Fatores associados à Sarcopenia em idosos da comunidade
DOI:
https://doi.org/10.1590/1809-2950/20002828022021Palavras-chave:
Sarcopenia, Idoso, EnvelhecimentoResumo
O objetivo deste estudo foi identificar os fatores associados à sarcopenia em idosos da
comunidade. Tratou-se de um estudo correlacional, de corte transversal e abordagem quantitativa, realizado com 234 idosos da comunidade. Para avaliar a sarcopenia foram utilizados os critérios do European working group on sarcopenia in older people (EWGSOP2) e para coleta de dados foram utilizados: questionário sociodemográfico e de saúde para caracterização dos idosos; escala de depressão geriátrica, Addenbrooke’s cognitive examinationrevised, international physical activity questionnaire, versão longa e o medical outcomes study 36-item short-form health survey. Houve predominância de pessoas do sexo feminino (n=151; 68,30%), de cor branca (n=163; 73,80%), com sobrepeso, segundo o Índice de Massa Corporal (IMC) (n=124; 56,10%) e 24,90% (n=55) dos participantes apresentaram sarcopenia, segundo os critérios do consenso europeu. Se associaram à sarcopenia os seguintes fatores: idade (OR=1,06; p=0,010), IMC<22kg/m2 (OR=5,82; p=0,003), ser insuficientemente ativo fisicamente (OR=3,29; p=0,002) e presença de quedas (OR=2,20; p=0,033). Os idosos com idade avançada, com baixo peso, insuficientemente ativos fisicamente e que sofreram quedas têm mais chance de apresentar sarcopenia.
Downloads
Referências
Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412-23. doi: 10.1093/
ageing/afq034.
Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. doi:
1093/ageing/afy169.
Dupuy C, Lauwers-Cances V, Guyonnet S, Gentil C, Van Kan GA, Beauchet O, et al. Searching for a relevant definition of sarcopenia: results from the cross-sectional EPIDOS study. J
Cachexia Sarcopenia Muscle. 2015;6(2):144-54. doi: 10.1002/jcsm.12021.
Anker SD, Morley JE, von Haehling S. Welcome to the ICD-10 code for sarcopenia. J Cachexia Sarcopenia Muscle 2016;7(5):512-4. doi: 10.1002/jcsm.12147.
Shafiee G, Keshtkar A, Soltani A, Ahadi Z, Larijani B, Heshmat R. Prevalence of sarcopenia in the world: a systematic review and meta-analysis of general population studies. J Diabetes
Metab Disord. 2017;16(1):21. doi: 10.1186/s40200-017-0302-x.
Martone AM, Bianchi L, Abete P, Bellelli G, Bo M, Cherubini A, et al. The incidence of sarcopenia among hospitalized older patients: Results from the Glisten study. J Cachexia Sarcopenia
Muscle. 2017;8(6):907-14. doi: 10.1002/jcsm.12224.
Buckinx F, Reginster JY, Brunois T, Lenaerts C, Beaudart C, Croisier JL, et al. Prevalence of sarcopenia in a population of nursing home residents according to their frailty status:
Results of the SENIOR cohort. J Musculoskelet Neuronal Interact [Internet]. 2017;17(3):209-17. [cited 2021 Jul 28]. Available from: https://bit.ly/3ALhCpf
Bianchi L, Ferrucci L, Cherubini A, Maggio M, Bandinelli S, Savino E, et al. The Predictive Value of the EWGSOP Definition of Sarcopenia: Results From the InCHIANTI Study. J Gerontol
A Biol Sci Med Sci. 2016;71(2):259-64. doi: 10.1093/gerona/glv129.
Bischoff-Ferrari HA, Orav JE, Kanis JA, Rizzoli R, Schlögl M, Staehelin HB, et al. Comparative performance of current definitions of sarcopenia against the prospective incidence
of falls among community-dwelling seniors age 65 and older. Osteoporos Int. 2015;26:2793-802. doi: 10.1007/s00198-015-3194-y.
Schaap LA, van Schoor NM, Lips P, Visser M. Associations of sarcopenia definitions, and their components, with the incidence of recurrent falling and fractures: the longitudinal
aging study Amsterdam. J Gerontol A Biol Sci Med Sci. 2018;73(9):1199-204. doi: 10.1093/gerona/glx245.
Malmstrom TK, Miller DK, Simonsick EM, Ferrucci L, Morley JE. SARC-F: a symptom score to predict persons with sarcopenia at risk for poor functional outcomes. J Cachexia Sarcopenia
Muscle. 2016;7(1):28-36. doi: 10.1002/jcsm.12048.
Bahat G, Ilhan B. Sarcopenia and the cardiometabolic syndrome: a narrative review. Eur Geriatr Med. 2016;7(3):220-23. doi: 10.1016/j.eurger.2015.12.012.
Bone AE, Hepgul N, Kon S, Maddocks M. Sarcopenia and frailty in chronic respiratory disease. Chron Respir Dis. 2017;14(1):85-99. doi: 10.1177/1479972316679664.
