Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study
Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults. Cross-sect...
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| Published in | São Paulo medical journal Vol. 135; no. 5; pp. 434 - 443 |
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| Main Authors | , , , , , , , |
| Format | Journal Article |
| Language | English |
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Brazil
Associação Paulista de Medicina - APM
01.09.2017
Associação Paulista de Medicina |
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| ISSN | 1516-3180 1806-9460 1806-9460 |
| DOI | 10.1590/1516-3180.2017.0049030517 |
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| Abstract | Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults.
Cross-sectional study; in the community.
Participants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher's exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling.
578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively.
The values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs. |
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| AbstractList | ABSTRACT CONTEXT AND OBJECTIVE: Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults. DESIGN AND SETTING: Cross-sectional study; in the community. METHODS: Participants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher’s exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling. RESULTS: 578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively. CONCLUSION: The values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs. Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults.CONTEXT AND OBJECTIVESarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults.Cross-sectional study; in the community.DESIGN AND SETTINGCross-sectional study; in the community.Participants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher's exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling.METHODSParticipants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher's exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling.578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively.RESULTS578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively.The values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs.CONCLUSIONThe values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs. Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults. Cross-sectional study; in the community. Participants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher's exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling. 578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively. The values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs. |
| Author | Coelho Júnior, Hélio José Barbieri, João Francisco Sampaio, Priscila Yukari Sewo Sampaio, Ricardo Aurélio Carvalho Castaño, Luz Albany Arcila Arai, Hidenori Uchida, Marco Carlos Gutierrez, Gustavo Luis |
| AuthorAffiliation | VII PhD. Associate Professor and Head of Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil V MSc. Physical Educator and Doctoral Student, Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil III Physical Educator, Department of Sports Science and Recreation, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia IV Physical Educator and Master’s Student, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil VIII PhD. Professor, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil I PhD. Physical Educator, Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil VI MD, PhD. Deputy Director, Kokuritsu Choju Iryo Kenkyu Center Kenkyujo (NCGG), Obu, Aichi Prefecture, Japan II P |
| AuthorAffiliation_xml | – name: III Physical Educator, Department of Sports Science and Recreation, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia – name: IV Physical Educator and Master’s Student, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil – name: I PhD. Physical Educator, Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil – name: V MSc. Physical Educator and Doctoral Student, Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil – name: VI MD, PhD. Deputy Director, Kokuritsu Choju Iryo Kenkyu Center Kenkyujo (NCGG), Obu, Aichi Prefecture, Japan – name: II PhD. Occupational Therapist and Assistant Professor, Department of Occupational Therapy, Universidade Federal de Sergipe (UFS), Lagarto (SE), Brazil – name: VII PhD. Associate Professor and Head of Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil – name: VIII PhD. Professor, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil – name: Universidad Tecnológica de Pereira – name: Universidade Federal de Sergipe – name: Aichi University – name: Universidade Estadual de Campinas |
| Author_xml | – sequence: 1 givenname: Ricardo Aurélio Carvalho surname: Sampaio fullname: Sampaio, Ricardo Aurélio Carvalho organization: Universidade Estadual de Campinas (UNICAMP), Brazil – sequence: 2 givenname: Priscila Yukari Sewo surname: Sampaio fullname: Sampaio, Priscila Yukari Sewo organization: Universidade Federal de Sergipe (UFS), Brazil – sequence: 3 givenname: Luz Albany Arcila surname: Castaño fullname: Castaño, Luz Albany Arcila organization: Universidad Tecnologica de Pereira, Colombia – sequence: 4 givenname: João Francisco surname: Barbieri fullname: Barbieri, João Francisco organization: Universidade Estadual de Campinas (UNICAMP), Brazil – sequence: 5 givenname: Hélio José surname: Coelho Júnior fullname: Coelho Júnior, Hélio José organization: Universidade Estadual de Campinas (UNICAMP), Brazil – sequence: 6 givenname: Hidenori surname: Arai fullname: Arai, Hidenori organization: Kokuritsu Choju Iryo Kenkyu Center Kenkyujo (NCGG), Japan – sequence: 7 givenname: Marco Carlos surname: Uchida fullname: Uchida, Marco Carlos organization: Universidade Estadual de Campinas (UNICAMP), Brazil – sequence: 8 givenname: Gustavo Luis surname: Gutierrez fullname: Gutierrez, Gustavo Luis organization: Universidade Estadual de Campinas (UNICAMP), Brazil |
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| CitedBy_id | crossref_primary_10_1186_s12885_018_4860_1 crossref_primary_10_1111_opn_12294 crossref_primary_10_7717_peerj_12038 crossref_primary_10_1002_cam4_2238 crossref_primary_10_1016_j_jphys_2022_11_005 crossref_primary_10_1016_j_archger_2021_104395 crossref_primary_10_1590_0102_311x00115718 crossref_primary_10_1016_j_clnesp_2020_08_005 crossref_primary_10_1038_s41598_023_28549_5 |
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| Keywords | Aging Sarcopenia Hand strength Muscle, skeletal Walking speed |
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| SubjectTerms | Accidental Falls Aged Aging Cross-Sectional Studies Fear Female Hand strength Hand Strength - physiology Humans Male MEDICINE, GENERAL & INTERNAL Middle Aged Muscle, skeletal Muscle, Skeletal - pathology Muscle, Skeletal - physiopathology Original Prevalence ROC Curve Sarcopenia Sarcopenia - complications Sarcopenia - diagnosis Sarcopenia - physiopathology Walking speed Walking Speed - physiology |
| Title | Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study |
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