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The Importance of Mid-to-Late-Life Body Mass Index Trajectories on Late-Life Gait Speed.

TitleThe Importance of Mid-to-Late-Life Body Mass Index Trajectories on Late-Life Gait Speed.
Publication TypeJournal Article
Year of Publication2017
AuthorsB Windham G, Griswold ME, Wang W, Kucharska-Newton AMaria, Demerath EW, Gabriel KPettee, Pompeii LA, Butler K, Wagenknecht L, Kritchevsky S
Secondary AuthorsMosley TH
JournalJ Gerontol A Biol Sci Med Sci
Volume72
Issue8
Pagination1130-1136
Date Published2017 Aug 01
ISSN1758-535X
KeywordsAfrican Continental Ancestry Group, Aged, Aging, Body Mass Index, European Continental Ancestry Group, Female, Gait, Humans, Longitudinal Studies, Male, Middle Aged, Overweight, Risk Factors, Statistics as Topic, United States, Walking, Walking Speed
Abstract

Background: Prior studies suggest being overweight may be protective against poor functional outcomes in older adults.

Methods: Body mass index (BMI, kg/m2) was measured over 25 years across five visits (1987-2011) among Atherosclerosis Risk in Communities Study participants (baseline Visit 1 n = 15,720, aged 45-64 years). Gait speed was measured at Visit 5 ("late-life", aged ≥65 years, n = 6,229). BMI trajectories were examined using clinical cutpoints and continuous mixed models to estimate effects of patterns of BMI change on gait speed, adjusting for demographics and comorbidities.

Results: Mid-life BMI (baseline visit; 55% women; 27% black) was associated with late-life gait speed 25 years later; gait speeds were 94.3, 89.6, and 82.1 cm/s for participants with baseline normal BMI (

Conclusion: Being overweight in older age was not protective of mobility function. Maintaining a normal BMI in mid- and late-life may help preserve late-life mobility.

DOI10.1093/gerona/glw200
Alternate JournalJ Gerontol A Biol Sci Med Sci
PubMed ID27811156
PubMed Central IDPMC5861851
Grant ListU01 HL096812 / HL / NHLBI NIH HHS / United States
U01 HL096917 / HL / NHLBI NIH HHS / United States
U01 HL096902 / HL / NHLBI NIH HHS / United States
U01 HL096814 / HL / NHLBI NIH HHS / United States
R01 HL070825 / HL / NHLBI NIH HHS / United States
U01 HL096899 / HL / NHLBI NIH HHS / United States