An Investigation into Body Mass Index and Lifestyle Characteristics within an Elderly Population
DOI:
https://doi.org/10.17140/OROJ-3-123Keywords:
Body mass index; Elderly; Lifestyle; Body composition; Aging; Well-being.Abstract
Understanding and detecting patterns of body composition change and lifestyle factors that
influence the development of effective strategies to optimise the health and well-being of the
elderly are important. Therefore current research aimed to discover the strength of the correlation between an elderly populations Body Mass Index (BMI) and lifestyle characteristics
including diet, physical activity, mobility, balance, sleep, smoking, alcohol consumption and
well-being and whether there were any gender differences between BMI measures and lifestyle
characteristics. A convenience sample, of n=20 elderly individuals were used in this study (x±s;
age=4.40±7.88 years; stretched stature=1.65±0.08 m and body mass=75.98±11.65 kg) consisting of 8 and 12 males. Body composition was measured through participant’s body mass (kg)
divided by height (m) squared to gain a BMI measurement (kg/m²). Lifestyle characteristics
were measured quantitatively through Likert scales that followed a pre-validated questionnaire similar to that of Ansari et al.1
BMI measures and Lifestyle questionnaire percentage
scores within each gender were then compared using paired sample t-test (α=0.05) producing
a Pearson’s Correlation figure to determine the strength of correlations between each lifestyle
factor and BMI across genders. Results indicated that males had a slightly higher mean BMI of
28.14±3.27, with a range of 9.4 kg/m2
, as the female mean BMI was 27.65±5.06, with a range
of 13.1 kg/m2
. A paired sample t-test produced a higher coefficient of 0.86 when considering
male’s overall lifestyle characteristics questionnaire score and BMI measures, in contrast a
coefficient of -0.18 was produced in females. Strong correlations (above 0.7) were detected
suggesting a positive correlation between male’s diets, mobility, sleep, alcohol and well-being
with BMI. Moderate correlations were shown between female’s diets, sleep and smoking habit
with BMI. In conclusion, it is evident that lifestyle habits show positive correlations with BMI
measures in both males and females. These characteristics should be optimised to improve BMI
measures, promoting healthier lifestyles and hopefully reduce the suggested burden of the aging population on society
References
Ansari WE, Adetuni H, Deeny P, et al. Health promot-ing behaviours and lifestyle characteristics of students at sev-en universities in the UK. Cent Eur J Public Health. 2011; 19(4): 197-204. Web site. http://apps.szu.cz/svi/cejph/show_ en.php?kat=archiv/2011-4-03. Accessed June 14, 2016
Adelman R, Crisofalo VJ. Annual Review of Gerontology and Geriatrics: Modern Topics in the Biology of Aging. USA: Springer Publisher Co Inc; 2001.
World Health Organisation. Waist circumference and waist-hip ratio: Report of a WHO expert committee. World Health Or-ganisation technical report survey. 2008: 864. Web site. http:// apps.who.int/iris/bitstream/10665/44583/1/9789241501491_ eng.pdf. Accessed June 14, 2016
Heymsfield SB, Loham TG, Wang Z, Going SB. Human Body Composition. 2nd ed. USA: Human Kinetics; 2005.
Campbell W, Evans WJ. Sarcopenia and age-related chang-es in body composition and functional capacity. J Nutr. 1993; 123(2): 465-468. Web site. http://jn.nutrition.org/content/123/2_ Suppl/465.extract. Accessed June 14, 2016
Snyder PJ, Peachey H, Hannoush H, et al. Effect of testos-terone treatment on body composition and muscle strength in men over 65 years of age. J Clin Endocrinol Metab. 1999; 84(8): 121-127. doi: 10.1210/jcem.84.8.5885#sthash.0IeYkjfw.dpuf
Kvell K, Pongrácz J, Székely M, Balaskó M, Pétervári E, Bakó G. Molecular and Clinical Basics of Gerontology. Hunga-ry: University of Pécs; 2011. Web site. http://medbiotech.com/ sites/medbiotech.aok.pte.hu/files/fck_upload/tananyag/molecu-lar_and_clinical_basics_of_gerontology.pdf. Accessed June 14, 2016
Cook Z, Kirk S, Lawrenson S, Sandford S. Use of BMI in the assessment of under nutrition in older subjects: Reflecting on practice. Proc Nutr Soc. 2005; 64(3): 313-317. doi: 10.1079/ PNS2005436
Burr ML, Phillips KM. Anthropometric norms in the elderly. Br J Nutr. 1984; 51(2): 165-169. doi: 10.1079/BJN19840020
Jebb SA. Measuring Body Composition: From the Laborato-ry to the Clinic. Oxford, England, UK: Blackwell Science; 1998.
