Hubungan antara sindrom metabolik dengan kebugaran jasmani pada lansia

Prevalensi sindrom metabolik pada lansia cukup tinggi. Sindrom metabolik dapat dicegah salah satunya dengan aktivitas fisik. Aktivitas fisik juga dapat meningkatkan kebugaran kardiorespirasi, kelenturan sendi, keseimbangan dan kekuatan otot. Penelitian ini bertujuan untuk mengetahui hubungan antara sindrom metabolik dengan kebugaran kardiorespirasi, fleksibilitas, kekuatan, dan keseimbangan pada lansia. Penelitian ini merupakan penelitian cross sectional dengan teknik consecutive sampling pada 118 lansia di Yogyakarta. Sindrom metabolik ditetapkan berdasarkan kriteria diagnosis dari Adult Treatment Panel. Instrumen yang digunakan untuk mengumpulkan data adalah tes jalan 6 menit (6-minute walking test), sit and reach, hand grip dynamometer, leg and back dynamometer dan berdiri satu kaki. Teknik analisis dengan menggunakan uji korelasi Spearman. Hasil dari penelitian menunjukkan bahwa sebanyak 32 lansia mengalami sindrom metabolik. Tujuh puluh dari 118 orang memiliki data yang lengkap untuk analisis korelasi. Terdapat korelasi antara sindrom metabolik dengan kekuatan otot tungkai/leg strength (r=-0,295, p=0,013) dan keseimbangan (r=-0,282, p=0,018), namun tidak ada korelasi antara sindrom metabolik dengan kekuatan peras tangan/hand grip, kekuatan otot punggung/back strength (p=0,405), kebugaran kardiorespirasi (p=0,103) dan fleksibilitas (p=0,488). Dapat disimpulkan bahwa lansia yang terdiagnosis mengalami sindrom metabolik cenderung mengalami pelemahan kekuatan tungkai dan penurunan keseimbangan. Oleh karenanya, lansia perlu melakukan aktivitas fisik untuk meningkatkan kekuatan otot tungkai dan keseimbangan. The Correlation between metabolic syndrome and physical fitness in elderly AbstractThe prevalence of metabolic syndrome in the elderly is quite high. One way to prevent metabolic syndrome is by being physical active. Physical activity can also improve cardiorespiratory fitness, joint flexibility, balance and muscle strength. This study aimed to determine the relationship between metabolic syndrome and cardiorespiratory fitness, flexibility, strength, and balance in the elderly. This study was a cross sectional study with a consecutive sampling technique on 118 elderly people in Yogyakarta. Metabolic syndrome was defined based on the diagnostic criteria from the Adult Treatment Panel. The instruments used to collect the data were a 6-minute walking test, sit and reach, hand grip dynamometer, leg and back dynamometer and standing on one leg. The analysis technique used the Spearman correlation test. The results of the study showed that 32 elderly had metabolic syndrome. Seventy out of 118 people had complete data for correlation analysis. There was a correlation between metabolic syndrome and leg muscle strength (r = -0.295, p = 0.013) and balance (r = -0.282, p = 0.018), but there was no correlation between metabolic syndrome and hand grip strength. back muscle strength (p = 0.405), cardiorespiratory fitness (p = 0.103) and flexibility (p = 0.488). It can be concluded that the elderly who are diagnosed with metabolic syndrome tend to experience weakened leg strength and decreased balance. Therefore, the elderly need to do physical activity to improve leg muscle strength and balance.

Download Full-text

Muscle strength cut-points for metabolic syndrome detection among adults and the elderly from Brazil

Applied Physiology Nutrition and Metabolism ◽

10.1139/apnm-2020-0758 ◽

2021 ◽

Vol 46 (4) ◽

pp. 379-388

Author(s):

Tiago Rodrigues de Lima ◽

David Alejandro González-Chica ◽

Eleonora D’Orsi ◽

Xuemei Sui ◽

Diego Augusto Santos Silva

Keyword(s):

