Functional Capacity of Oldest Old Living in a Long-stay Institution in Rio De Janeiro, Brazil

Dias, Fabiano Moura; Costa, Susana Ortiz; Freitas, Jeter Pereira de; Pinto, Adriana da Costa Rocha; Vigário, Patrícia dos Santos; Mainenti, Míriam Raquel Meira

doi:10.1589/jpts.26.1097

Cited by 12 publications

(10 citation statements)

References 61 publications

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“…Besides, ageing may affect physical performance of older adults, evoking negative impacts on their behavior and consequent changes in lifestyle, causing them to become dependent 5 ) . Several studies have reported that the loss of functional capacity in elderly people is usually related to the presence and complexity of comorbidities 6 ) . Although several mechanisms may be related to this impairment of physical function in this population, the gradual loss of muscle mass and strength is often associated with the onset and establishment of disabilities 7 ) .…”

Section: Introductionmentioning

confidence: 99%

Angiotensin-II blockage, muscle strength, and exercise capacity in physically independent older adults

et al. 2016

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[Purpose] This study aimed to assess the exercise capacity and muscle strength in elderly people using drugs for angiotensin-II blockage. [Subjects and Methods] Four hundred and seven older adults were recruited for this study. Data about comorbidities and medication use were recorded and the individuals were divided into three groups: control group- elderly people with normal exercise capacity (n=235); angiotensin-converting enzyme inhibitor group − individuals using angiotensin-converting enzyme inhibitors (n=140); and angiotensin-II receptor blocker group- patients using angiotensin-II receptor blockers (n= 32). Exercise capacity was evaluated by a 6-minute walking test and muscle strength was measured using a handgrip dynamometer. [Results] Patients from the angiotensin-converting enzyme inhibitor group (mean: 99 ± 12%) and the angiotensin-II receptor blocker group (mean: 101 ± 14%) showed higher predicted values in the 6-minute walking test than the control group patients (mean: 96 ± 10%). Patients from the angiotensin-converting enzyme inhibitor group (mean: 105 ± 19%) and the angiotensin-II receptor blocker group (mean: 105.1 ± 18.73%) showed higher predicted values of muscle strength than control group patients (mean: 98.15 ± 18.77%). [Conclusion] Older adults using angiotensin-converting enzyme inhibitors or angiotensin-II receptor blockers have better functional exercise capacity and muscle strength.

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Section: Introductionmentioning

confidence: 99%

Angiotensin-II blockage, muscle strength, and exercise capacity in physically independent older adults

et al. 2016

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“…Handgrip strength (HGS) is an objective measure of muscular function in the upper extremity and has been used as a marker of frailty in older adults 1 , 2 , 3 ) . In general, measurement of HGS is performed with the dominant hand to determine the highest strength value.…”

Section: Introductionmentioning

confidence: 99%

Handgrip strength dominance is associated with difference in forearm muscle size

Abe

Loenneke

2015

J Phys Ther Sci

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[Purpose] It is unknown whether handgrip strength dominance is related to the size of the forearm flexor muscles. The purpose of the present study was to investigate the relationship between side-by-side differences in handgrip strength and forearm muscle thickness. [Subjects] Thirty-one young women (26 right handed and 5 left handed) between the ages of 20 and 33 years volunteered to participate. [Methods] Two muscle thicknesses (forearm-ulna and forearm-radius muscle thicknesses) were measured using B-mode ultrasound at the anterior forearm on both sides of the body. Handgrip strength was also measured on both sides. [Results] The side-by-side difference in handgrip strength was 10.2% for the right-handed group, meaning the right hand was stronger. However, the left hand of the left-handed group was 7.8% stronger compared with their right hand. There was a significant positive correlation between side-by-side differences in handgrip strength and forearm-ulna muscle thickness (r = 0.765) and between handgrip strength and forearm-radius muscle thickness (r = 0.622). [Conclusion] Our results indicate that side-by-side differences in forearm muscle size may strongly contribute to handgrip strength dominance.

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“…Tal achado não difere de diversos estudos que descrevem o perfil dos idosos institucionalizados ao destacar fatores como a predominância do sexo feminino, faixa etária acima dos 70 anos, baixa escolaridade, renda próxima a um salário mínimo, alteração na cognição, uso de mais de um medicamento, alta prevalência de diagnósticos de doenças crônicas e algum grau de dependência para atividades de vida diária. 2,3,6,24 Este estudo realizado com idosos institucionalizados permitiu evidenciar que, apesar da alta prevalência de dor crônica (67,3%), sua presença não se associou significativamente à presença de quedas. Entretanto, demonstrou-se que a dor crônica osteomuscular de intensidade moderada é fator de risco independente para quedas (Figura 2).…”

Section: Discussionunclassified

Dor crônica, equilíbrio e quedas de idosos em Instituições de Longa Permanência

et al. 2017

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Introdução: Entre pessoas idosas, destacando-se as institucionalizadas, as quedas constituem um dos principais problemas clínicos e de saúde pública devido à sua alta incidência, às consequentes complicações para a saúde e aos altos custos assistenciais. Além disso, existe a realidade da alta prevalência de doenças osteomusculares com quadros álgicos importantes. Objetivos: Verificar se existe associação entre a presença de dor crônica de origem osteomuscular, deficit de equilíbrio e ocorrência de quedas no último ano em idosos institucionalizados. Métodos: A amostra de idosos residentes em três instituições filantrópicas na região metropolitana de Porto Alegre foi submetida à aplicação dos questionários Miniexame do Estado Mental, Escala de Equilíbrio de Berg, além de um formulário sobre o perfil sociodemográfico e clínico. Resultados: Foram avaliados 49 idosos, dentre eles, 83,7% mulheres, 44,9% viúvas, 46,9% com escolaridade menor do que oito anos, e 61,2% realizavam algum tipo de atividade física. A média do escore total de BERG no grupo com quedas foi similar a do grupo sem quedas e também o foi entre os grupos com dor e sem dor. Entretanto, houve diferença significativa entre aqueles com idade até 79 anos e os longevos. Conclusões: Não foi encontrada associação entre a presença de dor crônica de origem osteomuscular com o desequilíbrio e as quedas. Porém, a idade avançada demonstrou ser um fator determinante no equilíbrio.Descritores: Envelhecimento; Institucionalização; Dor musculoesquelética; Equilíbrio postural. Abstract Chronic pain, balance and falls of elderly in Long-term residential careIntroduction: Among the elderly, especially those living in nursing home facilities, falls represent major clinical and public health problems. This is due to its high incidence, and consequences include the complications for health and medical care costs. Furthermore, there is a high prevalence of musculoskeletal diseases with significant pain conditions. Objectives: To determine if there's an association between the presence of chronic pain of musculoskeletal origin, balance disorders and falls in the last year in institutionalized elderly. Methods: Mini Mental State Examination, Berg Balance Scale, and a form about the sociodemographic and clinical profile was applied to a sample of elderly residents in three charitable nursing homesies in the metropolitan region of Porto Alegre/ Southern Brazil. Results: There were 49 elderly, of whom 83.7% were women, 44.9% were widows, 46.9% had less than

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Functional Capacity of Oldest Old Living in a Long-stay Institution in Rio De Janeiro, Brazil

Cited by 12 publications

References 61 publications

Angiotensin-II blockage, muscle strength, and exercise capacity in physically independent older adults

Angiotensin-II blockage, muscle strength, and exercise capacity in physically independent older adults

Handgrip strength dominance is associated with difference in forearm muscle size

Dor crônica, equilíbrio e quedas de idosos em Instituições de Longa Permanência

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