Associação entre sarcopenia, obesidade sarcopênica e força muscular com variáveis relacionadas de qualidade de vida em idosas

Neto, Luiz Sinésio Silva; Karnikowiski, Margô G. O.; Tavares, Adriano Bueno; Lima, Ricardo Moreno

doi:10.1590/s1413-35552012005000044

Cited by 61 publications

(25 citation statements)

References 41 publications

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“…In concordance with a recent Brazilian study of older women, we found that SO is associated with reduced grip strength [ 1 ]. Two additional studies support our results.…”

Section: Discussionsupporting

confidence: 92%

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Sarcopenic obesity and physical performance in middle aged women: a cross-sectional study in Northeast Brazil

et al. 2015

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BackgroundSarcopenia and obesity have been independently associated with physical function decline, however little information is currently available on the relationship between sarcopenic obesity and physical performance, mainly in middle aged women. The present study aims to estimate the prevalence of sarcopenic obesity and to explore the relationship between sarcopenic obesity and physical performance in middle-aged women from Northeast Brazil.MethodsA cross-sectional study of women (40–65 years) living in Parnamirim, a city in Northeast Brazil (n = 491). Physical performance was assessed by grip strength, knee extensor and flexor strength (isometric dynamometry), gait speed, and chair stands. Using bioelectrical impedance analysis (BIA), appendicular skeletal muscle mass divided by height squared (kg / m2) was used to define sarcopenia. Waist circumference ≥ 88 cm was defined as abdominal obesity. Sarcopenic obesity was defined as the coexistence of obesity and sarcopenia. The physical performance outcomes were regressed in four groups defined by combinations of sarcopenia and obesity, adjusting for potential confounders (age, education and menopausal status).ResultsPrevalence rates of the four obesity-sarcopenia groups were: Sarcopenic obesity (7.1 %), obesity (67.4 %), sarcopenia (12.4 %) and normal (13 %). Women with sarcopenic obesity had significantly lower grip strength, weaker knee extension and flexion and longer time to raise from a chair compared with non-obese and non-sarcopenic women (p.values < 0.001). Except for the chair stands, these statistically significant differences were also found between sarcopenic obese and obese women. There was no significant difference for gait speed across the four groups (p = 0.50).ConclusionSarcopenic obesity was present in 7 % of this population of middle-aged women from Northeast Brazil and it was associated with poor physical performance. Sarcopenic obesity may occur in middle-aged women with performance limitations beyond pure sarcopenia-related muscle mass or obesity alone.

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“…In concordance with a recent Brazilian study of older women, we found that SO is associated with reduced grip strength [ 1 ]. Two additional studies support our results.…”

Section: Discussionsupporting

confidence: 92%

“…Aging is a continuous process that involves physiological changes in multiple body systems resulting in reduced functional capacity [ 1 ]. The musculoskeletal system, involving bodily functions such as muscle contraction, movement and locomotion, is affected by loss of lean mass, particularly muscle mass (sarcopenia) [ 1 ].…”

Section: Introductionmentioning

confidence: 99%

Sarcopenic obesity and physical performance in middle aged women: a cross-sectional study in Northeast Brazil

et al. 2015

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“…2. Briefly, 9 studies explored the role of biological and lifestyle factors in the [56,87,101], balance (1 study) [94], risk (1 study) [93] or fear (1 study) [31] of falling], musculoskeletal disorders [bone health (1 study) [94], fractures (1 study) [92], osteoarthritis (1 study) [66], osteoporosis (2 studies) [46,92]], mental health [depression (1 study) [55] and psychological health (1 study) [45]], low quality of life (3 studies) [40,45,99], hospitalization (1 study) [87] and risk of mortality (4 studies) [33,38,52,75]. Finally, 6 studies tested clinical interventions in sarcopenic obesity populations including exercise training to improve physical function (3 studies) [36,44,69], effects of exercise and nutrition on recovery from sarcopenic obesity (2 studies) [58,80] and protein intake for the prevention of lean-mass loss in older individuals (1 study) [78].…”

Section: Study Characteristicsmentioning

confidence: 99%

“…The definition of sarcopenic obesity in the majority of the studies (66 studies) was based on the co-existence of obesity and sarcopenia (used as a synonymous of low or reduced skeletal muscle mass), which were regarded as two distinct categories ( Table 2). Less frequently (only 3 studies [50,81,99]) sarcopenic obesity was defined by calculating the population distribution of the residuals of linear regression models applied to predict appendicular fat-free mass (AFFM) using independent variables such as height (in meters) and fat-mass (FM) (in kg). Two studies used the FM to FFM or the visceral adipose tissue area to thigh muscle area ratios to identify cases of sarcopenic obesity [41,70].…”

