Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data
Abstract Background The influence of Body Mass Index (BMI) on the functional capacity for daily activities in older adults is a significant concern. Our study is designed to delineate the longitudinal relationship between BMI and the ability of daily living activities among older adults. Methods Two...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-024-21234-w |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841559071898992640 |
|---|---|
| author | Wang Lingying Zhu Hong Chen Hongxiu Hu Ziyi Feng Mei Tang Menglin Hu Xiuying |
| author_facet | Wang Lingying Zhu Hong Chen Hongxiu Hu Ziyi Feng Mei Tang Menglin Hu Xiuying |
| author_sort | Wang Lingying |
| collection | DOAJ |
| description | Abstract Background The influence of Body Mass Index (BMI) on the functional capacity for daily activities in older adults is a significant concern. Our study is designed to delineate the longitudinal relationship between BMI and the ability of daily living activities among older adults. Methods Two researchers conducted a comprehensive literature search and independent screening of articles in PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), the Database for Chinese Technical Periodicals (VIP), and Wanfang, covering the period from January 2000 to May 2024. Studies were selected based on predefined inclusion and exclusion criteria, and relevant data were extracted for subsequent meta-analysis using the Cochrane Collaboration’s Review Manager 5.3 software. Results After rigorous selection, four longitudinal studies were incorporated into our meta-analysis. The findings indicated that underweight older adults exhibited a higher likelihood of experiencing difficulties with basic activities of daily living (BADL) (odds ratio [OR] = 1.33, 95% confidence interval [CI]: [1.03, 1.72]; P = 0.03). Conversely, overweight older adults were found to have a reduced likelihood of BADL (odds ratio [OR] = 0.81, 95% confidence interval [CI]: [0.79, 0.83]; P < 0.001). However, overweight and obese older adults demonstrated an increased likelihood of challenges with Instrumental Activities of Daily Living (IADL) (odds ratio [OR] = 1.58, 95% confidence interval [CI]: [1.25, 2.00]; P < 0.01). Conclusions Our longitudinal meta-analysis substantiates the correlation between underweight status and the impairment of BADL in older adults, irrespective of gender. It also reveals that overweight older adults have a lower risk of BADL difficulties, yet a higher risk of IADL challenges, which is further exacerbated in obesity. The early identification and management of BMI in this population could be instrumental in preventing a decline in ADL. Recognizing the role of BMI categories in this context is essential for developing targeted preventative strategies for the elderly, while also accounting for other modifiable risk factors such as pain and depression. |
| format | Article |
| id | doaj-art-70fd50ad4dc24f9a95758ec283f1fd78 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-70fd50ad4dc24f9a95758ec283f1fd782025-01-05T12:48:42ZengBMCBMC Public Health1471-24582025-01-0125111410.1186/s12889-024-21234-wAssociation of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal dataWang Lingying0Zhu Hong1Chen Hongxiu2Hu Ziyi3Feng Mei4Tang Menglin5Hu Xiuying6 Department of Critical Care Medicine, West China Hospital/West China School of Nursing, Sichuan UniversityNursing Department, West China Hospital, West China School of Nursing, Sichuan UniversityInnovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan UniversityNursing Department, West China Hospital, West China School of Nursing, Sichuan UniversityNursing Department, West China Hospital, West China School of Nursing, Sichuan UniversityDepartment of Cardiovascular Surgery, West China Hospital, Sichuan UniversityInnovation Center of Nursing Research, Nursing Key Laboratory of Sichuan Province, West China Hospital, Sichuan UniversityAbstract Background The influence of Body Mass Index (BMI) on the functional capacity for daily activities in older adults is a significant concern. Our study is designed to delineate the longitudinal relationship between BMI and the ability of daily living activities among older adults. Methods Two researchers conducted a comprehensive literature search and independent screening of articles in PubMed, Embase, Web of Science, China National Knowledge Infrastructure (CNKI), the Database for Chinese Technical Periodicals (VIP), and Wanfang, covering the period from January 2000 to May 2024. Studies were selected based on predefined inclusion and exclusion criteria, and relevant data were extracted for subsequent meta-analysis using the Cochrane Collaboration’s Review Manager 5.3 software. Results After rigorous selection, four longitudinal studies were incorporated into our meta-analysis. The findings indicated that underweight older adults exhibited a higher likelihood of experiencing difficulties with basic activities of daily living (BADL) (odds ratio [OR] = 1.33, 95% confidence interval [CI]: [1.03, 1.72]; P = 0.03). Conversely, overweight older adults were found to have a reduced likelihood of BADL (odds ratio [OR] = 0.81, 95% confidence interval [CI]: [0.79, 0.83]; P < 0.001). However, overweight and obese older adults demonstrated an increased likelihood of challenges with Instrumental Activities of Daily Living (IADL) (odds ratio [OR] = 1.58, 95% confidence interval [CI]: [1.25, 2.00]; P < 0.01). Conclusions Our longitudinal meta-analysis substantiates the correlation between underweight status and the impairment of BADL in older adults, irrespective of gender. It also reveals that overweight older adults have a lower risk of BADL difficulties, yet a higher risk of IADL challenges, which is further exacerbated in obesity. The early identification and management of BMI in this population could be instrumental in preventing a decline in ADL. Recognizing the role of BMI categories in this context is essential for developing targeted preventative strategies for the elderly, while also accounting for other modifiable risk factors such as pain and depression.https://doi.org/10.1186/s12889-024-21234-wBody mass indexActivities of daily livingElderlyHealthy life expectancyBasic activities of daily livingInstrumental activities of daily living |
| spellingShingle | Wang Lingying Zhu Hong Chen Hongxiu Hu Ziyi Feng Mei Tang Menglin Hu Xiuying Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data BMC Public Health Body mass index Activities of daily living Elderly Healthy life expectancy Basic activities of daily living Instrumental activities of daily living |
| title | Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data |
| title_full | Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data |
| title_fullStr | Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data |
| title_full_unstemmed | Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data |
| title_short | Association of body mass index with disability in activities of daily living in older adults: a systematic review of the literature based on longitudinal data |
| title_sort | association of body mass index with disability in activities of daily living in older adults a systematic review of the literature based on longitudinal data |
| topic | Body mass index Activities of daily living Elderly Healthy life expectancy Basic activities of daily living Instrumental activities of daily living |
| url | https://doi.org/10.1186/s12889-024-21234-w |
| work_keys_str_mv | AT wanglingying associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata AT zhuhong associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata AT chenhongxiu associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata AT huziyi associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata AT fengmei associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata AT tangmenglin associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata AT huxiuying associationofbodymassindexwithdisabilityinactivitiesofdailylivinginolderadultsasystematicreviewoftheliteraturebasedonlongitudinaldata |