Joana Ude Viana

Influence of sarcopenia and functionality indicators on the frailty profile of community-dwelling elderly subjects: a cross-sectional study

BACKGROUND Frailty and sarcopenia are frequent conditions in the elderly and are related to inactivity and functionality. However, little is known about the influence of the sarcopenia indicators on the frailty profile or their functional implications. OBJECTIVE To evaluate whether the indirect indicators of sarcopenia and functionality influence the frailty profile in elderly subjects. METHOD This was a cross-sectional study with 53 elderly subjects recruited by an active search in a secondary health care service. The indirect indicators of sarcopenia were body mass index (BMI), gait speed, Mini-Nutritional Assessment (MNA), Human Activity Profile (HAP), and handgrip strength. Frailty was characterized according to Frieds Frailty Phenotype. Functional capacity was assessed according to the Short Physical Performance Battery (SPPB). Physical activity level was assessed by HAP. Data were analyzed by analysis of variance (ANOVA) and multiple regression. RESULTS Overall, 75.5% of the subjects were women, with a mean age of 76.72 (±5.89) years; 15.1% were frail and 54.7% pre-frail; and the level of physical activity was the most prevalent indicator of sarcopenia. Significant differences (p<0.05) were observed in both the physical activity level and gait speed between the non-frail and pre-frail groups and between the non-frail and frail groups. In addition, some sarcopenia indicators were associated with functional capacity and geriatric depression score. CONCLUSION The level of physical activity and gait speed appeared to be the most relevant factors in the development of frailty in the study sample, which may have functional implications.

Influence of Frailty and Falls on Functional Capacity and Gait in Community-Dwelling Elderly Individuals

Objectives: To determine whether there are differences in functionality and gait between fallers and nonfallers in frailty groups. Methods: A cross-sectional study involving 125 community-dwelling elderly individuals. Frailty, falls, functional capacity, and gait were assessed. Results: Functional capacity and spatial-temporal variables of gait differed significantly between the groups with different degrees of frailty (P < .05). Significant differences were found in Dynamic Gait Index scores between the groups divided by degree of frailty and falls (P < .05). Discussion: Falls did not lead to injury in the majority of elderly individuals in the study and therefore did not aggravate the adverse consequences of frailty.

Nutritional Risk is Associated with Chronic Musculoskeletal Pain in Community-dwelling Older Persons: The PAINEL Study

ABSTRACT Malnutrition is a risk factor for noncommunicable diseases related to ageing, and it can also contribute to musculoskeletal health. This study investigated whether nutritional risk is associated with chronic musculoskeletal pain in community-dwelling older persons. Nutritional risk was assessed by the DETERMINE Checklist. Chronic musculoskeletal pain was defined as the presence of pain in the past six months that did not disappear for at least 30 consecutive days. Multivariate logistic regression including confounding variables was used for the analysis. The sample was comprised of 383 participants (age 75.6 ± SD 6.1); the majority were at moderate-to-high nutritional risk (69%) and approximately one third presented chronic musculoskeletal pain (30%). The nutritional risk score was independently associated with chronic musculoskeletal pain: adding one unit in the risk score produces an 11% increment in the odds of presenting pain (OR 1.109, 95% CI 1.022–1.204). Individuals classified into moderate- or high-risk categories also had substantially higher odds (∼90%) of presenting chronic musculoskeletal pain when compared to those in the low-risk category, although our findings were only marginally significant. This is the first study to demonstrate the association between nutritional risk and chronic musculoskeletal pain above and beyond the contributed effects from relevant confounders.

Quedas intra-hospitalares na Santa Casa de Belo Horizonte MG são adequadamente relatadas?

The Population ageing is a reality that comes gripped by complications related to aging, being in-hospital falls one of the most important, considering that they bring on a lot of negative consequences to the patient and his family as well as to the health system. The objective of this study was to assess and quantify, through the analyses of interviews with professionals responsible for the care of the patients at Santa Casa of Belo Horizonte, the occurrence of in-hospital falls. The interview was accomplished with 37 professionals(doctors, interns and nurses) through a semi-structured questionnaire which comprehended 11 questions related to the historical of falls in the sector, comprising information on the number of episodes, setting, time, patient age, activity performed at the moment, consequences, as well as questions regarding to environment adaptation. Data analysis conducted by means of descriptive statistics of the interviews showed that 65% of the employee reported the occurrence of falls. The majority (73%) of fallers was men, with mean age of 78, 62 years (SD +- 7, 63) and fell more in the morning (31%) and in the evening (31%), mainly in the room (48%) and in the bathroom (42%), being 50% of the episodes non-injurious. We conclude that falls episodes occur in the hospital setting, but are not reported adequately, showing the need of adoption of educational measures to the professional who deal with this population.

