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Interactions Between BMI and Age on Fall Risk in Older Adults

datacite.subject.sdg03:Saúde de Qualidade
datacite.subject.sdg04:Educação de Qualidade
datacite.subject.sdg09:Indústria, Inovação e Infraestruturas
dc.contributor.authorRodrigues, Filipe
dc.contributor.authorMonteiro, Diogo
dc.contributor.authorMonteiro, A. M.
dc.contributor.authorForte, Pedro
dc.date.accessioned2026-02-05T12:58:38Z
dc.date.available2026-02-05T12:58:38Z
dc.date.issued2026-02-02en_US
dc.date.updated2026-02-02T13:41:41Z
dc.description.abstractBackground/Objectives: The aging process is typically marked by a reduction in functional fitness, which heightens the likelihood of falling. Although obesity is established as a determinant of poor mobility, the interplay between excess weight and advanced age is still a topic of research interest. Therefore, this research investigated how age, sex, and Body Mass Index (BMI) interact to influence fall risk among older adults living in the community. Methods: This cross-sectional investigation involved 815 participants (Mage = 70.45 ± 6.10 years), stratified by age (sexagenarians, septuagenarians, octogenarians) and BMI (normal weight, overweight, obesity). Fall risk was assessed using the Timed Up and Go test. A Three-Way ANOVA examined the main and interaction effects. Results: No significant three-way interaction (p = 0.334) or main effect of sex (p = 0.079) was found. However, a significant age x BMI interaction was observed (p = 0.007). In sexagenarians and septuagenarians, obesity was associated with significantly slower fall risk performance compared to normal weight (p < 0.001). Conversely, in octogenarians, this difference was not significant (p = 1.000) with normal-weight individuals. Conclusions: Obesity may be a significant risk factor for falls, especially in adults aged 60 to 79 years. In octogenarians, the protective benefit of normal weight disappears, revealing a “weight paradox” likely driven by sarcopenia. Fall risk assessments and weight management strategies should be tailored to age, focusing on preserving muscle mass in octogenarians.eng
dc.description.sponsorshipThis work was funded by National Funds by FCT—Foundation for Science and Technology under the following project UID/04045: Research Center in Sports Sciences, Health Sciences, and Human Development.
dc.description.versioninfo:eu-repo/semantics/publishedVersion
dc.identifier.citationRodrigues, F., Monteiro, D., Monteiro, A. M., & Forte, P. (2026). Interactions Between BMI and Age on Fall Risk in Older Adults. Epidemiologia, 7(1), 18. https://doi.org/10.3390/epidemiologia7010018
dc.identifier.doi10.3390/epidemiologia7010018
dc.identifier.slugcv-prod-4704646
dc.identifier.urihttp://hdl.handle.net/10400.8/15541
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://www.mdpi.com/2673-3986/7/1/18
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectfunctional fitnessen_US
dc.subjectagingen_US
dc.subjectobesity paradoxen_US
dc.subjectsarcopeniaen_US
dc.subjectfall risken_US
dc.titleInteractions Between BMI and Age on Fall Risk in Older Adultseng
dc.typeresearch articleen_US
dspace.entity.typePublication
oaire.citation.issue1en_US
oaire.citation.startPage18
oaire.citation.titleEpidemiologiaen_US
oaire.citation.volume7en_US
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85
person.familyNameRodrigues
person.familyNameMonteiro
person.givenNameFilipe
person.givenNameDiogo
person.identifier613329
person.identifierF-1202-2015
person.identifier.ciencia-id9B18-7FE1-74AF
person.identifier.ciencia-idED1F-6228-E26F
person.identifier.orcid0000-0003-1327-8872
person.identifier.orcid0000-0002-7179-6814
person.identifier.ridA-8152-2019
person.identifier.scopus-author-id57206270107
person.identifier.scopus-author-id56437945500
rcaap.cv.cienciaidED1F-6228-E26F | Diogo Manuel Teixeira Monteiro
rcaap.rightsopenAccessen_US
relation.isAuthorOfPublication661e2126-79f7-445a-bda0-eb4c9d0bb0e2
relation.isAuthorOfPublication79dcae83-d54a-4acc-a9a1-8268c7776ab9
relation.isAuthorOfPublication.latestForDiscovery661e2126-79f7-445a-bda0-eb4c9d0bb0e2

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