A força muscular corrigida pela massa corporal é um preditor melhor da baixa função física do que a força muscular absoluta em mulheres na pós-menopausa

  • Aletéia de Paula Souza
  • Fernanda Maria Martins
  • Marcelo Augusto da Silva Carneiro
  • Paulo Ricardo Prado Nunes
  • Erick Prado de Oliveira Federal University of Uberlandia
  • Fábio Lera Orsat Federal University of Triângulo Mineiro. Department of Sport Sciences
Palavras-chave: Envelhecimento, Obesidade, Força Muscular, Limitação da Mobilidade

Resumo

Objetivo: Correlacionar a força muscular respiratória e a capacidade funcional em pacientes com FC. Métodos: Estudo transversal em adultos com fibrose cística. Os dados amostrais foram catalogados no Microsoft Office Excel 2007 e as variáveis analisadas pelo SPSS versão 20.0 através do teste t de Student e do coeficiente de Spearman. O nível de significância adotado foi p < 0,05. Resultados: Foram avaliados 35 pacientes com fibrose cística (44,6 ± 19,0 anos), grande parte dos pacientes de FC (n=26) não apresentaram fraqueza da musculatura inspiratória (PImáx -90,7 ± 27,4 cmH2O). Não foi encontrada estatística significativa apenas entre os pacientes adultos e idosos. Houve correlação positiva entre PImáx, PEmáx e teste de caminhada de 6 minutos (TC6) nos participantes com fraqueza muscular respiratória e nos idosos. Houve diferença estatisticamente significativa entre as médias da distância percorrida no TC6 e das pressões respiratórias máximas com a média do que foi previsto para estas variáveis. Conclusão: Todos os grupos apresentaram limitação da força respiratória e da capacidade funcional. As correlações entre as pressões respiratórias com o TC6 foram baixas e pequenas nos adultos e indivíduos sem fraqueza muscular respiratória; moderadas à alta nos idosos; pequenas à moderada nas mulheres; pequenas e negativas nos homens; e, altas naqueles com fraqueza muscular respiratória.

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Biografia do Autor

Aletéia de Paula Souza
Exercise Biology Research Group (BioEx)
Fernanda Maria Martins
Exercise Biology Research Group (BioEx)
Marcelo Augusto da Silva Carneiro
Exercise Biology Research Group (BioEx)
Paulo Ricardo Prado Nunes
Exercise Biology Research Group (BioEx)

Referências

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.

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

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

Fielding RA, Vellas B, Evans WJ, Bhasin S, Morley JE, Newman AB, et al. Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia. J Am Med Dir Assoc. 2011;12(4):249-56. DOI: http://dx.doi.org/10.1016/j.jamda.2011.01.003

Newman AB, Brach JS. Gender gap in longevity and disability in older persons. Epidemiol Rev. 2001;23(2):343-50. DOI: http://dx.doi.org/10.1093/oxfordjournals.epirev.a000810

Brady AO, Straight CR. Muscle capacity and physical function in older women: What are the impacts of resistance training? J Sport Health Sci. 2014;3(3):179-88.

Brady AO, Straight CR, Schmidt MD, Evans EM. Impact of body mass index on the relationship between muscle quality and physical function in older women. J Nutr Health Aging. 2014;18(4):378-82. DOI: http://dx.doi.org/10.1007/s12603-013-0421-0

Janssen I, Heymsfield SB, Wang ZM, Ross R. Skeletal muscle mass and distribution in 468 men and women aged 18-88 yr. J Appl Physiol (1985). 2000;89(1):81-8.

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

Tseng LA, Delmonico MJ, Visser M, Boudreau RM, Goodpaster BH, Schwartz AV, et al. Body composition explains sex differential in physical performance among older adults. J Gerontol A Biol Sci Med Sci. 2014;69(1):93-100. PMID: 23682159 DOI: http://dx.doi.org/10.1093/gerona/glt027

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

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

Fragala MS, Clark MH, Walsh SJ, Kleppinger A, Judge JO, Kuchel GA, et al. Gender differences in anthropometric predictors of physical performance in older adults. Gend Med. 2012;9(6):445-56. DOI: http://dx.doi.org/10.1016/j.genm.2012.10.004

Clark BC, Manini TM. What is dynapenia? Nutrition. 2012;28(5):495-503.

Bouchard DR, Janssen I. Dynapenic-obesity and physical function in older adults. J Gerontol A Biol Sci Med Sci. 2010;65(1):71-7.

Pfeilschifter J, Köditz R, Pfohl M, Schatz H. Changes in proinflammatory cytokine activity after menopause. Endocr Rev. 2002;23(1):90-119. DOI: http://dx.doi.org/10.1210/edrv.23.1.0456

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

Sirola J, Rikkonen T. Muscle performance after the menopause. J Br Menopause Soc. 2005;11(2):45-50. DOI: http://dx.doi.org/10.1258/136218005775544561

Kamel HK, Maas D, Duthie EH Jr. Role of hormones in the pathogenesis and management of sarcopenia. Drugs Aging. 2002;19(11):865-77. DOI: http://dx.doi.org/10.2165/00002512-200219110-00004

Freiberger E, de Vreede P, Schoene D, Rydwik E, Mueller V, Frändin K, et al. Performance-based physical function in older community-dwelling persons: a systematic review of instruments. Age Ageing. 2012;41(6):712-21. DOI: http://dx.doi.org/10.1093/ageing/afs099

Steffen TM, Hacker TA, Mollinger L. Age- and gender-related test performance in community-dwelling elderly people: Six-Minute Walk Test, Berg Balance Scale, Timed Up & Go Test, and gait speeds. Phys Ther. 2002;82(2):128-37. DOI: http://dx.doi.org/10.1093/ptj/82.2.128

Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, 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

Lyons RA, Perry HM, Littlepage BN. Evidence for the validity of the Short-form 36 Questionnaire (SF-36) in an elderly population. Age Ageing. 1994;23(3):182-4. DOI: http://dx.doi.org/10.1093/ageing/23.3.182

World Health Organization. Obesity: preventing and managing the global epidemic report of a WHO consultation. Geneva: WHO; 2000. [Technical Report Series 894].

Bohannon RW, Peolsson A, Massy-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006;92(1)11-5. DOI: http://dx.doi.org/10.1016/j.physio.2005.05.003

DeLong ER, DeLong DM, Clarke-Pearson DL. Comparing the areas under two or more correlated receiver operating characteristic curves: a nonparametric approach. Biometrics. 1988;44(3):837-45. DOI: http://dx.doi.org/10.2307/2531595

Hosmer Jr DW, Lemeshow S, Rodney X. Sturdivant RX. Applied logistic regression. New Jersey: Wiley; 2000

Stenholm S, Alley D, Bandinelli S, Griswold ME, Koskinen S, Rantanen T, et al. The effect of obesity combined with low muscle strength on decline in mobility in older persons: results from the InCHIANTI study. Int J Obes (Lond). 2009;33(6):635-44. DOI: http://dx.doi.org/10.1038/ijo.2009.62

Stenholm S, Rantanen T, Heliövaara M, Koskinen S. The mediating role of C-reactive protein and handgrip strength between obesity and walking limitation. J Am Geriatr Soc. 2008;56(3):462-9. DOI: http://dx.doi.org/10.1111/j.1532-5415.2007.01567.x

Publicado
2016-12-29
Seção
Artigo Original