Artículos de revistas
Relationship Between Lower-limb Muscle Strength And Frailty Among Elderly People [relação Entre Força Muscular De Membros Inferiores E Fragilidade Em Idosos]
Registro en:
Sao Paulo Medical Journal. , v. 130, n. 2, p. 102 - 108, 2012.
15163180
10.1590/S1516-31802012000200006
2-s2.0-84859465928
Autor
Batista F.S.
de Oliveira Gomes G.A.
Neri A.L.
Guariento M.E.
Cintra F.A.
da de Sousa M.L.R.
D'Elboux M.J.
Institución
Resumen
CONTEXT AND OBJECTIVE: Sarcopenia is the main factor involved in the development of frailty syndrome. The aims here were to investigate relationships between lower-limb muscle strength and the variables of sex, age and frailty criteria; compare lower-limb muscle strength with each frailty criterion; and assess the power of each criterion for estimating the risk of frailty among elderly outpatients. DESIGN AND SETTING: Cross-sectional study at the Geriatrics Outpatient Clinic of a university hospital in Campinas. METHOD: A non-probabilistic convenience sample of 150 elderly people of both sexes who were followed up as outpatients was assessed. Sociodemographic data (sex and age) and physical health data (frailty criteria and the five-times sit-to-stand test) were gathered. Descriptive, comparative and multivariate logistic regression analyses were performed. RESULTS: The majority of the elderly people (77.3%) were 70 years of age or over, with predominance of females (64.2%) and had a low score for the five-times sit-to-stand test (81.4% scored 0 or 1); 55.3% of the elderly people presented three or more frailty criteria. A significant association was found between lower-limb muscle strength and the variables of age and number of frailty criteria. CONCLUSIONS: Lower levels of lower-limb muscle strength were associated with advanced age and greater presence of signs of frailty. Moreover, lower-limb muscle strength was also associated with the criteria of reduced walking speed criteria and hand-grip strength. 130 2 102 108 Silva, T.A.A., Frisoli Jr., A., Pinheiro, M.M., Szejnfeld, V.L., Sarcopenia and aging: Etiological aspects and therapeutic options (2006) Rev Bras Reumatol, 46 (6), pp. 391-397 Cesari, M., Leeuwenburgh, C., Lauretani, F., Frailty syndrome and skeletal muscle: Results from the Invecchiare in Chianti study (2006) Am J Clin Nutr, 83 (5), pp. 1142-1148 Walston, J., Hadley, E.C., Ferrucci, L., Research agenda for frailty in older adults: Toward a better understanding of physiology and etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults (2006) J Am Geriatr Soc, 54 (6), pp. 991-1001 Abate, M., di Iorio, A., di Renzo, D., Frailty in the elderly: The physical dimension (2007) Eura Medicophys, 43 (3), pp. 407-415 Fried, L.P., Walston, J., Frailty and failure to thrive (2003) Principles of Geriatric Medicine and Gerontology, pp. 1487-1502. , In: Hazzard WR, Blass J P, Halter JB, Ouslander JG, Tinetti ME, editors, 5th ed. New York: McGraw-Hill Macedo, C., Gazzola, J.M., Najas, M., Frailty syndrome in elderly patients: The importance of physiotherapy (2008) Arq Bras Ciênc Saude, 33 (3), pp. 177-184 Edström, E., Altun, M., Bergman, E., Factors contributing to neuromuscular impairment and sarcopenia during aging (2007) Physiol Behav, 92 (1-2), pp. 129-135 Fried, L.P., Tangen, C.M., Walston, J., Frailty in older adults: Evidence for a phenotype (2001) J Gerontol a Biol Sci Med Sci, 56 (3), pp. M146-M156 Purser, J.L., Kuchibhatla, M.N., Fillenbaum, G.G., Identifying frailty in hospitalized older adults with significant coronary artery disease (2006) J Am Geriatr Soc, 54 (11), pp. 1674-1681 Ensrud, K.E., Ewing, S.K., Taylor, B.C., Comparison of 2 frailty indexes for prediction of falls, disability, fractures, and death in older women (2008) Arch Intern Med, 168 (4), pp. 382-389 Ensrud, K.E., Ewing, S.K., Cawthon, P.M., A comparison of frailty indexes for the prediction of falls, disability, fractures, and mortality in older men (2009) J Am Geriatr Soc, 57 (3), pp. 492-498 Guralnik, J.M., Simonsick, E.M., Ferrucci, L., A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission (1994) J Gerontol, 49 (2), pp. M85-M94 McCarthy, E.K., Horvat, M.A., Holtsberg, P.A., Wisenbaker, J.M., Repeated chair stands as a measure of lower limb strength in sexagenarian women (2004) J Gerontol a Biol Sci Med Sci, 59 (11), pp. 1207-1212 Takai, Y., Ohta, M., Akagi, R., Sit-to-stand test to evaluate knee extensor muscle size and strength in the elderly: A novel approach (2009) J Physiol