Fernanda Sotello Batista1, Grace Angélica de Oliveira Gomes2, Maria José D'Elboux3, Fernanda Aparecida Cintra3, Anita Liberalesso Neri4, Maria Elena Guariento5, Maria da Luz Rosário de Souza6. 1. Municipal Health Department, Santos, São Paulo, Brazil. 2. Department of Gerontology, Universidade Federal de São Carlos, São Carlos, São Paulo, Brazil. 3. School of Nursing, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil. 4. Department of Education, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil. 5. Department of Internal Medicine, Faculdade de Ciências Médicas, Universidade Estadual de Campinas, Campinas, São Paulo, Brazil. 6. Department of Dentistry, Faculdade de Odontologia de Piracicaba, Universidade Estadual de Campinas, Piracicaba, São Paulo, Brazil.
Abstract
CONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS) with functional independence in relation to sex, age and number of frailty criteria, and to ascertain the influence of these variables on elderly outpatients' independence. DESIGN AND SETTING: Quantitative cross-sectional study, in a tertiary hospital. METHODS: The study was conducted on 150 elderly outpatients of both sexes who were in a cognitive condition allowing oral communication, between October 2005 and October 2007. The following instruments were used: five-times sit-to-stand test (FTSST), Functional Independence Measurement (FIM) and Lawton's Instrumental Activities of Daily Living Scale (IADL). Descriptive, comparative, multivariate, univariate and Cronbach alpha analyses were performed. RESULTS: The mean time taken in the FTSST was 21.7 seconds; the mean score for FIM was 82.2 and for IADL was 21.2; 44.7% of the subjects presented 1-2 frailty criteria and 55.3% > 3 criteria. There was a significant association between LLMS and functional independence in relation to the number of frailty criteria, without homogeneity regarding sex and age. Functional independence showed significant influence from sex and LLMS. CONCLUSION: Elderly individuals with 1 or 2 frailty criteria presented greater independence in all FTSST scores. The subjects with higher LLMS presented better functional independence.
CONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS) with functional independence in relation to sex, age and number of frailty criteria, and to ascertain the influence of these variables on elderly outpatients' independence. DESIGN AND SETTING: Quantitative cross-sectional study, in a tertiary hospital. METHODS: The study was conducted on 150 elderly outpatients of both sexes who were in a cognitive condition allowing oral communication, between October 2005 and October 2007. The following instruments were used: five-times sit-to-stand test (FTSST), Functional Independence Measurement (FIM) and Lawton's Instrumental Activities of Daily Living Scale (IADL). Descriptive, comparative, multivariate, univariate and Cronbach alpha analyses were performed. RESULTS: The mean time taken in the FTSST was 21.7 seconds; the mean score for FIM was 82.2 and for IADL was 21.2; 44.7% of the subjects presented 1-2 frailty criteria and 55.3% > 3 criteria. There was a significant association between LLMS and functional independence in relation to the number of frailty criteria, without homogeneity regarding sex and age. Functional independence showed significant influence from sex and LLMS. CONCLUSION: Elderly individuals with 1 or 2 frailty criteria presented greater independence in all FTSST scores. The subjects with higher LLMS presented better functional independence.
Authors: David Navarrete-Villanueva; Alba Gómez-Cabello; Jorge Marín-Puyalto; Luis Alberto Moreno; Germán Vicente-Rodríguez; José Antonio Casajús Journal: Sports Med Date: 2021-01 Impact factor: 11.136
Authors: Nelson H Carneiro; Alex S Ribeiro; Matheus A Nascimento; Luís A Gobbo; Brad J Schoenfeld; Abdallah Achour Júnior; Sebastião Gobbi; Arli R Oliveira; Edilson S Cyrino Journal: Clin Interv Aging Date: 2015-03-05 Impact factor: 4.458
Authors: Wioletta Dziubek; Weronika Pawlaczyk; Małgorzata Stefańska; Joanna Waligóra; Maria Bujnowska-Fedak; Joanna Kowalska Journal: Int J Environ Res Public Health Date: 2020-10-25 Impact factor: 3.390