scholarly journals Prevalence of reduced respiratory muscle strength in institutionalized elderly people

2009 ◽  
Vol 127 (2) ◽  
pp. 78-83 ◽  
Author(s):  
Rodrigo Polaquini Simões ◽  
Viviane Castello ◽  
Marco Antonio Auad ◽  
Jadiane Dionísio ◽  
Marisa Mazzonetto

CONTEXT AND OBJECTIVES: Respiratory muscle strength is relevant to the clinical situation of elderly patients, particularly those presenting with respiratory or cardiac diseases. The objectives of this study were to evaluate the respiratory muscle strength of institutionalized elderly women, compare this with predicted values for the Brazilian population and calculate the correlation with age and anthropometric characteristics. DESIGN AND SETTING: Cross-sectional study at the Department of Physiotherapy of Universidade Camilo Castelo Branco. METHODS: The participants were 56 institutionalized elderly women (74.87 ± 10.55 years of age), evaluated in eight institutions in three cities in the central region of the State of São Paulo, between January 2005 and March 2006. They were separated into three subgroups according to age: 60-69 years (n = 20), 70-79 (n = 18) and 80-89 years (n = 18). Maximal respiratory pressures were obtained using a manovacuometer. The values obtained were compared between subgroups and with predicted values. Correlation analysis was used to evaluate age, weight, height and body mass index in relation to maximal respiratory pressures. The significance level was P < 0.05. RESULTS: No significant differences in maximal respiratory pressures were seen between the three subgroups. The maximal respiratory pressures were significantly lower in the three subgroups, compared with predicted values. Negative correlations between maximal respiratory pressures and age and positive correlations in relation to weight, height and body mass index were found. CONCLUSIONS: Respiratory muscle strength was markedly reduced in institutionalized 60 to 89-year-old women and the values demonstrated correlations with age and anthropometric characteristics.

2014 ◽  
Vol 32 (2) ◽  
pp. 250-255 ◽  
Author(s):  
George Jung da Rosa ◽  
Camila Isabel S. Schivinski

OBJECTIVE: To assess and compare the respiratory muscle strength among eutrophic, overweight and obese school children, as well as to identify anthropometric and respiratory variables related to the results.METHODS: Cross-sectional survey with healthy schoolchildren aged 7-9 years old, divided into three groups: Normal weight, Overweight and Obese. The International Study of Asthma and Allergies in Childhood (ISAAC) questionnaire was applied. The body mass index (BMI) was evaluated, as well as the forced expiratory volume in one second (FEV1) with a portable digital device. The maximal inspiratory and expiratory pressures (MIP and MEP) were measured by a digital manometer. Comparisons between the groups were made by Kruskal-Wallis test. Spearman's correlation coefficient was used to analyze the correlations among the variables.RESULTS: MIP of eutrophic school children was higher than MIP found in overweight (p=0.043) and obese (p=0.013) children. MIP was correlated with BMI percentile and weight classification (r=-0.214 and r=-0.256) and MEP was correlated with height (r=0.328). Both pressures showed strong correlation with each other in all analyses (r≥0.773), and less correlation with FEV1 (MIP - r=0.362 and MEP - r=0.494). FEV1 correlated with MEP in all groups (r: 0.429 - 0.569) and with MIP in Obese Group (r=0.565). Age was correlated with FEV1 (r=0.578), MIP (r=0.281) and MEP (r=0.328).CONCLUSIONS: Overweight and obese children showed lower MIP values, compared to eutrophic ones. The findings point to the influence of anthropometric variables on respiratory muscle strength in children.


2021 ◽  

Background and objective: The respiratory capacity, which substantially affects exercise perfor-mance, tends to be affected by many factors such as anthropometric characteristics and different sports branches. We know which body mass index (BMI) category negatively affects pulmonary functions (PFs) in sedentary, but it is unclear in the athlete population. Thus, the first aim of this study was to compare respiratory muscle strength (RMS) and PFs in athletes according to BMI categories. Furthermore, we examined whether different sports disciplines affect RMS and PFs as a second aim in the study. Methods: Athletes were divided into four groups according to BMI categories (<18.5, 18.5–24.9, 25.0–29.9, and ≥30.0 kg/m2) and two groups (individual and team) according to their sport disciplines. Results: The results showed that significant differences in MIP (cmH2O), MEP (cmH2O), FVC (lt), and FEV1 (lt) scores according to BMI categories (p < 0.001 and p < 0.05). We found that the highest RMS scores were in the 18.5–24.9 and 25.0–29.9 kg/m2 BMI categories (p < 0.001 and p < 0.05). Also, it was revealed that individual athletes' MIP, MEP, FVC, and FEV1 scores were higher than others in sports disciplines (p < 0.001 and p < 0.05). Conclusion: These findings suggest that athletes' best RMS and PFs scores can be obtained in the 18.5-24.9 or 25.0-29.9 kg/m2 BMI categories. Accordingly, we consider that different BMI values have varied effects on the athletes' respiratory capacities and should be kept under constant control. Also, individual athletes had the highest RMS and PFs due to the characteristics of sports disciplines.


