{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T08:53:58Z","timestamp":1773392038293,"version":"3.50.1"},"reference-count":42,"publisher":"FapUNIFESP (SciELO)","issue":"1","license":[{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"abstract":"<jats:p>O objetivo do estudo \u00e9 examinar a preval\u00eancia do fen\u00f3tipo da obesidade abdominal dinap\u00eanica, identificado pela presen\u00e7a de obesidade abdominal e dinapenia, e conhecer seus fatores associados em uma amostra representativa da popula\u00e7\u00e3o brasileira. Foram usados dados da linha do base Estudo Longitudinal da Sa\u00fade dos Idosos Brasileiros (ELSI-Brasil) 2015-2016. A obesidade abdominal foi determinada pela raz\u00e3o cintura-estatura \u2265 0,55cm, e dinapenia foi identificada pela presen\u00e7a de baixa for\u00e7a de preens\u00e3o palmar, por meio da dinamometria, segundo pontos de corte propostos para brasileiros. A vari\u00e1vel dependente foi a coexist\u00eancia de ambas as condi\u00e7\u00f5es (obesidade abdominal e dinapenia), e analisou-se sua associa\u00e7\u00e3o entre as vari\u00e1veis independentes (caracter\u00edsticas sociodemogr\u00e1ficas, comportamento e condi\u00e7\u00f5es de sa\u00fade, doen\u00e7as cr\u00f4nicas e local de moradia segundo regi\u00f5es do Brasil), utilizando-se regress\u00e3o de Poisson para obter raz\u00f5es de preval\u00eancia brutas e ajustadas por sexo, idade e escolaridade. A preval\u00eancia de obesidade abdominal foi de 57,8%, 5,7% de dinapenia isolada e 12,3% de obesidade abdominal-dinap\u00eanica. No modelo ajustado, foram significativas as associa\u00e7\u00f5es com tabagismo (0,7; IC95%: 0,5-0,9), consumo de \u00e1lcool (0,7; IC95%: 0,5-0,9), pr\u00e1tica de atividade f\u00edsica (0,6; IC95%: 0,5-0,8), autoavalia\u00e7\u00e3o da sa\u00fade ruim (1,7; IC95%: 1,4-2,2), multimorbidade (1,3; IC95%: 1,1-1,6), e regi\u00f5es de resid\u00eancia. Esses fatores indicam pontos-chave para o desenvolvimento de estrat\u00e9gias de preven\u00e7\u00e3o e tratamento da obesidade abdominal associada \u00e0 baixa for\u00e7a muscular, e sugere-se que as metodologias aqui abordadas para seu diagn\u00f3stico sejam usadas como forma de identifica\u00e7\u00e3o dessa condi\u00e7\u00e3o em pessoas idosas, por sua confiabilidade e praticidade.<\/jats:p>","DOI":"10.1590\/0102-311xpt233323","type":"journal-article","created":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T13:41:28Z","timestamp":1737985288000},"source":"Crossref","is-referenced-by-count":2,"title":["Fen\u00f3tipo cl\u00ednico da obesidade abdominal e dinapenia: Estudo Longitudinal da Sa\u00fade dos Idosos Brasileiros (ELSI-Brasil)"],"prefix":"10.1590","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7938-9351","authenticated-orcid":false,"given":"Tatiane Melo de","family":"Oliveira","sequence":"first","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6898-3048","authenticated-orcid":false,"given":"Pricilla de Almeida","family":"Moreira","sequence":"additional","affiliation":[{"name":"University of Cambridge School of Clinical Medicine,  U.K."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9942-7869","authenticated-orcid":false,"given":"Mar\u00edlia Santos dos","family":"Anjos","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Santa Cruz,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1813-996X","authenticated-orcid":false,"given":"Daniela de","family":"Assump\u00e7\u00e3o","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5298-7714","authenticated-orcid":false,"given":"Ligiana Pires","family":"Corona","sequence":"additional","affiliation":[{"name":"Universidade Estadual de Campinas,  Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2025]]},"reference":[{"key":"ref1","series-title":"Censo Demogr\u00e1fico 2022: popula\u00e7\u00e3o por idade e sexo: resultados do universo","year":"2023"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1038\/s41574-019-0176-8","article-title":"Obesity global epidemiology and pathogenesis","volume":"15","author":"Bl\u00fcher M","year":"2019","journal-title":"Nat Rev Endocrinol"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"27","DOI":"10.1007\/s40519-019-00815-4","article-title":"Obesity paradox and aging","volume":"26","author":"Bosello O","year":"2021","journal-title":"Eat Weight Disord"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"360","DOI":"10.1097\/MCO.0000000000000485","article-title":"How to best assess abdominal obesity","volume":"21","author":"Fang H","year":"2018","journal-title":"Curr Opin Clin Nutr Metab Care"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1177\/08982643231169315","article-title":"Dynapenic abdominal obesity, single and recurrent falls in older brazilian adults: ELSI-Brazil results.","volume":"36","author":"Coelho de Amorim JS","year":"2024","journal-title":"J Aging Health"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1007\/s12603-017-0966-4","article-title":"Dynapenic abdominal obesity increases mortality risk among English and Brazilian older adults a 10-year follow-up of the ELSA and SABE studies","volume":"22","author":"Alexandre TS","year":"2018","journal-title":"J Nutr Health Aging"},{"key":"ref7","series-title":"Pesquisa Nacional de Sa\u00fade 2019."