Fragilidad clínico-funcional y riesgo de desarrollar sarcopenia en adultos mayores comunitarios

Autores/as

  • 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/

Palabras clave:

Adultos, Sarcopenia, Fragilidad, Desempeño

Resumen

Los adultos mayores deben someterse a exámenes
de detección de la fragilidad de manera rutinaria, la cual amenaza
un envejecimiento saludable. El Índice de Vulnerabilidad Clínico-
Funcional (IVCF-20) es una herramienta de detección de la
fragilidad que se ha utilizado cada vez más, aunque se sabe
poco sobre su asociación con las herramientas de detección de
sarcopenia. Este estudio evaluó la fragilidad clínico-funcional en
ancianos mediante el IVCF-20, con el fin de determinar su relación
con el riesgo de desarrollar sarcopenia. Este estudio transversal
incluyó a 40 adultos mayores (73,4 ± 7,9 años, 75% mujeres)
residentes en la comunidad, a quienes se les realizó el IVCF-20.
Además, se sometieron a la circunferencia de la pantorrilla (CC),
SARC-CalF, fuerza de prensión manual (FPM), prueba de sentarse
y levantarse cinco repeticiones (PSLCR) y prueba Timed Up
and Go (TUG). Según el IVCF-20, el 30%, el 40% y el 30% de los
participantes fueron clasificados como robustos, prevulnerables
y vulnerables, respectivamente. La puntuación IVCF-20 se
correlacionó con PSLCR (rs=0,75, p=<0,0001), TUG (rs=0,67,
p=<0,0001) y SARC-CalF (rs=0,52, p=0,0005). IVCF-20 también
se asoció con raza caucásica, inactividad física, antecedentes de
tabaquismo, enfermedad ortopédica, enfermedad cardíaca y
enfermedad neurológica. No hubo una correlación significativa
de IVCF-20 con CC o FPM. Las categorías IVCF-20 fueron
estadísticamente diferentes en cuanto a las siguientes variables:
edad, talla, SARC-CalF, PSLCR y TUG. En los adultos mayores
comunitarios existe una relación entre la fragilidad clínicofuncional
evaluada por el IVCF-20, la sarcopenia, la movilidad y el
equilibrio corporal. Además, existe una relación entre la fragilidad
clínico-funcional y la carga de enfermedad. Así, el IVCF-20 puede
considerarse como un indicador de buena salud y funcionalidad
global en adultos mayores.

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Biografía del autor/a

  • 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

Número

Vol. 33 Núm. n cont (2026)

Sección

Pesquisa Original

Licencia

Derechos de autor 2026 Agnaldo José Lopes, Júnia Moreira Macedo, Humberto Negrão Teixeira Fernandes

Creative Commons License

Esta obra está bajo una licencia internacional Creative Commons Atribución-CompartirIgual 4.0.

Cómo citar

Fragilidad clínico-funcional y riesgo de desarrollar sarcopenia en adultos mayores comunitarios. (2026). Fisioterapia E Pesquisa, 33(n cont), e23009326. https://doi.org/10.1590/