Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
Weight change in old age and its association with mortality
Autore:
Newman, AB; Yanez, D; Harris, T; Duxbury, A; Enright, PL; Fried, LP;
Indirizzi:
Univ Pittsburgh, Sch Med, Div Geriatr Med, Pittsburgh, PA 15213 USA Univ Pittsburgh Pittsburgh PA USA 15213 atr Med, Pittsburgh, PA 15213 USA Univ Washington, Seattle, WA 98195 USA Univ Washington Seattle WA USA 98195 iv Washington, Seattle, WA 98195 USA NIA, Bethesda, MD 20892 USA NIA Bethesda MD USA 20892NIA, Bethesda, MD 20892 USA Univ Alabama, Birmingham, AL USA Univ Alabama Birmingham AL USAUniv Alabama, Birmingham, AL USA Univ Arizona, Tucson, AZ 85721 USA Univ Arizona Tucson AZ USA 85721Univ Arizona, Tucson, AZ 85721 USA Johns Hopkins Univ, Baltimore, MD 21218 USA Johns Hopkins Univ Baltimore MD USA 21218 s Univ, Baltimore, MD 21218 USA
Titolo Testata:
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
fascicolo: 10, volume: 49, anno: 2001,
pagine: 1309 - 1318
SICI:
0002-8614(200110)49:10<1309:WCIOAA>2.0.ZU;2-1
Fonte:
ISI
Lingua:
ENG
Soggetto:
BODY-MASS INDEX; CARDIOVASCULAR-HEALTH; 5-YEAR MORTALITY; RISK-FACTORS; US ADULTS; WOMEN; MEN; OVERWEIGHT; DISEASE; VARIABILITY;
Keywords:
weight loss; weight gain; mortality;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
35
Recensione:
Indirizzi per estratti:
Indirizzo: Newman, AB Univ Pittsburgh, Sch Med, Div Geriatr Med, 3520 5th Ave,Suite 300, Pittsburgh, PA 15213 USA Univ Pittsburgh 3520 5th Ave,Suite 300 Pittsburgh PA USA 15213
Citazione:
A.B. Newman et al., "Weight change in old age and its association with mortality", J AM GER SO, 49(10), 2001, pp. 1309-1318

Abstract

OBJECTIVES: Previous studies of weight change and mortality in older adults have relied on self-reported weight loss, have not evaluated weight gain,or have had limited information on health status. Our objective was to determine whether 5% weight gain or loss in 3 years was predictive of mortality in a large sample of older adults. DESIGN: Longitudinal observational cohort study. SETTING: Four U.S. communities. PARTICIPANTS: Four thousand seven hundred fourteen community-dwelling older adults, age 65 and older. MEASUREMENTS: Weight gain or loss of 5% in a 3-year period was examined inrelationship to baseline health status and interim health events. Risk forsubsequent mortality was estimated in those with weight loss or weight gain compared with the group whose weight was stable. RESULTS: Weight changes occurred in 34.6% of women and 27.3% of men, with weight loss being more frequent than gain. Weight loss was associated with older age, black race, higher weight, lower waist circumference, current smoking, stroke, any hospitalization, death of a spouse, activities of daily living disability, lower grip strength, and slower gait speed. Weight loss but not weight gain of 5% or more was associated with an increased risk of mortality that persisted after multivariate adjustment (Hazard ratio (HR) =1.67, 95% CI = 1.29-2.15) and was similar in those with no serious illnessin the period of weight change. Those with weight loss and low baseline weight had the highest crude mortality rate, although the HR for weight loss was similar for all tertiles of baseline weight and for those with or without a special diet, compared with those whose weight was stable. CONCLUSIONS: This study confirms that even modest decline in body weight is an important and independent marker of risk of mortality in older adults.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 05/12/20 alle ore 15:39:49