2015 ◽  
Vol 77 (3-4) ◽  
Author(s):  
J.P. Heinzmann-Filho ◽  
P.J.C. Marostica ◽  
M.V.F. Donadio

The ventilatory mechanic changes that occur in cystic fibrosis (CF) patients may lead to alterations in the respiratory muscle strength levels. However, the findings regarding the strength profile in these patients are still contradictory. Objective: To evaluate, trough a literature review, the respiratory muscle strength behavior in CF patients. We have performed a search in Medline/Pubmed, Scielo, IBECS and LILACS databases selecting observational cross-sectional, prospective or retrospective studies, as well as randomized clinical trials, published between 1981 and 2011, using the following terms: cystic fibrosis, respiratory muscle strength, inspiratory maximal pressure and muscle training. The majority of the studies 71,24% have shown normal or above normal respiratory muscle strength, whilst 28,57% demonstrated reduced or near-normal values. Most of these findings were attributed to an increased work of breathing as a result of airway obstruction and chronic persistent cough. Taken together, the analyses of selected studies have showed conflicting findings regarding respiratory muscle strength behavior in these patients. However, most of the studies seem to indicate that CF patients presented maximum respiratory pressures normal or above predicted values.


2016 ◽  
Vol 29 (2) ◽  
pp. 343-350 ◽  
Author(s):  
Simone Regina Posser ◽  
Sheila Cristina Cecagno-Zanini ◽  
Fabiana Piovesan ◽  
Camila Pereira Leguisamo

Abstract Introduction: Individuals with chronic kidney disease (CKD) undergoing hemodialysis (HD) present low cardiorespiratory fitness and functional capacity. Metabolic changes, due to the disease, can result in a variety of pathophysiological conditions that favor the development of respiratory muscle weakness. However, very little is known about the performance of the respiratory muscles and the influence of HD on them. Aim: To evaluate and correlate pulmonary function, functional capacity and respiratory muscle strength in patients with CKD undergoing HD. Methods: Cross-sectional study comprising 23 patients with CKD, that met the following inclusion criteria: patients of both genders, who perform HD three times a week for a minimum period of three months. Respiratory muscle strength was evaluated using a respiratory pressure meter, lung function through spirometry and functional capacity through the 6-minute walk test (6MWT) before the HD session. Results: All patients were male and mean age was 50.2 ± 15.8 years. The median duration of HD was 3 (1.5 to 6.0) years. The mean values obtained in comparison to those predicted were MIP% 36.0 ± 13.6, MEP% 49.5 ± 15.8, FVC% 93.8 ± 21.1, FEV1% 93.7 ± 21.1, FVC/VEF1% 104.1 ± 10.3, and 6MWT% 66.33 ± 20.53. A statistically significant positive correlation was observed between the 6MWT and MIP (r = .63, p =.001) and MEP (r = .67, p < .001), between the MIP and MEP (r =.79, p < .001) and between the FEV1 and FVC (r = .91, p < .001). Conclusion: Patients with CKD undergoing HD present changes in respiratory muscle strength, with the predicted values decreasing for age and gender, as well as the distance covered in the 6MWT, although, with normal spirometric values. Functional capacity was dependent on respiratory muscle strength, as well as the values of MIP and MEP, and the values of FVC and FEV1.


2017 ◽  
Vol 20 (2) ◽  
pp. 214-224 ◽  
Author(s):  
Gislaine Cristina Vagetti ◽  
Valdomiro de Oliveira ◽  
Michael Pereira Silva ◽  
Ana Beatriz Pacífico ◽  
Tiago Rocha Alves Costa ◽  
...  

Abstract Objective: to investigate the association between body mass index (BMI) and functional fitness levels linked to the Elderly in Movement Program of the city of Curitiba, in the state of Paraná, Brazil. Methods: The study is characterized as correlational and cross-sectional. The sample consisted of 1,806 elderly female participants of the Elderly in Movement Program. The short version of the IPAQ was used to evaluate participation in physical activities; body weight (kg) and height (m) were measured to calculate BMI (kg/m²), while the motor tests proposed in the Senior Fitness Test were used to evaluate the functional fitness of the elderly women. Descriptive statistics, the chi-squared test and binary logistic regression were used for data analysis. Results: The results showed that 24.0% of the sample exhibited eutrophic nutritional status, 42.9% were overweight and 33.1% were obese. The elderly women classified as overweight and obese had lower functional fitness scores, based on the rating of Rikli and Jones, while the elderly women classified as eutrophic exhibited levels within the normal range. Obese elderly women were more likely to have low scores in the following functional fitness tests: Walk for 6 minutes, Chair Stand, Chair Sit and Reach, Back Scratch and 8-Foot Up and Go. Conclusion: The study indicated an association between, BMI and functional fitness in the elderly women participating in the program, where the majority of elderly women classified as obese exhibited low fitness in all tests.


