Abstract:
OBJECTIVE:The aim of this study is to evaluate fall rates across body mass index (BMI) categories by age group, considering physical performance and comorbidities. METHOD:In the Osteoporotic Fractures in Men (MrOS) study, 5,834 men aged ≥65 reported falls every 4 months over 4.8 (±0.8) years. Adjusted associations between BMI and an incident fall were tested using mixed-effects models. RESULTS:The fall rate (0.66/man-year overall, 95% confidence interval [CI] = [0.65, 0.67]) was lowest in the youngest, normal weight men (0.44/man-year, 95% CI = [0.41, 0.47]) and greatest in the oldest, highest BMI men (1.47 falls/man-year, 95% CI = [1.22, 1.76]). Obesity was associated with a 24% to 92% increased fall risk in men below 80 ( ptrend ≤ .0001, p for interaction by age = .03). Only adjustment for dynamic balance test altered the BMI-falls association substantially. DISCUSSION:Obesity was independently associated with higher fall rates in men 65 to 80 years old. Narrow walk time, a measure of gait stability, may mediate the association.
journal_name
J Aging Healthjournal_title
Journal of aging and healthauthors
Hooker ER,Shrestha S,Lee CG,Cawthon PM,Abrahamson M,Ensrud K,Stefanick ML,Dam TT,Marshall LM,Orwoll ES,Nielson CM,Osteoporotic Fractures in Men (MrOS) Study.doi
10.1177/0898264316660412subject
Has Abstractpub_date
2017-10-01 00:00:00pages
1235-1250issue
7eissn
0898-2643issn
1552-6887pii
0898264316660412journal_volume
29pub_type
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