Evaluation of peripheral muscle strength alterations of elderlies admitted at an ICU
DOI:
https://doi.org/10.11606/issn.2317-0190.v28i2a183118Keywords:
Old Age Assistance, Hospitalization, Muscle StrengthAbstract
The measurement of peripheral muscle strength in the hospital environment directs rehabilitation and contributes to predicting mortality in the elderly. Objective: To evaluate the variation of muscle strength during hospitalization in hospitalized elderly. Methods: This is a retrospective longitudinal study with stable elderly admitted at an ICU of a large public hospital in Salvador, Bahia State, Brazil. Three measurements of handgrip strength (HGS) were performed, and the highest value was considered for analysis. Other variables collected were cognitive function (MMSE) and Charlson's comorbidity index (CCI). Student T-test was used to test the variation of HGS between admission and discharge. Results: The sample consisted of 80 elderlies with an average age of 68.1 ± 5.8 years, mostly male (77.5%) and with surgical profiles (92.5%). In the comparison between HGS at admission and discharge, no significant differences were found (29.8 ± 7.5 kgf; 30.0 ± 7.8 kgf; p-value= 0.698). However, different forms of variation were observed 36.2% of participants had an increase in HGS (27.8 ± 9.3 kgf to 32.3 ± 9.6 kgf), whereas 38, 7% had a loss of HGS (30.9 ± 6.7 kgf to 26.8 ± 6.9 kgf) between admission and discharge. Conclusion: There are different trajectories in HGS from admission to discharge in hospitalized elderly, and understanding the factors that favor these variations is important for the rehabilitation process.
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References
Metter EJ, Talbot LA, Schrager M, Conwit R. Skeletal muscle strength as a predictor of all-cause mortality in healthymen. J Gerontol A Biol Sci Med Sci. 2002;57(10):359-65. Doi: https://doi.org/10.1093/gerona/57.10.b359
Martinez BP, Batista AK, Gomes IB, Olivieri FM, Camelier FW, Camelier AA. Frequency of sarcopenia and associated factors among hospitalized elderly patients. BMC Musculoskelet Disord. 2015;16:108. doi: https://doi.org/10.1186/s12891-015-0570-x
Rossi AP, Rubele S, Pelizzari L, Fantin F, Morgante S, Marchi O, et al. Hospitalization effects on physical performance and muscle strength in hospitalized elderly subjects. J Gerontol Geriatr Res. 2017;6(2):1000401. Doi: https://doi.org/10.4172/2167-7182.1000401
Boechat JCS, Manhães FC, Gama Filho RV, Istoe RSC. A síndrome do imobilismo e seus efeitos sobre o aparelho locomotor do idoso. Inter Science Place. 2012;1(5):89-107. Doi: http://dx.doi.org/10.6020/1679-9844/2205
Veras R. O modelo assistencial contemporâneo e inovador para os idosos. Rev Bras Geriatr Gerontol. 2020;23(1):e200061. Doi: https://doi.org/10.1590/1981-22562020023.200061
Miranda GMD, Mendes ACG, Silva ALA. O envelhecimento populacional brasileiro: desafios e consequências sociais e futuras. Rev Bras Geriatr Gerontol. 2016;19(3):507-19. Doi: https://doi.org/10.1590/1809-98232016019.150140
Stolt LROG, Kolisch DV, Tanaka C, Cardoso MRA, Schmitt ACB. Internação hospitalar, mortalidade e letalidade crescentes por quedas em idosos no Brasil. Rev Saude Publica. 2020;54:76. Doi: https://doi.org/10.11606/s1518-8787.2020054001691
Garcia PA, Dias JMD, Dias RC, Santos P, Zampa CC. Estudo da relação entre função muscular, mobilidade funcional e nível de atividade física em idosos comunitários. Rev Bras Fisioter. 2011;15(1):15-22. Doi: https://doi.org/10.1590/S1413-35552011000100005
Doherty TJ. Invited review: Aging and sarcopenia. J Appl Physiol (1985). 2003;95(4):1717-27. Doi: https://doi.org/10.1152/japplphysiol.00347.2003
Garcia PA, Dias JMD, Rocha ASS, Almeida NC, Macedo OG, Dias RC. Relação da capacidade funcional, força e massa muscular de idosas com osteopenia e osteoporose. Fisioter Pesq. 2015;22(2):126-32. Doi: https://doi.org/10.590/1809-2950/13154522022015
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. 2019;48(1):16-31. Doi: https://doi.org/10.1093/ageing/afy169
Lourenço RA, Veras RP. Mini-Exame do Estado Mental: características psicométricas em idosos ambulatoriais. Rev Saúde Pública.2006;40(4):712-9. Doi: https://doi.org/10.1590/S0034-89102006000500023
Charlson ME, Pompei P, Ales KL, MacKenzie CR. A new method of classifying prognostic comorbidity in longitudinal studies: development and validation. J Chronic Dis. 1987;40(5):373-83. Doi: https://doi.org/10.1016/0021-9681(87)90171-8
Reis MM, Arantes PMM. Medida da força de preensão manual – validade e confiabilidade do dinamômetro Saehan. Fisioter Pesqui. 2011;18(2):176-81. Doi: https://doi.org/10.1590/S1809-29502011000200013
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. Doi: https://doi.org/10.1093/gerona/61.1.72
Bohannon RW. Grip Strength: An Indispensable Biomarker For Older Adults. Clin Interv Aging. 2019;14:1681-91. Doi: https://doi.org/10.2147/CIA.S194543
Cornette P, Swine C, Malhomme B, Gillet JB, Meert P, D'Hoore W. Early evaluation of the risk of functional decline following hospitalization of older patients: development of a predictive tool. Eur J Public Health. 2006;16(2):203-8. Doi: https://doi.org/10.1093/eurpub/cki054
Kawasaki K, Diogo MJDE. Variação da independência funcional em idosos hospitalizados relacionada a variáveis sociais e de saúde. Acta Fisiatr. 2007;14(3):164-9. Doi: https://doi.org/10.11606/issn.2317-0190.v14i3a102826
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