¿Qué prueba tiene una mejor precisión para el seguimiento de las caídas en los adultos mayores que viven en comunidad: la fuerza de agarre manual o la prueba de sentarse y levantarse de la silla?
DOI:
https://doi.org/10.1590/Palabras clave:
Accidentes por Caídas, Fuerza de ManoResumen
Varios instrumentos pueden utilizarse para realizar un
seguimiento de las caídas en los adultos mayores, entre los cuales se
destacan la fuerza de agarre manual (FAM) y la prueba de sentarse
y levantarse en la silla de 5 repeticiones (PSLS5rep). Sin embargo,
no se sabe cuál de las dos pruebas tendría la mayor capacidad
predictiva para identificar una asociación con el historial de caídas.
Este conocimiento puede identificar a los adultos mayores con
mayor riesgo de caídas y permitir la propuesta y la elaboración de
estrategias de prevención y rehabilitación temprana. Así, se pretende
determinar qué prueba de resistencia tiene mejor precisión para
rastrear caídas en adultos mayores que viven en comunidad: la FAM
o la PSLS5rep. Se trata de un estudio transversal, con una muestra
probabilística de 308 adultos mayores que viven en comunidad.
La variable dependiente fue el historial de caídas reportado en los
últimos 12 meses, y las variables evaluadas fueron el desempeño
en las pruebas FAM y PSLS5rep. El análisis estadístico se realizó
mediante el uso de receiver operating characteristic curves (Roc).
La FAM obtuvo una mejor precisión para rastrear las caídas en
mujeres mayores que viven en comunidad. Las mujeres mayores
con FAM≤16,05 kgF [AUC: 0,69 (IC 95%:0,54-0,81)] tienen más
probabilidades de haber sufrido caídas anteriormente. No se
encontraron los valores pronosticados para FAM en hombres
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Derechos de autor 2026 Letícia Silvano Guimarães, Adriana Neto Parentoni, Vanessa Amaral Mendonça, Ana Cristina Rodrigues Lacerda, Ana Lúcia Danielewicz, Núbia Carelli Pereira de Avelar
Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.
