@article{ref1,
title="The relationship between dynapenic abdominal obesity and fall: a systematic review and meta-analysis of 15,506 middle to older adults",
journal="Journal of clinical medicine",
year="2023",
author="Kao, Ching-Yun and Su, Yu-Chen and Chang, Shu-Fang",
volume="12",
number="23",
pages="e7253-e7253",
abstract="BACKGROUND: The main objective of this study was to investigate the risk of falls among middle-aged and older adults with dynapenic abdominal obesity. <br><br>METHODS: A systematic literature search was conducted to review and analyze relevant studies. Dynapenia was measured by handgrip strength, and abdominal obesity was measured by waist circumference. The search keywords included &quot;older people&quot; OR &quot;elderly&quot; OR &quot;middle age&quot; AND &quot;dynapenia&quot; AND &quot;abdominal obesity&quot; AND &quot;fall.&quot; The search was not limited by time and included articles published up until April 2023. The literature search process followed the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines, involving extraction and examination of the retrieved relevant articles. Systematic literature searches were performed in databases such as Embase, PubMed, MEDLINE, CINAHL, and Cochrane Library. <br><br>RESULTS: This study collected a total of eight articles with a combined sample size of 15,506 participants. The findings revealed that the average follow-up period for falls was 6.6 years (SD = 3.67). The overall results of the study showed that individuals with dynapenic abdominal obesity had a higher risk of falls compared to those without dynapenic abdominal obesity (RR = 6.91, 95% CI: 5.42-8.80). Subgroup analysis demonstrated that both prospective studies (HR = 6.61; 95% CI = 4.29-10.20) and retrospective studies (OR = 7.37; 95% CI = 5.13-10.59) consistently found a higher risk of falls among individuals with dynapenic abdominal obesity. However, there was no significant difference in fall risk between community-dwelling individuals with dynapenic abdominal obesity and hospitalized individuals with dynapenic abdominal obesity (Q(between)x(2) = 0.29, p = 0.58). Additionally, there was no difference in fall risk between individuals with dynapenic abdominal obesity residing in Europe and Latin America compared to those residing in Asia (Q(between)x(2) = 0.05, p = 0.81). It was worth noting that male individuals with dynapenic abdominal obesity had a higher risk of falls compared to females (Q(between)x(2) = 4.73, p = 0.03). <br><br>CONCLUSIONS: Empirical studies have demonstrated that individuals with dynapenic abdominal obesity have a higher risk of falls. Therefore, healthcare professionals should conduct early fall risk assessments and develop effective preventive strategies specifically targeted at individuals with dynapenic abdominal obesity.<p /> <p>Language: en</p>",
language="en",
issn="2077-0383",
doi="10.3390/jcm12237253",
url="http://dx.doi.org/10.3390/jcm12237253"
}