Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study

Abstract We aimed to examine whether metabolic syndrome (MetS) is associated with mobility in the older adults, using the timed up and go (TUG) test which is one of the most widely used tests for evaluating mobility. This is population-based study with the National Health Insurance Service–National...

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Autores principales:	Ki Young Son, Dong Wook Shin, Ji Eun Lee, Sang Hyuck Kim, Jae Moon Yun, Belong Cho
Formato:	article
Lenguaje:	EN
Publicado:	Nature Portfolio 2021
Materias:	Medicine R Science Q
Acceso en línea:	https://doaj.org/article/c4bb4264d5214047a69251e46da89d77
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spelling	oai:doaj.org-article:c4bb4264d5214047a69251e46da89d772021-12-02T13:24:26ZAssociation of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study10.1038/s41598-021-86186-22045-2322https://doaj.org/article/c4bb4264d5214047a69251e46da89d772021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-86186-2https://doaj.org/toc/2045-2322Abstract We aimed to examine whether metabolic syndrome (MetS) is associated with mobility in the older adults, using the timed up and go (TUG) test which is one of the most widely used tests for evaluating mobility. This is population-based study with the National Health Insurance Service–National Health Screening Cohort database of National Health Information Database. Participants included were those who completed the TUG as part of the National Screening Program for Transitional Ages. An abnormal TUG result was defined as a time ≥ 10 s. Multiple logistic regression models were used to assess the associations between MetS and TUG results. We constructed three models with different levels of adjustment. Furthermore, we conducted a stratified analysis according to the risk. Among the 40,767 participants included, 19,831 (48.6%) were women. Mean TUG value was 8.34 ± 3.07 s, and abnormal TUG test results were observed in 4,391 (10.8%) participants; 6,888 (16.9%) participants were categorised to have MetS. The worst TUG test results were obtained in participants with three or four MetS features, and a J-shaped relationship of each MetS feature, except triglyceride (TG) and high-density lipoprotein-cholesterol (HDL-C), with TUG test was found. Participants with MetS had 18% higher likelihood of showing abnormal TUG test results in a fully adjusted model (adjusted odds ratio 1.183, 95% confidence interval 1.115–1.254). The stratified analysis revealed that participants with central obesity, high blood pressure, and normal HDL-C and TG were more likely to have abnormal TUG times. Participants with MetS had a higher risk of exhibiting abnormal TUG results, and except for HDL-C and TG, all other MetS features had a J-shaped relationship with TUG. Preventive lifestyle such as lower carbohydrate and higher protein intake, and endurance exercise is needed.Ki Young SonDong Wook ShinJi Eun LeeSang Hyuck KimJae Moon YunBelong ChoNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine R Science Q
spellingShingle	Medicine R Science Q Ki Young Son Dong Wook Shin Ji Eun Lee Sang Hyuck Kim Jae Moon Yun Belong Cho Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study
description	Abstract We aimed to examine whether metabolic syndrome (MetS) is associated with mobility in the older adults, using the timed up and go (TUG) test which is one of the most widely used tests for evaluating mobility. This is population-based study with the National Health Insurance Service–National Health Screening Cohort database of National Health Information Database. Participants included were those who completed the TUG as part of the National Screening Program for Transitional Ages. An abnormal TUG result was defined as a time ≥ 10 s. Multiple logistic regression models were used to assess the associations between MetS and TUG results. We constructed three models with different levels of adjustment. Furthermore, we conducted a stratified analysis according to the risk. Among the 40,767 participants included, 19,831 (48.6%) were women. Mean TUG value was 8.34 ± 3.07 s, and abnormal TUG test results were observed in 4,391 (10.8%) participants; 6,888 (16.9%) participants were categorised to have MetS. The worst TUG test results were obtained in participants with three or four MetS features, and a J-shaped relationship of each MetS feature, except triglyceride (TG) and high-density lipoprotein-cholesterol (HDL-C), with TUG test was found. Participants with MetS had 18% higher likelihood of showing abnormal TUG test results in a fully adjusted model (adjusted odds ratio 1.183, 95% confidence interval 1.115–1.254). The stratified analysis revealed that participants with central obesity, high blood pressure, and normal HDL-C and TG were more likely to have abnormal TUG times. Participants with MetS had a higher risk of exhibiting abnormal TUG results, and except for HDL-C and TG, all other MetS features had a J-shaped relationship with TUG. Preventive lifestyle such as lower carbohydrate and higher protein intake, and endurance exercise is needed.
format	article
author	Ki Young Son Dong Wook Shin Ji Eun Lee Sang Hyuck Kim Jae Moon Yun Belong Cho
author_facet	Ki Young Son Dong Wook Shin Ji Eun Lee Sang Hyuck Kim Jae Moon Yun Belong Cho
author_sort	Ki Young Son
title	Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study
title_short	Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study
title_full	Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study
title_fullStr	Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study
title_full_unstemmed	Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study
title_sort	association of metabolic syndrome with mobility in the older adults: a korean nationwide representative cross-sectional study
publisher	Nature Portfolio
publishDate	2021
url	https://doaj.org/article/c4bb4264d5214047a69251e46da89d77
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Association of metabolic syndrome with mobility in the older adults: a Korean nationwide representative cross-sectional study

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