Relación entre la actividad física vigorosa y la composición corporal en adultos mayores<br/>
      			Translated title:
      			Relationship between vigorous physical activity and body composition in older adults

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Abstract

Resumen Objetivo: el objetivo del presente estudio fue analizar las relaciones entre la actividad física vigorosa y la composición corporal en personas mayores que asistían a centros de atención primaria. Material y métodos: este estudio se caracteriza por ser un estudio epidemiológico descriptivo y transversal de 654 adultos mayores (288 hombres y 366 mujeres), la mayoría de ellos de 60 a 69 años (59 %), que asistían a centros de atención primaria en la ciudad de Maringá, Brasil. Los participantes fueron evaluados con el Cuestionario Internacional de Actividad Física (IPAQ), mediciones antropométricas y un cuestionario sociodemográfico para caracterizar la muestra. Resultados: los ancianos que practican actividad física en los centros de atención primaria con intensidad vigorosa presentan mediciones más bajas de circunferencia abdominal, cintura, cadera, cuádriceps y pantorrilla en comparación con las personas mayores que practican actividad física de baja a moderada intensidad. Conclusiones: la práctica de actividad física vigorosa está relacionada con bajos perímetros corporales (abdominal, cadera, cintura, pantorrilla) en las personas adultas mayores atendidas en centros de atención primaria.

Translated abstract

Abstract Objective: the objective of the present study was to analyze the relationship between vigorous physical activity and body composition in older people who attend primary care centers. Material and methods: this study is characterized by being a descriptive, cross-sectional epidemiological study in 654 older adults (288 men and 366 women), most of them between 60 and 69 years of age (59 %), attending primary care centers in the city of Maringá, Brazil. The participants were evaluated using the International Physical Activity Questionnaire (IPAQ), anthropometric measurements, and a sociodemographic questionnaire to characterize the sample. Results: older adults who practice physical activities in primary care centers with vigorous intensity are associated with lower abdominal circumference, waist, hip, quadriceps, and calf measurements when compared to older people with low or moderate levels of physical activity. Conclusions: the practice of vigorous physical activity is related to low body perimeters (abdominal, hip, waist, calf) in older adults who attend primary care centers.

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Sarcopenia: revised European consensus on definition and diagnosis

Alfonso Cruz-Jentoft, Gulistan Bahat, Jürgen Bauer … (2018)

Abstract Background in 2010, the European Working Group on Sarcopenia in Older People (EWGSOP) published a sarcopenia definition that aimed to foster advances in identifying and caring for people with sarcopenia. In early 2018, the Working Group met again (EWGSOP2) to update the original definition in order to reflect scientific and clinical evidence that has built over the last decade. This paper presents our updated findings. Objectives to increase consistency of research design, clinical diagnoses and ultimately, care for people with sarcopenia. Recommendations sarcopenia is a muscle disease (muscle failure) rooted in adverse muscle changes that accrue across a lifetime; sarcopenia is common among adults of older age but can also occur earlier in life. In this updated consensus paper on sarcopenia, EWGSOP2: (1) focuses on low muscle strength as a key characteristic of sarcopenia, uses detection of low muscle quantity and quality to confirm the sarcopenia diagnosis, and identifies poor physical performance as indicative of severe sarcopenia; (2) updates the clinical algorithm that can be used for sarcopenia case-finding, diagnosis and confirmation, and severity determination and (3) provides clear cut-off points for measurements of variables that identify and characterise sarcopenia. Conclusions EWGSOP2's updated recommendations aim to increase awareness of sarcopenia and its risk. With these new recommendations, EWGSOP2 calls for healthcare professionals who treat patients at risk for sarcopenia to take actions that will promote early detection and treatment. We also encourage more research in the field of sarcopenia in order to prevent or delay adverse health outcomes that incur a heavy burden for patients and healthcare systems.

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Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia.

Liang-Kung Chen, Li-Kuo Liu, Jean Woo … (2014)

