Fragilidade clínico-funcional e risco de desenvolver sarcopenia em idosos da comunidade

Autores

  • Agnaldo José Lopes Centro Universitário Augusto Motta (UNISUAM) – Rio de Janeiro (RJ), Brasil.
  • Júnia Moreira Macedo Centro Universitário Augusto Motta (UNISUAM) – Rio de Janeiro (RJ), Brasil.
  • Humberto Negrão Teixeira Fernandes Centro Universitário Augusto Motta (UNISUAM) – Rio de Janeiro (RJ), Brasil.

DOI:

https://doi.org/10.1590/

Palavras-chave:

Idoso, Sarcopenia, Fragilidade, Desempenho

Resumo

Idosos devem ser rotineiramente rastreados
para fragilidade, que ameaça o envelhecimento saudável.
O Índice de Vulnerabilidade Clínico-Funcional (IVCF-20)
é uma ferramenta de triagem de fragilidade que tem sido
cada vez mais usada, embora pouco se saiba sobre sua
associação com ferramentas de triagem de sarcopenia.
Este estudo avaliou a fragilidade clínico-funcional em
idosos por meio do IVCF-20, buscando determinar sua
relação com o risco de desenvolvimento de sarcopenia.
Este estudo transversal incluiu 40 idosos da comunidade
(73,4 ± 7,9 anos, 75% do sexo feminino) que realizaram
o IVCF-20. Além disso, eles foram submetidos à
circunferência da panturrilha (CC), ao questionário
SARC-CalF, à força de preensão manual (FPM), ao teste
de sentar-levantar cinco vezes (TSLCV) e ao teste Timed
Up and Go (TUG). De acordo com o IVCF-20, 30%,
40% e 30% dos participantes foram classificados como
robustos, pré-vulneráveis e vulneráveis, respectivamente.
A pontuação IVCF-20 se correlacionou com CS-5 (rs=0,75,
p=<0,0001), TUG (rs=0,67, p=<0,0001) e SARC-CalF
(rs=0,52, p=0,0005). O IVCF-20 também foi associado
à raça caucasiana, ao sedentarismo, ao histórico de
tabagismo, à doença ortopédica, à doença cardíaca e à
doença neurológica. Não houve correlação significativa
do IVCF-20 com CC ou FPM. As categorias do IVCF-20
diferiram estatisticamente nas seguintes variáveis: idade,
estatura, SARC-CalF, CS-5 e TUG. Em idosos comunitários,
existe relação entre fragilidade clínico-funcional avaliada
por IVCF-20, sarcopenia, mobilidade e balanço corporal.
Além disso, existe uma relação entre a fragilidade clínicofuncional
e a carga de doença. Assim, o IVCF-20 pode ser
considerado um indicador de boa saúde e funcionalidade

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Biografia do Autor

  • Humberto Negrão Teixeira Fernandes, Centro Universitário Augusto Motta (UNISUAM) – Rio de Janeiro (RJ), Brasil.

    Older adults should be routinely screened for
    frailty, which threatens healthy aging. The Clinical-Functional
    Vulnerability Index (IVCF-20) is a frailty screening tool that
    has been increasingly used, although little is known about
    its association with sarcopenia screening tools. This study
    evaluated clinical-functional frailty in older adults using
    the IVCF-20, seeking to determine its relationship with
    the risk of developing sarcopenia. This cross-sectional
    study included 40 community-dwelling older adults
    (73.4±7.9 years, 75% female) who underwent the IVCF-
    20. In addition, they underwent calf circumference (CC)
    measurement, SARC-CalF, handgrip strength (HGS), fiverepetition
    chair stand test (CS-5), and Timed Up and Go
    test (TUG). According to the IVCF-20, 30%, 40%, and 30%
    of participants were classified as robust, pre-vulnerable, and vulnerable, respectively. The IVCF-20 score correlated with
    CS-5 (rs=0.75, p≤0.0001), TUG (rs=0.67, p≤0.0001), and SARCCalF
    (rs=0.52, p=0.0005). IVCF-20 was also associated with
    White skin-color, physical inactivity, smoking history, orthopedic
    disease, heart disease, and neurological disease. There was no
    significant correlation between IVCF-20 and CC or HGS. The IVCF-
    20 categories were statistically different in terms of the following
    variables: age, height, SARC-CalF, CS-5, and TUG. In communitydwelling
    older adults, there is a relationship between clinicalfunctional
    frailty assessed by the IVCF-20, sarcopenia, mobility,
    and body balance. Furthermore, there is a relationship between
    clinical-functional frailty and the burden of disease. Thus, the
    IVCF-20 can be considered an indicator of good health and overall
    functioning in older adults.

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Publicado

2026-07-20

Edição

v. 33 n. n cont (2026)

Seção

Pesquisa Original

Licença

Direitos autorais (c) 2026 Agnaldo José Lopes, Júnia Moreira Macedo, Humberto Negrão Teixeira Fernandes

Creative Commons License

Este trabalho está licenciado sob uma licença Creative Commons Attribution-ShareAlike 4.0 International License.

Como Citar

Fragilidade clínico-funcional e risco de desenvolver sarcopenia em idosos da comunidade. (2026). Fisioterapia E Pesquisa, 33(n cont), e23009326. https://doi.org/10.1590/