OBESIDADE SARCOPENICA E FATORES ASSOCIADOS EM IDOSOS RESIDENTES EM UM <I>(Y FACTORES ASOCIADOS EN ANCIANOS RESIDENTES EN UN)</I> MUNICIPIO DO SUL DO BRASIL





OBESIDADE SARCOPENICA E FATORES ASSOCIADOS EM IDOSOS RESIDENTES EM UM (Y FACTORES ASOCIADOS EN ANCIANOS RESIDENTES EN UN) MUNICIPIO DO SUL DO BRASIL

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A obesidade sarcopênica foi associada exclusivamente ao sexo feminino e às idosas com idade avançada (con el sexo femenino y con mujeres de edad avanzada) que residiam sem companhia no seu domicílio e (en su domicilio) y consumiam bebida alcoólica. A partir dos resultados, observa-se que são necessárias estratégias preventivas para o ganho de peso e perda de massa (ganar peso y contra la pérdida de masa) muscular para amenizar/controlar a prevalência de obesidade sarcopênica nos idosos, iniciando condutas preventivas desde a fase adulta, pois com o (ya que con) el processo de envelhecimento, há alterações da (se producen alteraciones de la) composição corporal.
Autor:
Susana Cararo Confortin
Columnista Experta de SIIC

Institución:
Universidade Federal de Santa Catarina


Artículos publicados por Susana Cararo Confortin
Coautores
Giovâni Firpo Del Duca* Vandrize Meneghini** Aline Rodrigues Barbosa** 
Kinesiólogo, Universidade Federal de Santa Catarina, Florianopolis, Brasil*
Kinesióloga, Universidade Federal de Santa Catarina, Florianopolis, Brasil**
Recepción del artículo
10 de Marzo, 2016
Aprobación
30 de Agosto, 2016
Primera edición
7 de Septiembre, 2016
Segunda edición, ampliada y corregida
7 de Junio, 2021

Resumen
Objetivo: Identificar a prevalência e os fatores associados à obesidade sarcopênica em idosos residentes em Antônio Carlos, Estado de Santa Catarina, Brasil. Métodos: Estudo transversal, de base populacional, com indivíduos com idade acima de 60 anos. A obesidade sarcopênica foi definida pelo elevado perímetro da cintura (acima de 88 cm para mulheres e de 102 cm para homens), somado a alguma das condições: i) tempo no teste de sentar e levantar da cadeira (superior a 75 segundos) e índice de massa muscular < p20; ii) tempo superior a 75 segundos no teste de sentar e levantar da cadeira, força de preensão manual ? p25 e índice de massa muscular superior a p20. Indicadores sociodemográficos, comportamentais e de saúde foram analisados por regressão de Poisson. Resultados: Nos 477 idosos investigados, a prevalência de obesidade sarcopênica foi de 4.6% (IC 95%:2.7%-6.5%), não sendo identificado nenhum caso de idoso do sexo masculino com a presença do desfecho. A obesidade sarcopênica foi associada às idosas com idade acima de 80 anos (RP: 6.32; IC 95%: 2.09-19.14) e que viviam sozinhas no seu domicílio (RP: 4.11; IC 95%: 1.69-9.98). O consumo de bebida alcoólica em, no mínimo, dois dias por semana, mostrou-se associado a menores ocorrências do desfecho (RP: 0.10; IC 95%: 0.01-0.76). Conclusão: A obesidade sarcopênica foi associada exclusivamente ao sexo feminino e às idosas com idade avançada, que residiam sem companhia no seu domicílio e não consumiam álcool com regularidade. Observa-se que são necessárias estratégias preventivas para o ganho de peso e perda de massa muscular para amenizar/controlar a prevalência de obesidade sarcopênica nos idosos, iniciando condutas preventivas desde a fase adulta, pois com o processo de envelhecimento, há alterações da composição corporal.

Palabras clave
obesidade sarcopênica, obesidad, obesidade, sarcopenia, idoso, estudos transversais, obesidad sarcopénica, sarcopenia, añoso, estudios transversales


Artículo completo

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Abstract
Objective: To identify the prevalence and factors associated with sarcopenic obesity in older adults living in in Antonio Carlos, Santa Catarina, Brazil. Methods:Across-sectional, population-based study with individuals aged >=60 years. Sarcopenic obesity was defined by high waist circumference( >=88cm for women, and for men >=102cm) and the following conditions: i) time >=p75 in the chair stand test and muscle mass index =p25 in handgrip strength, and muscle mass index >=p20. Sociodemographic, behavioral, and health indicators were evaluated by Poisson regression. Results: Among the 477 investigated elderly subjects, the prevalence of sarcopenicobesity was 4.6% (95%CI:2.7%-6.5%) and no older, adult males were affected. Sarcopenic obesity was associated with older adults aged >=80 years (PR:6.32; 95%CI:2.09-19.14) and living alone in their households (PR:4.11; 95%CI: 1.69-9.98). Twice-per-week consumption of alcoholic beverages showed a protective association for the occurrence of sarcopenic obesity (PR:0.10; 95% CI:0.01-0.76). Conclusion: In conclusion, sarcopenic obesity was associated exclusively withwomen and with adults with advanced age, who resided in their households alone,who did not consume alcohol regularly.