Sarcopenia, a newly recognized geriatric syndrome, is characterized by age-related decline of skeletal muscle plus low muscle strength and/or physical performance. Previous studies have confirmed the association of sarcopenia and adverse health outcomes, such as falls, disability, hospital admission, long term care placement, poorer quality of life, and mortality, which denotes the importance of sarcopenia in the health care for older people. Despite the clinical significance of sarcopenia, the operational definition of sarcopenia and standardized intervention programs are still lacking. It is generally agreed by the different working groups for sarcopenia in the world that sarcopenia should be defined through a combined approach of muscle mass and muscle quality, however, selecting appropriate diagnostic cutoff values for all the measurements in Asian populations is challenging. Asia is a rapidly aging region with a huge population, so the impact of sarcopenia to this region is estimated to be huge as well. Asian Working Group for Sarcopenia (AWGS) aimed to promote sarcopenia research in Asia, and we collected the best available evidences of sarcopenia researches from Asian countries to establish the consensus for sarcopenia diagnosis. AWGS has agreed with the previous reports that sarcopenia should be described as low muscle mass plus low muscle strength and/or low physical performance, and we also recommend outcome indicators for further researches, as well as the conditions that sarcopenia should be assessed. In addition to sarcopenia screening for community-dwelling older people, AWGS recommends sarcopenia assessment in certain clinical conditions and healthcare settings to facilitate implementing sarcopenia in clinical practice. Moreover, we also recommend cutoff values for muscle mass measurements (7.0 kg/m(2) for men and 5.4 kg/m(2) for women by using dual X-ray absorptiometry, and 7.0 kg/m(2) for men and 5.7 kg/m(2) for women by using bioimpedance analysis), handgrip strength (<26 kg for men and <18 kg for women), and usual gait speed (<0.8 m/s). However, a number of challenges remained to be solved in the future. Asia is made up of a great number of ethnicities. The majority of currently available studies have been published from eastern Asia, therefore, more studies of sarcopenia in south, southeastern, and western Asia should be promoted. On the other hand, most Asian studies have been conducted in a cross-sectional design and few longitudinal studies have not necessarily collected the commonly used outcome indicators as other reports from Western countries. Nevertheless, the AWGS consensus report is believed to promote more Asian sarcopenia research, and most important of all, to focus on sarcopenia intervention studies and the implementation of sarcopenia in clinical practice to improve health care outcomes of older people in the communities and the healthcare settings in Asia. Copyright © 2014 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.

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Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia.

Roger Fielding, Bruno Vellas, William Evans … (2011)

Sarcopenia, the age-associated loss of skeletal muscle mass and function, has considerable societal consequences for the development of frailty, disability, and health care planning. A group of geriatricians and scientists from academia and industry met in Rome, Italy, on November 18, 2009, to arrive at a consensus definition of sarcopenia. The current consensus definition was approved unanimously by the meeting participants and is as follows: Sarcopenia is defined as the age-associated loss of skeletal muscle mass and function. The causes of sarcopenia are multifactorial and can include disuse, altered endocrine function, chronic diseases, inflammation, insulin resistance, and nutritional deficiencies. Although cachexia may be a component of sarcopenia, the 2 conditions are not the same. The diagnosis of sarcopenia should be considered in all older patients who present with observed declines in physical function, strength, or overall health. Sarcopenia should specifically be considered in patients who are bedridden, cannot independently rise from a chair, or who have a measured gait speed less that 1 m/s(-1). Patients who meet these criteria should further undergo body composition assessment using dual energy x-ray absorptiometry with sarcopenia being defined using currently validated definitions. A diagnosis of sarcopenia is consistent with a gait speed of less than 1 m·s(-1) and an objectively measured low muscle mass (eg, appendicular mass relative to ht(2) that is ≤ 7.23 kg/m(2) in men and ≤ 5.67 kg/m(2) in women). Sarcopenia is a highly prevalent condition in older persons that leads to disability, hospitalization, and death. Copyright © 2011 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.

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Author and article information

Journal

Journal ID (publisher-id): nh

Title: Nutrición Hospitalaria

Abbreviated Title: Nutr. Hosp.

Publisher: Grupo Arán (Madrid, Madrid, Spain )

ISSN (Print): 0212-1611

ISSN (Electronic): 1699-5198

Publication date (Print and electronic): February 2021

Volume: 38

Issue: 1

Pages: 60-66

Affiliations

[2] Maringá Paraná orgnameUniversidade Cesumar (UNICESUMAR) Brazil

[3] Maringá Paraná orgnameCentro Universitário Metropolitano de Maringá (UNIFAMMA) Brazil

[5] Talca Maule orgnameUniversidad Católica del Maule Chile

[6] Petrolina orgnameUniversidade Federal do Vale do São Francisco Brazil

[1] Maringá Paraná orgnameUniversidade Estadual de Maringá Brazil

[7] Londrina Paraná orgnameUniCesumar Brazil

[4] Londrina Paraná orgnameUniversidade Estadual de Londrina Brazil

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Publisher ID: S0212-16112021000100060 Publisher ID: S0212-1611(21)03800100060

DOI: 10.20960/nh.03254

SO-VID: a98ef149-dc22-48f9-a29f-f68d4baa4e49

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This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

History

Date accepted : 09 September 2020

Date received : 15 July 2020

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Figures: 0, Tables: 0, Equations: 0, References: 33, Pages: 7

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Relación entre la actividad física vigorosa y la composición corporal en adultos mayores Translated title: Relationship between vigorous physical activity and body composition in older adults

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Most cited references 31

Sarcopenia: revised European consensus on definition and diagnosis

Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia.

Sarcopenia: an undiagnosed condition in older adults. Current consensus definition: prevalence, etiology, and consequences. International working group on sarcopenia.

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