The scope of this study was to investigate relationships between muscle strength of the upper and lower limbs, physical exercise, and functionality to perform complex activities of day-today life in elderly women recruited from the community. 1538 elderly women with mean age = 72.07 ± 5.46 and average household income = 3.59 ±3.96 MW, without cognitive deficit suggestive of dementia, were submitted to tests of grip strength and walking speed. They were asked to self-report on regular practice of physical exercise and performance of 13 social AADLs (e.g. working, travelling and church attendance) and 3 IADLs (handling money, doing the shopping and using public transport). The worst performance key factors were low grip strength and low gait speed in ADL (OR = 2.48 if both; OR = 1.66 if either were present), as well as low income (OR = 2.46 low income < 1 MW and = 2.45 to 1.1 and 3.0 MW) and sedentary life style (OR = 2.08). The functionality of elderly women is influenced by physiological aging, but also by contextual conditions and life style.17821692180Katz, S., Ford, A.B., Moskowitz, R.W., Jackson, B.A., Jaffe, M.W., Studies of illness in the aged. The Index of ADL: A standardized measure of biological and psychosocial function (1963) JAMA, 185 (12), pp. 914-919Lawton, M.P., Brody P. Assessment of older people: Self maintaining and instrumental activities of daily living (1969) Gerontologist, 9 (3), pp. 179-186Reuben, D.B., Wieland, D., Rubenstein, L.Z., Functional status assessment of older persons: Concepts and implications (1993) Facts and Res Gerontol, 7, pp. 231-240Baltes, P.B., Mayer, K.U., (1999) The Berlin Aging Study, , Aging from 70 to 105 Cambrige: Cambrige Univesity PressNeri, A.L., Dependência e autonomia (2010) Assistência Ambulatorial Ao Idoso, pp. 31-44. , Guariento, ME, Neri, AL, organizadores, Campinas: Ed. AlíneaCruz-Jentoft, A.J., Landi, F., Topinková, E., Michel, J.P., Understanding sarcopenia as a geriatric syndrome (2010) Curr Opin Clin Nutr Metab Care, 13 (1), pp. 1-7Greenlund, L.J.S., Nair, K.S., Sarcopenia consequences, mechanisms, and potential therapies (2003) Mechanisms of Ageing and Development, 124 (3), pp. 287-299Chaudhry, S.I., McAvay, G., Ning, Y., Allore, H.G., Newman, A.B., Gill, T.M., Geriatric Impairments and Disability: The Cardiovascular Health Study (2010) J.Am Geriatr Soc, 58 (9), pp. 1686-1692Jacobs, J.M., Cohen, A., Hammerman-Rozenberg, R., Azoulay, D., Maaravi, Y., Stessman, J., Going outdoors daily predicts long-term functional and health benefits among ambulatory older people (2008) J Aging Health, 20 (3), pp. 259-272Buchman, A.S., Boyle, P.A., Wilson, R.S., Fleischman, D.A., Leurgans, S., Bennett, D.A., Association between latelife social activity and motor decline in older adults (2009) Arch Intern Med, 169 (12), pp. 1139-1146Aoki, H., Demura, S., Age differences in hand grip power in the elderly (2011) Arch Gerontol Geriatr, 52 (3), pp. e176-e179Kallman, D.A., Plato, C.C., Tobin, J.D., The role of muscle loss in the age-related decline of grip strength: Cross-sectional and longitudinal perspectives (1990) J Gerontol a Biol Sci Med Sci, 45 (3), pp. M82-M88Pereira, F.S., Yassuda, M.S., Oliveira, A.M., Diniz, B.S., Radenovic, M., Talib, L.L., Gattaz, W.F., Forlenza, O.V., Profile of functional deficits and dementia? Benefits from objective measurement (2010) J Int Neuropsychol Soc, 16 (2), pp. 297-305Pereira, F.B., Moraes, L.F.S., Paula, A.P., Safons, M.P., Efeito das variáveis antropométricas e da idade no comportamento da força muscular de homens idosos (2010) Brasília Médica, 47 (1), pp. 26-34Xue, Q.L., Bandeen-Roche, K., Zhou, J., Fried, L.P., Initial manifestations of frailty criteria and the development of frailty phenotype in the women's health and aging study II (2008) J Gerontol a Biol Sci Med