Hughes VA, Roubenoff R, Wood M, Frontera WR, Evans WJ, Singh MA. Anthropometric assessment of ten year changes in body composition in the elderly. Am J Clin Nutr. 2004; 80(2): 475-482. Web site. http://ajcn.nutrition.org/content/80/2/475. short. Accessed June 14, 2016.
Coroni-Huntley J, Harris TB, Everett DF, et al. An over-view of body weight of older persons including the impact on mortality the national health and nutrition examination survey i-epidemiologic follow-up study. J Clin Epidemiol. 1991; 44(8): 743-753. doi: 10.1016/0895-4356(91)90126-T
Huang TK, Roberts SB, Howarth NC, McCory MA. Effect of screening out implausible energy intake reports on relation-ships between diet and BMI. Obesity Research. 2005; 13(7): 1205-1217. doi: 10.1038/oby.2005.143
Kirk SFL, Hawke T, Sandford S, Wilks Z, Lawrenson S. Are the methods used to calculate BMI accurate and valid for the use in older people? J Hum Nutr Diet. 2003; 16(5): 366-367. doi: 10.1046/j.1365-277X.2003.04673.x
Ortega FB, Sui X, Lavie CJ, Blair SN. Body mass index, the most widely used but also widely criticized index: Would a cri-terion standard measure of total body fat be a better predictor of cardiovascular disease mortality? Mayo Clin Proc. 2016; 91(3): 443-455. doi: 10.1016/j.mayocp.2016.01.008
Heyn P, Abreu BC, Ottenbacher KJ. The effects of exercise training on elderly persons with cognitive impairment and de-mentia: A meta-analysis. Arch Phys Med Rehabil. 2004; 85(10): 1694-1704. doi: 10.1016/j.apmr.2004.03.019
Burke EM, Koepsell, TD, Moudon AV, Hoskins RE, Larson EB. Association of the built environment with physical activity and obesity in older persons. Am J Public Health. 2007; 97(3): 486-492. doi: 10.2105/AJPH.2006.085837
LaCroix AZ, Guralnik JM, Berkman LF, Wallace RB, Sat-terfield S. Maintaining mobility in late life. II. Smoking, alcohol consumption, physical activity, and body mass index. Am J Epi-demiol. 1992; 137(8): 858-869. Web site. http://aje.oxfordjourn-als.org/content/137/8/858.short. Accessed June 14, 2016
Bruce DG, Devine A, Richard L, Prince MD. Recreational physical activity levels in healthy older women: The importance of fear of falling. J Am Geriatr Soc. 2002; 50(1): 84-89. doi: 10.1046/j.1532-5415.2002.50012.x
Van den Berg JF, Neven AK, Tulen JHM, et al. Actigraphic sleep duration and fragmentation are related to obesity in the elderly: The rotterdam study. International Journal of Obesity. 2008; 32(7): 1083-1090. doi: 10.1038/ijo.2008.57
Patel SR, Blackwell T, Redline S, et al. The association be-tween sleep duration and obesity in older adults. International Journal of Obesity. 2008; 32(12): 1825-1834. doi: 10.1038/ ijo.2008.198
Foley D, Isreal S, Britz P, Walsh J. Sleep disturbances and chronic disease in older adults: Results of the 2003 national sleep foundation sleep in America survey. J Psychosom Res. 2004; 56(5): 497-502. doi: 10.1016/j.jpsychores.2004.02.010
Allison DB, Gallagher D, Heo M, Pi-Sunyer FX, Heyms-field SB. Body mass index and all-cause mortality among people age 70 and over: The longitudinal study of aging. International Journal of Obesity. 1997; 21(6): 421-431.
Downloads
Published
How to Cite
Issue
Section
License

This work is licensed under a Creative Commons Attribution 4.0 International License.
All content published in Obesity Research (OR) is licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This license allows anyone to copy, distribute, transmit, and adapt the work — including for commercial purposes — provided appropriate credit is given to the original author(s) and source.