SABE Colombia: Survey on Health, Well-Being, and Aging in Colombia—Study Design and Protocol

Gómez, Fernando; Ojeda, Jairo Corchuelo; Curcio, Carmen-Lucía; Calzada, María Teresa; Méndez, Fabián

doi:10.1155/2016/7910205

Cited by 81 publications

(123 citation statements)

References 15 publications

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“…Details of background and design methods (i.e. characteristics of participants, sample calculation, outcomes, and analysis plan) of the SABE study have been previously published elsewhere; nevertheless, the most relevant information is briefly described in the succeeding texts. All information collected was obtained through face‐to‐face interviews conducted at each site on mobile capture devices (e.g.…”

Section: Methodsmentioning

confidence: 99%

“…Colombia is a country with approximately 48 million inhabitants, with some 5.2 million inhabitants aged 60 years and older . Currently, the life expectancy in Colombia is 72.3 years, and by 2025, life expectancy is expected to be 77.6 years for women and 69.8 years for men.…”

Section: Introductionmentioning

confidence: 99%

“…Colombia is a country with approximately 48 million inhabitants, with some 5.2 million inhabitants aged 60 years and older. 1 Currently, the life expectancy in Colombia is 72.3 years, and by 2025, life expectancy is expected to be 77.6 years for women and 69.8 years for men. In this context, the World Health Organization has published the World Report on Aging and Health, 2 which describes healthy ageing as the result of the interaction between the physical and mental capacity of an individual (the intrinsic capacity) and the context of each individual's life (the environment).…”

Section: Introductionmentioning

confidence: 99%

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Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Ramírez‐Vélez

Correa-Bautista

García-Hermoso

et al. 2019

J cachexia sarcopenia muscle

100

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Objective The purposes of this study were three‐fold: (i) to describe handgrip strength in older individuals aged ≥60 years in Colombia; (ii) to identify sex‐specific and age‐specific muscle weakness cut‐off points in older adults; and (iii) to determine the odds of adverse events for each of the intrinsic capacity domains for individuals with handgrip strength greater than the muscle weakness cut‐off points, as compared with their weaker counterparts. Methods A cross‐sectional study was conducted in Colombia, among 5237 older adults aged ≥60 years old (58.5% women, 70.5 ± 7.8 years), according to ‘SABE Survey 2015’. Handgrip strength data were obtained with a Takei dynamometer. Sociodemographic variables, five domains of intrinsic capacity (i.e. locomotion, vitality, cognition, psychological, and sensory), and medical conditions were assessed and analyzed. Adjustments variables were age, ethnicity, socio‐economic status, urbanicity, body mass index, smoking status, alcohol intake, drug use, physical activity, and co‐morbid chronic diseases. Sex‐stratified analyses were conducted with logistic regression models. Results Handgrip strength was greater among men than among women (26.7 ± 8.5 vs. 16.7 ± 5.7 kg, respectively, P < 0.001) at all ages. Weak handgrip strength cut‐off points ranged from 17.4 to 8.6 and from 10.1 to 4.9 in men and women, respectively. Overall, participants with optimal handgrip strength had better intrinsic capacity [in men, odds ratio (OR) = 0.62, 95% confidence interval (CI) 0.53 to 0.71; P < 0.001; and in women, OR = 0.79, 95% CI 0.68 to 0.92; P = 0.002] than their weaker counterparts. Also, men with optimal handgrip strength had a lower risk of hospitalization (OR = 0.47, 95% CI 0.29 to 0.78; P = 0.004) than their weaker counterparts. Conclusions This study is the first to describe handgrip strength values and cut‐off points for muscle weakness among a nationally representative sample of Colombian older adults by age and sex. After categorizing older adults as weak or not weak based on the handgrip cut‐off points, non‐weakness was associated with a decreased odds of intrinsic capacity impairments. These cut‐off points may be good candidates for clinical assessment of risks to physical and mental health in older Colombian adults.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Ramírez‐Vélez

Correa-Bautista

García-Hermoso

et al. 2019

J cachexia sarcopenia muscle

100

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“…SABE is a multicentre project originally conducted by the Pan‐American Health Organization and supported by the Epidemiological Office of the National Health Ministry in Bogotá, Colombia (https://www.minsalud.gov.co/). Details of the survey have been published elsewhere …”

Section: Methodsmentioning

confidence: 99%

“…A ‘proxy physical activity’ was evaluated by the following questions: (i) ‘Have you regularly exercised, such as jogging or dancing, or performed rigorous physical activity at least three times a week for the past year?’ (ii) ‘Do you walk at least three times a week between 9 and 20 blocks (1.6 km) without resting?’ And (iii) ‘Do you walk at least three times a week 8 blocks (0.5 km) without resting?’ Those participants who responded affirmatively to two of the three questions were considered physically active. Finally, nutritional status was assessed by using the longer, original version of the Mini‐Nutritional Assessment and mobility disability was defined as having difficulty in walking 400m or climbing a flight of stairs without resting …”

