Factors associated with decreased hand grip strength in the elderly
Factores asociados con la fuerza de prensión manual disminuida en ancianos
Fatores associados à força de preensão manual diminuída em idosos
Maria Helena Lenardt; Nathalia Hammerschmidt Kolb Carneiro; Susanne Elero Betiolli; Maria Angélica Binotto; Dâmarys Kohlbeck de Melo Neu Ribeiro; Fabiana Ferreira Rodrigues Teixeira
Abstract
Objective: To investigate the factors associated with decreased hand grip strength in the elderly.
Methods: A cross-sectional quantitative study was performed with a sample of 203 elderly users of primary health care. Data were collected between January and April 2013 by a socio-demographic/clinical questionnaire and hand grip strength test. Descriptive statistics and chi-square test were applied and values of p ≤ 0.05 were considered to be significant.
Results: A total of 48.8% of the elderly had decreased hand grip strength associated with the variables sex (p < 0.001), age (p < 0.012), marital status (p < 0.005), level of education (p < 0.027), falls (p < 0.001) and assistive technologies (p < 0.024).
Conclusion: The high percentage of decreased hand grip strength in the elderly is alarming because it is a limiting factor for the activities of daily living. The significant association between some variables reinforces these restrictions. To investigate factors associated with decreased hand grip strength helps nurses in the management of frailty, and it can prevent outcomes for the syndrome of physical frailty.
Keywords
Resumen
Palabras clave
Resumo
Objetivo: Investigar os fatores associados à diminuição da Força de Preensão Manual (FPM) em idosos.
Métodos: Estudo quantitativo transversal, cuja amostra foi constituída por 203 idosos da atenção primária à saúde. Os dados foram coletados entre janeiro e abril de 2013 mediante questionário sociodemográfico/clínico e teste de FPM. Aplicou-se estatística descritiva e teste qui-quadrado, considerados significativos os valores de p ≤ 0,05.
Resultados: 48,8% dos idosos apresentaram FPM diminuída, associada às variáveis sexo (p < 0,001), idade (p < 0,012), estado civil (p < 0,005), escolaridade (p < 0,027), quedas (p < 0,001) e tecnologias assistivas (p < 0,024).
Conclusão: Foi elevada a distribuição da FPM diminuída, isso é preocupante, uma vez que é um fator limitante para as atividades de vida diária. A associação significativa entre algumas variáveis reforçam essas restrições. Investigar os fatores associados à diminuição da FPM instrumentaliza os enfermeiros para a gestão da fragilidade e ela poderá evitar desfechos para a síndrome da fragilidade física.
Palavras-chave
Referencias
1 Morley JE, Vellas B, Kan GAV, Anker SD, Bauer JM, Bernabei R, et al. Frailty consensus: a call to action. JAMDA. 2013 jun; 14(6):392-397. Available from:
2 Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 mar; 56(3):146-56. Available from:
3 Landi F, Liperoti R, Fusco D, Mastropaolo S, Quattrociocchi D, et al. Prevalence and risk factors of sarcopenia among nursing home older residents. J Gerontol A Biol Sci Med Sci. 2012;67(1):48-55. Available from:
4 Geraldes AAR, Oliveira ARM, Albuquerque RB, Carvalho JM, Farinatti PTV. The hand-grip forecasts the functional performance of fragile elder subjects: a multiple-correlation study. Rev Bras Med Esporte. 2008 fev;14(1):12-6. Available from:
5 Bohannon RW, Peolsson A, Massi-Westropp N, Desrosiers J, Bear-Lehman J. Reference values for adult grip strength measured with a Jamar dynamometer: a descriptive meta-analysis. Physiotherapy. 2006 mar;92(1):11-15. Available from:
6 Landi F, Cherubini A, Cesari M, Calvani R, Tosato M, Sisto A, et al. Sarcopenia and frailty: From theoretical approach into clinical practice. Eur Geriatr Med. No prelo 2016. Available from:
7 Cesari M, Landi F, Vellas B, Bernabei R, Marzetti E. Sarcopenia and physical frailty: two sides of the same coin. Aging Neurosci, 2014 jul;6:192. Available from:
8 Diz JBM, Queiroz BZ, Tavares LB, Pereira LSM. Prevalence of sarcopenia among the elderly: findings from broad cross-sectional studies in a range of countries. Rev. Bras. Geriatr. Gerontol., Rio de Janeiro, 2015;18(3):665-678. Available from:
9 Rodrigues WKM, Rocha SV, Barros NA, Santos CA. Factors associated with upper limbs muscular strength decreasing among rural elderly residents. Arq de ciências do esporte. 2013 jan;1(1):14-20. Available from:
10 Costa TBI, Neri AL. Indicators of physical activity and frailty in the elderly: data from the FIBRA study in Campinas, São Paulo State, Brazil. Cad. Saúde Pública, Rio de Janeiro. 2011 ago;27(8):1537-1550. Available from:
11 Alley DE, Shardell MD, Peters KW, McLean RR, Dam TTL, Kenny AM, et al. Grip strength cutpoints for the identification of clinically relevant weakness. J Gerontol A Biol Sci Med Sci. may 2014;69(5):559-566. doi:10.1093/gerona/glu011
12 Lenardt MH, Grden CRB, Sousa JAV, Reche PM, Betiolli SE, Ribeiro DKMN. Factors associated with loss of handgrip strength in long-lived elderly. Rev Esc Enferm USP. 2014;48(6):1006-12. Available from:
13 Instituto de Pesquisa e Planejamento Urbano de Curitiba - IPPUC. Retrato das regionais: Regional Boa Vista. Curitiba em Dados: Curitiba; 2013;[citado 2013 out 10]. 36p. Disponível:
14 Triola MF. Introdução à Estatística. 7a. Ed. Rio de Janeiro: LTC; 1999.
15 Bertolucci PH, Brucki SM, Campacci SR, Juliano Y. The Mini-Mental State Examination in a general population: impact of educational status. Arq Neuropsiquiatr. 1994 mar;52(1):1-7. Available from:
16 Neri AL, Yassuda MS, Araújo LF, Eulálion MC, Cabral BE, Siqueira MEC, et al. Methodology and social, demographic, cognitive, and frailty profiles of community-dwelling elderly from seven Brazilian cities: the FIBRA Study. Cad. Saúde Pública. 2013 Abr;29(4):778-92. Available from:
17 Lenardt MH, Carneiro NHK, Betiolli SE, Ribeiro DKMN, Wachholz PA. Prevalence of pre-frailty for the component of gait speed in older adults. Rev Latino-Am Enfermagem. 2013 Jun;21(3):734-741. Available from:
18 Falsarella GR, Gasparotto LP, Barcelos CC, Coimbra IB, Moretto MC, Pascoa MA, et al. Body composition as a frailty marker for the elderly community. Clin Interv Aging. 2015 Oct 19;10:1661-6. doi: 10.2147/CIA.S84632. eCollection 2015.
19 Pegorari MS, Tavares DMS. Factors associated with the frailty syndrome in elderly individuals living in the urban area. Rev. Latino-Am. Enfermagem. 2014 set/out;22(5):874-82. Available from:
20 Cardoso AF, Barbosa AR, Coqueiro RS. Muscle strength in the oldest old and associated factors. Rev. Bras. Ciên. Esporte. 2013 out/dez;35(4):963-981. Available from:
21 Kim H, Yoshida H, Hu X, Saito K, Yoshida Y, Kim M, et al. Association between self-reported urinary incontinence and musculoskeletal conditions in community-dwelling elderly women: a cross-sectional study. Neurourol Urodyn. 2014 Jan 28. [Epub ahead of print] Available from:
22 Barbosa AR, Santarém JM, Filho WJ, Marucci MFN. Efeitos de um programa de treinamento contra resistência sobre a força muscular de mulheres idosas. Rev Bras Ativ Saúde. 2000;5(3):12-20. Available from:
Submitted date:
11/01/2016
Accepted date:
06/07/2016
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email