2014 ◽  
pp. 1775 ◽  
Author(s):  
Anderson Marcal ◽  
Rejane Rodrigues ◽  
Vanderson Nascimento ◽  
Marzo Da Silva Grigoletto ◽  
Evitom C. Sousa ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Ali Albarrati ◽  
Hamayun Zafar ◽  
Ahmad H. Alghadir ◽  
Shahnwaz Anwer

Objective. The present study compared the effects of upright and slouched sitting postures on the respiratory muscle strength in healthy young males. Methods. A total of 35 adult male subjects aged 18–35 years participated in this study. Respiratory muscle strength was determined by measurement of sniff nasal inspiratory pressure (SNIP) using a MicroRPM device in the upright and slouched sitting positions. The subjects were asked to perform the pulmonary function test including peak expiratory flow (PEF), forced expiratory volume in one second (FEV1), forced vital capacity (FVC), and FEV1/FVC ratio at baseline. Body composition was also determined. Results. There was a significant difference of SNIP score between upright sitting and slouched sitting positions (p=0.04). The mean difference of SNIP score between upright sitting and slouched sitting positions was 8.7 cmH2O. Significant correlations were found between SNIP in upright sitting and FEV1% predicted values [R = .651], SNIP in slouched sitting and FEV1% predicted values [R = .579], and SNIP in upright sitting and SNIP in slouched sitting positions [R = .926] (p<0.05 for all). There were no significant correlations between SNIP scores, demographic variables, and other baseline clinical data (p>0.05). Conclusions. The slouched sitting position had a lower SNIP score compared to upright sitting position suggesting a reduced diaphragm tension and movement as a result of altered body posture.


2020 ◽  
Vol 20 (4) ◽  
pp. 1009-1016
Author(s):  
Jean Aretakis Cordeiro ◽  
Caroline Palácio Silva ◽  
Murillo Carlos Amorim Britto ◽  
Lívia Barboza Andrade

Abstract Objectives: to evaluate static and dynamic respiratory muscle strength in children and adolescents with asthma. Methods: cross-sectional study, involving 80 children and adolescents, 40 with asthma and 40 healthy controls. Biological and clinical characteristics were analyzed. The analysis of the dynamic inspiratory muscle strength was obtained using the KH5 device of the POWERbreathe® line, while the static evaluation was performed using an analog manova-cuometer. Results: the mean obtained from the S-Index was higher in the control group compared to asthmatics (p = 0.026). There was no statistical difference between MIP values for asthmatics and predicted values (p = 0.056). The MEP results showed a significant difference between the mean of the cases and the predicted values (p = 0.000). There was a positive correlation between height and S-Index (p = 0.002 and r = 0.438). Conclusion: the present study demonstrated that the static inspiratory muscle strength (PImáx) of children and adolescents with asthma in comparison with the values predicted in the literature does not differ, however, when submitted to dynamic assessment (S-Index), it presents higher values in healthy controls. In addition, the S-Index showed a positive correlation with the child's height.


2020 ◽  
Vol 16 (1) ◽  
pp. 14
Author(s):  
Shafira Dwi Resnasari

Background : Osteoporosis is a degenerative disease that often happend at women in elderly age with low body mass index. Standard examination for osteoporosis is bone density examination also known as Bone Mineral Density (BMD). This tool can interpret the patient’s bone strengthObjective : This research aims to identify the correlation between low body mass index (underweight) with bone strength on elderly women.Method : This is an observational analytic research which used cross sectional design. The sample consist of 65 respondents. The data were analyzed by using Chi-square test.Result : The result shows a large group of respondents aged 60-65 years old with a percentage of 18.5% suffers from osteopenia and a percentage of 47.7% suffers from osteoporosis. Furthermore, a percentage of 13.8% in underweight respondents suffers from osteopenia and a percentage of 47.7 % suffers from osteoporosis.Conclusion : This research proves that there is a correlation between low body mass index with bone strength on elderly women with P-value amounting to 0.022 (P < 0.05) for variable relationships between elderly age with bone strength and P-value of 0.002 (P < 0.05) for variable relationships between low body mass index with bone strength.Keyword : Osteoporosis, Body Mass Index, Bone Density


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