Investigation of the Effects of Obesity on Physical Function and Quality of Life in Elderly Women

Year 2022, Volume: 12 Issue: 4, 913 - 918, 30.12.2022

Tahir Keskin , Zeliha Başkurt , Ferdi Başkurt

https://doi.org/10.33808/clinexphealthsci.986322

Abstract

Objective: The aim of this study was to determine the effects of obesity on physical function and quality of life in elderly women. Methods: The sample of the study consisted of 90 elderly women living in Isparta provinence. The subjects included in the study were divided into 3 groups according to their body mass index (Group I: normal, Group II: overweight, Group III: obese).The physical activity scale for the elderly, short physical performance test battery, SF-12 quality of life questionnaire, timed up and go test and a scale that questions the difficulties of individuals experience in daily living activities were used as the evaluation methods. Results: Physical Activity Scale for the Elderly and short physical performance test battery scores in group I were higher than that of the other groups, and group II were higher than group III; while timed up and go test scores were vice versa (p<0.05). Functional limitation scores were higher in Group III than Groups I and II (p<0.05). Body mass index showed a strong negative correlation with physical performance (r: −0.591), moderate negative correlation with the Physical Activity Scale for Elderly scores (r: −0.427) and moderate positive correlation with the timed up and go test value (r: 0.418) and functional limitation (r: 0.335) (p<0.01). Conclusion: In elderly women; physical activity, functional mobility levels, physical performance decrease with increasing body mass index and functional limitation level increases in parallel with the body mass index. In addition, it was determined that the quality of life scores did not differ according to the body mass index.

Keywords

Elderly Women, Functional Limitation, Obesity, Physical Function, Quality of Life

Project Number

-

References

• [1] Yılmaz F, Çağlayan Ç. The effects of healthy lifestyle on the quality of life among elderly. Turkish Journal of Family Practice 2016; 20 (4): 129-140
• [2] Foster L, Walker A. Active and successful aging: a European policy perspective. Gerontologist 2014; 55(1): 83-90
• [3] Villareal DT, Apovian CM, Kushner RF, Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO. The Obesity Society. Obes Res 2005; 82: 923–934
• [4] Vagetti GC, Filho B, Moreira NB. Association between physical activity and quality of life in the elderly: A systematic review, 2000-2012. Rev Bras Psiquiatr 2014; 36: 76–88
• [5] Bohannon RW. Body mass index and mobility of older home care patients. Physiother Theory Pract 2011; 27(6):460-462
• [6] Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology 1994; 49(2): M85-M94
• [7] Ayvat E, Kılınç M, Kırdı N. The Turkish version of the Physical Activity Scale for the Elderly (PASE): its cultural adaptation, validation, and reliability. Turkish Journal of Medical Sciences 2017; 47(3): 908-915
• [8] Soylu C, Kütük B. Reliability and validity of the Turkish version of SF-12 Health Survey. Turk Psikiyatri Derg 2021; 33 (2): 108117
• [9] Podsiadlo D, Richardson SJ. The timed “Up & Go”: A test of basic functional mobility for frail elderly persons. Am Geriatr Soc 1991; 39(2):142
• [10] Cooper R, Huisman M, Kuh D, Deeg DJ. Do positive psychological characteristics modify the associations of physical performance with functional decline and institutionalization? Findings from the longitudinal aging study Amsterdam. The Journals of Gerontology, Series B: Psychological Sciences and Social Sciences 2011; 66(4): 468–477
• [11] Güngen C, Ertan T, Eker E, Yaşar R, Engin F. Standardize Mini Mental Test’in Türk toplumunda hafif demans tanısında geçerlik ve güvenilirliği. Türk Psikiyatri Dergisi 2002;13(4): 273281. (Turkish)
• [12] Durmaz B, Soysal P, Ellidokuz H, Isik AT. Validity and reliability of geriatric depression scale-15 (short form) in Turkish older adults. North Clin Istanb 2018; 5(3):216-220
• [13] Villareal D, Chode S, Parimi N, Sinacore DR, Hilton T. Weight loss, exercise, or both and physical function in obese older adults. N Engl J Med 2011; 364(13): 218 – 228
• [14] Sugimoto T, Tsutsumimoto K, Nakakubo S, Murata S, Doi T, Ono R. Abdominal obesity mediates the association between a low physical activity and a decline in gait speed in communitydwelling elderly people: A cross-sectional study. Nihon Ronen Igakkai zasshi. Japanese Journal of Geriatrics 2016; 53(1): 5461
• [15] Brach JS, VanSwearingen JM, FitzGerald SJ, Storti KL, Kriska AM. The relationship among physical activity, obesity, and physical function in community-dwelling older women. Preventive Medicine 2004; 39: 74–80
• [16] Chang CI, Huanga KC, Chanc DC, Wue CH,Ling CC. The impacts of sarcopenia and obesity on physical performance in the elderly. Obesity Research & Clinical Practice 2015; 9: 256-265
• [17] Ling C, Kelechi T, Mueller M, Brotherton S, Smith S. Gait and function in class III obesity. J Obes 2012; 257468
• [18] Aline R, Barbosa AR, Souza JMP, Lebrão MLL, Laurenti R, Marucci MFN. Functional limitations of Brazilian elderly by age and gender differences: data from SABE Survey. Cad Saude Publica 2005; 21(4):1177-1185
• [19] Mickle KJ, Steele JR. Obese older adults suffer foot pain and foot-related functional limitation. Gait and Posture 2015; 42 (4): 442-447
• [20] Fjeldstad C, Fjeldstad AS, Acree LS, Nickel KJ, Gardner AW. The influence of obesity on falls and quality of life. Dynamic Medicine 2008; 7(1): 4
• [21] Hopman WM, Berger C, Joseph L, Barr SI, Gao Y, Prior JC. The association between body mass index and health-related quality of life: data from CaMos, a stratified population study. Qual Life Res 2007;16:1595-603
• [22] Gomes-Netoa M, Araujoa AD, Junqueirac IDA, Oliveirac D, Brasileiroc A, Arcanjoa FL. Comparative study of functional capacity and quality of life among obese and non-obese elderly people with knee osteoarthritis. Rev. Bras. Reumatol 2016; 56 (2): 126–130