Body mass index and activities of daily living impairment: systematic review and meta-analysis

European Journal of Clinical Nutrition 2026 Open access

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Authors: Md. Razib Mamun, Hanson Gabriel Nuamah, Young-Jae Hong, Zean Song, Tahmina Akter, Y. Yoshida, Yoshihisa Nakano, KM Saif-Ur-Rahman, Hiroshi Yatsuya, Rei Otsuka
DOI: 10.1038/s41430-026-01707-4
Cited by: 3
References: 63

Abstract

Both underweight and obesity have been linked to increased risk of disability, yet evidence on the relationship between body mass index (BMI) and activities of daily living (ADL) impairment remains inconsistent. To examine these associations in adults, we conducted this systematic review and meta-analysis following the standard methods and reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 guidelines. Six databases were searched from inception to August 12, 2024. The protocol is registered in the PROSPERO (CRD42022357046). Abstracts and full-text articles describing associations between BMI and ADL impairment were screened using Rayyan software. Study quality was assessed using the RoBANS tool. A random-effects model meta-analysis was performed using metaanalysisonline, a web-based meta-analytic platform, with BMI categories of

Fields of Study & Subjects

Nutrition and Health in Aging Obesity Physical Activity Diet Physical Activity and Health

Publication details

Journal / source
European Journal of Clinical Nutrition
Publisher
Springer Science and Business Media LLC
Volume
80
Issue
5
Pages
449–457
Publication date
18 February 2026
Language
EN