'Fat but powerful' paradox: association of muscle power and adiposity markers with all-cause mortality in older adults from the EXERNET multicentre study - PubMed (original) (raw)
Multicenter Study
. 2021 Nov;55(21):1204-1211.
doi: 10.1136/bjsports-2020-103720. Epub 2021 Mar 16.
David Navarrete-Villanueva 3 4, Asier Mañas 1 2, Alba Gómez-Cabello 3 5 6, Raquel Pedrero-Chamizo 7, Luis M Alegre 1 2, Gerardo Villa 8, Narcís Gusi 2 9 10, Marcela González-Gross 6 7, Jose Antonio Casajús 3 4 6, German Vicente-Rodriguez 3 6 11, Ignacio Ara 12 2
Affiliations
- PMID: 33727213
- DOI: 10.1136/bjsports-2020-103720
Multicenter Study
'Fat but powerful' paradox: association of muscle power and adiposity markers with all-cause mortality in older adults from the EXERNET multicentre study
Julian Alcazar et al. Br J Sports Med. 2021 Nov.
Abstract
Objectives: To assess the influence of muscle power and adiposity on all-cause mortality risk and to evaluate the 'fat but powerful' (F+P) (or 'fat but fit') paradox in older adults.
Methods: A total of 2563 older adults (65‒91 years old) from the EXERNET multicentre study were included. Adiposity (body mass index (BMI), waist circumference, body fat percentage (BF%) and fat index), allometric and relative power (sit-to-stand muscle power test) and various covariates (age, sex, hypertension, smoking status and walking and sitting times per day) were registered at baseline. All-cause mortality was recorded during a median follow-up of 8.9 years. Participants were classified into four groups: lean and powerful (L+P), F+P, lean but weak and fat and weak (F+W). Cox proportional hazard regression models and adjusted HRs were calculated.
Results: According to BMI and waist circumference, all-cause mortality risk was reduced in the F+P (HR=0.55 and 0.63, p=0.044 and 0.049, respectively) and L+P (HR=0.57 and 0.58, p=0.043 and 0.025, respectively) groups. According to BF%, all-cause mortality decreased in the L+P group (HR=0.53; p=0.021), and a trend for a reduction was reported in the F+P group (HR=0.57; p=0.060). According to fat index, a survival benefit was only noted in the L+P group (HR=0.50; p=0.049). Higher levels of relative power reduced all-cause mortality risk among older people (HR=0.63 and 0.53, p=0.006 and 0.011, respectively).
Conclusion: Powerful older people exhibited a reduced 9-year all-cause mortality regardless of BMI, waist circumference and BF%. Obesity according to fat index blunted the survival benefits of being powerful.
Keywords: aging/ageing; body composition; death; fat; power.
© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.
Conflict of interest statement
Competing interests: None declared.
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