Delphine Monteil, Geriatric Medicine Unit, Lyon Sud Hospital, Hospices Civils de Lyon, 69310 Pierre Bénite, France,
J Nutr Health Aging. 2020;24(8):821-826. doi: 10.1007/s12603-020-1465-6.
With the increasing prevalence of obesity and the risk of increased dependency among the elderly, it becomes important to characterize the link between obesity and frailty. The relationship between obesity and social deprivation would be bidirectional, with each influencing the other.
Main objective was to study the relationship between frailty as defined by Fried and obesity (Body Mass Index (BMI) and abdominal obesity). Secondary objective was to assess the relationship between frailty and social deprivation.
This was a cross-sectional study, with data collected between January 2014 and December 2015 using a senior periodic health prevention examination form used in the 4 sites of the health examination center, in Rhone, among non-institutionalized seniors (≥ 65 years). Frailty was defined according to Fried's criteria. Obesity was defined by a BMI ≥ 30 kg / m2 and a waist circumference > 88 cm for women and >102 cm for men. We studied the association between obesity according to BMI ≥ 30kg / m2 on the one hand and abdominal obesity on the other hand with frailty according to Fried. The analyzes were adjusted for gender, age, education level, not being in a relationship and social deprivation quantified by the assessment score of deprivation and health inequalities (EPICES score).
1593 senior health prevention examination forms were studied. According to BMI, senior women were almost twice as likely to be frail when obese (RR = 1.92, 95% CI [1.06 - 3.45], p = 0.018). The results were similar for abdominal obesity in women aged 65-74 years (RR = 2.12, 95% CI [1.03-4.35], p = 0.029). There was no relationship in men for both types of obesity. Seniors who were socially deprived were 2.7 times more likely to be frail than non-deprived seniors (adjusted RR = 2.76, 95% CI [1.808 - 4.203], p <0.001).
Obesity (BMI ≥ 30kg / m2 and high waist circumference) was associated with increased frailty among older, non-institutionalized women who came for a periodic health prevention examination. Screening and prevention of obesity in the elderly appears to be a major public health issue, and remains a priority target for action.
随着肥胖症的患病率不断上升以及老年人对依赖的风险增加，描述肥胖症与虚弱之间的联系变得尤为重要。肥胖症和社会剥夺之间的关系是相互影响的双向关系。
主要目的是研究弗里德定义的虚弱与肥胖（体重指数（BMI）和腹部肥胖）之间的关系。次要目的是评估虚弱与社会剥夺之间的关系。
这是一项横断面研究，于 2014 年 1 月至 2015 年 12 月在罗纳省的 4 个健康检查中心站点使用老年人定期健康预防检查表收集数据，调查对象是非住院老年人（≥65 岁）。根据弗里德的标准定义虚弱。肥胖定义为 BMI≥30kg/m2，女性腰围>88cm，男性腰围>102cm。我们研究了一方面根据 BMI≥30kg/m2 的肥胖和另一方面根据弗里德定义的腹部肥胖与虚弱之间的关联。分析调整了性别、年龄、教育程度、是否有伴侣和社会剥夺程度（通过剥夺和健康不平等评估得分（EPICES 评分）量化）。
共研究了 1593 名老年人健康预防检查表。根据 BMI，肥胖的老年女性衰弱的可能性几乎是肥胖女性的两倍（RR=1.92，95%CI[1.06-3.45]，p=0.018）。65-74 岁女性的腹部肥胖结果相似（RR=2.12，95%CI[1.03-4.35]，p=0.029）。两种肥胖类型在男性中均无关联。与非贫困老年人相比，社会贫困的老年人衰弱的可能性高 2.7 倍（调整后的 RR=2.76，95%CI[1.808-4.203]，p<0.001）。
在接受定期健康预防检查的非住院老年女性中，肥胖症（BMI≥30kg/m2 和高腰围）与虚弱的发生呈正相关。对老年人进行肥胖筛查和预防似乎是一个主要的公共卫生问题，仍然是一个优先的行动目标。
