| Autor: |
Biesek, Simone, Benke Pereira, Adriane Miró Vianna, Filho, Jarbas Melo, Molina, Gabriela Carrascosa, Michalouski, Ruan Felipe, Rabito, Estela, Gomes, Anna Raquel Silveira |
| Předmět: |
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| Zdroj: |
Journal of Exercise Physiology Online; Aug2019, Vol. 22 Issue 4, p68-83, 16p, 1 Diagram, 4 Charts |
| Abstrakt: |
The present crosssectional and retrospective cohort study analyzed 122 medical records of older patients (=65 yrs old) separated into those who have fallen and those who have not. In order to diagnose sarcopenia, we applied the EGWSOP-2010 and EGWSOP2-2019 definitions. To analyze the aspects related to falls, the following parameters were used: history of falls in the previous year; socioeconomic background; clinical history; anthropometric data; and functional status. In order to compare both groups (fallen and not-fallen), we employed Spearman's rank correlation and the Odds Ratio estimate. Pre-sarcopenia was identified in 3.3% of fallen older women and in 1.8% of not-fallen older women. Presarcopenia was not observed based on the EWGSOP-2019 definition. Sarcopenia was not identified in fallen older women based on both EWGSOP definitions. However, in not-fallen older women, the prevalence of sarcopenia was 7.1% (EWGSOP-2010) and 1.8% (EWGSOP-2019). We identified a similar result in both adopted definitions regarding the diagnosis of severe sarcopenia among fallen older women, yet among not-fallen older women, the prevalence was found to be 5.4% larger when following the EGWSOP-2010 than when compared to EWGSOP-2019. The prevalence of falls was 35%. The major factors related to the falls were found to be: sedentary lifestyle; decrease in handgrip strength (HGS); slower gait speed (GS); and amount of medicines taken daily. We verified an association between falls and GS (p = -0.316; P=0.002), HGS (p = -0.256; P=0.013), amount of medicines (r = 0.199; P=0.034), and daily activities (Lawton Scale, p = 0.189; P=0.037). Decrease in GS was the only reliable variable to predict falls (OR = 3.36; P=0.010; 95% CI = 1.33-8.49). Outpatient older women with slower gait speed were 3.36 times more likely to fall. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Supplemental Index |
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