Transversal study of functional capacity and muscle strength in institutionalized elderly
DOI:
https://doi.org/10.33233/fb.v21i2.4078Keywords:
ageing, muscular strength, autonomy, Medical Research Council scale, Barthel scaleAbstract
Introduction: People are aging more and more in Brazil and worldwide. Studies show that the process of population aging is accompanied by increased occurrence of morbidity and disability. Different conditions can be presented by aging, such as: decreased functional capacity, decreased strength and muscle mass, among others. Objective: To investigate the reduction of functional capacity, secondary to the reduction of muscular strength of lower limbs in elderly institutionalized in two institutions in the municipality of Nova Iguaçu/RJ Brazil. Methods: This is a quantitative exploratory study in two elderly institutions at Nova Iguaçu during the period of July and August 2017, with 60 elderly men and women (34 males and 26 females), age range ≥ 60 years. The volunteers were assessed for functional capacity and muscle strength. For functional capacity, the Barthel scale was used. For strength testing, the present study used the Medical Research Council (MRC) scale for evaluation. Results: The results of the present study showed that 61.7% of the elderly are classified as independent by the Barthel index. In the MRC scale, 95% of the elderly presented muscular weakness. Conclusion: We concluded that the most proportion of institutionalized elderly individuals was considered independent but presented a picture of muscular weakness.
References
Matos FS, Jesus CS, Carneiro JAO, Coqueiro RDS, Fernandes MH, Brito TA. Reduced functional capacity of community-dwelling elderly: a longitudinal study. Cienc Saúde Coletiva 2018;23(10):3393-401. doi: 10.1590/1413-812320182310.23382016
Azevedo PGd, Landim ME, Fávero GP, Chiappetta ALdML. Language and memory in the Alzheimer's disease on the moderate phase. Revista CEFAC 2019;12(3):393-99. doi: 10.1590/s1516-18462010005000001
Sahlen KG, Dahlgren L, Hellner BM, Stenlund H, Lindholm L. Preventive home visits postpone mortality - a controlled trial with time-limited results. BMC Public Health 2006;6:220. doi: 10.1186/1471-2458-6-220
Silva MVD, Figueiredo MdLF. Idosos institucionalizados: uma reflexão para o cuidado de longo prazo. Enferm Foco 2018;3(1):22-4. doi: 10.21675/2357-707x.2012.v3.n1.215
Camarano AA, Kanso S. Perspectivas de crescimento para a população brasileira: velhos e novos resultados. IPEA 2009. p.30
Gonçalves LHT, Silva AHD, Mazo GZ, Benedetti TRB, Santos SMAD, Marques S et al. Institutionalized elderly: functional capacity and physical fitness. Cad Saúde Publica 2010;26:1738-46. doi: 10.1590/s0102-311x2010000900007
Del Duca GF, Silva SG, Thume E, Santos IS, Hallal PC. Predictive factors for institutionalization of the elderly: a case-control study. Rev Saúde Pública 2012;46(1):147-53.
Oliveira ERAdD Gomes MJ, Paiva KMd. Institucionalização e qualidade de vida de idosos da região metropolitana de Vitória - ES. Esc Anna Nery. 2011;15(3):618-23. doi: 10.1590/s1414-81452011000300011
Álvares LM, Lima RDC, Silva RAD. Falls by elderly people living in long-term care institutions in Pelotas, Rio Grande do Sul State, Brazil. Cad Saúde Pública 2019;26:31-40. doi: 10.1590/S0102-311X2010000100004
Silva BTD, Santos SSC. Cuidados aos idosos institucionalizados: opiniões do sujeito coletivo enfermeiro para 2026. Acta Paul Enferm 2010;23(6):775-81. doi: 10.1590/s0103-21002010000600010
Duarte YAO, Nunes DP, Andrade FB, Corona LP, Brito TRP, Santos J et al. Frailty in older adults in the city of Sao Paulo: Prevalence and associated factors. Rev Bras Epidemiol 2019;21(Suppl2):e180021. doi: 10.1590/1980-549720180021.supl.2
Cavalcante ML, Borges CL, Moura AM, Carvalho RE. Indicators of health and safety among institutionalized older adults. Rev Esc Enferm USP 2016;50(4):602-9. doi: 10.1590/s0080-623420160000500009