Section: Definitions Of Sarcopenic Obesitymentioning

confidence: 99%

Critical appraisal of definitions and diagnostic criteria for sarcopenic obesity based on a systematic review

et al. 2020

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Background: Sarcopenic obesity is a clinical and functional condition characterized by the coexistence of excess fat mass and sarcopenia. Currently, different definitions of sarcopenic obesity exist and its diagnostic criteria and cutoffs are not universally established. Therefore, the prevalence and sensitivity of this condition for any disease risk prediction is affected significantly. Aim: This work was conducted under the auspices of the European Society for Clinical Nutrition and Metabolism (ESPEN) and the European Association for the Study of Obesity (EASO). An international expert panel performed a systematic review as an initial step to analyze and summarize the available scientific literature on the definitions and the diagnostic criteria for sarcopenic obesity proposed and/or applied in human studies to date. Methods: The present systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. The search was conducted in April 2018 in three databases (PubMed, Scopus, Web of Science). Human studies conducted in both sexes, irrespective of ethnicity, and published from 2007 to 2018 were included; cohorts of individuals with obesity and

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“…To this set of aspects, which involve a sequence of aging processes, the "biological fragility syndrome", here called fragility is conditioned. [1][2] Fragility is represented as an important public health problem and its development is understood as arising from the interaction of biological, psychological, cognitive and social factors throughout life and with potential for the prevention, identification and treatment of symptoms. The prevalence of fragility is approximately 6.9% in the elderly living in the community surrounding the FHU and this frequency tends to increase with increasing age.…”

mentioning

confidence: 99%

Correlação entre fragilidade e força de preensão manual em idosos

Andrade¹,

Silva²,

Pereira³

et al. 2018

Rev enferm UFPE on line.

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RESUMO Objetivo: verificar a relação entre IMC e força de preensão com os critérios de classificação da fragilidade. Método: trata-se de um estudo quantitativo, de campo, exploratório e descritivo, por meio de um questionário com 300 idosos. Os dados foram registrados no programa SPSS, versão 20, e analisados por estatística descritiva e inferencial. Resultados: observaram-se associações do sexo com a fragilidade em tempo de caminhada, força de preensão e nível de atividade como, também, na correlação da estrutura com a força de preensão e da massa corporal com a força de preensão para os idosos e as idosas. Por fim, identificaram-se diferenças estatísticas entre a fragilidade em força de preensão, massa corporal e estatura dos homens. Conclusão: com relação aos componentes de fragilidade, houve diferença entre os sexos. As mulheres apresentaram fragilidade para a variável tempo de caminhada e os idosos foram mais frágeis para a força de preensão e o nível de atividade física. Descritores: Antropometria; Diferença Entre os Sexos; Envelhecimento; Estado Nutricional; Idoso Fragilizado; Força Muscular da Mão.ABSTRACT Objective: to verify the relationship between BMI and grip strength with the fragility classification criteria. Method: this is a quantitative field study, exploratory and descriptive, through a questionnaire with 300 elderly people. Data was recorded in the SPSS program, version 20, and analyzed by descriptive and inferential statistics. Results: sex associations with gait duration fragility, grip strength and activity level were observed, as well as in the correlation of the structure with grip strength and body mass with grip strength for the elderly and the elderly. Finally, statistical differences were identified between the grip strength, body mass and height of men. Conclusion: with regard to fragility components, there was difference between the sexes. The women presented fragility for the variable walking time and the elderly were more fragile for the grip strength and the level of physical activity. Descriptors: Anthropometry; Difference Between the Sexes; Aging; Nutritional Status; Fragile Elderly; Muscular Strength of the Hand.RESUMEN Objetivo: verificar la relación entre IMC y fuerza de asimiento con los criterios de clasificación de la fragilidad. Método: se trata de un estudio cuantitativo, de campo, exploratorio y descriptivo, por medio de un cuestionario con 300 ancianos. Los datos fueron registrados en el programa SPSS, versión 20, y analizados por estadística descriptiva e inferencial. Resultados: se observaron asociaciones del sexo con la fragilidad en tiempo de caminata, fuerza de asimiento y nivel de actividad como, también, en la correlación de la estructura con la fuerza de asimiento y de la masa corporal con la fuerza de asimiento para los ancianos y las personas de edad avanzada. Por último, se identificaron diferencias estadísticas entre la fragilidad en fuerza de asimiento, masa corporal y estatura de los hombres. Conclusión: con respecto a los componentes de fragilidad, hubo diferencia entre los sexos. Las mujeres presentaron fragilidad para la variable tiempo de caminata y los ancianos fueron más frágiles para la fuerza de asimiento y el nivel de actividad física. Descriptors: Antropometría; Diferencia entre los sexos; Envejecimiento; Estado Nutricional; Ancianos Fragilizados; Fuerza Muscular de la Mano.

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Associação entre sarcopenia, obesidade sarcopênica e força muscular com variáveis relacionadas de qualidade de vida em idosas

Cited by 61 publications

References 41 publications

Sarcopenic obesity and physical performance in middle aged women: a cross-sectional study in Northeast Brazil

Sarcopenic obesity and physical performance in middle aged women: a cross-sectional study in Northeast Brazil

Critical appraisal of definitions and diagnostic criteria for sarcopenic obesity based on a systematic review

Correlação entre fragilidade e força de preensão manual em idosos

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