Body composition as a predictor of physical performance in older age : A ten-year follow-up of the Helsinki Birth Cohort Study
Mikkola, T. M., von Bonsdorff, M., Salonen, M. K., Simonen, M., Pohjolainen, P., Osmond, C., Perälä, M.-M., Rantanen, T., Kajantie, E., & Eriksson, J. G. (2018). Body composition as a predictor of physical performance in older age : A ten-year follow-up of the Helsinki Birth Cohort Study. Archives of Gerontology and Geriatrics, 77, 163-168. https://doi.org/10.1016/j.archger.2018.05.009
Published inArchives of Gerontology and Geriatrics
© 2018 Elsevier B.V. All rights reserved
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 [β] from −0.32 to −0.40, p < 0.001). Lean mass to BMI ratio was positively associated with later physical performance (β = 0.31 in men, β = 0.30 in women, p < 0.001). Fat-free mass index (lean mass/height2) 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. ...
PublisherElsevier Ireland Ltd.
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- Liikuntatieteiden tiedekunta 
Related funder(s)Academy of Finland
Funding program(s)Academy Project, AoF
Additional information about fundingThis work was supported by Emil Aaltonen Foundation; Finnish Foundation for Diabetes Research; Foundation for Pediatric Research, Novo Nordisk Foundation; Signe and Ane Gyllenberg Foundation; Sigrid Jusélius Foundation; Samfundet Folkhälsan; Finska Läkaresällskapet; Liv och Hälsa; European Commission within the 7th Framework Programme (DORIAN, grant agreement no. 278603); and European Union Horizon 2020 programme (DYNAHEALTH grant no. 633595 and RECAP grant no. SC1-2016-RTD-733180). The Academy of Finland supported M.B.v.B. (grant no. 257239); TR (grant no. 310526, 255403, and 132597); EK (grant no. 127437, 129306, 130326, 134791, 263924 and 274794); and J.G.E. (grant no. 129369, 129907, 135072, 129255, and 126775). European Research Council (ERC) supported TR (grant no. 132597). The sponsor had no role in study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the article for publication. ...
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