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      Identifying Target Values of Body Composition for Preventing Frailty: A Descriptive Study in Older Adults

      research-article
      , PhD 1 , 2 , , PhD 2 , , PhD 2
      Gerontology and Geriatric Medicine
      SAGE Publications
      frailty, body composition, percent body fat, older adult, Japanese

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          Abstract

          This study investigated the relationship between frailty and body composition and the target values for preventing frailty in body composition. Frailty status and body composition such as the percent body fat and skeletal mass index was measured. Logistic regression analysis was performed by sex. Receiver operating characteristic curve was used to extract the cutoff values for body composition. The participants were 259 in females and 84 in males for 343 of which 75.5% females. Among the females, age was a significant independent variable. Percent body fat was significantly associated with frailty status in males, with a cutoff value of 27.6%. The area under the curve was significant (0.689, p < 0.01, sensitivity = 0.574, specificity = 0.784). New target value of percent body fat in males for preventing frailty is identified. Findings of this study could contribute to the establishment of preventive intervention for frailty in clinical practice.

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          Most cited references21

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          Frailty in Older Adults: Evidence for a Phenotype

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            Health Effects of Overweight and Obesity in 195 Countries over 25 Years.

            Background While the rising pandemic of obesity has received significant attention in many countries, the effect of this attention on trends and the disease burden of obesity remains uncertain. Methods We analyzed data from 67.8 million individuals to assess the trends in obesity and overweight prevalence among children and adults between 1980 and 2015. Using the Global Burden of Disease study data and methods, we also quantified the burden of disease related to high body mass index (BMI), by age, sex, cause, and BMI level in 195 countries between 1990 and 2015. Results In 2015, obesity affected 107.7 million (98.7-118.4) children and 603.7 million (588.2- 619.8) adults worldwide. Obesity prevalence has doubled since 1980 in more than 70 countries and continuously increased in most other countries. Although the prevalence of obesity among children has been lower than adults, the rate of increase in childhood obesity in many countries was greater than the rate of increase in adult obesity. High BMI accounted for 4.0 million (2.7- 5.3) deaths globally, nearly 40% of which occurred among non-obese. More than two-thirds of deaths related to high BMI were due to cardiovascular disease. The disease burden of high BMI has increased since 1990; however, the rate of this increase has been attenuated due to decreases in underlying cardiovascular disease death rates. Conclusions The rapid increase in prevalence and disease burden of elevated BMI highlights the need for continued focus on surveillance of BMI and identification, implementation, and evaluation of evidence-based interventions to address this problem.
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              Measuring the accuracy of diagnostic systems

              J Swets (1988)
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                Author and article information

                Journal
                Gerontol Geriatr Med
                Gerontol Geriatr Med
                spggm
                GGM
                Gerontology and Geriatric Medicine
                SAGE Publications (Sage CA: Los Angeles, CA )
                2333-7214
                29 January 2022
                Jan-Dec 2022
                : 8
                : 23337214211064493
                Affiliations
                [1 ]Physical Therapy Major, School of Rehabilitation, Ringgold 38284, universityKanagawa University of Human Services; , Yokosuka, Japan
                [2 ]Graduate School of Humanities and Social Sciences, Ringgold 12803, universityHiroshima University; , Higashihiroshima, Japan
                Author notes
                [*]Ryo Tanaka, Graduate School of Humanities and Social Sciences, Hiroshima University, 1-7-1 Kagamiyama, Higashi-Hiroshima City, Higashihiroshima 739-8511, Japan. Email: ryotana@ 123456hiroshima-u.ac.jp
                Author information
                https://orcid.org/0000-0003-4397-0130
                https://orcid.org/0000-0001-7500-7029
                https://orcid.org/0000-0002-1349-3102
                Article
                10.1177_23337214211064493
                10.1177/23337214211064493
                8801630
                35111889
                afe138ae-d02f-4d01-a064-063379a12d6e
                © The Author(s) 2022

                This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License ( https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                : 6 October 2021
                : 6 November 2021
                : 12 November 2021
                Categories
                Original Manuscript
                Custom metadata
                January-December 2022
                ts10

                frailty,body composition,percent body fat,older adult,japanese

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