Analysis of the relationship between body habitus and frailty of community adults in Chongqing: a cross-sectional survey study

作者全名："Chen, Aini; Ren, Li; Min, Su; Li, Ping; Wei, Ke; Cao, Jun; Tao, Yi; Lv, Feng"

作者地址："[Chen, Aini] Chongqing Med Univ, Sch Med, Chongqing, Peoples R China; [Ren, Li; Min, Su; Li, Ping; Wei, Ke; Cao, Jun; Lv, Feng] Chongqing Med Univ, Dept Anesthesiol, Affiliated Hosp 1, Chongqing, Peoples R China; [Tao, Yi] Chongqing Med Univ, Dept Phase Clin Trial Ward 1, Affiliated Hosp 1, Chongqing, Peoples R China"

通信作者："Min, S; Lv, F (通讯作者)，Chongqing Med Univ, Dept Anesthesiol, Affiliated Hosp 1, Chongqing, Peoples R China."

来源：FRONTIERS IN PUBLIC HEALTH

ESI学科分类：SOCIAL SCIENCES, GENERAL

WOS号：WOS:001068344200001

JCR分区：Q2

影响因子：3

年份：2023

卷号：11

期号：　

开始页：　

结束页：　

文献类型：Article

关键词：frailty; body mass index; waist-hip ratio; body habitus; community adult

摘要："ObjectiveCurrently, a multitude of studies are underway to investigate the factors affecting the degree of frailty, with a significant focus on the critical role of body mass index (BMI). This study aims to conduct a cross-sectional survey to investigate the multifaceted relationship between multiple body habitus and the factors that influence the degree of frailty.MethodsA questionnaire survey was conducted among 840 adult residents in Chongqing communities. A total of 723 participants were included in the data analysis, with an effective response rate of 92.0%. Fried's frailty scale was used to classify individuals into fit, pre-frail, or frail. Non-parametric tests and chi-square tests were employed to evaluate the inter-group differences in frailty levels under different influencing factors. Multivariate logistic regression analysis was performed to select the independent variables associated with frailty statistics. According to the results of the parallel line test, ordered or disordered multivariate logistic regression was used to evaluate the impact of a single independent variable on frailty for different variables.ResultsAdult community residents in Chongqing accounted for 29.18 and 5.67% in pre-frailty and frailty, respectively. In multivariate logistic regression analysis, high BMI, and high waist-hip ratio (WHR) were identified as major risk factors for frailty. Furthermore, the process of aging, coupled with moderate to heavy alcohol consumption, active weight loss behavior in the past year, and the presence of comorbidities, emerged as significant contributors to frailty. Conversely, factors such as a positive inclination toward taste, consistent meal timing, habitual breakfast consumption, sound nutritional intake, and the cultivation of healthy dietary practices were recognized as pivotal elements that act as protective factors against frailty.ConclusionThe integration of both BMI and WHR provides a more comprehensive perspective, effectively capturing the intertwined influence of obesity and sarcopenia on the extent of frailty. To mitigate the risk of community-wide frailty, a multipronged approach is essential, involving the promotion of favorable dietary practices and achieving nutritional equilibrium, diligent management of coexisting medical conditions, moderation in alcohol consumption, and the enhancement of physical functionality."

基金机构：Chongqing Social Science Planning Project [2021PY27]; Chongqing Graduate Joint Training Base [lpjd202204]; Chongqing Medical University Future Medical Youth Innovation Team Development Support Plan [W0006]

基金资助正文：This research was funded by Chongqing Social Science Planning Project (2021PY27); Chongqing Graduate Joint Training Base (lpjd202204); Chongqing Medical University Future Medical Youth Innovation Team Development Support Plan (W0006).