scholarly journals Factors Associated With Low Handgrip Strength In The Elderly: Data Of The Study Of Chronic Diseases (EDOC-I)

2019 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela

Abstract Background Handgrip strength (HGS) is a recognized important health biomarker, whose low scores have showed an evident association with morbimortality of adults and elderly people from various parts of the world. This study aimed to analyze the factors associated with low HGS in elderly persons in Rio Branco, Acre, Brazil.Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Elderly, performed with 1,016 people aged over 60 residing in Rio Branco. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression.Results The reduction of the median HGS ​​was 6.0 kg per decade among men, and 2.6 kg among women. A greater reduction was observed in the lower quintile of HGS of women aged over 80 years, 4.1 kg in relation to the previous decade. Factors independently associated with low HGS in men and women, respectively, were low weigh in BMI [OR 2.80 (1.22-6.44) and OR 2.61 (1.49-4.57)], anemia [OR 4.15 (2.14-8.04) and OR 1.80 (1.08-3.01)] and diabetes as a risk factor in men [OR 1.95 (1.02-3.73)] and as protection factor in women [OR 0.53 (0.28-0.99)]. There was a higher chance of low HGS in men with partners [OR 2.44 (1.35-4.42)], smokers or former smokers [OR 3.25 (1.29-8.19)], with current self-assessment of health worse than the 12 previous months [OR 2.21 (1.16-4.21)] and dependence in ADL [OR 2.92 (1.39-6.15)]. Only among women, there was an increased chance of low HGS associated with altered WHR [OR 1.79 1.04-3.07)], insomnia [OR 1.83 (1.12-2.98)] and physical activity from displacement/occupation [OR 1.75 (1.10-2.80)]Conclusion Factors associated with low HGS are not common to gender and the inclusion of HGS as a component of health seems to be a promising strategy for disease prevention and health promotion.

2019 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela

Abstract Background Handgrip strength (HGS) is a recognized important health biomarker, whose low scores have showed an evident association with morbimortality of adults and elderly people from various parts of the world. This study aimed to analyze the factors associated with low HGS in elderly persons in Rio Branco, Acre, Brazil.Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Elderly, performed with 1,016 people aged over 60 residing in Rio Branco. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression.Results The reduction of the median HGS ​​was 6.0 kg per decade among men, and 2.6 kg among women. A greater reduction was observed in the lower quintile of HGS of women aged over 80 years, 4.1 kg in relation to the previous decade. Factors independently associated with low HGS in men and women, respectively, were low weigh in BMI [OR 2.80 (1.22-6.44) and OR 2.61 (1.49-4.57)], anemia [OR 4.15 (2.14-8.04) and OR 1.80 (1.08-3.01)] and diabetes as a risk factor in men [OR 1.95 (1.02-3.73)] and as protection factor in women [OR 0.53 (0.28-0.99)]. There was a higher chance of low HGS in men with partners [OR 2.44 (1.35-4.42)], smokers or former smokers [OR 3.25 (1.29-8.19)], with current self-assessment of health worse than the 12 previous months [OR 2.21 (1.16-4.21)] and dependence in ADL [OR 2.92 (1.39-6.15)]. Only among women, there was an increased chance of low HGS associated with altered WHR [OR 1.79 1.04-3.07)], insomnia [OR 1.83 (1.12-2.98)] and physical activity from displacement/occupation [OR 1.75 (1.10-2.80)]Conclusion Factors associated with low HGS are not common to gender and the inclusion of HGS as a component of health seems to be a promising strategy for disease prevention and health promotion.


2020 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela

Abstract Background Handgrip strength (HGS) is an important health biomarker, whose low scores have been shown to be associated with morbimortality. This study aimed to analyze the factors associated with low HGS in older persons in Rio Branco, Acre, Brazil. Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Older People, a cross-sectional household PAPI probability sample survey performed with 1,016 people aged over 60 residing in Rio Branco in 2014. The low HGS was defined by the 20th percentile of the maximum HGS by sex and age group. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression, expressed by adjusted ORs (aOR). Results Older individuals had lower median HGS than younger individuals (-6.0 kg among men and -2.6 kg among women). Women aged over 80 years had, on average, the lower quintile of HGS compared to women of the previous age groups. Factors independently associated with low HGS in men and women, respectively, were low weigh in body mass index [(aOR = 2.80; 95%CI: 1.19, 6.61) and (aOR = 2.61; 95%CI: 1.46, 4.66)], anemia [(aOR= 4.15; 95%CI: 2.09, 8.21) and (aOR = 1.80; 95%CI: 1.06, 3.06)] and diabetes as a risk factor in men (aOR 1.95; 95%CI: 1.00, 3.81). There was a higher chance of low HGS in men with partners (aOR = 2.44; 95%CI: 1.32, 4.51), smokers or former smokers (aOR = 3.25; 95%CI: 1.25, 8.44), with current self-assessment of health worse than the 12 previous months (aOR = 2.21; 95%CI: 1.14, 4.30) and dependence in activities of daily living (aOR = 2.92; 95%CI: 1.35, 6.30). Only among women, there was an increased chance of low HGS associated with altered waist-to-hip ratio (aOR = 1.79; 95%CI: 1.02, 3.12), insomnia (aOR = 1.83; 95%CI: 1.10, 3.03) and physical activity from displacement/occupation (aOR = 1.75; 95%CI: 1.08, 2.84). Conclusion Factors associated with low HGS are not common to sex and the inclusion of HGS as a component of health assessment seems to be a promising strategy for disease prevention and health promotion.


