Higher body mass index and lower waist circumference are associated to higher physical performance (SPPB) solely in dynapenic elderly women

Authors

  • Bruno Teodoro Biloria Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Ana Alice Neves da Costa Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Aletéia de Paula Souza Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Fernanda Maria Martins Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Anselmo Alves de Oliveira Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Paulo Ricardo Prado Nunes Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Darlene Mara dos Santos Tavares Universidade Federal do Triângulo Mineiro – UFTM https://orcid.org/0000-0001-9565-0476
  • Erick Prado de Oliveira Grupo de Pesquisa em Biologia do Exercício –BioEx
  • Fábio Lera Orsat Universidade Federal do Triângulo Mineiro - UFTM

DOI:

https://doi.org/10.5935/0104-7795.20170005

Keywords:

Sarcopenia, Women, Activities of Daily Living, Hand Strength

Abstract

Objective: To analyze the degree of physical disability in the elderly population affected by leprosy in Bahia State, between 2001 and 2012. Methods: The data relating to cases of leprosy was obtained from National System of Notifiable Diseases. Variables analyzed gender, age, race/color, education level, clinical and operational classification, degree of physical incapacity in diagnosis and discharge. Epidemiological indicators related to physical incapacity were calculated. Results: The leprosy features high magnitude in the elderly population, with a coefficient of detection of new cases higher than the general population, situated at a hyperendemic level. As to the epidemiological profile of leprosy in elderly, stands out: men, age 60 to 69 years, white race, low education level, dimorphic clinical manifestation and multibacillary operational classification. 36.25% of diagnosed cases had a physical incapacity at the time of diagnosis, with emphasis on the masculine gender. Conclusion: The high proportion of individuals with physical incapacity at the time of diagnosis suggests late diagnosis and hidden prevalence of the disease, mostly in Individuals of the male gender.

Downloads

Download data is not yet available.

References

Verbrugge LM, Jette AM. The disablement process. Soc Sci Med. 1994;38(1):1-14. DOI: http://dx.doi.org/10.1016/0277-9536(94)90294-1

Reid KF, Fielding RA. Skeletal muscle power: a critical determinant of physical functioning in older adults. Exerc Sport Sci Rev. 2012;40(1):4-12. DOI: http://dx.doi.org/10.1097/JES.0b013e31823b5f13

Holmes J, Powell-Griner E, Lethbridge-Cejku M, Heyman K. Aging differently: Physical limitations among adults aged 50 years and over: United States, 2001-2007. NCHS Data Brief. 2009;(20):1-8.

Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV, et al. Lower extremity function and subsequent disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci. 2000;55(4):M221-31. DOI: http://dx.doi.org/10.1093/gerona/55.4.M221

Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995;332(9):556-61. DOI: http://dx.doi.org/10.1056/NEJM199503023320902

McGinn AP, Kaplan RC, Verghese J, Rosenbaum DM, Psaty BM, Baird AE, et al. Walking speed and risk of incident ischemic stroke among postmenopausal women. Stroke. 2008;39(4):1233-9. DOI: http://dx.doi.org/10.1161/STROKEAHA.107.500850

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94. DOI: http://dx.doi.org/10.1093/geronj/49.2.M85

Clark BC, Manini TM. What is dynapenia? Nutrition. 2012;28(5):495-503. DOI: http://dx.doi.org/10.1016/j.nut.2011.12.002

Schaap LA, Koster A, Visser M. Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons. Epidemiol Rev. 2013;35:51-65. DOI: http://dx.doi.org/10.1093/epirev/mxs006

Vincent HK, Vincent KR, Lamb KM. Obesity and mobility disability in the older adult. Obes Rev. 2010;11(8):568-79. DOI: http://dx.doi.org/10.1111/j.1467-789X.2009.00703.x

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in Older People. Age Ageing. 2010;39(4):412-23. DOI: http://dx.doi.org/10.1093/ageing/afq034

Straight CR, Brady AO, Evans E. Sex-specific relationships of physical activity, body composition, and muscle quality with lower-extremity physical function in older men and women. Menopause. 2015;22(3):297-303. DOI: http://dx.doi.org/10.1097/GME.0000000000000313

Chen H, Guo X. Obesity and functional disability in elderly Americans. J Am Geriatr Soc. 2008;56(4):689-94. DOI: http://dx.doi.org/10.1111/j.1532-5415.2007.01624.x

