ArticleThe journal of nutrition, health & aging2024
The weight-adjusted waist index and frailty: A cohort study from the China Health and Retirement Longitudinal Study.
Article in The journal of nutrition, health & aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Obesity-Related Anthropometric Indicators and Erectile Dysfunction: A Systematic Review.Archives of sexual behavior · 2025Pooled it
- Predictive value of the combined cholesterol, high-density lipoprotein, glucose and frailty indices for cardiometabolic multimorbidity incidence: evidence from a national prospective cohort study.Cardiovascular diabetology · 2026Article
- Association of hemoglobin glycation index with frailty and all-cause mortality in hypertensive patients.Diabetology & metabolic syndrome · 2025Article
- Mediation of the frailty index, the relationship between sleep duration and chronic pain in different body regions: insights from the CHARLS cross-sectional study.Journal of orthopaedic surgery and research · 2025Article
- Association between central obesity and ADL impairment among the middle-aged and elderly population in China based on CHARLS.Scientific reports · 2025Article
- Anemia as a mediator: bridging the frailty index and hip fractures in older Chinese populations.Frontiers in public health · 2025Article
- Associations between sugar-sweetened beverage consumption, weight-adjusted-waist index, with psychological symptoms: a cross-sectional survey of adolescents in mainland China.Frontiers in psychiatry · 2025Article
- Weight-Adjusted Waist Index (WWI)-A Promising Anthropometric Indicator of Depressive Symptoms in Hospitalized Older Patients.Nutrients · 2024Article
- The association between continuing work after retirement and the incidence of frailty: evidence from the China health and retirement longitudinal study.The journal of nutrition, health & aging · 2024Article
- The association between weight-adjusted waist index and frailty defined by Fried's Frailty Phenotype among Chinese people.The journal of nutrition, health & aging · 2024Article
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Authors and funding
6 authors.
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Abstract
objectivesThis cohort study's aim was to assess the association between the weight-adjusted waist index (WWI) and frailty among middle-aged and elderly individuals in China.
methodsSeven-year complete follow-up data from 10,349 adults aged ≥45 years, initially surveyed in 2 011 in the China Health and Retirement Longitudinal Study, were analyzed, including clinical demographic characteristics, anthropometric indices, frailty scores, and relevant covariates. The WWI was calculated as waist circumference divided by the square root of the body weight. Frailty was evaluated using the Frailty Index. Relationships between the WWI and frailty were evaluated via Cox proportional hazards modeling. Receiver operating characteristic curve analyses assessed the effectiveness of obesity-related indicators in predicting frailty.
resultsOver a median 84-month follow-up period, frailty occurred in 23.7% (2453/10,349) of participants. After potential confounder adjustment, the WWI positively correlated with frailty (adjusted hazard ratio: 1.14; 95% confidence interval: 1.08-1.20; p < 0.001). After WWI-stratification into quartiles based on frailty and covariate adjustment, regression analyses were conducted; the adjusted hazard ratios exhibited a significant upward trend (p < 0.001). The subgroup analyses revealed higher positive correlations between the WWI and frailty in males and those aged ≥65 years and lower correlations in those with a high school or higher educational level and in married or cohabiting individuals. The strong positive correlation was unaltered in the other subgroup analyses. The WWI outperformed all other obesity-related indicators as a frailty predictor.
conclusionsThe WWI is a dependable and innovative obesity-related predictor of frailty and could help in mitigating its development.
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