Abstract
Objective:Overweight or obesity may cause many chronic illnesses. Furthermore, several studies have shown that high body mass index is associated with mortality and morbidity among the elderly. Therefore, obesity or being overweight could adversely affect the performance of activities of daily living. In this study our aim was to investigate the association between Body Mass Index and Activity of Daily Living in Homecare Patients.Method:The records of 2016 from the homecare unit of Sisli Hamidiye Etfal Training and Research Hospital were retrospectively reviewed. During this period, 1105 patients visited this facility. Unconscious or bedridden patients (hemiplegia, hemiparesia, and tetraparesis) and patients with incomplete data were excluded from the study. Therefore, the survey was completed with 250 files, which included all the data needed for our research. Age, gender, Body Mass Index and Barthel Index scores were recorded to the statistical program; p≤0.05 was considered as statistically significant.Results:One hundred fifty one (60.4%) were women, and 99 (39.6%) were men. The relations between gender and age, weight, and Barthel index scores were not statistically significant. There was a significant positive correlation between weight and Barthel index scores as well as between Body Mass Index and Barthel index scores (r = 0.190; p = 0.003). The patients were divided into two groups: Group-I (underweight and normal weight) and Group-II (overweight and obese). Group-II exhibited a much higher ability to perform Activity of Daily Living than Group-I (p = 0.002).Conclusion:Some studies report that obesity is protective against Activity of Daily Living, but the opposite is reported in some others. Our study showed increased values of Body Mass Index and Activity of Daily Living ability, which are indicative of protective effects. The relationship between Body Mass Index and physical disability is not yet proven to be linear.
Highlights
Overweight or obesity may cause many chronic illnesses
Obesity or being overweight could adversely affect the performance of activities of daily living (ADLs)
Some studies report that obesity is protective against ADL, but the opposite is reported in some others
Summary
Overweight or obesity may cause many chronic illnesses. Several studies have shown that high body mass index (BMI) is associated with mortality and morbidity among the elderly.[1] Mobility is another important topic in relation to the elderly. Difficulties in mobility are often the first sign of functional decline and may indicate the need for preventive measures.[2] Mobility problems have been reported as a predictor of all-cause mortality, Pak J Med Sci November - December 2017 Vol 33 No 6 www.pjms.com.pk 1479 and patients with BMI >30 kg/m2 have low scores in the “Time Up to Go” test, which assesses mobility.[3] Mobility problems as well as illnesses leading to cognitive impairment are a cause of dependence. Weight loss through diet may be associated with cognitive improvement in patients with mild cognitive impairment.[4] obesity or being overweight could adversely affect the performance of activities of daily living (ADLs)
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