Sensibilidade e especificidade do SARC-F na classificação de sarcopenia em idosos: resultados preliminares

Reis, Natália; Vianna, Jéferson Macedo; Colugnati, Fernando Antônio Basile; Mansur, Henrique

doi:10.33233/rbfex.v19i4.3895

Cited by 5 publications

(5 citation statements)

References 26 publications

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“…Em consonância com as alterações nutricionais observadas pelas medidas antropométricas, verificouse que a maioria dos pacientes avaliados apresentou classificação sugestiva de sarcopenia. Reis et al 19 aplicaram o SARC-F em pacientes domiciliares idosos, verificando que 13,72% dos avaliados foram classificados como indicativos de sarcopenia, devido a idade avançada e ausência de atividade física. O SARC-F é uma importante ferramenta para ser aplicada em pacientes paliativos domiciliares, pois de uma forma simples é possível analisar se o paciente apresenta resultados sugestivos de sarcopenia e assim iniciar de forma precoce a intervenção nutricional adequada.…”

Section: Resultsunclassified

“…Ao final, é fornecida uma pontuação, que se for ≥ 11 pontos, é sugestiva de sarcopenia. 19 Após a avaliação nutricional, foram determinados três diagnósticos nutricionais padronizados prioritários (Academy of Nutrition and Dietetics), com o objetivo de traçar o perfil nutricional e clínico dessa população. 11 Para avaliar a necessidade calórica dos pacientes em uso de sonda, foi utilizado o cálculo de regra de bolso, segundo o qual o recomendado é de 25 a 30 kcal/peso/dia para pacientes em cuidados paliativos.…”

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Fatores associados à terapia nutricional domiciliar em pacientes sob cuidados paliativos

Cavagnari,

Velho,

Mazur

et al. 2023

DEMETRA

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Introdução: A desnutrição é uma das condições frequentemente observadas em pacientes sob cuidados paliativos, afetando a via de alimentação e impactando na diminuição da ingestão alimentar. O atendimento nutricional permite a identificação das alterações nutricionais, direcionando para terapia nutricional adequada. Objetivo: Analisar a terapia nutricional domiciliar e identificar o estado nutricional em pacientes sob cuidados paliativos no domicílio. Método: Estudo prospectivo, observacional com pacientes do Programa Melhor em Casa, em Guarapuava-PR. Foram avaliados por meio de anamnese, que compreendia diagnóstico clínico, exame físico, caracterização e intercorrências da dieta, SARC-F e avaliação antropométrica. Resultados: Participaram do estudo 24 pacientes, com média de idade 70,2+15,0 anos. Os principais diagnóstico clínicos foram: 45,83% câncer e 45,83% doença neurológica. O baixo peso e a classificação sugestiva de sarcopenia predominaram nos avaliados, sendo 54,17% e 87,5%, respectivamente. A via de acesso para alimentação prevalente foi a oral (45,8%), seguida de 41,7% para sonda nasoenteral; a fórmula mais utiliza foi a hiperproteica. A maioria apresentou sinal da asa quebrada (70,8%), perda da bola de Bichat (66,7%) e perda de massa nos membros superiores e inferiores. O diagnóstico nutricional padronizado mais frequente foi NC-3.2 (perda de peso não intencional), seguido de 41,7% com NI-1.2 (ingestão de energia subótima). Conclusão: Observou-se que a maioria dos pacientes eram idosos, acamados, com doença neurológica e câncer. Em relação ao estado nutricional, a maioria apresentou baixo peso e sinais de desnutrição. O atendimento nutricional com pacientes em cuidados paliativos se faz necessário, pois são pacientes com risco nutricional.

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Section: Resultsunclassified

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Fatores associados à terapia nutricional domiciliar em pacientes sob cuidados paliativos

Cavagnari,

Velho,

Mazur

et al. 2023

DEMETRA

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“…The domain most affected by aging is neuromuscular capacity, which can eventually lead to sarcopenia [9]. Physical exercise is already well established in the literature as a primary intervention for the elderly [10] to combat neuromuscular decline [11].…”

Section: Of 10mentioning

confidence: 99%

“…Fortunately, therefore, some of these changes can be reversed. Improvements in the physical and functional capacity of the elderly, through focused physical training, have been shown to benefit quality of life [8,9].…”

Section: Introductionmentioning

confidence: 99%

Chronic Effects of Different Types of Neuromuscular Training on Hemodynamic Responses Estimated VO2max, and Walking Performance in Older People