Metabolic Syndrome ◽

Muscle Strength ◽

Lifestyle Modification ◽

Handgrip Strength ◽

Area Under The Curve ◽

Roc Curves ◽

The Elderly ◽

Youden Index ◽

Cross Sectional ◽

Cut Points

We aimed to determine cut-points for muscle strength based on metabolic syndrome diagnosis. This cross-sectional analysis comprised data from 2 cohorts in Brazil (EpiFloripa Adult, n = 626, 44.0 ± 11.1 years; EpiFloripa Aging, n = 365, 71.6 ± 6.1 years). Metabolic syndrome was assessed by relative handgrip strength (kgf/kg). Metabolic syndrome was defined as including ≥3 of the 5 metabolic abnormalities according to the Joint Interim Statement. Optimal cut-points from Receiver Operating Characteristic (ROC) curves were determined. Adjusted logistic regression was used to test the association between metabolic syndrome and the cut-points created. The cut-point identified for muscle strength was 1.07 kgf/kg (Youden index = 0.310; area under the curve (AUC)) = 0.693, 95% CI 0.614–0.764) for men and 0.73 kgf/kg (Youden index = 0.481; AUC = 0.768, 95% confidence interval (CI) = 0.709–0.821) for women (age group 25 to < 50 years). The best cut-points for men and women aged 50+ years were 0.99 kgf/kg (Youden index = 0.312; AUC = 0.651; 95% CI = 0.583–0.714) and 0.58 kgf/kg (Youden index = 0.378; AUC = 0.743; 95% CI = 0.696–0.786), respectively. Cut-points derived from ROC analysis have good discriminatory power for metabolic syndrome among adults aged 25 to <50 years but not for adults aged 50+ years. Novelty: First-line management recommendation for metabolic syndrome is lifestyle modification, including improvement of muscle strength. Cut-points for muscle strength levels according to sex and age range based on metabolic syndrome were created. Cut-points for muscle strength can assist in the identification of adults at risk for cardiometabolic disease.

Download Full-text

Independent and combined associations of cardiorespiratory fitness and muscle strength with metabolic syndrome in older adults: A cross-sectional study

Experimental Gerontology ◽

10.1016/j.exger.2020.110923 ◽

2020 ◽

Vol 135 ◽

pp. 110923 ◽

Cited By ~ 1

Author(s):

Marcyo Câmara ◽

Rodrigo Alberto Vieira Browne ◽

Gabriel Costa Souto ◽

Daniel Schwade ◽

Ludmila Pereira Lucena Cabral ◽

...

Keyword(s):

Older Adults ◽

Metabolic Syndrome ◽

Muscle Strength ◽

Cardiorespiratory Fitness ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

Download Full-text

Cardiorespiratory fitness is strongly linked to metabolic syndrome among physical fitness components: a retrospective cross-sectional study

Journal of PHYSIOLOGICAL ANTHROPOLOGY ◽

10.1186/s40101-020-00241-x ◽

2020 ◽

Vol 39 (1) ◽

Cited By ~ 1

Author(s):

Bokun Kim ◽

Minjae Ku ◽

Tanaka Kiyoji ◽

Tomonori Isobe ◽

Takeji Sakae ◽

...

Keyword(s):

Metabolic Syndrome ◽

Muscle Strength ◽

Physical Fitness ◽

Cardiorespiratory Fitness ◽

Fat Mass ◽

Density Lipoprotein ◽

Cross Sectional Study ◽

Whole Body ◽

Fitness Components ◽

Cross Sectional

Abstract Background Maintaining a good level of physical fitness from engaging in regular exercise is important for the treatment and prevention of metabolic syndrome (MetS). However, which components constitutive of physical fitness confer the greatest influence remains controversial. This retrospective cross-sectional study aimed to investigate the association between MetS and physical fitness components including cardiorespiratory fitness, muscle strength, flexibility, and agility and to identify which physical fitness components have the largest influence on MetS. Methods A total of 168 Japanese adult males aged 25–64 years were allocated into non-MetS, pre-MetS, and MetS groups according to the criteria recommended by the Japanese Society of Internal Medicine. Anthropometric measurement of body composition by whole-body dual-energy X-ray absorptiometry and measures related to MetS, including waist circumference, triglyceride level, high-density lipoprotein cholesterol level, blood pressure, glucose level, and physical fitness components, were assessed. For evaluation of cardiorespiratory fitness, muscle strength, flexibility, agility, and balance, maximal oxygen consumption (VO2peak) and oxygen uptake at anaerobic threshold (VO2AnT), handgrip strength and vertical jumping, trunk extension and flexion, stepping side to side, and single-leg balance task with the eyes closed were assessed, respectively. Results A progressive tendency of increasing body weight, body mass index, whole-body lean and fat mass, percentage of whole-body fat mass, trunk lean and fat mass, percentage of trunk fat mass, arm fat mass, waist circumference, triglyceride level, systolic and diastolic blood pressure, and blood glucose level from the non-MetS group to the MetS group was significant (P < 0.05). Conversely, the cardiorespiratory endurance parameters VO2peak and VO2AnT and the high-density lipoprotein cholesterol level showed a progressively decreasing tendency across the groups (P < 0.01). In addition, a VO2peak below 29.84 ml·kg·min−1 (P = 0.028) and VO2AnT below 15.89 ml·kg·min−1 (P = 0.011) were significant risk components for pre-MetS and MetS. However, there was no significant tendency with respect to muscle strength, agility, and flexibility. Conclusion Cardiorespiratory fitness is strongly linked to metabolic syndrome among physical fitness components

