Contribuições da participação social para equilíbrio dinâmico, mobilidade e força muscular de diferentes faixas etárias de idosos: um estudo transversal
DOI:
https://doi.org/10.1590/1809-2950/22000530012023ENPalavras-chave:
Idoso, Desempenho Físico-FuncionalResumo
O objetivo deste estudo foi investigar as contribuições da participação social em grupos de promoção de saúde e programas de exercícios físicos regulares para o desempenho físico e funcional de idosos comunitários de diferentes faixas etárias. Para tanto, realizou-se um estudo transversal com 266 idosos. O desempenho físico e funcional (variáveis dependentes) foi caracterizado com base no equilíbrio dinâmico (teste de degrau alternado), na mobilidade (teste timed up and go), na força muscular dos membros superiores (dinamômetro de preensão manual) e inferiores (teste de sentar e levantar). Os participantes foram questionados sobre sua participação social ativa em grupos de atenção primária e em programas de exercícios físicos. Os dados foram analisados por regressões lineares. Entre os indivíduos com 80 anos ou mais, as mulheres participaram menos de grupos de promoção de saúde, e ambos os sexos praticaram menos exercícios físicos. A idade combinada com o exercício regular explicou significativamente 18,7% do equilíbrio dinâmico e 22,8% da força muscular dos membros inferiores em mulheres. Para os participantes do sexo masculino, independentemente da participação social, apenas a idade explicou 11,9% da força dos membros inferiores e 11,5% da mobilidade. Verificou-se que a participação social em programas de exercícios físicos foi um fator protetor, entre as mulheres, para essas diferenças físicas e funcionais entre faixas etárias. Entre os homens, o desempenho de mobilidade e força dos membros inferiores foi piorando conforme o aumento da idade, independentemente da participação social.
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Cosco TD, Howse K, Brayne C. Healthy ageing, resilience and wellbeing. Epidemiol Psychiatr Sci. 2017;26(6):579-83. doi: https://doi.org/10.1017/S2045796017000324.
Gutiérrez M, Tomás JM, Calatayud P. Contributions of psychosocial factors and physical activity to successful aging. Span J Psychol. 2018;21:E26. doi: https://doi.org/10.1017/sjp.2018.27.
Ross M, Lithgow H, Hayes L, Florida-James G. Potential cellular and biochemical mechanisms of exercise and physical activity on the ageing process. Subcell Biochem. 2019;91:311-38. doi: 10.1007/978-981-13-3681-2_12.
Wang T, Wu Y, Li W, Li S, Sun Y, Li S, et al. Weak grip strength and cognition predict functional limitation in older Europeans. J Am Geriatr Soc. 2019;67(1):93-9. doi: 10.1111/jgs.15611.
Tieland M, Trouwborst I, Clark BC. Skeletal muscle performance and ageing. J Cachexia Sarcopenia Muscle. 2018;9(1):3-19. doi: 10.1002/jcsm.12238.
Levasseur M, Généreux M, Bruneau JF, Vanasse A, Chabot E, Beaulac C, et al. Importance of proximity to resources, social support, transportation and neighborhood security for mobility and social participation in older adults: results from a scoping study. BMC Public Health. 2015;15:503. doi: 10.1186/s12889-015-1824-0.
World Health Organization. International Classification of Functioning, Disability and Health (ICF). Geneva: WHO; 2001.
Levasseur M, Richard L, Gauvin L, Raymond E. Inventory and analysis of definitions of social participation found in the aging literature: proposed taxonomy of social activities. Soc Sci Med. 2010; 71(12):2141-9. doi:10.1016/j.socscimed.2010.09.041.
Oliveira A, Nossa P, Mota-Pinto A. Assessing functional capacity and factors determining functional decline in the elderly: a cross-sectional study. Acta Med Port. 2019;32(10):654-60. doi: 10.20344/amp.11974.
Makizako H, Shimada H, Doi T, Tsutsumimoto K, Lee S, Lee SC, et al. Age-dependent changes in physical performance and body composition in community-dwelling Japanese older adults. J Cachexia Sarcopenia Muscle. 2017;8(4):607-14. doi: 10.1002/jcsm.12197. Garcia et al. Exercise-related changes in physical performance 11.
Ibrahim A, Singh DKA, Shahar S. ‘Timed Up and Go’ test: age, gender and cognitive impairment stratified normative values of older adults. PLoS One. 2017;12(10):e0185641. doi: 10.1371/journal.pone.0185641.
Stenholm S, Shardell M, Bandinelli S, Guralnik JM, Ferrucci L. Physiological factors contributing to mobility loss over 9 years of follow-up – results from the inCHIANTI Study. J Gerontol A Biol Sci Med Sci. 2015;70(5):591-7. doi: 10.1093/gerona/glv004.
Coelho-Junior HJ, Uchida MC, Gonçalves IO, Calvani R, Rodrigues B, Picca A, et al. Age- and gender-related changes in physical function in community-dwelling Brazilian adults aged 50 to 102 years. J Geriatr Phys Ther. 2021;44(2):E123-3. doi: 10.1519/JPT.0000000000000246.
von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke J. The Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. J Clin Epidemiol. 2008;61(4):344-9. doi: 10.1016/j.jclinepi.2007.11.008.
Tiedemann A, Lord SR, Sherrington C. The development and validation of a brief performance-based fall risk assessment tool for use in primary care. J Gerontol A Biol Sci Med Sci. 2010;65(8):896-903. doi: 10.1093/gerona/glq067.