Key words
sarcopenic obesity, obesity, sarcopenia, cross-sectional studies, aging


Clasificación en siicsalud
Artículos originales > Expertos de Iberoamérica >
página   www.siicsalud.com/des/expertocompleto.php/

Especialidades
Principal: Epidemiología, Salud Pública
Relacionadas: Geriatría, Nutrición, Salud Mental



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Susana Cararo Confortin, 88040-900, Campus Reitor João David Ferreira Lima Rua Delfino Conti, s/n. Bloco H., Florianópolis, Brasil
Bibliografía del artículo
1. Miller S, Wolfe RR. The danger of weight loss in the elderly. The Journal of Nutrition Health and Aging 12(7):487-91, 2008.
2. Landi F, Calvani R, Tosato M, Martone AM, Ortolani E, Savera G, et al. Anorexia of aging: risk factors, consequences, and potential treatments. Nutrients 8(2):69, 2016.
3. Stenholm S, Harris TB, Rantanen T, Visser M, Kritchevsky SB, Ferrucci L. Sarcopenic obesity-definition, etiology and consequences. Current Opinion in Clinical Nutrition and Metabolic Care 11(6):693, 2008.
4. Kob R, Bollheimer LC, Bertsch T, Fellner C, Djukic M, Sieber CC, et al. Sarcopenic obesity: molecular clues to a better understanding of its pathogenesis? Biogerontology 16(1):15-29, 2015.
5. Lu CW, Yang KC, Chang HH, Lee LT, Chen CY, Huang KC. Sarcopenic obesity is closely associated with metabolic syndrome. Obesity Research & Clinical Practice. 7(4):e301-e7, 2013.
6. Hamer M, Batty G, Kivimaki M. Sarcopenic obesity and risk of new onset depressive symptoms in older adults: English Longitudinal Study of Ageing. International Journal of Obesity, 2015.
7. Baumgartner RN, Wayne SJ, Waters DL, Janssen I, Gallagher D, Morley JE. Sarcopenic obesity predicts instrumental activities of daily living disability in the elderly. Obesity Research 12(12):1995-2004, 2004.
8. Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. Sarcopenic obesity: a new category of obesity in the elderly. Nutrition, Metabolism and Cardiovascular Diseases 18(5):388-95, 2008.
9. Batsis J, Mackenzie T, Barre L, Lopez-Jimenez F, Bartels S. Sarcopenia, sarcopenic obesity and mortality in older adults: results from the National Health and Nutrition Examination Survey III. European Journal of Clinical Nutrition. 68(9):1001-7, 2014.
10. Batsis JA, Barre LK, Mackenzie TA, Pratt SI, Lopez-Jimenez F, Bartels SJ. Variation in the prevalence of sarcopenia and sarcopenic obesity in older adults associated with different research definitions: dual energy x-ray absorptiometry data from the National Health and Nutrition Examination Survey 1999-2004; Journal of the American Geriatrics Society 61(6):974-80, 2013.
11. Cauley JA. An overview of sarcopenic obesity. Journal of Clinical Densitometry 2015.
12. Kemmler W, Von Stengel S, Engelke K, Sieber C, Freiberger E. Prevalence of sarcopenic obesity in Germany using established definitions. Osteoporosis International 1-7, 2015.
13. Kim J-H, Cho JJ, Park YS. Relationship between sarcopenic obesity and cardiovascular disease risk as estimated by the Framingham risk score. Journal of Korean Medical Science 30(3):264-71, 2015.
14. Santos EPd, Gadelha AB, Safons MP, Nóbrega OT, Oliveira RJ, Lima RM. Sarcopenia and sarcopenic obesity classifications and cardiometabolic risks in older women. Archives of Gerontology and Geriatrics 59(1):56-61, 2014.
15. Barbosa AR, Marchesan M, Guimarães AV, França VF, Marucci MdFN, Coqueiro RdS, et al. Anthropometric indicators and their adequacy in older adults from two towns in distinct Brazilian regions. Medical Express 2(6), 2015.
16. Indicadores sociais municipais: uma análise dos resultados do universo do censo demográfico 2010. Estudos e pesquisas informação demográfica e socioeconômica número 28. Cited.
17. Confortin SC, Barbosa AR, Danielewicz AL, Meneghini V, Testa WL. Motor performance of elderly in a community in southern Brazil. Revista Brasileira de Cineantropometria & Desempenho Humano 15(4):417-26, 2013.
