Factors related to sarcopenia and functional capacity in institutionalized elderly

Authors

DOI:

https://doi.org/10.15253/2175-6783.20202143864

Keywords:

Sarcopenia; Frail Elderly; Homes for the Aged.

Abstract

Objective: to analyze factors related to sarcopenia and functional capacity of institutionalized elderly. Methods: descriptive, correlational, cross-sectional study, with 92 elderly people, in four long-term institutions. For data collection, a socioeconomic and clinical form, Mini Mental State Examination, Barthel Index and Timed Up and Go test were applied. In the analysis, the chi-square and Fisher’s exact tests were adopted. Results: it was identified that 68 (73.9%) had probable sarcopenia, 7 (7.6%) sarcopenia and 11 (12.0%) severe sarcopenia. The factors associated with sarcopenia were education (p=0.017), risk of falls (p=0.000) and chronic kidney disease (p=0.040). As for functional capacity, 49 (53.3%) had mild dependence, 40 (43.5%) moderate and 3 (3.3%) severe. The factors associated with functional capacity were risk of falls (p=0.010), polypharmacy (p=0.017) and education (p=0.019). Conclusion: it was found that education, polypharmacy, chronic kidney disease, risk of falls, falls and sarcopenia can influence the functional capacity of institutionalized elderly.

References

United Nations. Department of Economic and Social Affairs. Population Division. World Population Ageing 2017 - Highlights [Internet]. 2017 [cited Mar 15, 2020]. Available from: https://www.un.org/en/development/desa/population/publications/pdf/ageing/WPA2017_Highlights.pdf

Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostra de Domicílios Contínua – características gerais dos domicílios e dos moradores 2018 [Internet]. 2018 [cited Mar 15, 2020]. Available from: https://biblioteca.ibge.gov.br/visualizacao/livros/liv101654_informativo.pdf

Comissão de Defesa dos Direitos do Idoso da Câmara Federal. Frente Nacional de Fortalecimento às Instituições de Longa Permanência para Idosos [Internet]. 2020 [cited Mar 15, 2020]. Available from: https://sbgg.org.br/wp-content/uploads/2020/04/Relato%CC%81rio-final-vCAU-2.pdf

Veras RP, Oliveira M. Aging in Brazil: the buil- ding of a healthcare model. Ciênc Saúde Coletiva. 2018; 23(6):1929-36. doi: http://dx.doi.org/10.1590/1413-81232018236.04722018

Freitas AF, Prado MA, Cação JC, Beretta D, Albertini S. Sarcopenia e estado nutricional de idosos: uma revisão de literatura. Arq Ciênc Saúde. 2015; 22(1):9-13. doi: https://doi.org/10.17696/2318-3691.22.1.2015.19

Rejón AIR, Lopéz MDR, Artacho R. Diagnosis and prevalence of sarcopenia in long-term care homes: EWGSOP2 versus EWGSOP1. Nutr Hosp. 2019; 36(5):1074-80. doi: http://dx.doi.org/10.20960/nh.02573

Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, et al. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2018; 48(1):16-31. doi: https://dx.doi.org/10.1093/ageing/afy169

Diz JB, Leopoldino AA, Moreira BS, Henschke N, Dias RC, Pereira LS, et al. Prevalence of sarcopenia in older Brazilians: A systematic review and meta-analysis. Geriatr Gerontol Int. 2017; 17(1):5-16. doi: https://dx.doi.org/10.1111/ggi.12720

Yalcin A, Aras S, Atmis V, Cengiz OK, Varli M, Cinar E, et al. Sarcopenia prevalence and factors associated with sarcopenia in older people living in a nursing home in Ankara Turkey. Geriatr Gerontol Int. 2016; 16(8):903-10. doi: https://dx.doi.org/10.1111/ggi.12570