Dantas

Sant'Ana

Vianna

et al. 2022

IJERPH

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This paper investigated the effects over time of different forms of neuromuscular training on hemodynamic responses, the estimated VO2max, and walking performance. 105 older adults were randomly organized into three groups: RGA, RGB, and the Control Group (CG). RGA and RGB did 4 weeks of adaptation phase training and 12 weeks of intervention with different loads: moderate loads for RGB. and higher loads for RGA. A pre- and post-evaluation of the resting heart rate (HR), systolic blood pressure (SBP), diastolic blood pressure (DBP), double product (DP), estimated VO2max, and walking performance were assessed. Significant differences were observed for SBP, DBP, HR, and DP. For SBP, a post-evaluation reduction was observed only in RGA (p = 0.007) and when comparing RGA with the Control Group (p < 0.000). For the absolute VO2max, a significant improvement was seen in RGB compared to RGA (p = 0.037) and CG (p < 0.000). For the relative VO2max, RGB scored significantly higher than RGA (p < 0.000) and CG (p < 0.000), post-intervention. For the walk test, a significant reduction in completion times was observed for RGA (p = 0.027) and RGB (p < 0.000), and for RGB compared to RGA (p = 0.000) and CG (p < 0.000). Resistance training can be an excellent strategy for hemodynamic and cardiorespiratory improvement in the elderly.

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“…Perhaps, one of the most affected systems with aging is neuromuscular, where it determines the muscular capacities, as strength, resistance, and power, considered as primary valences in locomotion with quality, that besides the motor factor, aging can cause, through neuromuscular changes, the process of sarcopenia 12 . However, physical exercises are already well established as the primary intervention for the elderly 13 .…”

Section: Introductionmentioning

confidence: 99%

Chronic effects of different neuromuscular training on hemodynamic responses estimated vo2max and walking performance in the elderly

Scartoni¹,

Sant’Ana²,

Vianna³

et al. 2021

Preprint

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Resistance training is an excellent intervention for obtaining different physiological improvements in the elderly. The present study aimed to investigate the chronic effects of different neuromuscular training on cardiovascular, cardiorespiratory, and walking performance responses in the elderly. One hundred five people (64 women and 41 men) participated in the study, physically active, all over 60 years old. They were randomized to compose three groups: Strength Group, (n = 35), Resistance Group (n = 35), and Control Group, (n = 35). Both experimental groups (Strength Group and resistance group) performed four weeks of adaptation and 12 weeks of specific training. The Strength Group and the resistance group did four weeks adaptation phase and 12 weeks intervention load with 70-85% and 50-70%, respectively. The same exercise program was used in the experimental groups, using the alternating method by segment with the bench press, squat, one-sided curved stroke, leg extension, biceps curl, knee flexion, Triceps forehead. Both strength and resistance groups carried out two weekly sessions with an interval of at least 48 and a maximum of 72 hours. A pre and post-evaluation of resting heart rate (HR), blood pressure (systolic and diastolic), rate pressure product (RPP) was performed, and oxygen absorption (VO2max) and walking performance were estimated through the 1600 test meters. In systolic pressure, there was an improvement for the Strength Group (p=0.007) but not for the resistance group (p=0.172) and control group (p=0.999). Between groups, differences were observed between the Strength Group with the control group (p <0.0001). For diastolic pressure, there was a difference for the Strength Group (p=0.000) and not for the resistance group (p=0.916) and the control group (p=0.107). in an inter-group comparison, differences were observed for the Strength Group (p<0.0001) and resistance group (p=0.001) when compared with the control group. For heart hate and double product, in the intra-group analysis, no difference was observed (p>0.05), but in the intergroup, for both variables, the difference was observed for the Strength Group and resistance group when compared with the control group (p<0.0001). Concerning VO2max, the resistance group presents better intra and inter-group results (p<0.05). In walking performance, there were improvements for the Strength Group (p=0.027) and resistance group (p<0.0001). among the groups, the resistance group was the best compared to the Strength Group (p=0.000) and the control group (p<0.0001). Conclusion resistance training can be a great strategy for hemodynamic and cardiorespiratory improvement in the elderly.

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Sensibilidade e especificidade do SARC-F na classificação de sarcopenia em idosos: resultados preliminares

Cited by 5 publications

References 26 publications

Fatores associados à terapia nutricional domiciliar em pacientes sob cuidados paliativos

Fatores associados à terapia nutricional domiciliar em pacientes sob cuidados paliativos

Chronic Effects of Different Types of Neuromuscular Training on Hemodynamic Responses Estimated VO2max, and Walking Performance in Older People

Chronic effects of different neuromuscular training on hemodynamic responses estimated vo2max and walking performance in the elderly

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