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- Perception of the quality of life of older adults of Borba-AM, BrazilPublication . Lima, Alex Barreto de; Faber, Myrian Abexassis; Freitas, Duarte; Silva, Rafaela Pinheiro; Moro, Vanderson Luis; Pereira, Laís de Lima; Gouveia, Élvio RúbioQuality of life is a multidimensional concept that refers to an individual's perception of their position in life in the context of the culture and value system in which they live and in relation to their goals, expectations and standards and is affected by their physical health and the psychological state. This study aimed to describe the perception of health-related quality of life of elderly people living in the municipality of Borba-AM, Brazil. The sample consisted of 233 elderly people (71.2 ± 8.9 years). The data were obtained through the generic instrument of quality of life "Medical Outcomes Study 36-Item Short-Form Health Survey" (SF-36). It is verified that the domains: functional capacity, pain, general health, vitality and social aspects had higher and statistically significant values (p<0.05) for the male group compared to the female gender. Elderly people presented a good perception of health-related quality of life in most of the investigated domains (physical functioning, role-physical, bodily pain, general health, vitality, role emotional, social functioning and mental health)
- Predictors of metabolic syndrome in adults and older adults from Amazonas, BrazilPublication . Gouveia, Élvio Rúbio; Gouveia, Bruna R.; Marques, Adilson; Peralta, Miguel; França, Cíntia; Lima, Alex; Campos, Alderlane; Jurema, Jefferson; Kliegel, Matthias; Ihle, Andreas: Metabolic syndrome has been considered a factor of vulnerability and a major public health problem because it increases the risk of cardiovascular disease and type 2 diabetes. The present study from Amazonas, Brazil aimed to estimate the prevalence of the individual and general components of metabolic syndrome in adults and older adults and identify the independent predictors of metabolic syndrome. The sample of the present cross-sectional study comprised 942 participants (590 women), with a mean age of 59.8 ± 19.7 (range: 17.5 to 91.8). Blood pressure in men (62.5%), abdominal obesity in women (67.3%), and lower high-density lipoprotein cholesterol (HDL-C) in both (52.2% in men and 65.0% in women) were the most prevalent individual risk factors for metabolic syndrome. Women had a higher prevalence of abdominal obesity (p < 0.001), low HDL-C (p < 0.001), and metabolic syndrome (p < 0.001) than men; however, opposite results were seen in men for blood pressure (p < 0.001). The overall prevalence of metabolic syndrome was 47.5%. Advanced age, being female, having a higher body mass index, and a having lower educational level independently increased the odds of metabolic syndrome. Due to the association of metabolic syndrome with deterioration of health status and increased vulnerability, this study sustains the need for early public health interventions in the Amazonas region.
- Muscle Weakness and Walking Slowness for the Identification of Sarcopenia in the Older Adults from Northern Brazil: A Cross-Sectional StudyPublication . Lima, Alex Barreto de; Henriques-Neto, Duarte; Ribeiro, Gustavo dos Santos; Gouveia, Élvio Rúbio; Baptista, FátimaBackground: This study aimed to analyze the prevalence of sarcopenia in elderly people from Northern Brazil according to muscle weakness or walking slowness. Methods: The sample consisted of 312 elderly people (72.6 ± 7.8 years). For walking slowness, a gait speed ≤ 0.8 m/s was used as a cut-off value, and for muscle weakness the following handgrip strength criteria were used for men and women, respectively: CI: <27.0/16.0 kg; CII: <35.5/20.0 kg; CIII: grip strength corrected for body mass index (BMI) < 1.05/0.79; CIV: grip strength corrected for total fat mass: <1.66/0.65; CV: grip strength corrected for body mass: <0.45/0.34. Results: Walking speed was reduced in 27.0% of women and 15.2% of men (p < 0.05). According to grip strength criteria, 28.5% of women and 30.4% of men (CI), 58.0% of women and 75.0% of men (CII), 66.0% of women and 39.3% of men (CIII), 28.8% of women and 19.6% of men (CIV), and 56.5% of women and 50.0% of men (CV) were identified as having sarcopenia. Conclusions: Walking slowness is more prevalent in women and muscle weakness is more prevalent in men in Northern Brazil. Walking slowness proved to be more concordant with muscle weakness in both sexes when the CI for handgrip strength was adopted.