Download Full-text

Work Ability and Employment in Rheumatoid Arthritis: A Cross-Sectional Study on the Role of Muscle Strength and Lower Extremity Function

International Journal of Rheumatology ◽

10.1155/2018/3756207 ◽

2018 ◽

Vol 2018 ◽

pp. 1-11 ◽

Cited By ~ 3

Author(s):

Carolin Berner ◽

Sandra Haider ◽

Igor Grabovac ◽

Thomas Lamprecht ◽

Karl Heinrich Fenzl ◽

...

Keyword(s):

Muscle Strength ◽

Lower Extremity ◽

Work Ability ◽

Employment Status ◽

Knee Extensor ◽

Lower Extremity Function ◽

Cross Sectional ◽

Hand Grip ◽

Extremity Function ◽

Knee Extensor Strength

Objective. The aim of the present study was to assess the association between muscle strength, lower extremity function, employment status, and work ability in RA patients. Methods. One hundred seropositive RA outpatients of working age were included in this cross-sectional study. Employment status was assessed by interview and work ability by the Work Ability Index-Single Item Scale (WAS). Muscle strength was determined using dynamometer measurement of isometric hand grip and knee extensor strength. Lower extremity function was measured using the short physical performance battery (SPPB). Regression models estimate the association between unemployment, work ability and muscle strength, and lower extremity function, controlling for sociodemographic and disease-related factors. Results. Forty-one percent of the RA patients were not gainfully employed, and their median work ability had a good WAS value (7.00 [4.00-7.00]). Patients with better knee extensor strength (OR=1.07, 95% CI [1.02-1.12) and better physical performance (OR=1.71, 95% CI [1.18-2.49]) had a significantly better chance of gainful employment. The odds for hand grip strength remained significant when adjusted for sociodemographic (OR=1.5, 95% CI [1.00-1.09]), but not for disease-specific variables. Better hand grip strength (β=0.25, p=0.039) and better knee extensor strength (β=0.45, p=0.001) as well as better lower extremity function (SPPB) (β=0.51, p<0.001) remained significantly associated with work ability following adjustment for sociodemographic and disease-specific variables. Conclusions. The association of employment status and work ability with parameters of physical fitness suggests that improvement in muscle strength and lower extremity function may positively influence work ability and employment in individuals with RA.

Download Full-text

The influence of the practice of physical activity on the quality of life, muscle strength, balance, and physical ability in the elderly

Revista Brasileira de Geriatria e Gerontologia ◽

10.1590/s1809-98232013000100012 ◽

2013 ◽

Vol 16 (1) ◽

pp. 117-126 ◽

Cited By ~ 1

Author(s):

Mariana Martinez Orlando ◽

Maria Stella Peccin da Silva ◽

Império Lombardi Junior

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Muscle Strength ◽

The Elderly ◽

Physical Capacity ◽

Cross Sectional ◽

Elderly Individuals ◽

Assess Quality ◽

The City

INTRODUCTION: Ageing has become a huge public health challenge due to the need to find solutions for improving quality of life. OBJECTIVE: This study aimed to assess quality of life, muscle strength, balance and physical capacity among elderly practitioners and non-practitioners of physical activity. MATERIALS AND METHODS: An observational, cross-sectional study was carried out involving 74 elderly individuals in the city of Santos (state of São Paulo, Brazil), divided into two groups: practitioners and non-practitioners of physical activity. The International Physical Activity Questionnaire was used for the classification of the participants. The generic SF-36 questionnaire was used to assess quality of life. The Berg scale was used for the analysis of balance. Dynamometry was used for the muscle strength test. The six-minute walk test was used for the assessment of physical capacity. RESULTS: Significant differences were found between elderly practitioners and non-practitioners of physical activity regarding quality of life (p = 0.001), muscle strength (p = 0.001), balance (p = 0.001) and physical capacity (p = 0.001). The data also showed that aspects of quality of life were strongly correlated with physical capacity among the non-practitioners of physical activity (r = 0.741). CONCLUSION: Elderly individuals in the city of Santos (Brazil) who practice physical activity have better quality of life, muscle strength, physical capacity and balance in comparison to those who do not practice physical activity.

