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Associação entre sarcopenia, quedas e atividade física em pessoas idosas
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Abstract(s)
Os objetivos do presente estudo foram: (1) Estimar a prevalência de
sarcopenia considerando o género, a idade e o nível de atividade física; (2)
Estimar a prevalência de quedas e do risco de queda em função do género, da
idade e do nível de atividade física; e (3) Estudar a associação entre a sarcopenia
e o risco de quedas em função do género, idade e nível de atividade física.
Os dados analisados no presente estudo fazem parte do projeto de
investigação: “Saúde, Estilo de Vida e Aptidão em Adultos e Adultos Idosos do
Amazonas” (SEVAAI). Trata-se de um estudo transversal com 701 idosos (70,4
± 6,9 anos de idade) dos municípios de Apuí (n=151), Fonte Boa (n=250) e
Manaus (n=300). A sarcopenia foi medida de acordo com as indicações mais
recentes do Grupo de Trabalho Europeu (EWGSOP2). A prevalência de quedas
foi estimada através de um questionário e o risco de queda foi avaliado a partir
da escala de Fullerton Advance Balance (FAB). O nível de atividade física foi
avaliado com o questionário de Baecke adaptado para idosos. Os dados foram
analisados utilizando o software SPSS versão 26.0 e o nível de significância
adotado foi de 5%. Os dados foram descritos através da estatística básica (média
e desvio padrão e frequência relativa), para comparação entre os grupos foi
utilizado o teste de Qui-quadrado. Os resultados demonstram que a prevalência
de sarcopenia é baixa (4,7%) em relação à média Nacional, no entanto a
prevalência de quedas para homens e mulheres é elevada (29,1% e 34,4%,
respetivamente). Nesta amostra 18,4% têm risco acrescido de queda e
necessitam de uma intervenção urgente, segundo o critério da escala FAB. Este
estudo fornece evidências que todos os estágios da sarcopenia estão
associados a um risco elevado para quedas (p<0,001). As mulheres idosas, as
pessoas mais velhas e os não ativos apresentam um risco maior para as quedas
em todos os estágios de sarcopenia. A sarcopenia é um fator correlacionado com
um risco elevado para quedas, potenciado pelo género, idade e nível de
atividade física. Programas de intervenção para modificar o grau de risco para
as quedas devem considerar as varáveis anteriores.
The objectives of this study were: (1) Estimate the prevalence of sarcopenia considering gender, age and level of physical activity; (2) Estimate the prevalence of falls and the risk of falling according to gender, age and level of physical activity; and (3) Study the association between sarcopenia and the risk of falls according to gender, age and level of physical activity. The data analyzed in the present study are part of the research project: “Health, Lifestyle and Fitness in Adults and Elderly Adults in Amazonas” (SEVAAI). This is a cross-sectional study with 701 elderly people (70,4 ± 6,9 years of age) from the municipalities of Apuí (n = 151), Fonte Boa (n = 250) and Manaus (n = 300). Sarcopenia was measured according to the most recent indications from the European Working Group (EWGSOP2). The prevalence of falls was estimated using a questionnaire and the risk of falling was assessed using the Fullerton Advance Balance (FAB) scale. The level of physical activity was assessed using the Baecke questionnaire adapted for the elderly. The data were analyzed using SPSS software version 26.0 and the level of significance adopted was 5%. The data were described using basic statistics (mean and standard deviation and relative frequency), for comparison between groups, the Chi-square test was used. The results show that the prevalence of sarcopenia is low (4,7%) in relation to the national average, however the prevalence of falls for men and women is high (29,1% and 34,4%, respectively). In this sample, 18,4% have an increased risk of falling and need urgent intervention, according to the FAB scale criteria. This study provides evidence that all stages of sarcopenia are associated with an increased risk of falls (p <0.001). Elderly women, older people and non-active people are at a higher risk for falls in all stages of sarcopenia. Sarcopenia is a correlated factor with a high risk for falls, enhanced by gender, age and level of physical activity. Intervention programs to modify the degree of risk for falls should consider the previous variables.
The objectives of this study were: (1) Estimate the prevalence of sarcopenia considering gender, age and level of physical activity; (2) Estimate the prevalence of falls and the risk of falling according to gender, age and level of physical activity; and (3) Study the association between sarcopenia and the risk of falls according to gender, age and level of physical activity. The data analyzed in the present study are part of the research project: “Health, Lifestyle and Fitness in Adults and Elderly Adults in Amazonas” (SEVAAI). This is a cross-sectional study with 701 elderly people (70,4 ± 6,9 years of age) from the municipalities of Apuí (n = 151), Fonte Boa (n = 250) and Manaus (n = 300). Sarcopenia was measured according to the most recent indications from the European Working Group (EWGSOP2). The prevalence of falls was estimated using a questionnaire and the risk of falling was assessed using the Fullerton Advance Balance (FAB) scale. The level of physical activity was assessed using the Baecke questionnaire adapted for the elderly. The data were analyzed using SPSS software version 26.0 and the level of significance adopted was 5%. The data were described using basic statistics (mean and standard deviation and relative frequency), for comparison between groups, the Chi-square test was used. The results show that the prevalence of sarcopenia is low (4,7%) in relation to the national average, however the prevalence of falls for men and women is high (29,1% and 34,4%, respectively). In this sample, 18,4% have an increased risk of falling and need urgent intervention, according to the FAB scale criteria. This study provides evidence that all stages of sarcopenia are associated with an increased risk of falls (p <0.001). Elderly women, older people and non-active people are at a higher risk for falls in all stages of sarcopenia. Sarcopenia is a correlated factor with a high risk for falls, enhanced by gender, age and level of physical activity. Intervention programs to modify the degree of risk for falls should consider the previous variables.
Description
Keywords
Adultos idosos Sarcopenia Quedas Elderly adults Falls Atividade Física e Desporto . Faculdade de Ciências Sociais