The Association between Central Obesity and Peak Expiratory Flow Rate (PEFR) in Elderly at Pedawa Village, Buleleng, Bali, Indonesia

  • IGPS Aryana MD
  • KAW Nugraha MD
  • AAGORK Putra MD
  • IAJD Kusumawardani MD
  • RAT Kuswardhani MD
  • N Astika MD
  • IB Putrawan MD
  • R Purnami MD
  • IGNB Artana MD
  • IBN Rai MD
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.

Author Biographies

IGPS Aryana MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia

KAW Nugraha MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

AAGORK Putra MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

IAJD Kusumawardani MD

Pulmonology Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

RAT Kuswardhani MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

N Astika MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia

IB Putrawan MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

R Purnami MD

Geriatric Division, Internal Medicine Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

IGNB Artana MD

Pulmonology Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

IBN Rai MD

Pulmonology Department, Sanglah General Hospital/Faculty of Medicine Udayana University, Denpasar, Bali, Indonesia.

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Published
2018-02-28
How to Cite
Aryana MD, I., Nugraha MD, K., Putra MD, A., Kusumawardani MD, I., Kuswardhani MD, R., Astika MD, N., Putrawan MD, I., Purnami MD, R., Artana MD, I., & Rai MD, I. (2018, February 28). The Association between Central Obesity and Peak Expiratory Flow Rate (PEFR) in Elderly at Pedawa Village, Buleleng, Bali, Indonesia. EPH - International Journal of Medical and Health Science (ISSN: 2456 - 6063), 4(2), 01-20. Retrieved from https://ephjournal.com/index.php/mhs/article/view/487