Sci, 6 (3 A), pp. 984-1000Taekema, D.G., Gussekloo, J., Maier, A.B., Westendorp, R.G.J., Craen, A.J.M., Handgrip strength as a predictor of functional, psychological and social health. A prospective population-based study among the oldest old (2010) Age Ageing, 39 (3), pp. 331-337Ling, C.H.Y., Taekema, D., Craen, A.J.M., Gussekloo, J., Westendorp, R.G.J., Maier, A.B., Handgrip strength and mortality in the oldest old population: The Leiden 85-plus study (2010) CMAJ, 182 (5), pp. 429-435Sasaki, H., Kasagi, F., Yamada, M., Fujita, S., Grip strength predicts cause-specific mortality in middle-aged and elderly persons (2007) The Am J Med, 120 (4), pp. 337-342Sayer, A.A., Syddall, H.E., Martin, H.J., Dennison, E.M., Roberts, H.C., Cooper, C., Is grip strength associated with health-related quality of life? Findings from the Hertfordshire Cohort Study (2006) Age Ageing, 35 (4), pp. 409-415Caspersen, C.J.P.K., Christenson, G.M., Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research (1985) Public Health Rep, 100 (2), pp. 126-131Chodzko-Zajko, W.J., Fiatarone, M.A., Singh, M.D., Minson, C.T., Nigg, C.R., George, J., Salem, G.J., Skinner, J.S., Exercise and physical activity for older adults (2009) ACSM Position Stand, pp. 1510-1530. , Medicine & Science in Sports & Exercise. Special ComunicationsRolim, F.S., Forti, V.A.M., Envelhecimento e atividade física: Auxiliando na melhoria e manutenção da qualidade de vida (2004) Saúde E Qualidade De Vida Na Velhice, pp. 57-73. , Diogo MJD, Neri AL, Cachioni M, organizadores, Campinas: Editora AlíneaBrach, J.S., Fitzgerald, S., Newman, A., Kelsey, S., Kuller, L., Vanswearingen, J.M., Kriska, A.M., Physical activity and functional status in community-dwelling older women - a 14 - year prospective study (2003) Arch Intern Med, 163 (21), pp. 2565-2571Moraes, J.F.D., Souza, V.B.A., Factors associated with the successful aging of the socially-active elderly in the metropolitan region of Porto Alegre (2005) Rev Bras Psiquiatr, 27 (4), pp. 302-308Sawada, Y., Shinohara, R., Sugisawa, Y., Anme, T., Maintenance of physical function and related factors for community dwelling elderly: A nine-year follow-up study (2009) J. Phys. Ther. Sci, 21, pp. 245-251Peterson, M.J., Morey, M.C., Giuliani, C., Pieper, C.F., Evenson, K.R., Mercer, V., Visser, M., Simonsick, E.M., Walking in old age and development of metabolic syndrome: The health, aging, and body composition study (2010) Metab Syndr Relat Disord, 8 (4), pp. 317-322Hirsch, C.H., Diehr, P., Newman, A.B., Gerrior, S.A., Pratt, C., Lebowitz, M.D., Jackson, S., Physical activity and years of healthy life in older adults: Results from the cardiovascular health study (2010) J Aging Phys Act, 18 (3), pp. 313-334Domingues, P.C., (2010) Atividade Física Habitual, Sintomas Depressivos E Doenças Auto-relatadas Em Idosos Da Comunidade [dissertação], , Campinas (SP): Universidade Estadual de CampinasReitzes, D.C., Mutran, E.J., Self and health: Factors that encourage self-esteem and functional health (2006) J Gerontol B Psychol Sci Soc Sci, 61 B (1), pp. S44-S51Hernandez, S.S.S., Coelho, F.G.M., Gobbi, S., Florindo, S., Efeitos de um programa de atividade física nas funções cognitivas, equilbrio e risco de quedas em idosos com demência de Alzheimer (2010) Rev Bras Fisioter, 14 (1), pp. 68-74Deslandes, A.C., Moraes, H., Alves, H., Pompeu, F.A., Silveira, H., Mouta, R., Arcoverde, C., Coutinho, E.S., Effect of aerobic training on EEG alpha asymmetry and depressive symptoms in the elderly: A 1-year follow-up study (2010) Brazilian Braz J Med Biol Res, 43 (6), pp. 585-592Stessman, J., Hammerman-Rozenberg, R., Maaravi, Y., Cohen, A., Effect of exercise on ease in performing activities of daily living and instrumental activities of daily living from age 70 to 77: The Jerusalem longitudinal study (2002) J Am Geriatr Soc, 50 (12), pp. 1934-1938Meisner, B.A., Dogra, S., Logan, J.A., Baker, B.J., Weir, P.L., Do or decline? Comparing the effects of physical inactivity on biopsychosocial components of successful aging (2010) J Health Psychol, 15 (5), pp. 688-696Ribeiro, P.C.C., Neri, A.L., Cupertino, A.P.F.B., Yassuda, M.S., Variabilidade no envelhecimento ativo segundo gênero, idade e saúde (2009) Psicologia Em Estudo, 14 (3), pp. 501-509Zaitune, M.P.A., Barros, M.B.A., César, C.L.G., Carandina, L., Goldbaum, M., Alves, M.C.G.P., Fatores associados à prática de atividade física global e de lazer em idosos: Inquérito de saúde no estado de São Paulo (ISASP), Brasil (2010) Cad Saude Publica, 26 (8), pp. 1606-1618Carvalho, M.J., Marques, E., Mota, J., Training and detraining effects on functional fitness after a multicomponent training in older women (2009) Gerontology, 55 (1), pp. 41-48Cohen-Mansfield, J., Shmotkin, D., Goldberg, S., Predictors of longitudinal changes in older adults physical activity engagement (2010) J Aging Phys Act, 18 (2), pp. 141-157Holstein, B.E., Avlund, K., Due, P., Martinussen, T., Keiding, N., The measurement of change in functional ability: Dealing with attrition and the floor/ceiling effect (2006) Arch Gerontol Geriatr, 43 (3), pp. 337-350Sun, Q., Townsend, M.K., Okereke, O.I., Physical activity at midlife in relation to successful survival in women at age 70 years or older (2010) Arch Intern Med, 170 (2), pp. 194-201Teixeira, D.C., Prado, S.R.R., Lima, D.F., Gomes, S.C., Brunetto, A.F., Efeitos de um programa de exercício para idosas sobre variáveis neuro-motoras, antropométricas e medo de cair (2007) Rev Bras Educ Fís Esp, 21 (2), pp. 107-120Ferrucci, L., Guralnik, J.M., Studenski, S., Fried, L.P., Cutler, G.B., Walston, J.D., Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report (2004) J Am Geriatr Soc, 52 (4), pp. 625-634Folstein, M., Folstein, S., McHugh, P., Mini-Mental State. A practical method for grading the cognitive status of patients for the clinician (1975) J Psychiatr Res, 12 (3), pp. 189-198Fried, L.P., Tangen, C.M., Walston, J., Newman, A.B., Hirsch, C., Gottdiener, J., Seeman, T., McBurnie, M.A., Frailty in older adults: Evidence for a phenotype (2001) J Gerontol a Biol Sci Med Sci, 56 A (3), pp. M146-M156Brucki, S.M.D., Nitrini, R., Caramelli, P., Bertolucci, P.H.F., Okamoto, I.H., Sugestões para o uso do Mini-Exame do Estado Mental no Brasil (2003) Arq. Neuro-Psiquiatr, 61 (3 B), pp. 777-781Guralnik, J.M., Simonsick, E.M., Ferrucci, L., Glynn, R.J., Berkman, L.F., Blazer, D.G., Scherr, P.A., Wallace, R.B., 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 a Biol Sci Med Sci, 49 (2), pp. 85-94Nakano, M.M., (2007) Adaptação Cultural Do Instrumento Short Physical Performance Battery - SPPB: Adaptação Cultural E Estudo Da Confiabilidade [dissertação], , Campinas (SP): Universidade Estadual de CampinasTaylor, H.L., Jacobs, D.R., Schucker, B., Knudsen, J., Leon, A.S., Debacker, G.A., Questionnaire for the assessment of leisure time physical activities (1978) J Chronic Dis, 31 (12), pp. 741-755Brito, F.C., Nunes, M.I., Yuaso, D.R., Multidimensionalidade em gerontologia II: Instrumentos de avaliação (2007) Tratado De Gerontologia, pp. 133-147. , Freitas EV, Py L, Neri AL, Cançado FAXC, Gorzoni ML, Doll J, organizadores, São Paulo: Ed. AtheneuPereira, F.B., Moraes, L.F.S., Paula, A.P., Safons, M.P., Efeito das variáveis antropométricas e da idade no comportamento da força muscular de homens idosos (2010) Brasília Médica, 47 (1), pp. 26-34Barbosa, A.R., Souza, J.M.P., Lebrão, M.L., Laurenti, R., Marucci, M.F.N., Functional limitations of brasilian elderly by age and gender differences: Data from SABE survey (2005) Cad Saude Publica, 21 (4), pp. 