2020 ◽  
Author(s):  
Cledir de Araújo Amaral ◽  
Thatiana Lameira Maciel Amaral ◽  
Gina Torres Rego Monteiro ◽  
Mauricio Teixeira Leite de Vasconcellos ◽  
Margareth Crisostomo Portela

Abstract Background Handgrip strength (HGS) is an important health biomarker whose low scores have been shown to be associated with the morbimortality. This study aimed to analyze the factors associated with low HGS in older people in Rio Branco, Acre, Brazil. Methods The study was carried out with data from the Study of Chronic Diseases (EDOC-I) – Older People, a cross-sectional household PAPI probability sample survey performed with 1,016 people aged over 60 residing in Rio Branco in 2014. The low HGS was defined by the 20 th percentile of the maximum HGS by sex and age group. Associations between variables of health status (psychological and physical) and low HGS, by sex, were estimated using logistic regression, expressed by adjusted ORs (aOR). Results Older individuals had lower median HGS than younger individuals (-6.0 kg among men and -2.6 kg among women). Women aged over 80 had, on average, the lower quintile of HGS compared to women of the previous age groups. Factors independently associated with low HGS in men and women, respectively, were low weigh in body mass index [(aOR = 2.80; 95%CI: 1.19, 6.61) and (aOR = 2.61; 95%CI: 1.46, 4.66)], anemia [(aOR= 4.15; 95%CI: 2.09, 8.21) and (aOR = 1.80; 95%CI: 1.06, 3.06)] and diabetes as a risk factor in men (aOR 1.95; 95%CI: 1.00, 3.81). There was a higher chance of low HGS in men with partners (aOR = 2.44; 95%CI: 1.32, 4.51), smokers or former smokers (aOR = 3.25; 95%CI: 1.25, 8.44), with current self-assessment of health worse than the 12 previous months (aOR = 2.21; 95%CI: 1.14, 4.30) and dependence in activities of daily living (aOR = 2.92; 95%CI: 1.35, 6.30). Only among women, there was an increased chance of low HGS associated with altered waist-to-hip ratio (aOR = 1.79; 95%CI: 1.02, 3.12), insomnia (aOR = 1.83; 95%CI: 1.10, 3.03) and physical activity from displacement/occupation (aOR = 1.75; 95%CI: 1.08, 2.84). Conclusion Factors associated with low HGS are not the same between sexes, and the inclusion of HGS as a component of health assessment seems to be a promising strategy for disease prevention and health promotion.


1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.


1980 ◽  
Vol 47 (3_suppl) ◽  
pp. 1055-1061 ◽  
Author(s):  
Edward F. Raymond ◽  
Timothy J. Michals ◽  
Robert A. Steer

A sample of 504 elderly persons living within a metropolitan area were questioned about their socio-medical characteristics and administered the Wakefield Self-assessment Depression Inventory. The distribution of depression scores indicated that 34.5% were depressed. Stepwise regression analysis was next used to examine the relationships between the characteristics and depression scores. Total number of self-reported symptoms and being partially housebound were positively associated with depression. Recommendations were made that health care providers for the elderly be alerted that older persons with physical complaints and those who are partially restricted to their homes may tend to develop levels of depression which might require psychiatric intervention.


Author(s):  
Shamsul Azhar Shah ◽  
Nazarudin Safian ◽  
Saharuddin Ahmad ◽  
Wan Abdul Hannan Wan Ibadullah ◽  
Zulkefley bin Mohammad ◽  
...  

Happiness is an essential component to experience healthy ageing. Hence, understanding the factors that contribute to happiness is important. This study aimed to determine the factors associated with happiness among the elderly population in Malaysia. In this study, 1204 respondents were recruited from urban and rural areas in Selangor. A face-to-face interview was conducted using the Bahasa Malaysia version of the Japan Gerontological Evaluation Study questionnaire. The inclusion criteria include Malaysians who are 60-years old and above and can converse in the Malaysian language. Those who encounter less than seven scores for the Abbreviated Mental Test were excluded from the study. Among the 1204 respondents, 953 (79.2%) were happy. Sociodemographic characteristics showed that being a men, age of 60 to 74 years, and living in urban areas were significantly associated with happiness. A logistic regression model showed that locality (aOR 1.61), income category (Bottom 40% aOR 0.49; Middle-class group 40% aOR 1.40), social engagement (active aOR 1.77; less active aOR 1.25), receiving emotional support (aOR 2.11) and handgrip strength (aOR 1.02) were significantly associated with happiness. Thus, ensuring the elderly population in receiving emotional support and active social engagement among them can enhance their happiness level.


