Evaluation of Current Anthropometric Measurements to Detect Abdominal Obesity in Older Adults

Authors : Uğur Kalan, Ferhat Arık
Pages : 266-273
Doi:10.52827/hititmedj.1382223
View : 108 | Download : 107
Publication Date : 2024-10-14
Article Type : Research Paper
Abstract :Objective: Central/Abdominal obesity is an important health problem that is growing all over the world. Abdominal obesity has been recognized as a main risk factor for cardiovascular and metabolic events. There are various measurements ranging from anthropometric indices to imaging methods for the determination of abdominal obesity. However, anthropometric studies involving older adults are scarce in the literature. The purpose of this study is to compare the current anthropometric measures used to evaluate abdominal obesity in older adults. Materials and Methods: In total, 104 outpatients aged 65 years or older were enrolled in this cross-sectional study. For any reason, patients with an indication for Dual-energy-X-ray Absorptiometry (DXA) were included. Anthropometric and haemodynamic measurements were taken. DXA was used to measure body composition, especially fat ratio. Results: The mean age of patients was 74.66.9. The ratio of adiposity determined by DXA, which was used as reference/gold standard method, was in the range of 3.8-52.5%. Mean value of adiposity was 31.510.9%. When gender and anthropometric indicators were compared, body mass index (BMI), waist-to-hip ratio (WHR), waist-to-height ratio (WHtR) and body adiposity index (BAI) were significant (p 0.05). The best three anthropometric indicators that estimating the fat ratio in participants were; BMI (r=0.718, p<0.05), WHtR (r=0.503, p<0.05) and AVI (r=0.480, p<0.05), respectively. Conclusion: Many advanced diagnostic methods and medical devices, can not be used in primary healthcare clinics. Therefore, practical approaches that are most compatible with advanced research are coming to the fore. In this study, we have shown that BMI is the most appropriate anthropometric measurement to detect abdominal obesity in geriatric patients.
Keywords : Abdominal obezite, adiposite, antropometri, Dual Energy X ray Absorbsiyometri, obezite, yaşlılar

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