},{"key":"ref8","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.3945\/ajcn.2009.28047","article-title":"Longitudinal study of muscle strength, quality, and adipose tissue infiltration","volume":"90","author":"Delmonico MJ","year":"2009","journal-title":"Am J Clin Nutr"},{"key":"ref9","first-page":"1267","article-title":"Sarcopenic obesity in community-dwelling older women, determined by different diagnostic methods","volume":"36","author":"Oliveira TM","year":"2019","journal-title":"Nutr Hosp"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1590\/1809-9823.2015.14249","article-title":"Avalia\u00e7\u00e3o nutricional de idosos desafios da atualidade","volume":"18","author":"Tavares EL","year":"2015","journal-title":"Rev Bras Geriatr Gerontol"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1590\/1413-81232022272.01122021","article-title":"Prevalence of and risk factors for dynapenic abdominal obesity in community-dwelling older adults a cross-sectional study","volume":"27","author":"Ara\u00fajo FC","year":"2022","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"53","DOI":"10.1007\/s00223-017-0337-5","article-title":"Correlates of level and loss of grip strength in later life findings from the English Longitudinal Study of Ageing and the Hertfordshire Cohort Study","volume":"102","author":"Syddall HE","year":"2018","journal-title":"Calcif Tissue Int"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jbmt.2016.08.017","article-title":"Handgrip strength and associated sociodemographic and lifestyle factors a systematic review of the adult population","volume":"21","author":"Lima TR","year":"2017","journal-title":"J Bodyw Mov Ther"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"36","DOI":"10.11606\/s1518-8787.2022056004025","article-title":"Gender and education inequalities in dynapenia-free life expectancy ELSI-Brazil","volume":"56","author":"Borges VS","year":"2022","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1007\/s12603-017-0951-y","article-title":"Muscle weakness and physical disability in older Americans longitudinal findings from the U.S. Health and Retirement Study","volume":"22","author":"Duchowny KA","year":"2018","journal-title":"J Nutr Health Aging"},{"key":"ref16","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00107319","article-title":"A nationwide study on prevalence and factors associated with dynapenia in older adults ELSI-Brazil","volume":"36","author":"Borges VS","year":"2020","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"1005","DOI":"10.1186\/s12877-022-03721-0","article-title":"Nationwide handgrip strength values and factors associated with muscle weakness in older adults: findings from the Brazilian Longitudinal Study of Aging (ELSI-Brazil).","volume":"22","author":"Moreira BS","year":"2022","journal-title":"BMC Geriatr"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"366","DOI":"10.1016\/j.clnesp.2021.01.006","article-title":"Dynapenia in middle-aged and older persons with and without abdominal obesity and the complex relationship with behavioral, physical-health and mental-health variables learning Bayesian network structures","volume":"42","author":"Cunha Leme DE","year":"2021","journal-title":"Clin Nutr ESPEN"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"559","DOI":"10.1093\/gerona\/glu011","article-title":"Grip strength cutpoints for the identification of clinically relevant weakness.","volume":"69","author":"Alley DE","year":"2014","journal-title":"J Gerontol A Biol Sci Med Sci"},{"key":"ref20","doi-asserted-by":"crossref","first-page":"1345","DOI":"10.1093\/aje\/kwx387","article-title":"The Brazilian Longitudinal Study of Aging (ELSI-BRAZIL): objectives and design.","volume":"187","author":"Lima-Costa MF","year":"2018","journal-title":"Am J Epidemiol"},{"key":"ref21","series-title":"ELSI-Brasil: Estudo Longitudinal da Sa\u00fade dos Idosos do Brasil. Manual de medidas f\u00edsicas."},{"key":"ref22","series-title":"Clinical guidelines on the identification, evaluation, and treatment of overweight and obesity in adults: the evidence report","year":"1998"},{"key":"ref23","doi-asserted-by":"crossref","DOI":"10.1590\/0102-311x00195315","article-title":"Raz\u00e3o cintura-estatura como marcador antropom\u00e9trico de excesso de peso em idosos brasileiros","volume":"33","author":"Corr\u00eaa MM","year":"2017","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref24","first-page":"5","article-title":"International Physical Activity Questionnaire (IPAQ) study of validity and reliability in Brazil","volume":"6","author":"Matsudo S","year":"2001","journal-title":"Rev Bras Ativ Fis Sa\u00fade"},{"key":"ref25","series-title":"Global recommendations on physical activity for health."