- Perfil antropométrico, aptidão funcional e qualidade de vida em adultos idosos de Borba: Amazonas, BrasilPublication . Lima, Alex Barreto de; Gouveia, Élvio Rúbio Quintal; Freitas, Duarte Luís de; Faber, Myrian AbecassisO objetivo desta investigação, foi estudar a variação da aptidão funcional (ApF), da morfologia externa e da composição corporal (CC) em função do género, idade e nível de atividade física (AF) em adultos idosos do município de Borba, Amazonas – Brasil. A amostra foi composta por 233 participantes (97 homens e 136 mulheres), distribuídos por 5 intervalos etários (60–64, 65–69, 70–74, 75–79 anos e > 80 anos). A ApF foi avaliada usando a bateria de testes da Senior Fitness. A AF foi estimada através do questionário Baecke modificado para idosos. A estatura, a massa corporal, os diâmetros ósseos, os perímetros musculares e as pregas de adiposidade subcutânea caraterizaram o crescimento humano e a CC. Diferenças estatatisticamente significativas na ApF, entre homens e mulheres borbenses, foram visíveis apenas no teste da força dos membros superiores favorecendo os homens, e no teste da flexibilidade do ombro favorecendo as mulheres. Os homens foram mais altos, pesados e apresentaram diâmetros ósseos, perímetros musculares e valores de Massa Isenta de Gordura (MIG) mais elevados do que as mulheres. Resultados contrários foram alcançados na Massa Gorda (MG). Verificou-se um declínio nos scores dos testes da ApF entre os intervalos etários estudados em ambos os sexos, à exceção da flexibilidade. O adulto idoso borbense apresentou uma diminuição nos valores médios da altura, peso corporal, perímetros musculares e MIG ao longo da idade. Diferenças estatatisticamente significativas na ApF entre grupos de AF foram visíveis apenas no teste de flexibilidade do tronco nas mulheres. Os resultados do presente estudo poderão ser utilizados como índice de saúde geral deste grupo/subpopulação. Estudos longitudinais, assim como medidas mais objetivas de avaliação são fundamentais para uma compreensão mais profunda destas relações.
- Symptoms of Sarcopenia and Physical Fitness through the Senior Fitness TestPublication . Lima, Alex Barreto de; Baptista, Fátima; Henriques-Neto, Duarte; Pinto, André de Araújo; Gouveia, Élvio Rúbiot: Introduction: Physical fitness concerns a set of attributes related to the ability to perform physical activity that may justify the symptoms reported by the elderly in the context of sarcopenia. Objective: This study aimed to investigate the relationship between the perception (symptomatology) of physical functioning (what the person thinks they are capable of) and the capacity itself for physical functioning in elderly people in northern Brazil. Methods: Cross-sectional study that analyzed 312 elderly people (72.6 ± 7.8 years) from the city of Novo Aripuanã, Amazonas, Brazil. Sarcopenia symptomatology was assessed using the SARC-F, a 5-item questionnaire designed for screening sarcopenia in older individuals in five domains: strength, walking aids, difficulty getting up from a chair, difficulty climbing stairs, and falls. Physical fitness was assessed by the Senior Fitness Test (SFT) battery including balance evaluated with the short version of the Fullerton Advanced Balance scale (FAB). Results: ROC curve analysis revealed that the tests with the greatest ability to discriminate participants with significant symptoms for sarcopenia (≥4 points on SARC-F) were arm curl and 6 min walk: the probability of suspected sarcopenia increased exponentially with an arm curl < 11.5 reps for men (se = 71%; sp = 69%; AUC = 0.706, 95% CI: 0.612–0.788; p = 0.013) and women (se = 81%; sp = 51%; AUC = 0.671, 95% CI: 0.601–0.735; p ≤ 0.001) or with a 6-min walk <408.5 m for men (se = 71%; sp = 63%; AUC = 0.720, 95% CI: 0.628–0.690; p = 0.001) and <366.0 m for women (se = 69%; sp = 58%; AUC = 0.692, 95% CI: 0.623–0.755; p = 0.0001). Conclusions: Physical fitness assessed through the senior fitness test, particularly the 30-s-arm curl test and the 6-min walk test, can discriminate for suspected symptoms of sarcopenia.