1177-1185Fried, L.P., Tangen, C.M., Walston, J., Newman, A.B., Hirsch, C., Gottdiener, J., Seeman, T., McBurnie, M.A., Frailty in older adults: Evidence for a phenotype (2001) J Gerontol a Biol Sci Med Sci, 56 A (3), pp. M146-M156Ainsworth, B.E., Whitt, M.C., Irwin, M.L., Swartz, A.N., Strath, S.J., O'Brien, W.L., Bassett, D.R., Leon, A.S., Compendium of physical activities: An update of activity codes and MET intensities (2000) Med Sci Sports Exerc, 32 (Supl. 9), pp. S498-S516Sulander, T., The association of functional capacity with health-related behavior among urban home-dwelling older adults (2011) Arch Gerontol Geriatr, 52 (1), pp. 11-14Netz, Y., Goldsmith, R., Shimony, T., Ben-Moshe, Y., Zeev, A., Adherence to physical activity recommendations in older adults: An Israeli national survey (2011) J Aging Phys Act, 19 (1), pp. 30-47Avila-Funes, J.A., Helmer, C., Amieva, H., Barberger-Gateau, P., Le Goff, M., Ritchie, K., Portet, F., Dartigues, J.F., Frailty among Community-dwelling elderly people in France: The three-City Study (2008) J Gerontol a Biol Sci Med Sci, 63 A (10), pp. 1089-1096Bandeen-Roche, K., Xue, Q.L., Ferrucci, L., Walston, J., Guralnik, J.M., Chaves, P., Zeger, S.L., Fried, L.P., Phenotype of frailty: Characterization in the Women's Health and Aging Studies (2006) J Gerontol a Biol Sci Med Sci, 61 A (3), pp. 262-266Garcia, P.A., Dias, J.M.D., Dias, R.C., Zampa, C.C., Estudo da relação entre função muscular, mobilidade funcional e nível de atividade física em idosos comunitários (2011) Rev Bras Fisioter, 15 (1), pp. 15-22Webber, S.C., Porter, M.M., Menec, V.H., Mobility in older adults: A comprehensive framework (2010) The Gerontologist, 50 (4), pp. 443-450Yang, G., Niu, K., Fujita, K., Hozawa, A., Ohmori-Matsuda, K., Kuriyama, S., Nakaya, N., Nagatomi, R., Impact of physical activity and performance on medical care costs among the Japanese elderly (2011) Geriatr Gerontol Int, 11 (2), pp. 157-165Buchman, A.S., Boyle, P.A., Wilson, R.S., Fleischman, D.A., Leurgans, S., Bennett, D.A., Association between latelife social activity and motor decline in older adults (2009) Arch Intern Med, 169 (12), pp. 1139-1146Lindle, R.S., Metter, E.J., Lynch, N.A., Fleg, J.L., Fozard, J.L., Tobin, J., Roy, T.A., Hurley, B.F., Age and gender comparisons of muscle strength in 654 women and men aged 20-93 yr (1997) J Appl Physiol, 83 (5), pp. 1581-1587Breda, J.C., (2007) Prevalência De 4 Critérios Para Avaliação De Fragilidade Em Uma Amostra De Idosos Residentes Na Comunidade: Um Estudo Exploratório [dissertação], , Campinas (SP): Universidade Estadual de CampinasSnih, A.S., Graham, J.E., Ray, L.A., Ternent, R.S., Markides, K.S., Ottenbacher, K.J., Frailty and incidence of activities of daily living disability among older mexican americans (2009) J Rehabil Med, 41 (11), pp. 892-897Holstein, B.E., Avlund, K., Due, P., Martinussen, T., Keiding, N., The measurement of change in functional ability: Dealing with attrition and the floor/ceiling effect (2006) Arch Gerontol Geriatr, 43 (3), pp. 337-350Webber, S.C., Porter, M.M., Menec, V.H., Mobility in older adults: A comprehensive framework (2010) The Gerontologist, 50 (4), pp. 443-450Caskie, G.I.L., Sutton, M.C., Margrett, J.A., The relation of hypertension to changes in ADL/IADL limitations of mexican american older adults (2010) J Gerontol B Psychol Sci Soc Sci, 65 B (3), pp. 296-305Marincolo, J.C.S., (2011) Relações Entre Fragilidade E Tempo Diário Despendido Em Atividades Físicas, De Lazer Passivo E De Descanso Em Idosos Residentes Na Comunidade: Dados Do FIBRA Campinas [dissertação], , Campinas (SP): Universidade Estadual de CampinasMcGinn, A.P., Kaplan, R.C., Verghese, J., Rosenbaum, D.M., Psaty, B.M., Baird, A.E., Lynch, J.K.A., Wassertheil-Smoller, S., Walking speed and risk of incident ischemic stroke among postmenopausal women (2008) Stroke, 39 (4), pp. 1233-1239