Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study

BackgroundPhysical fitness and body composition are important health indicators; nevertheless, their combined pattern interrelationships and their association with mortality are poorly investigated.MethodsThis longitudinal study is part of the Spanish EXERNET-Elder project. Person-months of follow-u...

Descripción completa

Detalles Bibliográficos
Autores: Navarrete Villanueva, David, Gómez Cabello, Alba, Gómez Bruton, Alejandro, Gesteiro , Eva, Rodríguez Gómez, Irene, Pérez Gómez, Jorge, Villa Vicente, José Gerando, Espino , J, Gusi , Narcís, Gonzalez Gross, Marcela, Vicente Rodríguez, Germán, Casajús , José Antonio, Ara Royo, Ignacio
Tipo de recurso: artículo
Fecha de publicación:2022
País:España
Institución:Universidad de Castilla-La Mancha
Repositorio:RUIdeRA. Repositorio Institucional de la UCLM
OAI Identifier:oai:ruidera.uclm.es:10578/40137
Acceso en línea:https://hdl.handle.net/10578/40137
Access Level:acceso abierto
Palabra clave:Clustering
Fatness
Older populations
Physical fitness
Survival
id ES_086c48f71eec0ed7cd1af7b5dbebcd74
oai_identifier_str oai:ruidera.uclm.es:10578/40137
network_acronym_str ES
network_name_str España
repository_id_str
spelling Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center studyNavarrete Villanueva, DavidGómez Cabello, AlbaGómez Bruton, AlejandroGesteiro , EvaRodríguez Gómez, IrenePérez Gómez, JorgeVilla Vicente, José GerandoEspino , JGusi , NarcísGonzalez Gross, MarcelaVicente Rodríguez, GermánCasajús , José AntonioAra Royo, IgnacioClusteringFatnessOlder populationsPhysical fitnessSurvivalBackgroundPhysical fitness and body composition are important health indicators; nevertheless, their combined pattern interrelationships and their association with mortality are poorly investigated.MethodsThis 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.ResultsA 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).ConclusionPhysical fitness is a determinant factor in terms of survival in community-dwelling older adults, independently of adiposity levels.Oxford Academic202520252022info:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://hdl.handle.net/10578/40137reponame:RUIdeRA. Repositorio Institucional de la UCLMinstname:Universidad de Castilla-La ManchaInglésinfo:eu-repo/semantics/openAccessoai:ruidera.uclm.es:10578/401372026-05-27T07:36:41Z
dc.title.none.fl_str_mv Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
title Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
spellingShingle Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
Navarrete Villanueva, David
Clustering
Fatness
Older populations
Physical fitness
Survival
title_short Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
title_full Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
title_fullStr Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
title_full_unstemmed Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
title_sort Fitness vs. fatness as determinants of survival in non-institutionalized older adults: The EXERNET multi-center study
dc.creator.none.fl_str_mv Navarrete Villanueva, David
Gómez Cabello, Alba
Gómez Bruton, Alejandro
Gesteiro , Eva
Rodríguez Gómez, Irene
Pérez Gómez, Jorge
Villa Vicente, José Gerando
Espino , J
Gusi , Narcís
Gonzalez Gross, Marcela
Vicente Rodríguez, Germán
Casajús , José Antonio
Ara Royo, Ignacio
author Navarrete Villanueva, David
author_facet Navarrete Villanueva, David
Gómez Cabello, Alba
Gómez Bruton, Alejandro
Gesteiro , Eva
Rodríguez Gómez, Irene
Pérez Gómez, Jorge
Villa Vicente, José Gerando
Espino , J
Gusi , Narcís
Gonzalez Gross, Marcela
Vicente Rodríguez, Germán
Casajús , José Antonio
Ara Royo, Ignacio
author_role author
author2 Gómez Cabello, Alba
Gómez Bruton, Alejandro
Gesteiro , Eva
Rodríguez Gómez, Irene
Pérez Gómez, Jorge
Villa Vicente, José Gerando
Espino , J
Gusi , Narcís
Gonzalez Gross, Marcela
Vicente Rodríguez, Germán
Casajús , José Antonio
Ara Royo, Ignacio
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv Clustering
Fatness
Older populations
Physical fitness
Survival
topic Clustering
Fatness
Older populations
Physical fitness
Survival
description BackgroundPhysical fitness and body composition are important health indicators; nevertheless, their combined pattern interrelationships and their association with mortality are poorly investigated.MethodsThis 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.ResultsA 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).ConclusionPhysical fitness is a determinant factor in terms of survival in community-dwelling older adults, independently of adiposity levels.
publishDate 2022
dc.date.none.fl_str_mv 2022
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
format article
dc.identifier.none.fl_str_mv https://hdl.handle.net/10578/40137
url https://hdl.handle.net/10578/40137
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Oxford Academic
publisher.none.fl_str_mv Oxford Academic
dc.source.none.fl_str_mv reponame:RUIdeRA. Repositorio Institucional de la UCLM
instname:Universidad de Castilla-La Mancha
instname_str Universidad de Castilla-La Mancha
reponame_str RUIdeRA. Repositorio Institucional de la UCLM
collection RUIdeRA. Repositorio Institucional de la UCLM
repository.name.fl_str_mv
repository.mail.fl_str_mv
_version_ 1869403041685307392
score 15.811543

Similares en LA Referencia