Download Full-text

Prevalence and factors associated with Metabolic Syndrome in elderly users of the Unified Health System

Revista Brasileira de Epidemiologia ◽

10.1590/1809-4503201400040001 ◽

2014 ◽

Vol 17 (4) ◽

pp. 805-817 ◽

Cited By ~ 10

Author(s):

Edna Cunha Vieira ◽

Maria do Rosário Gondim Peixoto ◽

Erika Aparecida da Silveira

Keyword(s):

Metabolic Syndrome ◽

Health System ◽

Health Workers ◽

The Elderly ◽

World Health ◽

Fat Percentage ◽

Cross Sectional ◽

Factors Associated ◽

Unified Health System ◽

The Metabolic Syndrome

OBJECTIVE: To evaluate the prevalence and factors associated with metabolic syndrome in the elderly. METHODS: Cross-sectional study, with 133 individuals randomly selected in the Unified Health System in Goiania, Goiás. The following variables were researched: anthropometric (BMI, waist circumference, fat percentage by Dual X-ray absorptiometry), sociodemographic (gender, age, color, income, marital status and years of schooling), lifestyle (physical activity, smoking and risk alcohol consumption) and food intake (risk and protective foods). The metabolic syndrome was assessed according to harmonized criteria proposed by the World Health Organization (WHO). The combinations were tested by Poisson regression for confounding factors. RESULTS: The prevalence of metabolic syndrome was 58.65% (95%CI 49.8 - 67.1), with 60.5% (95%CI 49.01 - 71.18) for females and 55.7% (95%CI 41.33 - 69.53) for males. Hypertension was the most prevalent component of the syndrome in both men, with 80.8% (95%CI 64.5 - 90.4), and women, with 85.2% (95%CI 75.5 - 92.1). After the multivariate analysis, only the excess of weight measured by body mass index (prevalence ratio = 1.66; p < 0.01) remained associated with the metabolic syndrome. CONCLUSIONS: The prevalence of metabolic syndrome in this sample was high, indicating the need for systematic actions by health workers in the control of risk factors through prevention strategies and comprehensive care to the elderly.

Download Full-text

The role of quadriceps muscle strength in the development of falls in the elderly people, a cross-sectional study

Chiropractic & Manual Therapies ◽

10.1186/s12998-018-0195-x ◽

2018 ◽

Vol 26 (1) ◽

Cited By ~ 9

Author(s):

Alijan Ahmadiahangar ◽

Yahya Javadian ◽

Mansour Babaei ◽

Behzad Heidari ◽

Seyedreza Hosseini ◽

...

Keyword(s):

Muscle Strength ◽

Elderly People ◽

The Elderly ◽

Quadriceps Muscle ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Quadriceps Muscle Strength

Download Full-text

METABOLIC SYNDROME PREVALENCE IS NOT ASSOCIATED WITH DIET QUALITY IN THE CHILEAN ELDERLY POPULATION: A CROSS SECTIONAL ANALYSIS FROM THE NATIONAL HEALTH SURVEY 2009-2010

Journal of Aging Research and Lifestyle ◽

10.14283/jarcp.2016.104 ◽

2016 ◽

pp. 1-7

Author(s):

C. Dussaillant ◽

G. Echeverría ◽

L. Villarroel ◽

C.B. Yu ◽

A. Rigotti ◽

...

Keyword(s):

Blood Pressure ◽

Metabolic Syndrome ◽

Waist Circumference ◽

Food Intake ◽

Diet Quality ◽

Elderly Population ◽

The Elderly ◽

National Health Survey ◽

Cross Sectional ◽

Sectional Analysis

Objectives: To analyze the relationship between the prevalence of metabolic syndrome, food intake, and diet quality in elderly (≥65 years old) Chilean population. Design: Cross sectional analysis based on the last national health survey performed in the years 2009 and 2010 (ChNHS 2009-2010). Setting: Non-institutionalized individuals of 65 years or older were selected and visited at home. Participants: A subsample of 505 elderly adults from the ChNHS 2009-2010 who answered a food questionnaire and had appropriate information to diagnose metabolic syndrome following the ATPIII-NCEP guidelines. Measurements: Fasting blood samples were obtained in order to measure blood lipids and fasting blood glucose. Blood pressure, waist circumference, and body mass index (BMI) were also measured. A 5-item food frequency questionnaire was applied to all the participants of NHS 2009-2010. Results: The overall prevalence of metabolic syndrome in the Chilean adult population was 37.7%, increasing in frequency with advancing age. Among the elderly (≥65 years old), metabolic syndrome was found in 57.2% of the sample. Elevated blood pressure and increased waist circumference were the most prevalent metabolic syndrome components among this group (88% and 80%, respectively). Low intake of fruits, vegetables, whole cereals, fish, and dairy was seen among the elderly, and no association was found between food intake nor diet quality and metabolic syndrome prevalence. Conclusion: Metabolic syndrome is highly prevalent among the Chilean elderly population and its prevalence is not associated with food intake or diet quality in this age group.