},{"key":"ref26","doi-asserted-by":"crossref","first-page":"10s","DOI":"10.11606\/s1518-8787.2018052000637","article-title":"Multimorbidity: the Brazilian Longitudinal Study of Aging (ELSI-Brazil).","volume":"52","author":"Nunes BP","year":"2018","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref27","doi-asserted-by":"crossref","DOI":"10.5123\/S1679-49742020000300003","article-title":"Pontos de corte da circunfer\u00eancia da cintura e da raz\u00e3o cintura\/estatura para excesso de peso estudo transversal com idosos de sete cidades brasileiras, 2008-2009","volume":"29","author":"Assump\u00e7\u00e3o D","year":"2020","journal-title":"Epidemiol Serv Sa\u00fade"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1007\/s40618-023-02196-z","article-title":"Obesity a gender-view","volume":"47","author":"Muscogiuri G","year":"2024","journal-title":"J Endocrinol Invest"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1007\/s13679-023-00497-1","article-title":"Obesity paradox fact or fiction?","volume":"12","author":"Simati S","year":"2023","journal-title":"Curr Obes Rep"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"105737","DOI":"10.1016\/j.jsbmb.2020.105737","article-title":"Abdominal obesity, adipokines and non-communicable diseases","volume":"203","author":"Dhawan D","year":"2020","journal-title":"J Steroid Biochem Mol Biol"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"257","DOI":"10.1590\/1809-98232016019.140228","article-title":"Existe associa\u00e7\u00e3o entre massa e for\u00e7a muscular esquel\u00e9tica em idosos hospitalizados?","volume":"19","author":"Martinez BP","year":"2016","journal-title":"Rev Bras Geriatr Gerontol"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1093\/epirev\/mxs006","article-title":"Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons","volume":"35","author":"Schaap LA","year":"2013","journal-title":"Epidemiol Rev"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1038\/clpt.2011.105","article-title":"Cigarette smoking, nicotine, and body weight","volume":"90","author":"Audrain-McGovern J","year":"2011","journal-title":"Clin Pharmacol Ther"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"25","DOI":"10.24220\/2318-0897v21n1\/6a1869","article-title":"Gastos p\u00fablicos diretos com a obesidade e doen\u00e7as associadas no Brasil","volume":"21","author":"Mazzoccante RP","year":"2012","journal-title":"Rev Ci\u00eanc M\u00e9d (Campinas)"},{"key":"ref35","doi-asserted-by":"crossref","first-page":"686","DOI":"10.1123\/japa.2019-0077","article-title":"Relationship between physical activity, depressive symptoms and low back pain related disability in older adults with low back pain a cross-sectional mediation analysis","volume":"28","author":"Jesus-Moraleida FR","year":"2020","journal-title":"J Aging Phys Act"},{"key":"ref36","series-title":"Envelhecimento ativo: uma pol\u00edtica de sa\u00fade","year":"2005"},{"key":"ref37","article-title":"Os Impactos do envelhecimento no condicionamento f\u00edsico uma an\u00e1lise das atuais diferencia\u00e7\u00f5es por faixas et\u00e1rias dos \u00edndices da Portaria do Comando-Geral 076\/2016 PMPR","volume":"4","author":"Camargo FF","year":"2023","journal-title":"RECIMA21 - Revista Cient\u00edfica Multidisciplinar"},{"key":"ref38","doi-asserted-by":"crossref","first-page":"3585","DOI":"10.1590\/1413-812320152111.02492016","article-title":"Obesidade geral e abdominal em idosos do Sul do Brasil resultados do estudo COMO VAI?","volume":"21","author":"Costa CS","year":"2016","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref39","doi-asserted-by":"crossref","first-page":"903","DOI":"10.1590\/1413-81232018233.01612016","article-title":"Elevada preval\u00eancia de obesidade abdominal em idosos e associa\u00e7\u00e3o com diabetes, hipertens\u00e3o e doen\u00e7as respirat\u00f3rias","volume":"23","author":"Silveira EA","year":"2018","journal-title":"Ci\u00eanc Sa\u00fade Colet"},{"key":"ref40","doi-asserted-by":"crossref","first-page":"4164","DOI":"10.34119\/bjhrv4n2-016","article-title":"Prevalence of obesity in Brazilian regions","volume":"4","author":"Malveira AS","year":"2021","journal-title":"Brazilian Journal Health Review"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1017\/S0007114517002665","article-title":"Development and validation of anthropometric prediction equations for lean body mass, fat mass and percent fat in adults using the National Health and Nutrition Examination Survey (NHANES) 1999-2006","volume":"118","author":"Lee DH","year":"2017","journal-title":"Br J Nutr"},{"key":"ref42","series-title":"Diretrizes brasileiras de obesidade 2016.","year":"2016","edition":"4\u00aa"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":["Clinical phenotype of abdominal obesity and dynapenia: Brazilian Longitudinal Study of Aging (ELSI-Brazil)"],"link":[{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_pdf&pid=S0102-311X2025000101400&tlng=pt","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,1,27]],"date-time":"2025-01-27T13:41:40Z","timestamp":1737985300000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2025000101400&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025]]},"references-count":42,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025]]}},"alternative-id":["S0102-311X2025000101400"],"URL":"https:\/\/doi.org\/10.1590\/0102-311xpt233323","relation":{},"ISSN":["1678-4464","0102-311X"],"issn-type":[{"value":"1678-4464","type":"electronic"},{"value":"0102-311X","type":"print"}],"subject":[],"published":{"date-parts":[[2025]]},"article-number":"e00233323"}}