Respiratory muscle strength for discriminating frailty in community-dwelling elderly: a cross-sectional study

Vidal, Marcela Brito; Pegorari, Maycon Sousa; Santos, Elinaldo C.; Matos, Areolino Pena; Pinto, Ana Carolina Pereira Nunes; Ohara, Daniela Gonçalves

doi:10.1016/j.archger.2020.104082

Cited by 17 publications

(17 citation statements)

References 23 publications

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“…Several interventions targeting the physiologic dysregulation observed in frailty may be thus used to improve outcomes in this vulnerable population. Overall, frailty has been associated with global dysfunction of all organ systems, 39 most notably characterized by impaired immune response, 40,41 respiratory muscle weakness, 42 and disturbances in cortisol regulation. 43 Such impairments may thus contribute to the increased risk of perioperative complications in frail patients observed in the present study, most remarkably infectious and respiratory events.…”

Section: Discussionmentioning

confidence: 99%

Association of Frailty with Perioperative Outcomes Following Hepatic Resection: A National Study

Madrigal

Hadaya

Lee

et al. 2022

Journal of the American Medical Directors Association

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Section: Discussionmentioning

confidence: 99%

Association of Frailty with Perioperative Outcomes Following Hepatic Resection: A National Study

Madrigal

Hadaya

Lee

et al. 2022

Journal of the American Medical Directors Association

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“…Frail and pre-frail older adults present with significantly lower MIP and MEP compared to non-frail older people. Therefore, respiratory muscle strength may be useful for discriminating frailty (43). Besides, decreased PEFR is a risk for frailty and can be a marker of general robustness in older people (44).…”

Section: Sarcopenia Frailty Respiratory Muscles and Functionmentioning

confidence: 99%

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Nagano

Wakabayashi

Maeda

et al. 2021

The Journal of nutrition, health and aging

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The condition of muscle fiber atrophy and weakness that occurs in respiratory muscles along with systemic skeletal muscle with age is known as respiratory sarcopenia. The Japanese Working Group of Respiratory Sarcopenia of the Japanese Association of Rehabilitation Nutrition narratively reviews these areas, and proposes the concept and diagnostic criteria. We have defined respiratory sarcopenia as "wholebody sarcopenia and low respiratory muscle mass followed by low respiratory muscle strength and/or low respiratory function." Respiratory sarcopenia can be caused by various factors such as aging, decreased activity, undernutrition, disease, cachexia, and iatrogenic causes. We have also created an algorithm for diagnosing respiratory sarcopenia. Respiratory function decreases with age in healthy older people, along with low respiratory muscle mass and strength. We have created a new term, "Presbypnea," meaning a decline in respiratory function with aging. Minor functional respiratory disability due to aging, such as that indicated by a modified Medical Research Council level 1 (troubled by shortness of breath when hurrying or walking straight up hill), is an indicator of presbypnea. We also define sarcopenic respiratory disability as "a disability with deteriorated respiratory function that results from respiratory sarcopenia." Sarcopenic respiratory disability is diagnosed if respiratory sarcopenia is present with functional disability. Cases of respiratory sarcopenia without functional disability are diagnosed as "at risk of sarcopenic respiratory disability." Functional disability is defined as a modified Medical Research Council grade of 2 or more. Rehabilitation nutrition, treatment that combines rehabilitation and nutritional management, may be adequate to prevent and treat respiratory sarcopenia and sarcopenic respiratory disability.

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“…Adicionalmente, sabe-se que a redução da massa muscular esquelética representa um risco potencial para as disfunções pulmonares 7 . De acordo Vidal et al 8 as pressões expiratórias e inspiratórias máximas encontramse reduzidas em idosos frágeis, demonstrando que pré-fragilidade e fragilidade são inversamente proporcionais às variáveis de força muscular respiratória.…”

Section: Introductionunclassified

“…Dos estudos encontrados na literatura que associaram a força muscular respiratória e síndrome da fragilidade, observou-se que as pressões respiratórias máximas decrescem ao ponto que se avança a fragilidade, ou seja, idosos pré-frágeis e frágeis apresentam valores menores da pressão inspiratória máxima (PImáx) e pressão expiratória máxima (PEmáx) [8][9][10] . As variáveis de força muscular respiratória, uma vez reduzidas, podem limitar a condição respiratória, o que vulnerabiliza os idosos e potencializa o quadro de fragilidade 8 . Torna-se necessário, portanto, aprofundar a investigação sobre a relação que se estabelece entre as pressões respiratórias máximas e a síndrome de fragilidade.…”

Section: Introductionunclassified

Pressão expiratória máxima é boa preditora de incidência da síndrome de fragilidade em homens idosos

Santos

Fernandes

Pedreira

et al. 2022

Ciênc. saúde coletiva

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Resumo O objetivo deste artigo é investigar a associação entre a Pressão Inspiratória Máxima (PImáx) e Pressão Expiratória Máxima (PEmáx) com a incidência da síndrome de fragilidade (SF), além de testar a capacidade preditiva da PImáx e PEmáx em discriminar a SF em idosos, de acordo com o sexo. Estudo longitudinal com cinco anos de seguimento (2014-2019), realizado com 104 idosos cadastrados na Estratégia Saúde da Família de um município da Bahia. A incidência da síndrome de fragilidade foi diagnosticada de acordo os critérios propostos por Fried et al., utilizando dados de 2019, após cinco anos de seguimento. A PImáx e PEmáx foram avaliadas conforme recomendações da Sociedade Brasileira de Pneumologia e Tisiologia em 2014 (linha de base). A incidência total da SF foi de 16,3% (IC95%: 9,2-23,6), sendo 13,6% (IC95%: 4,56-22,55) no sexo feminino e 20,0% (IC95%: 7,85-32,15) no sexo masculino. Os valores médios da PImáx e PEmáx foram, respectivamente, 60,8±21,2 cmH2O e 76,7±23,1 cmH2O no sexo feminino, e 79,5±27,0 cmH2Oe 114,7±29,8 cmH2O no sexo masculino. A SF esteve associada à PEmáx em idosos do sexo masculino (RR ajustado: 0,96; IC95%: 0,95-0,98; p-valor: 0,002), indicando que o aumento de 1 cmH2O da PEmáx reduz em 4% o risco de desenvolver a síndrome de fragilidade.

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Respiratory muscle strength for discriminating frailty in community-dwelling elderly: a cross-sectional study

Cited by 17 publications

References 23 publications

Association of Frailty with Perioperative Outcomes Following Hepatic Resection: A National Study

Association of Frailty with Perioperative Outcomes Following Hepatic Resection: A National Study

Respiratory Sarcopenia and Sarcopenic Respiratory Disability: Concepts, Diagnosis, and Treatment

Pressão expiratória máxima é boa preditora de incidência da síndrome de fragilidade em homens idosos

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