THE ASSOCIATION BETWEEN CENTRAL OBESITY AND PEAK EXPIRATORY FLOW RATE (PEFR) IN ELDERLY AT PEDAWA VILLAGE, BULELENG, BALI, INDONESIA

Authors

  • IGPS Aryana Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • KAW Nugraha Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • AAGORK Putra Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • IAJD Kusumawardani Pulmonology Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • RAT Kuswardhani Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • N Astika Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • IB Putrawan Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • R Purnami Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • IGNB Artana Pulmonology Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.
  • IBN Rai Pulmonology Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

DOI:

https://doi.org/10.53555/eijmhs.v4i2.24

Keywords:

elderly, central obesity, PEFR

Abstract

Objective. To determine the association between central obesity and peak expiratory flow rate (PEFR).

Methods. A cross-sectional analytical study was carried out in Pedawa village, Buleleng District, Bali Province, Indonesia, on August 13, 2016. A total of 117 elderly subjects above 60 years old were included in the study to assess the association between central obesity and PEFR, but only 90 subjects met the inclusion criteria of this study.

Results. Regardless of sex, using backward multiple regression analysis, fat has a negative correlation (β = -0.376) against PEFR while the visceral fat (β = 0.440) and height (β = 0.274) were positively correlated. Specifically in elderly with underweight and normal BMI, variables that were positively correlated with PEFR on multivariate analysis including visceral fat (β = 0.450) and height (β = 0.315), while fat had a negative correlation (β = -0.309). In elderly with overweight and obesity BMI, fat was the only variable that significantly correlated with PEFR on bivariate analysis (r = - 0.723, p = 0.004), and no other variables were eligible for inclusion in the multivariate analysis.

Conclusions. This study found that, the percentage of visceral fat had a positive correlation with PEFR in the elderly with underweight and normal BMI, while the percentage of fat had a negative correlation with PEFR in the elderly with overweight and obesity BMI. This study didn’t find any association between waist circumference and PEFR.

References

. Santana H, Zoico E, Turcato E, et al. Relation between body composisition, fat distribution, and lung function in

elderly men. Am J Clin Nutr. 2001; 73:827-31.

. Wehrmeister FC, Menezes AMB, Muniz LC, Martinez-Mesa J, Dormingues MR, Horta BL. Waist circumference

and pulmonary function: a systematic review and meta-analysis. Systematic Reviews. 2012; 55:1-9.

. Tyagi R, Kapoor S. Functional ability and nutritional status of Indian elderly. The Open Anthropology Journal. 2010;

:200-5.

. Shenoy PJ, Shivakumar J, Kalpana B, Bhat SK. Impact of adiposity markers on peak expiratory flow rate in young

adult south indian females. Muller Journal of Medical Science and Research. 2014;5:121-4. Lazarus R, Sparrow D,

Weiss ST. Effects of obesity and fat distribution on ventilatory function. Chest. 1997;111:891-8

. Chen Y, Rennie D, Cormier YF, Dosman J. Waist circumference is associated with pulmonary function in normalweight, overweight, and obese subjects. Am J Clin Nutr. 2007;85:35-9.

. Kaur P, Arora D, Dhillon JK. PEFR and its determinants in a healthy population aged ≥ 65 years. Indian J. Applied

& Pure Bio. 2012;27(2):141-5.

. Sandhu PK, Bajaj D, Mehta K. Correlation of peak expiratory flow rate with age and anthropometric parameters in

elderly (> 65 years). Natl J Physiol Pharm Pharmacol. 2016;6:89-92.

. Kaur P, Dimple, Bansal R. A study of peak expiratory flow rate in normal elderly punjabies. Journal of Advance

Researches in Biological Sciences. 2012;4(3):253-8.

. Fragoso CA, Gahbauer EA, Ness PHV, Gill T. Reporting peak expiratory flow in older persons. Journal of

Gerontology. 2007;10:1147-51.

. Seema, Verma KB, Goel SK, Gosh S, Bera C. Correlation of peak expiratory flow rate with anthropometric

determinants in healthy adult male population of haryana. J of Evolution of Med and Dent Sci. 2014;3:8355-65.

. Bellia V, Pistelli F, Giannini D, et al. Questionnaires, spirometry and PEF monitoring in epidemiological studies on

elderly respiratory patients. Eur Respir J. 2003;21:21s-7s.

. Murbawani EA, Puruhita N, Yudomurti. Height measured based on knee height using chumlea formula in elderly.

M Med Indones. 2012;46:1-6. Indonesian

. Chumlea WC, Roche AF, Steinbaugh ML. Estimating stature from knee height for persons 60 to 90 years of age. J

Am Geriatr SOC. 1985;33(2):116-20.

. World Health Organization (WHO). Methods for measuring waist and hip circumference. Dalam: WHO. Waist

circumference and waist-hip ratio: report of WHO expert consultation. Geneva: WHO Document Production

Services, 2008; p. 5-7.

. International Diabetes Federation (IDF). Worldwide definition for use in clinical practice. Dalam: Alberti GS,

Zimmet P, Shaw Jgrundy SM. The IDF consensus worldwide definition of the metabolic syndrome. Brussels: IDF,

; p. 10-11.

. Dahlan MS. Regresi linier. Dalam: Dahlan MS. Statistik untuk kedokteran kesehatan. Jakarta: Penerbit Salemba

Medika, 2009; p. 195-9.

. Mishra J, Mishra S, Satpathy S, Manjareeka M, Nayak PK, Mohanty P. Variations in PEFR among males and females

with respect to anthropometric parameters. IOSR Journal of Dental and Medical Sciences. 2013; p. 47-50.

. Kaur H, Singh J, Makkar M, Singh K, Garg R.Variations in the peak expiratory flow rate with various factors in

population of healthy women of malwa region of punjab, india. Journal of Clinical and Diagnostic Research.

;7(6): 1000-3.

. Kamal R, Kesavachandran CN, Bihari V, Santhian B, Srivastava K. Alteration in lung functions based on BMI and

body fat % among obese indian population at national capital region. Nepal J Epidemiol. 2015;5(2): 470-9.

. Mantzoros CS, Magkos F, Brinkoetter M, Sienkiewicz E, Dardeno TA, Kim SY, dkk. Leptin in human physiology

and pathophysiology. Am J Physiol Endocrinol Metab. 2011;301(4):567-84.

. Ostlund RE, Yang JW, Klein S, Gingerich. Relation between plasma leptin concentration and body fat, gender, diet,

age, and metabolic covariates. J Clin Endocrinol Metab. 1996;81(11):3909-13.

. Dua A, Hennes MI, Hofmann RG, Maas DL, Krakower GR, Sonnenberg GE, dkk. Leptin: a significant indicator of

total body fat but not of visceral fat and insulin insensitivity in africanamerican woman. Diabetes. 1996;45:1635-7.

. Samra NM, El-Sharkawi SZ, El-Ghany HMA, Mohammed ZT. Relationship between concentration of serum leptin

and childhood asthma in egypt. Res J Medicine & Med Sci. 2009;4(2):249-56.

. Malhotra V, Srinivasaragavan N, Patil R, Jaiganga R. Correlation of peak expiratory flow rate with anthropometric

parameters in young adults. International Journal of Current Research and Review. 2011;3(11):149-54.

. Saxena Y, Brijesh P, Upmanyu R. Adiposity: determinant of peak expiratory flow rate in young indian adults male.

Indian J Chest Dis Allied Sci. 2011;53:29-33

Downloads

Published

2017-03-27

Issue

Vol. 3 No. 1 (2017): EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)

Section

Articles

License

Copyright (c) 2017 EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063)

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.