Anthropol, 28 (3), pp. 123-128 Bertolucci, P.H., Brucki, S.M., Campacci, S.R., Juliano, Y.O., The Mini-Mental State Examination in a general population: Impact of educational status (1994) Arq Neuropsiquiatr, 52 (1), pp. 1-7 Radlof, L.S., The CES-D Scale: A Self-Report Depression Scale for Research in the General Population (1977) Applied Psychological Measurement, 1 (3), pp. 385-401. , http://apm.sagepub.com/content/1/3/385.full.pdf+html, Accessed 2011 (Jul 25) Batistoni, S.S., Neri, A.L., Cupertino, A.P., Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros. [Validity of the Center for Epidemiological Studies Depression Scale among Brazilian elderly] (2007) Rev Saude Publica, 41 (4), pp. 598-605 Nakano, M.M., (2007) Versão Brasileira Da Short Physical Performance Battery? SPPB: Adaptação Cultural E Estudo Da Confabilidade [Brazilian Version of the Short Physical Performance Battery - SPPB: Cross-cultural Adaptation and Reliability Study], , http://cutter.unicamp.br/document/?code=vtls000412296, Campinas: Faculdade de Educação da Universidade Estadual de Campinas, Accessed 2011 (Jul 25) Mazzà, C., Benvenuti, F., Bimbi, C., Stanhope, S.J., Association between subject funcional status, seat height, and movement strategy in sit-to-stand performance (2004) J Am Geriatr Soc, 52 (10), pp. 1750-1754 Barbosa, A.R., Souza, J.M., Lebrão, M.L., Laurenti, R., Marucci, M.F., Functional limitations of Brazilian elderly by age and gender differences: Data from SABE Survey (2005) Cad Saude Publica, 21 (4), pp. 1177-1185 Ferreira, F.F.P., Izzo, H., Jacob Filho, W., Impacto da capacidade física na saúde percebida entre idosos em velhice avançada (2007) Saúde Coletiva, 4 (17), pp. 154-157. , http://redalyc.uaemex.mx/pdf/842/84201705.pdf, Accessed 2011 (Jul 25) Lord, S.R., Murray, S.M., Chapman, K., Munro, B., Tiedemann, A., Sit-to-stand performance depends on sensation, speed, balance and psychological status in addition to strength in older people (2002) J Gerontol a Biol Sci Med Sci, 57 (8), pp. M539-M543 Forrest, K.Y., Zmuda, J.M., Cauley, J.A., Correlates of decline in lower extremity performance in older women: A 10-year follow-up study (2006) J Gerontol a Biol Sci Med Sci, 61 (11), pp. 1194-1200 Singh, A.S., Chin, A., Paw, M.J., Bosscher, R.J., van Mechelen, W., Cross-sectional relationship between physical fitness components and functional performance in older persons living in long-term care facilities (2006) BMC Geriatr, 6, p. 4 Aslan, U.B., Cavlak, U., Yagci, N., Akdag, B., Balance performance, aging and falling: A comparative study based on a Turkish sample (2008) Arch Gerontol Geriatr, 46 (3), pp. 283-292 Ottenbacher, K.J., Ostir, G.V., Peek, M.K., Frailty in older Mexican Americans (2005) J Am Geriatr Soc, 53 (9), pp. 1524-1531 Boxer, R.S., Wang, Z., Walsh, S.J., Hager, D., Kenny, A.M., The utility of the 6-minute walk test as a measure of frailty in older adults with heart failure (2008) Am J Geriatr Cardiol, 17 (1), pp. 7-12 Woods, N.F., Lacroix, A.Z., Gray, S.L., Frailty: Emergence and consequences in women aged 65 and older in the Women's Health Initiative Observational Study (2005) J Am Geriatr Soc, 53 (8), pp. 1321-1330 Avila-Funes, J.A., Helmer, C., Amieva, H., Frailty among community-dwelling elderly people in France: The three-city study (2008) J Gerontol a Biol Sci Med Sci, 63 (10), pp. 1089-1096 Ottenbacher, K.J., Graham, J.E., Al Snih, S., Mexican Americans and frailty: Findings from the Hispanic established populations epidemiologic studies of the elderly (2009) Am J Public Health, 99 (4), pp. 673-679 Borst, S.E., Interventions for sarcopenia and muscle weakness in older people (2004) Age Ageing, 33 (6), pp. 548-555 Latham, N.K., Bennett, D.A., Stretton, C.M., Anderson, C.S., Systematic review of progressive resistance strength training in older adults (2004) J Gerontol a Biol Sci Med Sci, 59 (1), pp. 48-61 Aveiro, M.C., Granito, R.N., Navega, M.T., Driusso, P., Oishi, J., Influence of a physical training program on muscle strength, balance and gait velocity among women with osteoporosis (2006) Rev Bras Fisioter, 10 (4), pp. 441-448 Candeloro, J.M., Caromano, F.A., Effect of a hydrotherapy program on flexibility and muscle strength in elderly women (2007) Rev Bras Fisioter, 11 (4), pp. 303-309 Eyigor, S., Karapolat, H., Durmaz, B., Effects of a group-based exercise program on the physical performance, muscle strength and quality of life in older women (2007) Arch Gerontol Geriatr, 45 (3), pp. 259-271