The reduction in grip strength is associated with a decrease in the distance covered in the 6MWT in elderly people residing in a long-stay institution
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Abstract
Objective: To evaluate the relationship between handgrip strength (HGS), anthropometric parameters, perception of fatigue, and the distance covered in the 6-minute walk test (6MWD) in elderly people living in a long-stay institution (ILPI). Methods: Elderly people (n = 17; 77 ± 7 years) of both sexes, living in an LTCF in Espírito Santo, Brazil, participated in the study. Volunteers were evaluated using the 6-min walk test (6MWT), HGS, and Chalder's Fatigue Scale (EFC). Results: The means of the 6MWD (276 ± 81.6 m) and HGS (19.4 ± 10.5 Kg/f) of the elderly were below the predicted values. The 6MWD showed a moderate positive correlation with HGS (right r = 0.6; p = 0.008; left r = 0.5; p = 0.03) and with apex expansion (r = 0.5; p = 0.03), as well as a negative correlation with the body mass index (BMI) (r = -0.6; p = 0.01). Conclusion: In the environment of an ILPI, where there is a high prevalence of functional limitations and cardiovascular diseases (CVD) in the elderly, comprehensive health care is a complex challenge. Thus, knowledge of these associations can highlight the importance of ensuring strategies to mitigate muscle weakness and immobility.
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References
Jorge M, Lima W, Vieira P, Vogelmann S, Myra R, Wibelinger L. Caracterização do perfil sociodemográfico, das condições de saúde e das condições sociais de idosos octogenários. Rev Saúde Pesq. 2017;10(1):61-73. https://doi.org/10.5123/S1679-49742012000400003 DOI: https://doi.org/10.17765/1983-1870.2017v10n1p61-73
Mancini R, Junior J, Araújo T, Matsudo S, Matsudo V. Prevalência e fatores associados à dinapenia em idosos institucionalizados. Um estudo transversal. Diagn Tratamento. 2019 [cited 2022 Mar 1];24(3):111-8. Avaiable from: https://bit.ly/3sw853U
Marin M, Angerami S. Caracterização de um grupo de idosas hospitalizadas e seus cuidadores visando o cuidado pós-alta hospitalar. Rev Esc Enferm USP. 2002;36(1):33-41. https://doi.org/10.1590/S0080-62342002000100006 DOI: https://doi.org/10.1590/S0080-62342002000100006
Visser M, Goodpaster BH, Kritchevsky SB, Newman AB, Nevitt M, Rubin S, et al. Muscle mass, muscle strength, and muscle fat infiltration as predictor of incident mobility limitations in well-functioning older persons. J Gerontol A Biol Sci Med Sci. 2005;60(3):324-33. https://doi.org/10.1093/gerona/60.3.324 DOI: https://doi.org/10.1093/gerona/60.3.324
Newman AB, Kupelian V, Visser M, Simonsick EM, Goodpaster BH, Kritchevsky SB, et al. Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort. J Gerontol A Biol Sci Med Sci. 2006;61(1):72-7. https://doi.org/10.1093/gerona/61.1.72 DOI: https://doi.org/10.1093/gerona/61.1.72
Silva TAA, Junior AF, Pinheiro MM, Szejnfeld VL. Sarcopenia associada ao envelhecimento: aspectos etiológicos e opções terapêuticas. Rev Bras Reumatol. 2006;46(6):391-7. https://doi.org/10.1590/S0482-50042006000600006 DOI: https://doi.org/10.1590/S0482-50042006000600006
Gunther CM, Burguer A, Rickert M, Crispin A, Schulz CU. Grip strength in healthy caucasian adults: reference values. J Hand Surg. 2008;33(4):558-65. https://doi.org/10.1016/j.jhsa.2008.01.008 DOI: https://doi.org/10.1016/j.jhsa.2008.01.008
Zanin C, Jorge MSG, Knob B, Wibelinger LM, Libero GA. Força de preensão palmar em idosos: uma revisão integrativa. PAJAR. 2018;6(1):22-8. https://doi.org/10.15448/2357-9641.2018.1.29339 DOI: https://doi.org/10.15448/2357-9641.2018.1.29339
Leong DP, Teo KK, Rangarajan S, Jaramillo PL, Junior AA, Orlandini A. Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. Lancet. 2015;386(9990):266-73. https://doi.org/10.1016/S0140-6736(14)62000-6 DOI: https://doi.org/10.1016/S0140-6736(14)62000-6