Tiedemann A, Shimada H, Sherrington C, Murray S, Lord S. The comparative ability of eight functional mobility tests for predicting falls in community-dwelling older people. Age Ageing. 2008;37(4):430-5. doi: 10.1093/ageing/afn100.
Pereira JC, Neri SGR, Vainshelboim B, Gadelha AB, Bottaro M, Oliveira RJ, et al. Normative values of knee extensor isokinetic strength for older women and implications for physical function. J Geriatr Phys Ther. 2019;42(4):E25-31. doi: 10.1519/JPT.0000000000000198.
Bohannon RW, Shove ME, Barreca SR, Masters LM, Sigouin CS. Five-repetition sit-to-stand test performance by communitydwelling adults: a preliminary investigation of times, determinants, and relationship with self-reported physical performance. Isokinet Exerc Sci. 2007;15(2):77-81. doi: 10.3233/IES-2007-0253.
Schaubert KL, Bohannon RW. Reliability and validity of three strength measures obtained from community-dwelling elderly persons. J Strength Cond Res. 2005;19(3):717-20. doi: 10.1519/R-15954.1.
Mong Y, Teo TW, Ng SS. 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Arch Phys Med Rehabil. 2010;91(3):407-13. doi: 10.1016/j.apmr.2009.10.030.
Xu HQ, Shi JP, Shen C, Liu Y, Liu JM, Zheng XY. Sarcopeniarelated features and factors associated with low muscle mass, weak muscle strength, and reduced function in Chinese rural residents: a cross-sectional study. Arch Osteoporos. 2018;14(1):2. doi: 10.1007/s11657-018-0545-2.
Podsiadlo D, Richardson S. The timed “up and go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. doi: 10.1111/j.1532-5415.1991.tb01616.x.
Piercy KL, Troiano RP, Ballard RM, Carlson SA, Fulton JE, Galuska DA, et al. The physical activity guidelines for Americans. JAMA. 2018;320(19):2020-8. doi: 10.1001/jama.2018.14854.
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. Hillsdale: Lawrence Erlbaum Associates; 1988.
Landi F, Calvani R, Tosato M, Martone AM, Fusco D, Sisto A, et al. Age-related variations of muscle mass, strength, and physical performance in community-dwellers: results from the Milan EXPO survey. J Am Med Dir Assoc. 2017;18(1):88. 17-88.e24. doi: 10.1016/j.jamda.2016.10.007.
Dong X, Bergren SM, Simon MA. The decline of directly observed physical function performance among U.S. Chinese older adults. J Gerontol A Biol Sci Med Sci. 2017;72(Suppl 1):S11-5. doi: 10.1093/gerona/glx046.
Blasco-Lafarga C, Cordellat A, Forte A, Roldán A, Monteagudo P. Short and long-term trainability in older adults: training and detraining following two years of multicomponent cognitivephysical exercise training. Int J Environ Res Public Health. 2020;17(16):5984. doi: 10.3390/ijerph17165984.
Rosa MV, Perracini MR, Ricci NA. Usefulness, assessment and normative data of the Functional Reach Test in older adults: a systematic review and meta-analysis. Arch Gerontol Geriatr. 2019;81:149-70. doi: 10.1016/j.archger.2018.11.015.
Takeshima N, Islam MM, Rogers ME, Koizumi D, Tomiyama N, Narita M, et al. Pattern of age-associated decline of static and dynamic balance in community-dwelling older women. Geriatr Gerontol Int. 2014;14(3):556-60. doi: 10.1111/ggi.12132.
Nakagawa HB, Ferraresi JR, Prata MG, Scheicher ME. Postural balance and functional independence of elderly people according to gender and age: cross-sectional study. Sao Paulo Med J. 2017;135(3):260-5. doi: 10.1590/1516-3180.2016.0325280217.
Choudhary R. Age and gender- related test performance in community dwelling elderly population: six-minute step test and four square step test. Indian J Physiother Occup Ther. 2020;14(1):202-6. doi: 10.37506/ijpot.v14i1.3427.
Siddiqi FA, Masood T, Osama M, Azim ME, Babur MN. Common balance measures and fall risk scores among older adults in Pakistan: normative values and correlation. J Pak Med Assoc. 2019; 69(2):246-9.
Hamed A, Bohm S, Mersmann F, Arampatzis A. Follow-up efficacy of physical exercise interventions on fall incidence and fall risk in healthy older adults: a systematic review and meta-analysis. Sports Med Open. 2018;4(1):56. doi: 10.1186/s40798-018-0170-z.
Marzetti E, Hwang AC, Tosato M, Peng LN, Calvani R, Picca A, et al. Age-related changes of skeletal muscle mass and strength among Italian and Taiwanese older people: results from the Milan EXPO 2015 survey and the I-Lan Longitudinal Aging Study. Exp Gerontol. 2018;102:76-80. doi: 10.1016/j.exger.2017.12.008.
Kamide N, Kamiya R, Nakazono T, Ando M. Reference values for hand grip strength in Japanese community-dwelling elderly: a meta-analysis. Environ Health Prev Med. 2015;20(6):441-6. doi: 10.1007/s12199-015-0485-z.
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Copyright (c) 2023 Patrícia Azevedo Garcia, Arielle Rodrigues Maringolo, Sabrina Nunes Gabriel, Cristiane de Almeida Nagata, Tânia Cristina Dias da Silva Hamu
Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.
