Cargando…

Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study

Obesity is associated with an increased risk of morbidity and mortality; however, data suggest that in old age, obesity is not detrimental. The study’s objective was to verify whether obesity frequency still increases in Polish Caucasian seniors and to verify the “obesity paradox”. Five thousand and...

Descripción completa

Detalles Bibliográficos
Autores principales: Puzianowska-Kuznicka, Monika, Kurylowicz, Alina, Wierucki, Lukasz, Owczarek, Aleksander Jerzy, Jagiello, Kacper, Mossakowska, Malgorzata, Zdrojewski, Tomasz, Chudek, Jerzy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9658066/
https://www.ncbi.nlm.nih.gov/pubmed/36364882
http://dx.doi.org/10.3390/nu14214621
_version_ 1784829858526789632
author Puzianowska-Kuznicka, Monika
Kurylowicz, Alina
Wierucki, Lukasz
Owczarek, Aleksander Jerzy
Jagiello, Kacper
Mossakowska, Malgorzata
Zdrojewski, Tomasz
Chudek, Jerzy
author_facet Puzianowska-Kuznicka, Monika
Kurylowicz, Alina
Wierucki, Lukasz
Owczarek, Aleksander Jerzy
Jagiello, Kacper
Mossakowska, Malgorzata
Zdrojewski, Tomasz
Chudek, Jerzy
author_sort Puzianowska-Kuznicka, Monika
collection PubMed
description Obesity is associated with an increased risk of morbidity and mortality; however, data suggest that in old age, obesity is not detrimental. The study’s objective was to verify whether obesity frequency still increases in Polish Caucasian seniors and to verify the “obesity paradox”. Five thousand and fifty-seven community-dwelling individuals aged ≥ 65 years completed a detailed medical questionnaire, underwent measurements of the body mass index (BMI) and the waist circumference (WC), and an evaluation of physical and cognitive performances. Over a decade, general obesity increased by 2.1%, mostly due to a 3.9% increase in men. Abdominal obesity increased by 1.0%, mainly due to males, in whom it increased by 3.9%. Obesity increased the risk of several aging-related diseases, but this effect was less pronounced in the oldest-old. Obesity did not adversely affect the physical and cognitive functioning or mortality. Through a multivariable analysis, the BMI and WC remained the independent predictors of the Katz Activities of Daily Living score (p < 0.001 and p < 0.05, respectively) and Mini-Mental State Examination score (both p < 0.001). The Kaplan–Meier survival curves revealed that overweight and obesity classes 1 and 2 were associated with the lowest mortality. Through a multivariable analysis, overweight, class 1 obesity, and abdominal obesity remained the independent predictors of a decreased mortality (all p < 0.001). In conclusion, we found that overweight and obesity are not detrimental in seniors, including the oldest-old. We suggest that the anthropometric values defining obesity should be modified for age-advanced people.
format Online
Article
Text
id pubmed-9658066
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-96580662022-11-15 Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study Puzianowska-Kuznicka, Monika Kurylowicz, Alina Wierucki, Lukasz Owczarek, Aleksander Jerzy Jagiello, Kacper Mossakowska, Malgorzata Zdrojewski, Tomasz Chudek, Jerzy Nutrients Article Obesity is associated with an increased risk of morbidity and mortality; however, data suggest that in old age, obesity is not detrimental. The study’s objective was to verify whether obesity frequency still increases in Polish Caucasian seniors and to verify the “obesity paradox”. Five thousand and fifty-seven community-dwelling individuals aged ≥ 65 years completed a detailed medical questionnaire, underwent measurements of the body mass index (BMI) and the waist circumference (WC), and an evaluation of physical and cognitive performances. Over a decade, general obesity increased by 2.1%, mostly due to a 3.9% increase in men. Abdominal obesity increased by 1.0%, mainly due to males, in whom it increased by 3.9%. Obesity increased the risk of several aging-related diseases, but this effect was less pronounced in the oldest-old. Obesity did not adversely affect the physical and cognitive functioning or mortality. Through a multivariable analysis, the BMI and WC remained the independent predictors of the Katz Activities of Daily Living score (p < 0.001 and p < 0.05, respectively) and Mini-Mental State Examination score (both p < 0.001). The Kaplan–Meier survival curves revealed that overweight and obesity classes 1 and 2 were associated with the lowest mortality. Through a multivariable analysis, overweight, class 1 obesity, and abdominal obesity remained the independent predictors of a decreased mortality (all p < 0.001). In conclusion, we found that overweight and obesity are not detrimental in seniors, including the oldest-old. We suggest that the anthropometric values defining obesity should be modified for age-advanced people. MDPI 2022-11-02 /pmc/articles/PMC9658066/ /pubmed/36364882 http://dx.doi.org/10.3390/nu14214621 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Puzianowska-Kuznicka, Monika
Kurylowicz, Alina
Wierucki, Lukasz
Owczarek, Aleksander Jerzy
Jagiello, Kacper
Mossakowska, Malgorzata
Zdrojewski, Tomasz
Chudek, Jerzy
Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
title Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
title_full Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
title_fullStr Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
title_full_unstemmed Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
title_short Obesity in Caucasian Seniors on the Rise: Is It Truly Harmful? Results of the PolSenior2 Study
title_sort obesity in caucasian seniors on the rise: is it truly harmful? results of the polsenior2 study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9658066/
https://www.ncbi.nlm.nih.gov/pubmed/36364882
http://dx.doi.org/10.3390/nu14214621
work_keys_str_mv AT puzianowskakuznickamonika obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT kurylowiczalina obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT wieruckilukasz obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT owczarekaleksanderjerzy obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT jagiellokacper obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT mossakowskamalgorzata obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT zdrojewskitomasz obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study
AT chudekjerzy obesityincaucasianseniorsontheriseisittrulyharmfulresultsofthepolsenior2study