Physical functional performance, body composition, strength, and cognitive function in aged 60 years and older from North of Brazil

Ewertton de Souza Bezerra , Andreza dos Santos Silva , Geovanna de Paula Martins de Souza , Walbert Menezes Bitar , Jean Carlos Constantino Silva , Leandro Augusto Pereira de Souza , Jéssica Naveca de Abreu , Rômulo de Oliveira Sena , Luis Mochizuki
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Abstract

This study aims to establish a set of reference data for Amazonas’ older women based in younger adult's value. Two-hundred and thirteen women did partially (handgrip strength test, 6-m walking test, and timed up and go) and 126 did all the measurements (MoCA, Montreal Cognitive Assessment), anthropometric and body composition measure, SARC-F (strength, assistance with walking, rising from a chair, climbing stairs, and falls) questionnaire, handgrip strength; and physical functional performance (timed up and go and 6-m walk test). This is a cross sectional study with the sarcopenia diagnostic criteria based on t-score made from younger healthy (reference group). We showed cutoff changed in all measure compared to worldwide parameters, calf circumference should be <32 cm, handgrip strength test <20.7 kgf, appendicular segment muscular mass <5,37 kg/m2, 6-m walking test velocity <1.86 m/s, and timed up and go time >6.65 s. In summary, health professionals and researchers involved with older adult women should consider specific population outcomes application, positive-false diagnostic of sarcopenia could be avoided, and more realistic diagnostic will be reached.

巴西北部 60 岁及以上老年人的身体机能表现、身体成分、力量和认知功能
本研究旨在为亚马孙地区的老年妇女建立一套以年轻成人价值为基础的参考数据。213 名妇女进行了部分测量(手握力测试、6 米步行测试和定时起立行走),126 名妇女进行了全部测量(MoCA,蒙特利尔认知评估)、人体测量和身体成分测量、SARC-F(力量、协助行走、从椅子上站起、爬楼梯和跌倒)问卷、手握力和身体功能表现(定时起立行走和 6 米步行测试)。这是一项横断面研究,根据年轻健康人(参照组)的 t 值制定了肌肉疏松症诊断标准。我们发现,与世界范围的参数相比,所有测量指标的临界值都发生了变化,小腿围应为 32 厘米,手握力测试应为 20.7 千克力,关节肌肉质量应为 5,37 千克/平方米,6 米步行测试速度应为 1.86 米/秒,定时起跑时间应为 6.65 秒。
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