Brady AO, Straight CR. MMuscle capacity and physical function in older women: What are the impacts of resistance training? J Sport Health Sci. 2014;3(3):179-88. DOI: http://dx.doi.org/10.1016/j.jshs.2014.04.002

Prado CM, Gonzalez MC, Heymsfield SB. Body composition phenotypes and obesity paradox. Curr Opin Clin Nutr Metab Care. 2015;18(6):535-51. DOI: http://dx.doi.org/10.1097/MCO.0000000000000216

Orsatti FL, Nahas EA, Nahas-Neto J, Maesta N, Orsatti CL, Vespoli HL, et al. Association between anthropometric indicators of body fat and metabolic risk markers in post-menopausal women. Gynecol Endocrinol. 2010;26(1):16-22. DOI: http://dx.doi.org/10.3109/09513590903184076

Toth MJ, Tchernof A, Sites CK, Poehlman ET. Effect of menopausal status on body composition and abdominal fat distribution. Int J Obes Relat Metab Disord. 2000;24(2):226-31. DOI: http://dx.doi.org/10.1038/sj.ijo.0801118

Nunes PR, Barcelos LC, Oliveira AA, Furlanetto Júnior R, Martins FM, Orsatti CL, et al. Effect of resistance training on muscular strength and indicators of abdominal adiposity, metabolic risk, and inflammation in postmenopausal women: controlled and randomized clinical trial of efficacy of training volume. Age (Dordr). 2016;38(2):40. DOI: http://dx.doi.org/10.1007/s11357-016-9901-6

Martins TI, Meneguci J, Damião R. Pontos de corte do índice de massa corporal para classificar o estado nutricional em idosos. REFACS. 2015;3(2):78-87. DOI: http://dx.doi.org/10.18554/refacs.v3i2.1085

Figueiredo IM, Sampaio RF, Mancini MC, Silva FCM, Souza MAP. Teste de força de preensão utilizando o dinamômetro Jamar. Acta Fisiátrica. 2007;14(2):104-10.

Nakano MM. Versão brasileira da Short Physical Performance Battery? SPPB: adaptação cultural e estudo da confiabilidade [Dissertação]. Campinas; Universidade Estadual de Campinas; 2007.

Villareal DT, Apovian CM, Kushner RF, Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obes Res. 2005;13(11):1849-63. DOI: http://dx.doi.org/10.1038/oby.2005.228

Stenholm S, Harris TB, Rantanen T, Visser M, Kritchevsky SB, Ferrucci L. Sarcopenic obesity: definition, cause and consequences. Curr Opin Clin Nutr Metab Care. 2008;11(6):693-700. DOI: http://dx.doi.org/10.1097/MCO.0b013e328312c37d

Fortaleza AC, Rossi FE, Buonani C, Fregonesi CE, Neves LM, Diniz TA, Freitas Júnior IF. Total body and trunk fat mass and the gait performance in postmenopausal women. Rev Bras Ginecol Obstet. 2014;36(4):176-81. DOI: http://dx.doi.org/10.1590/S0100-7203201400040003

Tyrovolas S, Koyanagi A, Olaya B, Ayuso-Mateos JL, Miret M, Chatterji S, et al. The role of muscle mass and body fat on disability among older adults: A cross-national analysis. Exp Gerontol. 2015;69:27-35. DOI: http://dx.doi.org/10.1016/j.exger.2015.06.002

Visser M, Goodpaster BH, Kritchevsky SB, Newman AB, Nevitt M, Rubin SM, et al. Muscle mass, muscle strength, and muscle fat infiltration as predictors of incident mobility limitations in well-functioning older persons. J Gerontol A Biol Sci Med Sci. 2005;60(3):324-33. DOI: http://dx.doi.org/10.1093/gerona/60.3.324

Published

2017-03-31

Issue

Section

Original Article

How to Cite

1.
Biloria BT, Costa AAN da, Souza A de P, Martins FM, Oliveira AA de, Nunes PRP, et al. Higher body mass index and lower waist circumference are associated to higher physical performance (SPPB) solely in dynapenic elderly women. Acta Fisiátr. [Internet]. 2017 Mar. 31 [cited 2024 Jun. 20];24(1):22-6. Available from: https://journals.usp.br/actafisiatrica/article/view/144580