TY  - JOUR
PY  - 2022//
TI  - Use of structural models to elucidate the occurrence of falls among older adults according to abdominal obesity: a cross-sectional study
JO  - Sao Paulo Medical Journal - Revista Paulista de Medicina
A1  - Monteiro, Elma Lúcia de Freitas
A1  - Ikegami, Érica Midori
A1  - Oliveira, Nayara Gomes Nunes
A1  - Reis, Erika Cardoso Dos
A1  - Virtuoso Júnior, Jair Sindra
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - BACKGROUND: Obesity is a risk factor for falls in older adults, but the effects of body fat distribution and its interaction with other factors are not well established. <br><br>OBJECTIVES: To verify the occurrence of falls among older adults with and without abdominal obesity and the effects of sociodemographic, health, and behavioral variables on this outcome. DESIGN AND SETTING: A cross-sectional study in an urban area of Alcobaça, Brazil. <br><br>METHODS: Men and women older than 60 years with (270) and without (184) abdominal obesity were included. Sociodemographic, health, and behavioral data were collected using validated questionnaires in Brazil. Descriptive and path analyses were performed (P < 0.05). <br><br>RESULTS: The occurrence of falls was high in participants with abdominal obesity (33.0%). In both groups, a higher number of morbidities (β = 0.25, P < 0.001; β = 0.26, P = 0.002) was directly associated with a higher occurrence of falls. Among participants without abdominal obesity, a lower number of medications (β = -0.16; P = 0.04), a higher number of depressive symptoms (β = 0.15; P = 0.04), worse performance on the agility and dynamic balance tests (β = 0.37; P < 0.001), and lower functional disability for basic activities of daily living (β = -0.21; P = 0.006) were directly associated with the occurrence of falls. <br><br>CONCLUSION: Adults older than 60 years with abdominal obesity have a higher prevalence of falls. Different factors were associated with the occurrence of falls in both groups.<p />  <p>Language: en</p>
LA  - en
SN  - 1516-3180
UR  - http://dx.doi.org/10.1590/1516-3180.2021.0738.R1.07042022
ID  - ref1
ER  -