Chang KV, Hsu TH, Wu WT, Huang KC, Han DS. Association between sarcopenia and cognitive impairment: a systematic review and meta-analysis. J Am Med Dir Assoc. 2016;17(12):1164.
e7-e15. doi: 10.1016/j.jamda.2016.09.013.
Beaudart C, Biver E, Reginster JY, Rizzoli R, Rolland Y, Bautmans I, et al. Validation of the SarQoL(R), a specific health-related quality of life questionnaire for Sarcopenia. J Cachexia
Sarcopenia Muscle. 2017;8(2):238-44.
Beaudart C, Zaaria M, Pasleau F, Reginster JY, Bruyère O. Health outcomes of sarcopenia: a systematic review and meta-analysis. 2017;12(1):e0169548. doi: 10.1002/jcsm.12149.
Vyas L, Nagrale AV. Impact of sarcopenia on quality of life in an elderly population. J hysiother. 2019;1:35-42.
Dos Santos L, Cyrino ES, Antunes M, Santos DA, Sardinha LB. Sarcopenia and physical independence in older adults: the independent and synergic role of muscle mass and muscle
function. J Cachexia Sarcopenia Muscle. 2017;8(2):245-50. doi: 10.1002/jcsm.12160.
Akune T, Muraki S, Oka H, Tanaka S, Kawaguchi H, Tokimura F, et al. Incidence of certified need of care in the long-term care insurance system and its risk factors in the elderly of Japanese
population-based cohorts: the ROAD study. Geriatr Gerontol Int. 2014;14(3):695-701. doi:10.1111/ggi.12155.
Steffl M, Bohannon RW, Sontakova L, Tufano JJ, Shiells K, Holmerova I. Relationship between sarcopenia and physical activity in older people: a systematic review and meta-analysis.
Clin Interv Aging. 2017;12:835-45. doi: 10.2147/CIA.S132940.
De Buyser SL, Petrovic M, Taes YE, Toye KRC, Kaufman JM, Lapauw B, et al. Validation of the FNIH sarcopenia criteria and SOF frailty index as predictor of long-term mortality in
ambulatory older men. Age Ageing. 2016;45(5):602-8. doi: 10.1093/ageing/afw071.
Cawthon PM, Lui LY, Taylor BC, McCulloch CE, Cauley JA, et al. Clinical definitions of sarcopenia and risk of hospitalization in community-dwelling older men: the osteoporotic fractures in
men study. J Gerontol A Biol Sci Med Sci. 2017;72(10):1383-89. doi: 10.1093/gerona/glw327.
Antunes AC, Araújo DA, Veríssimo MT, Amaral TF. Sarcopenia and hospitalisation costs in older adults: a cross-sectional study. Nutr Diet. 2017;74(1):46-50. doi: 10.1111/1747-0080.12287.
Steffl M, Sima J, Shiells K, Holmerova I. The increase in health care costs associated with muscle weakness in older people without long-term illnesses in the Czech Republic: results from the Survey of Health, Ageing and Retirement in Europe (SHARE). Clin Interv Aging. 2017;12:2003-7. doi: 10.2147/CIA.S150826
Sousa AS, Guerra RS, Fonseca I, Pichel F, Ferreira S, Amaral TF. Financial impact of sarcopenia on hospitalization costs. Eur J Clin Nutr. 2016;70:1046-51.
Almeida OP, Almeida SA. Confiabilidade da versão brasileira da Escala de Depressão em Geriatria (GDS) versão reduzida. Arq Neuropsiquiatr. 1999;57(2B):421-6. doi: 10.1038/ejcn.2016.73.
Carvalho VA, Caramelli P. Brazilian adaptation of the Addenbrooke’s Cognitive Examination-Revised (ACE-R). Dement Neuropsychol. 2007;1(2):212-6. doi: 10.1590/
s1980-57642008dn10200015.
Benedetti TB, Mazo GZ, Barros MV. Aplicação do Questionário Internacional de Atividades Físicas para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente
e reprodutibilidade teste/reteste. Rev Bras Cien Mov. 2004;12(1):25-33. doi: 10.18511/rbcm.v12i1.538.
Ciconelli RM, Ferraz MB, Santos W, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de avaliação de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol [Internet]. 1999;39(3):143-50. [cited 2021 Jul. 28]. Available from: https://bit.ly/3jWqsJO
Alexandre NMC, Gallasch CH, Lima MHM, Rodrigues RCM. A confiabilidade no desenvolvimento e avaliação de instrumentos de medida na área da saúde. Rev Eletr Enferm. 2013;15(3):800-7. doi: 10.5216/ree.v15i3.20776
Alexandre TS, Duarte YAO, Santos JLF, Wong R, Lebrão ML. Prevalence and associated factors of sarcopenia among elderly in Brazil: Findings from the SABE study. J Nutr Health Aging.
;18:284-90. doi: 10.1590/1980-549720180009.supl.2.
Hulley SB, Cummings SR, Browner WS, Grady DG, Newman TB. Delineando a pesquisa clínica: uma abordagem epidemiológica. 3rd ed. Porto Alegre: Artmed; 2008.
