Lower limb physical performance, handgrip strength and quality of life of elderly

Keywords: Elderly, Mobility limitation, Quality of life

Abstract

This study aimed to verify the association between physical performance of lower limbs and handgrip strength (HGS) with the quality of life (QOL) of the elderly. Cross-sectional study carried out with 608 elderly people. The following were used: Short Physical Performance Battery (SPPB); handgrip strength test; World Health Organization Quality of Life-Bref (WHOQOL-BREF) and World Health Organization Quality of Life Olders (WHOQOL-OLD). Descriptive analysis and linear regression (p<0.05) were performed. Lower SPPB and HGS scores were associated with worse QOL in the physical (p<0.001; p= 0.003), psychological (p<0.001; p= 0.001) and environment (p<0.001; p= 0.028) domains and in the facets functioning of the senses (p= 0.001; p<0.001) and past, present and future activities (p= 0.001; p= 0.010). It was found that there are common and specific QOL domains and facets associated with physical performance of lower limbs and HGS.

Author Biographies

Darlene Mara dos Santos Tavares, Universidade Federal do Triângulo Mineiro - UFTM
Professor at the Department of Nursing in Education and Community Health at the Federal University of Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.
Lara Andrade Souza, Universidade Federal do Triângulo Mineiro - UFTM
Doctoral student of the Stricto sensu Postgraduate Program in Health Care at the Federal University of Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.
Érica Midori Ikegami, Universidade Federal do Triângulo Mineiro - UFTM
Doctoral student in the Stricto sensu Postgraduate Program in Health Care at the Federal University of Triângulo Mineiro (UFTM), Uberaba (MG), Brazil.
Leiner Resende Rodrigues, Universidade Federal do Triângulo Mineiro - UFTM
Professor at the Department of Nursing in Education and Community Health at the Federal University of Triângulo Mineiro (UFTM), Uberaba, (MG), Brazil.

References

1. BRASIL. Ministério da Saúde. Informações de Saúde. Projeção da população das unidades de federação por sexo e grupos de idade: 2000-2030. DATASUS, Brasília, 2019. Disponível em: http://tabnet.datasus.gov.br/cgi/deftohtm.exe?ibge/cnv/projpopuf.def. Acesso em: 08 dez. 2020.

2. Organização Mundial da Saúde. Relatório mundial de envelhecimento e saúde. [Internet]. 2015 [citado 25 de abril de 2019]. Disponível em: http://sbgg.org.br/wp-content/uploads/2015/10/OMS-ENVELHECIMENTO-2015-port.pdf

3. World Health Organization. The World Health Organization Quality of Life assessment (WHOQOL): position paper from the World Health Organization. Soc Sci Med. 1995; 41(10):1403–9.

4. Lobo A de JS, Santos L, Gomes S. Nível de dependência e qualidade de vida da população idosa. Rev Bras Enferm 2014; 67(6):913–9.

5. Trombetti A, Reid KF, Hars M, Herrmann FR, Pasha E, Phillips EM, et al. Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporos Int. 2016; 27(2):463–71.

6. Bushatsky A, Alves LC, Duarte YA de O, Lebrão ML. Factors associated with balance disorders of elderly living in the city of São Paulo in 2006: evidence of the Health, Well-being and Aging (SABE) Study. Rev Bras Epidemiol. 2018; 21(suppl. 2):e180016.

7. Gill TM. Assessment of Function and Disability in Longitudinal Studies. J Am Geriatr Soc. 2010; 58(Suppl 2):S308–12.

8. Guralnik JM, Simonsick EM, Ferrucci L, Glynn RJ, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994; 49(2):M85-94.

9. Marques LP, Confortin SC, Ono LM, Barbosa AR, d’Orsi E. Quality of life associated with handgrip strength and sarcopenia: EpiFloripa Aging Study. Arch Gerontol Geriatr. 2019; 81:234–9.

10. Kwak Y, Kim Y. Quality of life and subjective health status according to handgrip strength in the elderly: a cross-sectional study. Aging Ment Health. 2019; 23(1):107–12.

