The association between Body Mass Index (BMI) and Activity of Daily Living (ADL) in the population-based elderly at Buleleng and Tabanan regencies, Bali, Indonesia

Wayan Eko Radityo; I Gusti Putu Suka Aryana; Raden Ayu Tuty Kuswardhani; I Nyoman Astika

doi:10.15562/bmj.v9i1.1654

The association between Body Mass Index (BMI) and Activity of Daily Living (ADL) in the population-based elderly at Buleleng and Tabanan regencies, Bali, Indonesia

Wayan Eko Radityo ,

I Gusti Putu Suka Aryana ,

Raden Ayu Tuty Kuswardhani ,

I Nyoman Astika ,

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DOI: https://doi.org/10.15562/bmj.v9i1.1654 |
Published: 2020-04-01

Abstract

Background: High Body Mass Index (BMI) is known associated with mortality and morbidity among the elderly. However, other studies also show the opposite result in high BMI as protective against Activity Daily Living (ADL). Accurate quantification of the role of BMI in the incidence of disability in ADL is desirable in the face of the increasing prevalence of individuals with overweight and obesity and prolonged life span in the population. This study aims to investigate the association between Body Mass Index and Activity of Daily Living in population-based elderly.

Method: A cross-sectional analytic study was conducted in the urban and rural area of Bali Province, particularly in Buleleng and Tabanan regencies. BMI and Barthel Index score were recorded among respondents. Data were analyzed using SPSS version 17 for Windows and aP-value less than 0.05 was considered statistically significant.

Results: A total of 167 respondents, 100 and 67 from the urban and rural area of Bali Province respectively, was predominant by 93 (55.7%) females and followed by 74 (44.3%) males. Spearman test found a significant weak positive correlation between weight and Activity of Daily Living (r= 0.168; p<0.05). In addition, a significant weak positive correlation was also found between BMI and ADL (r= 0.158; p<0.05).

Conclusion: Our study showed increased values of BMI is a protective effect on ADL.

References

Nuttall FQ. Body Mass Index: Obesity, BMI, and Health: A Critical Review. Nutr Today. 2015;50(3):117â€“128.
Ozturk GZ, Egici MT, Bukhari MH, Toprak D. Association between body mass index and activities of daily living in homecare patients. Pak J Med Sci. 2017;33(6):1479-1484.
Lv YB, Yuan JQ, Mao C, Gao X, Yin ZX, Kraus VB, et al. Association of body mass index with disability in activities of daily living among Chinese adults 80 years of age or older. JAMA Netw Open. 2018;1(5):e181915.
Djalalinia S, Qorbani M, Peykari N, Kelishadi R. Health impacts of Obesity. Pak J Med Sci. 2015;31(1):239â€“242.
Woo J, Leung J, Kwok T. BMI, body composition, and physical functioning in older adults. Obesity (Silver Spring). 2007;15(7):1886-94.
Gray-Miceli D. Impaired Mobility and Functional Decline in Older Adults: Evidence to Facilitate a Practice Change. Nurs Clin North Am. 2017;52(3):469-487.
Vincent HK, Vincent KR, Lamb KM. Obesity and mobility disability in the older adult. Obes Rev. 2010;11(8):568-79.
Shah S, Cooper B, Maas F. The Barthel Index and ADL Evaluation in Stroke Rehabilitation in Australia, Japan, the UK and the USA. Aust Occup Ther J. 1992;39(1):5-13.
Cao J, Rammohan A. Social capital and healthy ageing in Indonesia. BMC Public Health. 2016;16:631.
Ho JY, Hendi AS. Recent trends in life expectancy across high income countries: retrospective observational study. BMJ. 2018;362:k2562.
Lisko I, Stenholm S, Raitanen J, Hurme M, Hervonen A, JylhÃ¤ M, et al. Association of Body Mass Index and Waist Circumference with Physical Functioning: The Vitality 90+ Study. J Gerontol A Biol Sci Med Sci. 2015;70(7):885-91.
Koyanagi A, Moneta MV, Garin N, Olaya B, Ayuso-Mateos JL, Chatterji S, et al. The association between obesity and severe disability among adults aged 50 or over in nine high-income, middle-income and low-income countries: a cross-sectional study. BMJ Open. 2015;5(4):e007313.