Alexandre TS, Duarte YAO, Santos JFL, Wong R, Lebrão ML. Prevalence and associated factors of sarcopenia among elderly in Brazil: Findings from the SABE study. J Nutr Health Aging. 2014; 18(3):284-90. doi: https://doi.org/10.1007/s12603-013-0413-0

Minosso JSM, Amendola F, Alvarenga MRM, Oliveira MAC. Validation of the Barthel Index in elderly patients attended in outpatient clinics, in Brazil. Acta Paul Enferm. 2010; 23(2):218-23. doi: http://dx.doi.org/10.1590/S0103-21002010000200011

Fernandes AA, Marins JCB. Test of hand grip strength: a methodological analysis and normative data in athletes. Fisioter Mov. 2011; 24(3):567-78. doi: https://doi.org/10.1590/S0103-51502011000300021

Mello FS, Waisberg J, Silva MLN. Calf circumference is associated with the worst clinical outcome in elderly patients. Geriatr Gerontol Aging. 2016; 10(2):80-5. doi: https://dx.doi.org/10.5327/Z2447-211520161600011

Teixeira ASF, Vasconcelos KRC, Freire RF. Análise da Capacidade Funcional e Mobilidade de idosos institucionalizados e não institucionalizados na cidade de Maceió/AL. Ciênc Biol Saúde Unit [Internet]. 2016 [cited Jul 03, 2020]; 5(3):127-38. Available from: https://periodicos.set.edu.br/index.php/fitsbiosaude/article/view/6599

Guimarães AC, Dutra NS, Silva GLS, Silva MV, Maia BDC. Atividades Grupais com idoso institucionalizados: exercícios físicos funcionais e lúdicos em ação transdisciplinar. Pesqui Prát Psicossociais [Internet]. 2016 [cited Jul 03, 2020]; 11(2):443-52. Available from: http://pepsic.bvsalud.org/pdf/ppp/v11n2/13.pdf

Fluetti MT, Fhon JRS, Oliveira AP, Chiquito LMO, Marques S. The frailty syndrome in institutionalized elderly persons. Rev Bras Geriatr Gerontol. 2018; 21(1):62-71. doi: http://dx.doi.org/10.1590/1981-22562018021.170098

Alexandre TS, Duarte YAO, Santos JFL, Lebrão ML. Prevalence and associated factors of sarcopenia, dynapenia, and sarcodynapenia in community-dwelling elderly in São Paulo - SABE Study. Rev Bras Epidemiol. 2018; 21(2):e180009. doi: https://doi.org/10.1590/1980-549720180009.supl.2

Rosa NCP, Alcântara FG, Cattafesta M, Furriel AF, Salaroli, LB. Sarcopenia e fatores associados em pacientes com doença renal crônica em tratamento dialítico peritoneal. Saúde Pesq. 2018; 11(3):483-93. doi: https://doi.org/10.17765/2176-9206.2018v11n3p483-493

Liang Y, Johnell K, Yan Z, Cai C, Jiang H, Welmer AK, Qiu C. Use of medications and functional dependence among Chinese older adults in a rural community: a population-based study. Geriatr Gerontol Int. 2015; 15(12):1242-8. doi: https://doi.org/10.1111/ggi.12433

Matsumoto H, Tanimura C, Tanishima S, Osaki M, Noma H, Hagino H. Sarcopenia is a risk factor for falling in independently living Japanese older adults: a 2-year prospective cohort study of the GAINA study. Geriatr Gerontol Int. 2017; 17(11):2124-30. doi: https://doi.org/10.1111/ggi.13047

Published

2020-08-18

How to Cite

Marques, M. B., Coutinho, J. F. V., Sousa, C. R., Sales, J. M. R., Brito, M. L. C. de, & Souza, R. L. de P. (2020). Factors related to sarcopenia and functional capacity in institutionalized elderly. Rev Rene, 21, e43864. https://doi.org/10.15253/2175-6783.20202143864

Issue

Section

Research Article

Most read articles by the same author(s)

1 2 > >>