18. Levine ME, Crimmins EM. The impact of insulin resistance and inflammation on the association between sarcopenic obesity and physical functioning. Obesity 20(10):2101-6, 2012.
19. Callaway C, Chumlea W, Bouchard C, Himes J, Lohman T, Martin A, et al. Circumferences. Anthropometric Standardization Reference Manual 1988:39-54, 1988.
20. World Health Organization. Obesity: preventing and managing the global epidemic. Report of a World Health Organization Consultation. Geneva: World Health Organization, p. 256. WHO Obesity Technical Report Series, n. 284, 2000.
21. Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis. Report of the European Working Group on Sarcopenia in Older People. Age and Ageing 39(4):412-23, 2010.
22. Gobbo LA. Sarcopenia e dependência para realização das atividades básicas da vida diária de idosos domiciliados no município de São Paulo: saúde, bem-estar e envelhecimento (2000 e 2006): Universidade de São Paulo. Faculdade de Saúde Pública. Departamento de Nutrição, 2012.
23. 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. Journal of Gerontology 49(2):M85-M94, 1994.
24. Confortin SC, Barbosa AR. Factors associated with muscle strength among rural community-dwelling older women in southern Brazil. J Geriatr Phys Ther 38(4):162-8, 2015.
25. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults evidence for a phenotype. The Journals of Gerontology Series A, Biological Sciences and Medical Sciences 56(3):M146-57, 2001.
26. Nutrition screening intervention resources for healthcare professionals working with older adults. Nutrition Screening Initiative. Cited 02 de fevereiro de 2015. Available from: http://www.eatright.org.
27. Lee RC, Wang Z, Heo M, Ross R, Janssen I, Heymsfield SB. Total-body skeletal muscle mass: development and cross-validation of anthropometric prediction models. The American Journal of Clinical Nutrition 72(3):796-803, 2000.
28. Bertolucci PHF, Mathias S, Brucki S, Carrilho P, Okamoto I, Nitrini R. Proposta de padronização do Mini-Exame do Estado Mental (MEEM): estudo piloto cooperativo (FMUSP/EPM). Arq Neuropsiquiatr 52(1):225-40, 1994.
29. Gadelha AB, Dutra MT, Oliveira RJd, Safons MP, Lima RM. Association among strength, sarcopenia and sarcopenic obesity with functional performance in older women. Motricidade 10(3):31-9, 2014.
30. Hwang B, Lim JY, Lee J, Choi NK, Ahn YO, Park BJ. Prevalence rate and associated factors of sarcopenic obesity in korean elderly population. Journal of Korean Medical Science 27(7):748-55, 2012.
31. Silva AO, Karnikowski MGO, Funghetto SS, Stival MM, Lima RM, de Souza JC, et al. Association of body composition with sarcopenic obesity in elderly women. International Journal of General Medicine 6:25, 2013.
32. Hairi NN, Cumming RG, Naganathan V, Handelsman DJ, Le Couteur DG, Creasey H, et al. Loss of muscle strength, mass (sarcopenia), and quality (specific force) and its relationship with functional limitation and physical disability: the Concord Health and Ageing in Men Project. Journal of the American Geriatrics Society 58(11):2055-62, 2010.
33. Buchman AS, Boyle PA, Wilson RS, James BD, Leurgans SE, Arnold SE, et al. Loneliness and the rate of motor decline in old age: the rush memory and aging project, a community-based cohort study. BMC Geriatrics 10(1):77, 2010.
34. Olasunbo OI, Olubode KA. Socio-demographic and nutritional assessment of the elderly Yorubas in Nigeria. Asia Pac J Clin Nutr 15(1):95-101, 2006.
35. Lang I, Wallace RB, Huppert FA, Melzer D. Moderate alcohol consumption in older adults is associated with better cognition and well-being than abstinence. Age and Ageing 36(3):256-61, 2007.
36. Atkinson HH, Rapp SR, Williamson JD, Lovato J, Absher JR, Gass M, et al. The relationship between cognitive function and physical performance in older women: results from the women's health initiative memory study. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences 65(3):300-6, 2010.


 
 
 
 
 
 
 
 
 
 
 
 
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