Souza CCD. Mobilidade funcional em idosos institucionalizados e não institucionalizados. Rev Bras Geriatr Gerontol 2013;16(2):285-93. doi: 10.1590/s1809-98232013000200008
McKinnon NB, Montero-Odasso M, Doherty TJ. Motor unit loss is accompanied by decreased peak muscle power in the lower limb of older adults. Exp Gerontol 2015;70:111-8. doi: 10.1016/j.exger.2015.07.007
Berg OK, Kwon OS, Hureau TJ, Clifton HL, Thurston T, Le Fur Y, et al. Maximal strength training increases muscle force generating capacity and the anaerobic ATP synthesis flux without altering the cost of contraction in elderly. Exp Gerontol 2018;111:154-61. doi: 10.1016/j.exger.2018.07.013
Seguin R, Nelson ME. The benefits of strength training for older adults. Am J Prev Med 2003;25(3Suppl2):141-9. doi: 10.1016/s0749-3797(03)00177-6
Cruz-Jentoft AJ, Landi F, Schneider SM, Zuniga C, Arai H, Boirie Y et al. Prevalence of and interventions for sarcopenia in ageing adults: a systematic review. Report of the International Sarcopenia Initiative (EWGSOP and IWGS). Age Ageing 2014;43(6):748-59. doi: 10.1093/ageing/afu115
Dantas CMdHL, Bello FA, Barreto KL, Lima LS. Capacidade funcional de idosos com doenças crônicas residentes em instituições de longa permanência. Rev Bras Enferm 2013;66(6):914-20. doi: 10.1590/s0034-71672013000600016
Scarabottolo CC, Júnior JRG, Gobbo LA, Alves MJ, Ferreira AD, Zanuto EAC et al. Influence of physical exercise on the functional capacity in institutionalized elderly. Rev Bras Med Esporte 2017;23:200-03. doi: 10.1590/1517-869220172303150175
Minosso JSM, Amendola F, Alvarenga MRM, Oliveira MAdC. Validação, no Brasil, do Índice de Barthel em idosos atendidos em ambulatórios. Acta Paul Enferm 2010;23(2):218-23. doi: 10.1590/s0103-21002010000200011
Figueiredo KMS, Gonçalves GAA, Batista HMT, Akerman M, Pinheiro WR, Nascimento VB. Actions of primary health care professionals to reduce maternal mortality in the Brazilian Northeast. Int J Equity Health 2018;17(1). doi: 10.1186/s12939-018-0817-x
Cucato GG, Ritti-Dias RM, Cendoroglo MS, Carvalho JM, Nasri F, Costa ML, et al. Health-related quality of life in Brazilian community-dwelling and institutionalized elderly: Comparison between genders. Rev Assoc Med Bras (1992). 2016;62(9):848-52. doi: 10.1590/1806-9282.62.09.848
Barbosa BR, Almeida JM, Barbosa MR, Rossi-Barbosa LA. Evaluation of the functional capacity of the elderly and factors associated with disability. Cienc Saude Colet 2014;19(8):3317-25. doi: 10.1590/1413-81232014198.06322013
Reis LA, Torres Gde V. Influence of chronic pain in the functional capacity of institutionalized elderly. Rev Bras Enferm 2011;64(2):274-80. doi: 10.1590/s0004-282x2008000300009
Del Duca GF, Silva MC, Hallal PC. Disability relating to basic and instrumental activities of daily living among elderly subjects. Rev Saúde Pública 2009;43(5):796-805. doi: 10.1590/S0034-89102009005000057
Coutinho A, Oliveira Neto M, Dias J, Rocha S, Moura B. Efeitos do treinamento da força na capacidade funcional de idosos institucionalizados. Kairós-Gerontologia 2017;20:349-63. doi: 10.23925/2176-901X.2017v20i3p349-363
World Health Organization. World report on ageing and health. Geneva: WHO; 2015.http://apps.who.int/iris/bitstream/10665/186463/1/9789240694811_eng. pdf?ua=1 4
Beard JR, Officer A, De Carvalho IA, Sadana R, Pot AM, Michel JP et al. The World report on ageing and health: a policy framework for healthy ageing. Lancet 2016;387(10033):2145-54. doi: 10.1016/s0140-6736(15)00516-4
Published
Issue
Section
License
Copyright (c) 2020 Maria da Penha Laprovita Oliveira, Marco Orsini, Fábio Augusto d´Alegria Tuza, Paulo Henrique de Moura, Aryanne Nunes Magalhães da Silva, Bárbara Ventura da Silva, Aluana Santana Carlos, Joana da Costa Pinto ´d'Avila, Adalgiza Mafra Moreno
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors are authorized for non-exclusive distribution of the version of the work published in this journal (eg, publishing in an institutional repository or as a book chapter), with acknowledgment of authorship and initial publication in this journal.