Section: Methodsmentioning

confidence: 99%

Gait speed as a mediator of the effect of sarcopenia on dependency in activities of daily living

Pérez-Sousa

Venegas-Sanabria

Chavarro-Carvajal

et al. 2019

J cachexia sarcopenia muscle

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Background Sarcopenia in older adults is strongly associated with an increase in dependency in activities of daily living (ADL) and with a decline in gait speed. Interestingly, gait speed has been shown to independently predict mortality. In this context, our study aimed to explore the mediator role of gait speed on the relationship between sarcopenia and dependency in ADL. Methods A cross‐sectional study was conducted in Colombia, 19 705 older adults with a mean age of 70 years, 55.6% women, 16.1% with sarcopenia, and 14.7% mild, moderate, or severe dependency in ADL, according to ‘SABE Survey 2015’. Sarcopenia was assessed by calf circumference and ADL dependence through the Barthel Index. Gait speed was measured over a distance of 3 m. The association between sarcopenia condition and gait speed and dependency level was analysed by linear regression adjusted by covariates. To examine whether gait speed mediated the association between sarcopenia and dependence components of physical function, simple mediation models were generated using ordinary least squares with the macro PROCESS version 3.2, adjusted for age, sex, and body mass index (BMI). Results Significant differences (P < 0.05) were found in gait speed and dependency in ADL between the sarcopenia and non‐sarcopenia groups after adjusting for age, sex, and BMI. BMI was significantly higher in the non‐sarcopenia group whereas dependency was significantly higher in the sarcopenia group (19.6% vs. 13.8%). Results from mediation model regression analysis indicated a significant and direct detrimental effect of sarcopenia on dependency in ADL (β = −0.05; P < 0.001), and a significant indirect effect of gait speed on the direct effect (−0.009 to −0.004). Conclusions The negative effect of sarcopenia on functional dependence was mediated by the gait speed. Therefore, gait speed may positively influence the detrimental effect of sarcopenia for dependency, after adjusting for age, gender, and BMI. Consequently, physical exercise should be promoted and focused to circumvent the gait speed decline associated with age in older people with sarcopenia.

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Muscular function: An alternative way to identify cognitive impairment—secondary analysis from SABE‐Colombia

García-Cifuentes

Botero‐Rodríguez

Velandia

et al. 2021

Alzheimer's & Dementia

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Background: Traditionally, the identification of cognitive impairment is based on neuropsychological tests and supported with not widely available biomarkers. This study aimed to establish the association between motor function (Gait Speed and Handgrip Strength) and the performance in a global cognitive performance and various cognitive domains. Our secondary objective was to determine a cut-off point for Gait Speed and Handgrip Strength to classify older adults as cognitively impaired.Method: This is a secondary analysis from the SABE Colombia study (Health, Well-Being, and Aging) conducted in 2015. We performed linear regression models, to establish association with motor function, clinical, and sociodemographic variables, and predict the scores of the Mini-mental State Examination and its domains (i.e. orientation, recall, counting, and language). The evaluation of the motor function variables as an instrument to separate cognitively impaired older adults was evaluated by developing a receiving operating characteristic curve (ROC).Result: Gait speed was associated with orientation (r 2 = 0.16), language (r 2 = 0.15), recall memory (r 2 = 0.14) and counting (r 2 = 0.08). Similarly, handgrip strength was associated with orientation (r 2 = 0.175), language (r 2 = 0.164), recall memory (r 2 = 0.137), and counting (r 2 = 0.08). Slow gait had a cut-off point of 0,59 m/s, with an area under the curve (AUC) of 0.629 (0.613-0.646), whereas a weak handgrip strength had an AUC of 0.653 (0.645-0.661), with a cut-off point of 17.50 Kg for separating those older adults with cognitive impairment. Conclusion:Gait Speed or Handgrip Strength are similarly associated with cognitive performance, exhibiting the larger associations with orientation and language domains. Gait Speed and Handgrip Strength can be easily performed by any clinician and seems to be useful screening tools to detect cognitive impairment.

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SABE Colombia: Survey on Health, Well-Being, and Aging in Colombia—Study Design and Protocol

Cited by 81 publications

References 15 publications

Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Reference values for handgrip strength and their association with intrinsic capacity domains among older adults

Gait speed as a mediator of the effect of sarcopenia on dependency in activities of daily living

Muscular function: An alternative way to identify cognitive impairment—secondary analysis from SABE‐Colombia

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