Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra

Detalhes bibliográficos
Autor(a) principal: Ruggero, Cíntia Regina
Data de Publicação: 2011
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório do Centro Universitário Braz Cubas
Texto Completo: https://repositorio.cruzeirodosul.edu.br/handle/123456789/1154
Resumo: Background: Gait speed has been considered a vital sign in older adults and is able to predict adverse health outcomes, such as falls and mortality. However, there are few studies about gait speed in Brazilian older population. We investigated the association between slower gait speeds (usual and fast gait speeds) and demographics, physical and mental health conditions, physical functioning performance and physical activity level. Methods: Cross-sectional, population-based study, including 385 community dwelling older adults, 65 years-old and more, men and women. Usual and fast gait speed (m/s) were obtained in a 4.6m pathway and the participants were classified in 3 groups through cluster analysis: slower - <0.91m/s; intermediate – 0.91 to 1.26m/s; faster- >1.26m/s to usual gait speed and slower l- <1.09m/s; intermediate – 1.09 to 1.57; faster - >1.57m/s to fast gait speed. Slower groups (SG) were compared to intermediate/faster groups (FG) regarding demographics, global cognitive function (Mini-Mental State Examination - MMSE), depression (Geriatric Depression Scale - GDS-15), concern about falling (Falls Efficacy Scale International - FES-I), subjective health perception, comorbidities, medications, visual and hearing impairments, memory and dizziness complain, self-perceived fatigue, disability in activities of daily living, height, body mass index and physical activity level. Results: Participants had 71.40(SD 5.72) years-old, 64.4% were female, the mean usual gait speed was 1.11 (SD 0.27) m/s and fast gait speed was 1.39 (SD 0.34) m/s. Slower usual gait speed was associated with low physical activity level, stroke, diabetes, arthritis, urinary incontinence (UI) and age while slower fast gait speed was associated with low physical activity level, UI, concern about falling, height and global cognitive function. Conclusion: Chronic conditions that affect mobility and low physical activity level seems to explain slower usual gait speed. Slower fast gait speed seems to be influenced by psico-cognitive variables and low level of physical activity. UI was associated to slower usual and fast gait speeds, suggesting that it is an important global marker of health status and functional reserve in aging.
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spelling Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibraIdosoMarchaAvaliação geriátricaLimitação da mobilidadeFISIOTERAPIA E TERAPIA OCUPACIONALBackground: Gait speed has been considered a vital sign in older adults and is able to predict adverse health outcomes, such as falls and mortality. However, there are few studies about gait speed in Brazilian older population. We investigated the association between slower gait speeds (usual and fast gait speeds) and demographics, physical and mental health conditions, physical functioning performance and physical activity level. Methods: Cross-sectional, population-based study, including 385 community dwelling older adults, 65 years-old and more, men and women. Usual and fast gait speed (m/s) were obtained in a 4.6m pathway and the participants were classified in 3 groups through cluster analysis: slower - <0.91m/s; intermediate – 0.91 to 1.26m/s; faster- >1.26m/s to usual gait speed and slower l- <1.09m/s; intermediate – 1.09 to 1.57; faster - >1.57m/s to fast gait speed. Slower groups (SG) were compared to intermediate/faster groups (FG) regarding demographics, global cognitive function (Mini-Mental State Examination - MMSE), depression (Geriatric Depression Scale - GDS-15), concern about falling (Falls Efficacy Scale International - FES-I), subjective health perception, comorbidities, medications, visual and hearing impairments, memory and dizziness complain, self-perceived fatigue, disability in activities of daily living, height, body mass index and physical activity level. Results: Participants had 71.40(SD 5.72) years-old, 64.4% were female, the mean usual gait speed was 1.11 (SD 0.27) m/s and fast gait speed was 1.39 (SD 0.34) m/s. Slower usual gait speed was associated with low physical activity level, stroke, diabetes, arthritis, urinary incontinence (UI) and age while slower fast gait speed was associated with low physical activity level, UI, concern about falling, height and global cognitive function. Conclusion: Chronic conditions that affect mobility and low physical activity level seems to explain slower usual gait speed. Slower fast gait speed seems to be influenced by psico-cognitive variables and low level of physical activity. UI was associated to slower usual and fast gait speeds, suggesting that it is an important global marker of health status and functional reserve in aging.Pós-GraduaçãoContextualização: A medida da velocidade de marcha tem demonstrado ser um marcador de vitalidade em idosos que apresenta capacidade preditiva para desfechos negativos de saúde, como quedas e mortalidade. Porém, poucos dados sobre velocidade de marcha são disponíveis na população idosa brasileira. Nós investigamos a associação de variáveis sócio-demográficas, condições de saúde física e mental, desempenho físico-funcional e nível de atividade física com a lentidão na velocidade de marcha usual e na velocidade de marcha rápida. Métodos: Estudo transversal, de base populacional, com 385 idosos da comunidade, com 65 anos e mais, homens e mulheres. As velocidades de marcha usual e rápida foram mensuradas em m/s num trajeto de 4,6m e os participantes foram divididos em três grupos: lentos, intermediários e rápidos por meio da análise por conglomerados: lento - <0,91m/s; intermediário – entre 0,91 a 1,26m/s; rápido - >1,26m/s para velocidade usual de marcha e lento - <1,09m/s; intermediário – entre 1,09 e 1,57; rápido - >1,57m/s para velocidade rápida de marcha. Os grupos dos idosos lentos em ambas as medidas de velocidade de marcha, usual e rápida, foram comparados aos grupos dos idosos intermediários/rápidos com relação a dados demográficos, função cognitiva global (Mini-Exame do Estado Mental - MEEM), depressão (Geratric Depression Scale - GDS-15), preocupação com a possibilidade de cair (Falls Efficacy Scale International - FES-I), percepção subjetiva de saúde, co-morbidades, medicações, comprometimento visual e auditivo, dificuldade de memória, tontura, fadiga auto-percebida, comprometimento de atividades de vida diária, estatura, índice de massa corporal e nível de atividade física. Resultados: A idade média da amostra foi de 71,40(DP 5,72) anos, 64,4% dos participantes eram do sexo feminino e a média da velocidade de marcha usual foi de 1,11 (DP 0,27) m/s e de velocidade de marcha rápida foi de 1,39 (DP 0,34) m/s. Ser lento com relação à velocidade usual de marcha mostrou associação com o baixo nível de atividade física, história de acidente vascular encefálico, diabetes, artrite, incontinência urinária e idade enquanto ser lento com relação à velocidade de marcha rápida mostrou associação com o baixo nível de atividade física, incontinência urinária (IU), preocupação excessiva com a possibilidade de cair, estatura e função cognitiva global. Conclusão: A presença de doenças crônicas que afetam a mobilidade e o baixo nível de atividade física parece explicar a lentidão na velocidade de marcha usual. Já a lentidão na velocidade de marcha rápida parece sofrer influência de variáveis psico-cognitivas e do baixo nível de atividade física. A IU mostrou-se associada à lentidão na velocidade de marcha, tanto usual quanto rápida, e sugere ser um importante marcador global do estado de saúde e da reserva funcional no envelhecimentoUniversidade Cidade de São PauloBrasilPós-GraduaçãoPrograma de Pós-Graduação Mestrado em FisioterapiaUNICIDPerracini, Monica Rodrigueshttps://orcid.org/0000-0001-9331-3820http://lattes.cnpq.br/4446947795854189Ruggero, Cíntia Regina2020-12-02T14:55:38Z2020-12-02T14:55:38Z2011-12-13info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisapplication/pdfRUGGERO, Cíntia Regina. Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra. Orientadora: Prof. Dra. Monica Rodrigues Perracini 2011. 77f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011https://repositorio.cruzeirodosul.edu.br/handle/123456789/1154por1. Carvalho J, Garcia R. O envelhecimento da população brasileira: um enfoque demográfico. 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dc.title.none.fl_str_mv Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
title Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
spellingShingle Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
Ruggero, Cíntia Regina
Idoso
Marcha
Avaliação geriátrica
Limitação da mobilidade
FISIOTERAPIA E TERAPIA OCUPACIONAL
title_short Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
title_full Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
title_fullStr Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
title_full_unstemmed Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