Pelegrini A, Mazo GZ, Pinto AA, Benedetti TRB, Silva DAS, Petroski EL. Sarcopenia: prevalence and associated factors among elderly from a Brazilian capital. Fisioter Mov.
;31:e003102. doi: 10.1590/1980-5918.031.ao02.
Santos CM, Dias JMD, Samora GAR, Perracini MR, Guerra RO, Dias RC . Prevalence of obesity, sarcopenic obesity and associated factors: A FIBRA Network study. Fisioter Mov.
;30(Suppl 1):161-9. doi: 10.1590/1980-5918.030.s01.ao16.
Sazlina SG, Lee PY, Chan YM, Hamid MSA, Tan NC. The prevalence and factors associated with sarcopenia among community living elderly with type 2 diabetes mellitus in primary care
clinics in Malaysia. PLoS One. 2020;15(5):e0233299. doi: 10.1371/journal.pone.0233299.
Dutra T, Pinheiro PA, Carneiro JAO, Coqueiro RS, Fernandes MH. Prevalence and factors associated with sarcopenia in elderly women living in the community. Rev Bras
Cineantropom Desempenho Hum. 2015;17(4):460-71. doi: 10.5007/1980-0037.2015v17n4p460.
Petermann-Rocha F, Chen M, Gray SR, Ho FK, Pell JP, Celis-Moralesa C. Factors associated with sarcopenia: A cross-sectional analysis using UK Biobank. Maturitas.
;133:60-7. doi: 10.1016/j.maturitas.2020.01.004.
Tramontano A, Veronese N, Sergi G, Manzato E, Rodriguez-Hurtado D, Maggi S, et al. Prevalence of sarcopenia and associated factors in the healthy older adults of the Peruvian
Andes. Arch Gerontol Geriatr. 2017;68:49-54. doi: 10.1016/j.archger.2016.09.002.
Buford TW, Anton SD, Judge AR, Marzetti E, Wohlgemuth SE, Carter CS, et al. Models of accelerated sarcopenia: critical pieces for solving the puzzle of age-related muscle atrophy. Ageing Res Rev. 2010;9(4):369-83. doi: 10.1016/j.arr.2010.04.004.
Evans WJ. Skeletal muscle loss: cachexia, sarcopenia, and inactivity. Am J Clin Nutr. 2010;91(4):1123S-7S. doi: 10.3945/ajcn.2010.28608A.
Yang L, Smith L, Hamer M. Gender-specific risk factors for incident sarcopenia: 8-year follow-up of the English longitudinal study of ageing. J Epidemiol Community Health. 2019;73(1):86-8.
doi: 10.1136/jech-2018-211258.
Yeung SSY, Reijnierse EM, Pham VK, Trappenburg MC, Lim WK, Meskers CGM, et al. Sarcopenia and its association with falls and fractures in older adults: A systematic review and meta-
analysis. J Cachexia Sarcopenia Muscle. 2019;10(3):485-500. doi: 10.1002/jcsm.12411.
Chen H, Ma J, Liu A, Cui Y, Ma X. The association between sarcopenia and fracture in middle-aged and elderly people: A systematic review and meta-analysis of cohort studies. Injury.
;51(4):804-11. doi: 10.1016/j.injury.2020.02.072.
Scott D, Hayes A, Sanders KM, Aitken D, Ebeling PR, Jones G. Operational definitions of sarcopenia and their associations with 5-year changes in falls risk in community-dwelling middle-aged and older adults. Osteoporos Int. 2014;25(1):187-93. doi: 10.1007/s00198-013-2431-5.
Aibar-Almazán A, Martínez-Amat A, Cruz-Díaz D, Jiménez-García JD, Achalandabaso A, Sánchez-Montesinos I, et al. Sarcopenia and sarcopenic obesity in Spanish community-dwelling middle-aged and older women: Association with balance confidence, fear of falling and fall risk. Maturitas. 2018;107:26-32. doi: 10.1016/j.maturitas.2017.10.001.
Lim SK, Beom J, Lee SY,Kim BR, Chun SW, Lim JY, et al. Association between sarcopenia and fall characteristics in older adults with fragility hip fracture. Injury. 2020;51(11):2640-7.
doi: 10.1016/j.injury.2020.08.031.
Santos ADA, Pinho CPS, Nascimento ACS, Costa ACO, et al. Sarcopenia en pacientes ancianos atendidos ambulatoriamente: prevalencia y factores asociados. Nutr Hosp. 2016;33(2):255-62.
doi: 10.20960/nh.100.
Mesquita AF, Silva EC, Eickemberg M, Roriz AKC, Barreto-Medeiros JM, Ramos LB. Factors associated with sarcopenia in institutionalized elderly. Nutr Hosp. 2017;34(2):345-51. doi:
20960/nh.427
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2021 Nunes JD, Zacarin JF, Pavarini SCI, Zazzetta MS, Santos-Orlandi AA, Sousa-Orlandi F

Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.