PMID- 29169576
OWN - NLM
STAT- MEDLINE
DCOM- 20180517
LR  - 20220310
IS  - 1873-4111 (Electronic)
IS  - 0378-5122 (Linking)
VI  - 107
DP  - 2018 Jan
TI  - Sarcopenia and sarcopenic obesity in Spanish community-dwelling middle-aged and 
      older women: Association with balance confidence, fear of falling and fall risk.
PG  - 26-32
LID - S0378-5122(17)30780-6 [pii]
LID - 10.1016/j.maturitas.2017.10.001 [doi]
AB  - OBJECTIVES: To analyze the association of sarcopenia, obesity, and sarcopenic 
      obesity (SO) with fear of falling (FoF) and balance confidence in a Spanish 
      sample of middle-aged and older community-dwelling women. STUDY DESIGN AND 
      OUTCOME MEASURES: A total of 235 women (69.21+/-7.56 years) participated in this 
      study. Body composition (bioelectrical impedance analysis), hand-grip strength, 
      and physical performance (gait speed) were evaluated for the diagnosis of 
      sarcopenia, obesity, and SO. Anxiety and depression were measured using the 
      Hospital Anxiety and Depression Scale. The Activities-Specific Balance Confidence 
      Scale (ABC) and the Falls Efficacy Scale-International (FES-I) were employed to 
      assess FoF and balance confidence, respectively. Scores of >26 on the FES-I and 
      <67% on the ABC were used to identify women at risk of falling. The independent 
      associations of sarcopenia, obesity and SO with FoF, balance confidence, and fall 
      risk were evaluated by multivariate linear and logistic regressions, adjusting 
      for potential confounding variables. RESULTS: 27.23% and 18.72% of women 
      presented with sarcopenia and SO, respectively. Gait speed, body mass index 
      (BMI), and fall history were independently associated with ABC score 
      (adjusted-R(2)=0.152) and fall risk (ABC) (adjusted-R(2)=0.115). FES-I score was 
      independently associated (adjusted-R(2)=0.193) with fall history, gait speed, 
      BMI, and depression, which, together with obesity (BMI) and SO, remained 
      independent factors for fall risk measured as FES-I score (adjusted-R(2)=0.243). 
      CONCLUSION: In community-dwelling middle-aged and older Spanish women, BMI, gait 
      speed, and fall history were independently associated with FoF, balance 
      confidence, and fall risk. Depression was related only to FoF, and, together with 
      obesity (BMI) and SO, was an independent predictor of fall risk as assessed by 
      the FES-I.
CI  - Copyright (c) 2017 Elsevier B.V. All rights reserved.
FAU - Aibar-Almazan, Agustin
AU  - Aibar-Almazan A
AD  - Department of Health Sciences, Faculty of Health Sciences, University of Jaen, 
      Jaen, Spain.
FAU - Martinez-Amat, Antonio
AU  - Martinez-Amat A
AD  - Department of Health Sciences, Faculty of Health Sciences, University of Jaen, 
      Jaen, Spain.
FAU - Cruz-Diaz, David
AU  - Cruz-Diaz D
AD  - Department of Health Sciences, Faculty of Health Sciences, University of Jaen, 
      Jaen, Spain.
FAU - Jimenez-Garcia, Jose D
AU  - Jimenez-Garcia JD
AD  - Department of Health Sciences, Faculty of Health Sciences, University of Jaen, 
      Jaen, Spain.
FAU - Achalandabaso, Alexander
AU  - Achalandabaso A
AD  - Department of Health Sciences, Faculty of Health Sciences, University of Jaen, 
      Jaen, Spain.
FAU - Sanchez-Montesinos, Indalecio
AU  - Sanchez-Montesinos I
AD  - Department of Human Anatomy and Embryology, School of Medicine, University of 
      Granada, Granada, Spain.
FAU - de la Torre-Cruz, Manuel
AU  - de la Torre-Cruz M
AD  - Department of Psychology, University of Jaen, Jaen, Spain.
FAU - Hita-Contreras, Fidel
AU  - Hita-Contreras F
AD  - Department of Health Sciences, Faculty of Health Sciences, University of Jaen, 
      Jaen, Spain. Electronic address: fhita@ujaen.es.
LA  - eng
PT  - Journal Article
DEP - 20171007
PL  - Ireland
TA  - Maturitas
JT  - Maturitas
JID - 7807333
SB  - IM
MH  - *Accidental Falls
MH  - Aged
MH  - Body Mass Index
MH  - *Fear
MH  - Female
MH  - Hand Strength
MH  - Humans
MH  - Independent Living/*psychology
MH  - Middle Aged
MH  - Obesity/*psychology
MH  - *Postural Balance
MH  - Sarcopenia/*psychology
MH  - Spain
MH  - Walking Speed
OTO - NOTNLM
OT  - Balance confidence
OT  - Fall risk
OT  - Fear of falling
OT  - Obesity
OT  - Sarcopenia
OT  - Sarcopenic obesity
EDAT- 2017/11/25 06:00
MHDA- 2018/05/18 06:00
CRDT- 2017/11/25 06:00
PHST- 2017/07/25 00:00 [received]
PHST- 2017/09/08 00:00 [revised]
PHST- 2017/10/02 00:00 [accepted]
PHST- 2017/11/25 06:00 [entrez]
PHST- 2017/11/25 06:00 [pubmed]
PHST- 2018/05/18 06:00 [medline]
AID - S0378-5122(17)30780-6 [pii]
AID - 10.1016/j.maturitas.2017.10.001 [doi]
PST - ppublish
SO  - Maturitas. 2018 Jan;107:26-32. doi: 10.1016/j.maturitas.2017.10.001. Epub 2017 
      Oct 7.