senior Fitness and the one-leg static balance tests. The Spanish Death Index was consulted for the death’s identification. Cluster analysis was performed to identify Fat–Fit patterns and traditional cut-points and percentiles to create the Fat–Fit groups. Cox proportional hazards regression models were used to calculate the hazard ratios (HRs) of death in clustered Fat–Fit patterns and in traditional Fat–Fit groups.

Results
A total of 2299 older adults (76.8% of women) were included with a baseline mean age of 71.9 ± 5.2 years. A total of 196 deaths (8.7% of the sample) were identified during the 8 years of follow-up. Four clustered Fat–Fit patterns (Low fat–Fit, Medium fat–Fit, High fat–Unfit, and Low fat–Unfit) and 9 traditional Fat–Fit groups emerged. Using the Low fat–Fit pattern as the reference, significantly increased mortality was noted in High fat–Unfit (HR: 1.68, CI: 1.06–2.66) and Low fat–Unfit (HR: 2.01, CI: 1.28–3.16) groups. All the traditional Fit groups showed lower mortality risk when compared to the reference group (obese–unfit group).

Conclusion
Physical fitness is a determinant factor in terms of survival in community-dwelling older adults, independently of adiposity levels.
000110849 536__ $$9info:eu-repo/grantAgreement/ES/DGA-IIU/1-2020$$9info:eu-repo/grantAgreement/ES/IMSERSO/104-07$$9info:eu-repo/grantAgreement/ES/IMSERSO/104-11$$9info:eu-repo/grantAgreement/ES/ISCIII/CB16-10-00477$$9info:eu-repo/grantAgreement/ES/MINECO/DEP2016-78309-R$$9info:eu-repo/grantAgreement/ES/UZ/UZCUD2016-BIO-01$$9info:eu-repo/grantAgreement/ES/UZ/2008-BIO-01
000110849 540__ $$9info:eu-repo/semantics/openAccess$$aAll rights reserved$$uhttp://www.europeana.eu/rights/rr-f/
000110849 590__ $$a5.1$$b2022
000110849 592__ $$a1.703$$b2022
000110849 591__ $$aGERONTOLOGY$$b7 / 37 = 0.189$$c2022$$dQ1$$eT1
000110849 593__ $$aGeriatrics and Gerontology$$c2022$$dQ1
000110849 591__ $$aGERIATRICS & GERONTOLOGY$$b18 / 54 = 0.333$$c2022$$dQ2$$eT2
000110849 593__ $$aAging$$c2022$$dQ1
000110849 594__ $$a9.9$$b2022
000110849 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000110849 700__ $$0(orcid)0000-0001-6492-2512$$aGómez-Cabello, Alba
000110849 700__ $$0(orcid)0000-0002-0520-1640$$aGómez-Bruton, Alejandro$$uUniversidad de Zaragoza
000110849 700__ $$aGesteiro, Eva
000110849 700__ $$aRodríguez-Gómez, Irene
000110849 700__ $$0(orcid)0000-0002-4054-9132$$aPérez-Gómez, Jorge
000110849 700__ $$aVilla-Vicente, José Gerardo
000110849 700__ $$aEspino-Toron, Luis
000110849 700__ $$aGusi, Narcís
000110849 700__ $$0(orcid)0000-0001-7757-3235$$aGonzález-Gross, Marcela
000110849 700__ $$aAra, Ignacio
000110849 700__ $$0(orcid)0000-0002-4303-4097$$aVicente-Rodríguez, Germán$$uUniversidad de Zaragoza
000110849 700__ $$0(orcid)0000-0002-7215-6931$$aCasajús, José A.$$uUniversidad de Zaragoza
000110849 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000110849 7102_ $$11006$$2245$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Educación Física y Depor.
000110849 773__ $$g77, 5 (2022), 1079–1087$$pJ. gerontol., Ser. A, biol. sci. med. sci.$$tThe journals of gerontology. Series A, Biological sciences and medical sciences$$x1079-5006
000110849 8564_ $$s560292$$uhttps://zaguan.unizar.es/record/110849/files/texto_completo.pdf$$yVersión publicada
000110849 8564_ $$s2618193$$uhttps://zaguan.unizar.es/record/110849/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000110849 909CO $$ooai:zaguan.unizar.es:110849$$particulos$$pdriver
000110849 951__ $$a2024-03-18-12:48:24
000110849 980__ $$aARTICLE

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