Body composition as a predictor of physical performance in older age: A ten- year follow-up of the Helsinki Birth Cohort Study

Tuija M. Mikkola, Mikaela B. von Bonsdorff, Minna K. Salonen, Mika Simonen, Pertti Pohjolainen, Clive Osmond, Mia-Maria Perälä, Taina Rantanen, Eero Kajantie, Johan Eriksson

Research output: Contribution to journalArticleScientificpeer-review

Abstract

Background: This study assessed how different measures of body composition predict physical performance ten years later among older adults.

Methods: The participants were 1076 men and women aged 57 to 70 years. Body mass index (BMI), waist circumference, and body composition (bioelectrical impedance analysis) were measured at baseline and physical performance (Senior Fitness Test) ten years later. Linear regression analyses were adjusted for age, education, smoking, duration of the follow-up and physical activity.

Results: Greater BMI, waist circumference, fat mass, and percent body fat were associated with poorer physical performance in both sexes (standardized regression coefficient [beta] from -0.32 to -0.40, p <0.001). Lean mass to BMI ratio was positively associated with later physical performance (beta = 0.31 in men, beta = 0.30 in women, p <0.001). Fat-free mass index (lean mass/height(2)) in both sexes and lean mass in women were negatively associated with later physical performance. Lean mass residual after accounting for the effect of height and fat mass was not associated with physical performance.

Conclusions: Among older adults, higher measures of adiposity predicted poorer physical performance ten years later whereas lean mass was associated with physical performance in a counterintuitive manner. The results can be used when appraising usefulness of body composition indicators for definition of sarcopenic obesity.

Original languageEnglish
JournalArchives of Gerontology and Geriatrics
Volume77
Pages (from-to)163-168
Number of pages6
ISSN0167-4943
DOIs
Publication statusPublished - 2018
MoE publication typeA1 Journal article-refereed

Fields of Science

  • 3111 Biomedicine
  • 3121 Internal medicine
  • Physical performance
  • Body composition
  • Obesity
  • Lean mass
  • LOWER-EXTREMITY PERFORMANCE
  • X-RAY ABSORPTIOMETRY
  • C-REACTIVE PROTEIN
  • SARCOPENIC OBESITY
  • ALTERNATIVE DEFINITIONS
  • FUNCTIONAL IMPAIRMENT
  • INSULIN-RESISTANCE
  • NATIONAL-HEALTH
  • LEAN MASS
  • ADULTS

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