Soar C. Prevalência de fatores de risco cardiovascular em idosos não institucionalizados. Rev Bras Geriatr Gerontol. 2015;18(2):385-95. https://doi.org/10.1590/1809-9823.2015.14072 DOI: https://doi.org/10.1590/1809-9823.2015.14072
Vasconcelos AMN, Gomes MMF. Transição demográfica: a experiência brasileira. Epidemiol Serv Saúde. 2012;21(4):539-48. https://doi.org/10.5123/S1679-49742012000400003 DOI: https://doi.org/10.5123/S1679-49742012000400003
Espitia AZ, Martin JJ. Relações afetivas entre idosos institucionalizados e família: encontros e desencontros. Arq Catarin Med. 2006 [cited 2022 Mar 1];35(1):52-9. Avaiable from: https://bit.ly/3C2Q7Jz
Garcia RR, Watanabe HAW. Fórum das instituições filantrópicas de longa permanência para idosos: parceria em rede de apoio no cuidado institucional ao idoso. Saúde Soc. 2017;26(4):920-31. https://doi.org/10.1590/s0104-12902017170306 DOI: https://doi.org/10.1590/s0104-12902017170306
Rodrigues MA, Santana RF, Paula RCC, Silva MTN, Santo FHS. Exercício profissional de enfermagem em instituições de longa permanência para idosos: estudo retrospectivo. Texto Contexto Enferm. 2018;27(2):e1700016. https://doi.org/10.1590/0104-070720180001700016 DOI: https://doi.org/10.1590/0104-070720180001700016
Moraes WSLA, Silva CM, Pin AS, Borges GF, Maciel TS. Valores médios percorridos no teste de caminhada de seis minutos em crianças saudáveis de Coari (AM). Fisioter Pesqui. 2020;27(1):2-9. https://doi.org/10.1590/1809-2950/18004527012020 DOI: https://doi.org/10.1590/1809-2950/18004527012020
Cibinello FU, Pozzo CCD, Moura L, Santos GM, Fujisawa DS. Teste de caminhada de seis minutos: desempenho de crianças com excesso de peso. Rev Bras Med Esporte. 2017;23(2):142-6. https://doi.org/10.1590/1517-869220172302158475 DOI: https://doi.org/10.1590/1517-869220172302158475
Soares MR, Pereira CAC. Teste da caminhada de 6 minutos: valores de referência para adultos saudáveis no Brasil. J Bras Pneumol. 2011;37(5):576-83. https://doi.org/10.1590/S1806-37132011000500003 DOI: https://doi.org/10.1590/S1806-37132011000500003
Dourado VZ, Vidotto MC, Guerra RLF. Equações de referência para os testes de caminhada de campo em adultos saudáveis. J Bras Pneumol. 2011;37(5):607-14. https://doi.org/10.1590/S1806-37132011000500007 DOI: https://doi.org/10.1590/S1806-37132011000500007
Yorke AM, Curtis AB, Shoemaker M, Vangsnes E. Grip strength values stratified by age, gender, and chronic disease status in adults aged 50 years and older. J Geriatr Phys Ther. 2015;38(3):115-21https://doi.org/10.1519/JPT.0000000000000037 DOI: https://doi.org/10.1519/JPT.0000000000000037
Taekema DG, Gussekloo J, Maier AB, Westendorp RGJ, Craen AJM. Handgrip strength as a predictor of functional, psychological and social health. A prospective population-based study among the oldest old. Age Ageing. 2010;39(3):331-7. https://doi.org/10.1093/ageing/afq022 DOI: https://doi.org/10.1093/ageing/afq022
Chalder T, Berelowitz G, Pawlikowska T, Watts L, Wessely S, Wright D, et al. Development of a fatigue scale. J Psychosom Res. 1993;37(2);147-53. https://doi.org/10.1016/0022-3999(93)90081-P DOI: https://doi.org/10.1016/0022-3999(93)90081-P
Bohannon RW, Westropp NMM, Peolsson A, Desrosiers J, Lehman JB. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006;92(1):11-5. https://doi.org/10.1016/j.physio.2005.05.003 DOI: https://doi.org/10.1016/j.physio.2005.05.003
Belmonte LM, Lima IAX, Belmonte LAO, Gonçalves VP, Conrado JC, Ferreira DA. Força de preensão manual de idosos participantes de grupos de convivência. Rev Bras Promoção Saúde. 2014;27(1):85-91. https://doi.org/10.5020/18061230.2014.p85 DOI: https://doi.org/10.5020/18061230.2014.p85