Download Full-text

Faktor-Faktor yang Mempengaruhi Depresi pada Lansia Pensiunan di Kecamatan Jekan Raya Kota Palangka Raya

Jurnal Surya Medika ◽

10.33084/jsm.v5i1.984 ◽

2019 ◽

Vol 5 (1) ◽

pp. 209-220

Author(s):

Syam'ani Syam'ani

Keyword(s):

Elderly People ◽

Employment Status ◽

Selection Criteria ◽

Age Groups ◽

Sampling Technique ◽

The Elderly ◽

Cross Sectional ◽

Consecutive Sampling ◽

The World ◽

Day By Day

The population of the population in the world is increasing day by day. One of the age groups that have a significant increase in the elderly group. Projections and data found about the elderly are a concern that is of interest to the whole world because along with the increase in population it is accompanied by physical and psychological problems that accompany it. This study aims to identify factors that affect depression in retired elderly people. The design used in this study uses a research design: "CROSS-SECTIONAL". In this study, the population is elderly retirees who live in the area of Jekan Raya Subdistrict, Palangka Raya City. The sampling technique in this study uses consecutive sampling technique, which is the best type of non-probability sampling, that is, all objects that come sequentially and meet the selection criteria are included in the study until the number of subjects needed is fulfilled, namely as many as 100 people. The results showed that there was no significant relationship between sex (p: 0.671), employment status (p: 0.994), marital status (p: 0.726), education (p: 0.988), and the level of depression in retired civil servants in Jekan Subdistrict Raya Kota Palangka Raya. This research is expected to contribute positively to the management of elderly people with depression so that they are able to adapt to changes that occur due to the aging process.

Download Full-text

Metabolic Syndrome in Patients of a Psychosocial Care Center in Brazil: A Cross-Sectional Study

10.20944/preprints202111.0554.v1 ◽

2021 ◽

Author(s):

Dandara Almeida Reis da Almeida Reis da Silva ◽

Ludmila Santana de Almeida ◽

Livia Lugarinho Correa ◽

Rodrigo Fernandes Weyll Pimentel ◽

Antonio Marcos Tosoli Gomes ◽

...

Keyword(s):

Metabolic Syndrome ◽

Care Center ◽

Psychosocial Care ◽

Cross Sectional Study ◽

Descriptive Statistics ◽

Adult Treatment Panel ◽

Sectional Study ◽

Cross Sectional ◽

The City ◽

Prevalence Ratios

Background: Metabolic syndrome (MS) is associated with a greater risk of morbimortality. Ob-jective: To estimate the prevalence of Metabolic Syndrome (MS) and associated factors in patients of a Psychosocial Care Center (CAPS) in the city of Salvador, state of Bahia, Brazil. Method: Cross-sectional study set at CAPS in the city of Salvador-Bahia, between August 2019 and February 2020. MS was evaluated according to the National Cholesterol Education Program's Adult Treatment Panel III. In addition to descriptive statistics, gross and adjusted prevalence ratios were described. Results: MS was found in 100 (35.2%) individuals, 116 (40.9%) were obese and 165 (58.1%) had increased waist circumference. Polypharmacy was identified in 63 (22.3%) patients and 243 (85.9%) used antipsychotics. In the gross evaluation, the female (PR = 1.88; 95% CI: 1.35-2.63) and the use of antidepressants (PR = 1.41; 95%CI: 1.05-1.88) were associated with MS. After logistic re-gression, depression (PR = 1.86; 95%CI: 1.38-2.51), acanthosis (PR = 1.50; 95%CI: 1.18 - 1.90), use of antipsychotics (PR = 1.88; 95%CI: 1.13 - 2.75) and the hypertriglyceremic waist (PR = 3.33; 95%CI: 2.48- 4.46) were associated with MS. Conclusion: The prevalence of MS alerts to multimorbidity among individuals with mental disorders and the need for clinical screening.

Download Full-text