Miguel Germán Borda1,2,3, Luis Carlos Venegas-Sanabria4,5, Elkin Garcia-Cifuentes4, Ronald Camilo Gomez4,5, Carlos Alberto Cano-Gutierrez4,5, Diego Alejandro Tovar-Rios6,7,8, Vera Aarsland6, Khadija Khalifa6,9, Alberto Jaramillo-Jimenez6,9,10,11, Dag Aarsland6,12, Hogne Soennesyn6. 1. Centre for Age-Related Medicine (SESAM), Stavanger University Hospital, PB 8100, N-4068, Stavanger, Norway. mmborda@gmail.com. 2. Faculty of Health Sciences, University of Stavanger, Stavanger, Norway. mmborda@gmail.com. 3. Semillero de Neurociencias y Envejecimiento, Ageing Institute, Medical School, Pontificia Universidad Javeriana, Bogotá, Colombia. mmborda@gmail.com. 4. Semillero de Neurociencias y Envejecimiento, Ageing Institute, Medical School, Pontificia Universidad Javeriana, Bogotá, Colombia. 5. Grupo de Neurociencias de Antioquia, School of Medicine, Universidad de Antioquia, Medellín, Colombia. 6. Centre for Age-Related Medicine (SESAM), Stavanger University Hospital, PB 8100, N-4068, Stavanger, Norway. 7. Unidad Geriatría Hospital Universitario San Ignacio, Bogotá, Colombia. 8. Universidad Del Valle, School of Statistics, Faculty of engineering, Santiago De Cali, Valle Del Cauca, Colombia. 9. Faculty of Health Sciences, University of Stavanger, Stavanger, Norway. 10. Department of mathematics and statistics, Universidad Autónoma de Occidente, Faculty of Basic Sciences, Santiago de Cali, Colombia. 11. Grupo Neuropsicología y Conducta, School of Medicine, Universidad de Antioquia, Medellín, Colombia. 12. Department of Old Age Psychiatry, Institute of Psychiatry, Psychology, and Neuroscience, King's College London, London, UK.
Abstract
BACKGROUND: With this study, we aim to determine the associations of the different categories of the body mass index (BMI) with activities of daily living (ADL) and cognitive performance in two different populations living in the community; Colombian and South Korean older adults. METHODS: We performed a cross-sectional analysis of two surveys separately; The Survey on Health, Well-Being, and Aging in Colombia (SABE) (n = 23,343) and the Korean Longitudinal Study of aging (KLoSA) (n = 4556). Participants older than 50 years were selected from rural and urban areas achieving a representative sample. Here we investigated the association between BMI categories with function using zero-inflated negative binomial regressions, and with cognition using logistic regression models. RESULTS: After adjustment, in Colombia, underweight was associated with an impaired score on the Mini-mental State Examination (MMSE) and worse performance in the instrumental activities of daily living (IADL). Also, being overweight was associated with a better score on the MMSE and the IADL. For both outcomes education level significantly influenced the predictions. In South Korea, there were no significant associations for cognition, IADL, or basic activities of daily living (BADL). CONCLUSIONS: In the Colombian population, underweight, was associated with reduced cognitive performance and daily functioning. Additionally, being overweight but not obese was associated with better cognition and daily functioning. In South Korea, there were no significant associations between BMI and cognition, IADL, or BADL.
BACKGROUND: With this study, we aim to determine the associations of the different categories of the body mass index (BMI) with activities of daily living (ADL) and cognitive performance in two different populations living in the community; Colombian and South Korean older adults. METHODS: We performed a cross-sectional analysis of two surveys separately; The Survey on Health, Well-Being, and Aging in Colombia (SABE) (n = 23,343) and the Korean Longitudinal Study of aging (KLoSA) (n = 4556). Participants older than 50 years were selected from rural and urban areas achieving a representative sample. Here we investigated the association between BMI categories with function using zero-inflated negative binomial regressions, and with cognition using logistic regression models. RESULTS: After adjustment, in Colombia, underweight was associated with an impaired score on the Mini-mental State Examination (MMSE) and worse performance in the instrumental activities of daily living (IADL). Also, being overweight was associated with a better score on the MMSE and the IADL. For both outcomes education level significantly influenced the predictions. In South Korea, there were no significant associations for cognition, IADL, or basic activities of daily living (BADL). CONCLUSIONS: In the Colombian population, underweight, was associated with reduced cognitive performance and daily functioning. Additionally, being overweight but not obese was associated with better cognition and daily functioning. In South Korea, there were no significant associations between BMI and cognition, IADL, or BADL.
Entities:
Keywords:
80 and over Aged; BMI; Cognitive impairment; Dependency; Obesity
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