2017 ◽  
Vol 20 (1) ◽  
pp. 138-148 ◽  
Author(s):  
Natália Araujo de Almeida ◽  
Annelita Almeida Oliveira Reiners ◽  
Rosemeiry Capriata de Souza Azevedo ◽  
Ageo Mário Cândido da Silva ◽  
Joana Darc Chaves Cardoso ◽  
...  

Abstract Objective: to verify the prevalence of and factors associated with polypharmacy among elderly residents of the city of Cuiabá, in the state of Mato Grosso. Method: a cross-sectional study of 573 people aged 60 and over was performed. Polypharmacy was defined as the use of five or more medications. To investigate the association between polypharmacy and sociodemographic variables, health and access to medication, the Mantel Haenszel chi square test was used in bivariate analysis and Poisson regression was used in multivariate analysis. The significance level adopted was 5%. Result: the prevalence of polypharmacy was 10.30%. Statistically significant associations were found between polypharmacy and living with others, describing suffering from circulatory, endocrine, nutritional and digestive tract diseases, and referring to financial difficulties for the purchase of medicines. Conclusion: some social and health condition factors play an important role in the use of multiple medications among the elderly.


2017 ◽  
Vol 20 (3) ◽  
pp. 441-453 ◽  
Author(s):  
Karen Mello de Mattos Margutti ◽  
Natielen Jacques Schuch ◽  
Carla Helena Augustin Schwanke

Abstract Objective: To identify the relationship between inflammatory markers and sarcopenia, and the diagnostic criteria of the condition among the elderly. Methods: A systematic review was performed based on the consultation of the PubMed and LILACS databases. Eligible original articles were those involving individuals aged 60 years or more, which investigated sarcopenia [low muscle mass (MM) associated with poor muscle strength and/or reduced physical performance, according to the European Working Group on Sarcopenia in Older People consensus (EWGSOP)] or its diagnostic criteria, published in English or Portuguese, between 2010-2015. Results: Four articles were included in the review, the principle results of which were: the growth differentiation factor (GDF-15) exhibited a negative correlation with MM, handgrip strength and gait speed; the insulin-like growth factor-1 (IGF-1) correlated positively with MM; follistatin exhibited a weak correlation with physical performance; activin A and myostatin did not correlate with the diagnostic criteria; the highest tercile of extracellular heat shock protein 72 (eHsp72) was associated with lower median levels of MM, handgrip strength and gait speed; elderly persons with low MM had higher serum ferritin concentrations; women with low MM exhibited lower serum concentration levels of C-reactive protein (CRP). Conclusion: the six investigated inflammatory markers (GDF-15, IGF-1, follistatin, eHsp72, ferritin and CRP) were associated with the diagnostic criteria for sarcopenia, but not with sarcopenia itself. As research in this area is still developing, additional studies are required to broaden knowledge and eventually establish the role of these markers in the diagnosis and management of sarcopenia.


Author(s):  
Patrícia Fernanda Faccio ◽  
Maria Angélica Bezerra dos Santos ◽  
Taís Arcanjo Maropo da Silva ◽  
Eduarda Correia Moretti ◽  
Maria das Graças Wanderley de Sales Coriolano ◽  
...  

Abstract Objective: To identify the factors associated with temporomandibular dysfunction among elderly persons. Method: An integrative literature review was carried out, evaluated by scientific publications indexed in five databases: MEDLINE/PubMed, SCOPUS, WEB OF SCIENCE, CINAHL and LILACS, without date or language restrictions. The adapted Newcastle-Ottawa Scale was used to evaluate the articles. Results: Of the 888 articles from the databases, four were considered eligible for this review. Risk of bias analysis classified one article as low risk and the other as intermediate risk. Conclusion: The factors associated with temporomandibular dysfunction in the elderly indicated by the studies were: female gender, age between 60-70 years, a low income, suffering from tinnitus, dizziness, depression, headache or bruxism; experience temporomandibular joint palpation, masticatory and cervical muscle pain, a low number of teeth and the use of complete dentures.


2020 ◽  
Vol 30 (89) ◽  
pp. 47-54
Author(s):  
Edyta Mikołajczyk ◽  
Alicja Gałązka

Aim. The aim of the study was to determine the level of motor activity, functional and motion fitness of seniors above the age of 60 as well as to examine the relationship between physical activity and the level of depression in this group of people. Material and methods. The study covered a group of 50 participants above the age of 60. The Seven-day Physical Activity Recall, ADL, IADL and GDS scales, as well as the Tinetti test and the authors’ specially designed questionnaire were used. Results. Analysis of the results showed a relationship between age, education as well as chronic diseases and the level of undertaken physical activity. A significant relationship was found between the level of activity and functional and motion performance as well as the emotional state of the elderly. There was no relationship between gender, place of residence and self-assessment of health state and the level of physical activity. The most important motivating factor for performing physical activity in seems to be the improvement of well-being, and the most frequently indicated barrier, is state of health. Conclusions. The level of physical activity is related to functional and locomotor fitness and the emotional state of the elderly. There is a correlation between age, education and the occurrence of chronic diseases and the level of physical activity. The most important motivating factor for undertaking activity seems to be the improvement of well-being, the most frequently indicated barrier is state of health.


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