title_sort Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra
author Ruggero, Cíntia Regina
author_facet Ruggero, Cíntia Regina
author_role author
dc.contributor.none.fl_str_mv Perracini, Monica Rodrigues
https://orcid.org/0000-0001-9331-3820
http://lattes.cnpq.br/4446947795854189
dc.contributor.author.fl_str_mv Ruggero, Cíntia Regina
dc.subject.por.fl_str_mv Idoso
Marcha
Avaliação geriátrica
Limitação da mobilidade
FISIOTERAPIA E TERAPIA OCUPACIONAL
topic Idoso
Marcha
Avaliação geriátrica
Limitação da mobilidade
FISIOTERAPIA E TERAPIA OCUPACIONAL
description Background: Gait speed has been considered a vital sign in older adults and is able to predict adverse health outcomes, such as falls and mortality. However, there are few studies about gait speed in Brazilian older population. We investigated the association between slower gait speeds (usual and fast gait speeds) and demographics, physical and mental health conditions, physical functioning performance and physical activity level. Methods: Cross-sectional, population-based study, including 385 community dwelling older adults, 65 years-old and more, men and women. Usual and fast gait speed (m/s) were obtained in a 4.6m pathway and the participants were classified in 3 groups through cluster analysis: slower - <0.91m/s; intermediate – 0.91 to 1.26m/s; faster- >1.26m/s to usual gait speed and slower l- <1.09m/s; intermediate – 1.09 to 1.57; faster - >1.57m/s to fast gait speed. Slower groups (SG) were compared to intermediate/faster groups (FG) regarding demographics, global cognitive function (Mini-Mental State Examination - MMSE), depression (Geriatric Depression Scale - GDS-15), concern about falling (Falls Efficacy Scale International - FES-I), subjective health perception, comorbidities, medications, visual and hearing impairments, memory and dizziness complain, self-perceived fatigue, disability in activities of daily living, height, body mass index and physical activity level. Results: Participants had 71.40(SD 5.72) years-old, 64.4% were female, the mean usual gait speed was 1.11 (SD 0.27) m/s and fast gait speed was 1.39 (SD 0.34) m/s. Slower usual gait speed was associated with low physical activity level, stroke, diabetes, arthritis, urinary incontinence (UI) and age while slower fast gait speed was associated with low physical activity level, UI, concern about falling, height and global cognitive function. Conclusion: Chronic conditions that affect mobility and low physical activity level seems to explain slower usual gait speed. Slower fast gait speed seems to be influenced by psico-cognitive variables and low level of physical activity. UI was associated to slower usual and fast gait speeds, suggesting that it is an important global marker of health status and functional reserve in aging.
publishDate 2011
dc.date.none.fl_str_mv 2011-12-13
2020-12-02T14:55:38Z
2020-12-02T14:55:38Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/masterThesis
format masterThesis
status_str publishedVersion
dc.identifier.uri.fl_str_mv RUGGERO, Cíntia Regina. Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra. Orientadora: Prof. Dra. Monica Rodrigues Perracini 2011. 77f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011
https://repositorio.cruzeirodosul.edu.br/handle/123456789/1154
identifier_str_mv RUGGERO, Cíntia Regina. Fatores associados à lentidão na velocidade de marcha em idosos da comunidade: estudo exploratório rede fibra. Orientadora: Prof. Dra. Monica Rodrigues Perracini 2011. 77f. Dissertação (Mestrado em Fisioterapia) - Universidade Cidade de São Paulo. 2011
url https://repositorio.cruzeirodosul.edu.br/handle/123456789/1154
dc.language.iso.fl_str_mv por
language por
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dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Universidade Cidade de São Paulo
Brasil
Pós-Graduação
Programa de Pós-Graduação Mestrado em Fisioterapia
UNICID
publisher.none.fl_str_mv Universidade Cidade de São Paulo
Brasil
Pós-Graduação
Programa de Pós-Graduação Mestrado em Fisioterapia
UNICID
dc.source.none.fl_str_mv reponame:Repositório do Centro Universitário Braz Cubas
instname:Centro Universitário Braz Cubas (CUB)
instacron:CUB
instname_str Centro Universitário Braz Cubas (CUB)
instacron_str CUB
institution CUB
reponame_str Repositório do Centro Universitário Braz Cubas
collection Repositório do Centro Universitário Braz Cubas
repository.name.fl_str_mv Repositório do Centro Universitário Braz Cubas - Centro Universitário Braz Cubas (CUB)
repository.mail.fl_str_mv bibli@brazcubas.edu.br
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