11. Bindawas SM, Al Snih S, Ottenbacher AJ, Graham J, Protas EE, Markides KS, et al. Association Between Lower Extremity Performance and Health-Related Quality of Life in Elderly Mexican Americans. J Aging Health. 2015; 27(6):1026–45.

12. Silva Neto LS, Karnikowiski MGO, Tavares AB, Lima RM. Associação entre sarcopenia, obesidade sarcopênica e força muscular com variáveis relacionadas de qualidade de vida em idosas. Braz J Phys Ther. 2012; 16(5):360–7.

13. Cardoso F de S, Curtolo M, Natour J, Lombardi Júnior I. Avaliação da qualidade de vida, força muscular e capacidade funcional em mulheres com fibromialgia. Rev Bras Reumatol. 2011; 51(4):344–50.

14. Oh B, Cho B, Choi H-C, Son K-Y, Park SM, Chun S, et al. The influence of lower-extremity function in elderly individuals’ quality of life (QOL): an analysis of the correlation between SPPB and EQ-5D. Arch Gerontol Geriatr. 2014; 58(2):278–82.

15. Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq Neuropsiquiatr. 1994; 52(1):01–7.

16. Nakano MM. Versão Brasileira da Short Physical Performance Battery – SPPB: Adaptação Cultural e Estudo da Confiabilidade [Dissertação]. Universidade Estadual de Campinas: Faculdade de Educação; 2007.

17. Fleck MP, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, et al. Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida “WHOQOL-bref”. Rev Saude Publica. 2000; 34(2):178–83.

18. Fleck MP, Chachamovich E, Trentini C. Development and validation of the Portuguese version of the WHOQOL-OLD module. Rev Saude Publica. 2006; 40(5):785–91.

19. Trevisan MD, Morsch P, Lopes DGC, De Oliveira GG, Bós ÂJG. Associação entre qualidade de vida e atividades desenvolvidas por idosos no Rio Grande do Sul. PAJAR - Pan Am J Aging Res. 2017; 5(2):47.

20. Amaral TLM, Amaral C de A, Lima NS de, Herculano PV, Prado PR do, Monteiro GTR. Multimorbidade, depressão e qualidade de vida em idosos atendidos pela Estratégia de Saúde da Família em Senador Guiomard, Acre, Brasil. Cien Saude Colet. 2018; 23(9):3077–84.

21. Davis JC, Bryan S, Best JR, Li LC, Hsu CL, Gomez C, et al. Mobility predicts change in older adults’ health-related quality of life: evidence from a Vancouver falls prevention prospective cohort study. Health Qual Life Outcomes. 2015; 13:101.

22. Beaudart C, Rolland Y, Cruz-Jentoft AJ, Bauer JM, Sieber C, Cooper C, et al. Assessment of Muscle Function and Physical Performance in Daily Clinical Practice: A position paper endorsed by the European Society for Clinical and Economic Aspects of Osteoporosis, Osteoarthritis and Musculoskeletal Diseases (ESCEO). Calcif Tissue Int. 2019; 105(1):1–14.

23. Gopinath B, Kifley A, Liew G, Mitchell P. Handgrip strength and its association with functional independence, depressive symptoms and quality of life in older adults. Maturitas. 2017; 106:92–4.

24. Andrade JS, Brito MFSF, Souza LPS, Guimarães ALS, D’Angelo MFSV, Silva CS de O e. Qualidade de vida de idosos atendidos em um centro de referência em Minas Gerais, Brasil. Rev Medicina UFC. 2018; 58(1):26–30.

25. Kunzler CM. Uma moradia digna para os idosos - ampliando o sentido de dignidade a este direito fundamental [Internet]. Sesc São Paulo. 2019 [citado 17 de agosto de 2018]. Disponível em: https://www.sescsp.org.br/online/artigo/10046_UMA+MORADIA+DIGNA+PARA+OS+IDOSOS+AMPLIANDO+O+SENTIDO+DE+DIGNIDADE+A+ESTE+DIREITO+FUNDAMENTAL

Published
2021-04-30
Section
Artigos Originas - Promoção da Saúde