Pontos de corte alternativos para massa muscular apendicular para verificação da sarcopenia em idosos brasileiros: dados da Rede Fibra - Belo Horizonte/Brasil

Se establecieron puntos de corte alternativos para el calculo de la masa muscular apendicular (MMA) en ancianos brasilenos para clasificar la sarcopenia. Fueron analizados datos de 562 ancianos participantes del estudio Fibra (Debilidad en Ancianos Brasilenos), en el polo Belo Horizonte. Por medio de la ecuacion de Lee, se determinaron puntos de corte para MMA basado en la percentil 20 de su distribucion en la poblacion estudiada. Luego, los sujetos fueron clasificados para sarcopenia de acuerdo con los criterios del Consenso Europeo sobre Definicion y Diagnostico de la Sarcopenia en Ancianos, ademas de evaluadas las posibles asociaciones de esta con la capacidad funcional y comorbidades. La gran parte de la muestra fue compuesta por mujeres (el 65,5%) con edad media de 74,1 (±6,4) y promedio de 1,5 (±1,4) comorbidades. Los puntos de corte para MMA fueronCorresponding address: Joana Ude Viana – Avenida Presidente Antônio Carlos, 6.627, Pampulha – Belo Horizonte (MG), Brasil – Zip Code: 31270-901 – Phone: (31) 3409-4781 – E-mail: joana_ude@yahoo.com.br – Finance source: Fundação de Amparo à Pesquisa de Minas Gerais (Fapemig), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) – Conflict of interests: Nothing to declare – Presentation: Feb. 3th, 2017 – Accepted for publication: Mar. 5th, 2018 – Approved by the Research Ethics Committee of Universidade Federal de Minas Gerais under Protocol no. 187/07. Alternative appendicular muscle mass cut-off points for verification of sarcopenia in older Brazilians: data from Rede Fibra – Belo Horizonte/Brazil Pontos de corte alternativos para massa muscular apendicular para verificação da sarcopenia em idosos brasileiros: dados da Rede Fibra – Belo Horizonte/Brasil Puntos de corte alternativos para la masa muscular apendicular para la certificación de la sarcopenia en ancianos brasileños: datos de Red Fibra – Belo Horizonte/Brasil Joana Ude Viana1, João Marcos Domingues Dias2, Leani Souza Máximo Pereira2, Silvia Lanziotti Azevedo da Silva3, Lucas Freitas Hoelzle4, Rosângela Corrêa Dias2

Puntos de corte alternativos para la masa muscular apendicular para la certificación de la sarcopenia en ancianos brasileños: datos de Red Fibra - Belo Horizonte/Brasil

Se establecieron puntos de corte alternativos para el calculo de la masa muscular apendicular (MMA) en ancianos brasilenos para clasificar la sarcopenia. Fueron analizados datos de 562 ancianos participantes del estudio Fibra (Debilidad en Ancianos Brasilenos), en el polo Belo Horizonte. Por medio de la ecuacion de Lee, se determinaron puntos de corte para MMA basado en la percentil 20 de su distribucion en la poblacion estudiada. Luego, los sujetos fueron clasificados para sarcopenia de acuerdo con los criterios del Consenso Europeo sobre Definicion y Diagnostico de la Sarcopenia en Ancianos, ademas de evaluadas las posibles asociaciones de esta con la capacidad funcional y comorbidades. La gran parte de la muestra fue compuesta por mujeres (el 65,5%) con edad media de 74,1 (±6,4) y promedio de 1,5 (±1,4) comorbidades. Los puntos de corte para MMA fueronCorresponding address: Joana Ude Viana – Avenida Presidente Antônio Carlos, 6.627, Pampulha – Belo Horizonte (MG), Brasil – Zip Code: 31270-901 – Phone: (31) 3409-4781 – E-mail: joana_ude@yahoo.com.br – Finance source: Fundação de Amparo à Pesquisa de Minas Gerais (Fapemig), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) – Conflict of interests: Nothing to declare – Presentation: Feb. 3th, 2017 – Accepted for publication: Mar. 5th, 2018 – Approved by the Research Ethics Committee of Universidade Federal de Minas Gerais under Protocol no. 187/07. Alternative appendicular muscle mass cut-off points for verification of sarcopenia in older Brazilians: data from Rede Fibra – Belo Horizonte/Brazil Pontos de corte alternativos para massa muscular apendicular para verificação da sarcopenia em idosos brasileiros: dados da Rede Fibra – Belo Horizonte/Brasil Puntos de corte alternativos para la masa muscular apendicular para la certificación de la sarcopenia en ancianos brasileños: datos de Red Fibra – Belo Horizonte/Brasil Joana Ude Viana1, João Marcos Domingues Dias2, Leani Souza Máximo Pereira2, Silvia Lanziotti Azevedo da Silva3, Lucas Freitas Hoelzle4, Rosângela Corrêa Dias2

