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DOC News    March 1, 2007
Volume 4 Number 3 p. 11
© 2007 American Diabetes Association

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Waist Circumference Predicts Disability in Elderly

Waist size is an important measure that indicates the risk of disability in older adults, according to a report published in the journal Obesity. A group of researchers conducted a prospective study of 3,235 residents of Spain >60 years of age with no history of diabetes.

Baseline information was gathered by surveys and measurement of weight, height, and waist circumference. Two years later, participants were surveyed about disability by telephone interviews. Participants were categorized into five quintiles of waist circumference, from smallest to largest.

After controlling for factors such as age, education, tobacco use, alcohol consumption, and physical activity, analysis of data revealed that men in the highest quintile had more than twice the risk of mobility disability and 4.7 times the risk of agility disability of those in the lowest quintile. The results were similar for women.

Waist circumference is a simple measure, very important to record and consider during office visits. Now patients have an additional reason to avoid the heaviest end of the spectrum.

Guallar-Castillon P, Sagardui-Vollamor J, Banegas JR, et al.: Waist circumference as a predictor of disability among older adults. Obesity 15:233–244, 2007 .


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