Lenardt MH, Grden CRB, Sousa JAV, Reche PM, Betiolli SE, Ribeiro DKMN. Fatores associados à diminuição de força de preensão manual em idosos longevos. Rev Esc Enferm USP. 2014;48(6):1006-12. https://doi.org/10.1590/S0080-623420140000700007 DOI: https://doi.org/10.1590/S0080-623420140000700007
Pereira R, Itaborahy A, Cardoso BS, Machado M. Análise da força de preensão de mulheres idosas: estudo comparativo entre faixas etárias. Acta Med Port. 2011 [cited 2022 Mar 1];24(4):521-6. Avaiable from: https://bit.ly/3vz3tMm
Leite LEA, Resende TL, Nogueira GM, Cruz IBM, Schneider RH, Gottlieb MGV. Envelhecimento, estresse oxidativo e sarcopenia: uma abordagem sistêmica. Rev Bras Geriatr Gerontol. 2012;15(2):365-80. https://doi.org/10.1590/S1809-98232012000200018 DOI: https://doi.org/10.1590/S1809-98232012000200018
Gonçalves LHT, Silva AH, Mazo GZ, Benedetti TRB, Santos SMA, Marques S, Rodrigues RAP et al. O idoso institucionalizado: avaliação da capacidade funcional e aptidão física. Cad Saúde Pública. 2010;26(9):1738-46. https://doi.org/10.1590/S0102-311X2010000900007 DOI: https://doi.org/10.1590/S0102-311X2010000900007
Langoni CS, Borsatto AC, Valmorbida LA, Resende TL. Teste de caminhada de seis minutos em idosos de uma instituição de longa permanência: valores, aplicabilidade e correlações. RBCEH. 2013;10(3):285-95. https://doi.org/10.5335/rbceh.2013.3260 DOI: https://doi.org/10.5335/rbceh.2013.3260
Reis FIRL, Navega MT, Quitério RJ, Ambrozin RP. Existe correlação entre força muscular com teste de caminhada de seis minutos em idosos institucionalizados? Uma ética para quantos? Rev Inspirar Mov Saúde. 2012;4(4):26-31. Avaiable from: https://bit.ly/3vuZ8de
Soares VP, Dias AF, Jesus DM, Nascimento TS, Lagoa VC, Goés ALB. Correlação entre força muscular e capacidade funcional em hipertensos. Rev Pesq Fisio. 2016;6(1):6-15. https://doi.org/10.17267/2238-2704rpf.v6i1.796 DOI: https://doi.org/10.17267/2238-2704rpf.v6i1.796
Eichinger FLF, Soares AV, Júnior JMC, Maldaner GA, Domenech SC, Júnior NGB, et al. Força de preensão palmar e sua relação com parâmetros antropométricos. Cad Ter Ocup UFSCar. 2015;23(3): 525-32. https://doi.org/10.4322/0104-4931.ctoA0610 DOI: https://doi.org/10.4322/0104-4931.ctoA0610
Matsudo SM, Matsudo VKR, Neto TLB. Impacto do envelhecimento nas variáveis antropométricas, neuromotoras e metabólicas da aptidão física. Rev Bras Cienc Mov. 2000 [cited 2022 Mar 1];8(4):21-32. Avaiable from: https://bit.ly/3sy1x52
Matsudo SM, Matsudo VKR, Neto TLB, Araújo TL. Evolução do perfil neuromotor e capacidade funcional de mulheres fisicamente ativas de acordo com a idade cronológica. Rev Bras Med Esporte. 2003;9(6):365-76. https://doi.org/10.1590/S1517-86922003000600003 DOI: https://doi.org/10.1590/S1517-86922003000600003
Rech CR, Cruz JLS, Araújo EDS, Kalinowski FG, Dellagrana RA. Associação entre aptidão funcional e excesso de peso em mulheres idosas. Motricidade. 2010;6(2):47-53. https://doi.org/10.6063/motricidade.6(2).153 DOI: https://doi.org/10.6063/motricidade.6(2).153
Moreira PL, Boas PJFV. Avaliação nutricional e capacidade funcional de idosos institucionalizados em Botucatu/SP. Geriatr Gerontol. 2011;5(1):19-23. Avaiable from: https://bit.ly/3IB8nMG
Elias RGM, Gonçalves ECA, Moraes ACF, Moreira CF, Fernandes CAM. Aptidão física funcional de idosos praticantes de hidroginástica. Rev Bras Geriatr Gerontol. 2012;15(1):79-86. https://doi.org/10.1590/S1809-98232012000100009 DOI: https://doi.org/10.1590/S1809-98232012000100009
Tiggemann CL, Pinto RS, Kruel LFM. A Percepção de esforço no treinamento de força. Rev Bras Med Esporte. 2010;16(4):301-9. https://doi.org/10.1590/S1517-86922010000400014 DOI: https://doi.org/10.1590/S1517-86922010000400014
Rasslan Z, Junior RS, Stirbulov R, Fabbri RMA, Lima CAC. Evaluation of pulmonary function in class I and II obesity. J Bras Pneumol. 2004;30(6):508-14. https://doi.org/10.1590/S1806-37132004000600004 DOI: https://doi.org/10.1590/S1806-37132004000600004