Alternative appendicular muscle mass cut-off points for verification of sarcopenia in older Brazilians: data from Rede Fibra - Belo Horizonte/Brazil

Se establecieron puntos de corte alternativos para el calculo de la masa muscular apendicular (MMA) en ancianos brasilenos para clasificar la sarcopenia. Fueron analizados datos de 562 ancianos participantes del estudio Fibra (Debilidad en Ancianos Brasilenos), en el polo Belo Horizonte. Por medio de la ecuacion de Lee, se determinaron puntos de corte para MMA basado en la percentil 20 de su distribucion en la poblacion estudiada. Luego, los sujetos fueron clasificados para sarcopenia de acuerdo con los criterios del Consenso Europeo sobre Definicion y Diagnostico de la Sarcopenia en Ancianos, ademas de evaluadas las posibles asociaciones de esta con la capacidad funcional y comorbidades. La gran parte de la muestra fue compuesta por mujeres (el 65,5%) con edad media de 74,1 (±6,4) y promedio de 1,5 (±1,4) comorbidades. Los puntos de corte para MMA fueronCorresponding address: Joana Ude Viana – Avenida Presidente Antônio Carlos, 6.627, Pampulha – Belo Horizonte (MG), Brasil – Zip Code: 31270-901 – Phone: (31) 3409-4781 – E-mail: joana_ude@yahoo.com.br – Finance source: Fundação de Amparo à Pesquisa de Minas Gerais (Fapemig), Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) – Conflict of interests: Nothing to declare – Presentation: Feb. 3th, 2017 – Accepted for publication: Mar. 5th, 2018 – Approved by the Research Ethics Committee of Universidade Federal de Minas Gerais under Protocol no. 187/07. Alternative appendicular muscle mass cut-off points for verification of sarcopenia in older Brazilians: data from Rede Fibra – Belo Horizonte/Brazil Pontos de corte alternativos para massa muscular apendicular para verificação da sarcopenia em idosos brasileiros: dados da Rede Fibra – Belo Horizonte/Brasil Puntos de corte alternativos para la masa muscular apendicular para la certificación de la sarcopenia en ancianos brasileños: datos de Red Fibra – Belo Horizonte/Brasil Joana Ude Viana1, João Marcos Domingues Dias2, Leani Souza Máximo Pereira2, Silvia Lanziotti Azevedo da Silva3, Lucas Freitas Hoelzle4, Rosângela Corrêa Dias2

Influence of frailty phenotype items on functional capacity and falls occurrence in frail community-dwelling older adults: analysis of FIBRA Study

Background: Items of frailty phenotype and frailty load can differently influence functional capacity and risk of falls in frail older adults. Methods: The FIBRA study is a cross-sectional, multicentric, and multidisciplinary investigation of 617 community-dwelling older adults from Brazil considered frail by the frailty phenotype. Results and Conclusion: Functional capacity for basic activities of daily living was different for those older adults positive at gait slowness (P = .002); for instrumental activities of daily living differences occurred for 4 positive items; for falls differences appeared only for gait slowness (P = .30). As older adults are considered frail, frailty load is not strongly associated with functional capacity and falls occurrence.