A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil

Detalhes bibliográficos
Autor(a) principal: Viviane Santos Borges
Data de Publicação: 2020
Outros Autores: Maria Fernanda Furtado Lima-Costa, Fabíola Bof de Andrade
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Cadernos de Saúde Pública
Texto Completo: https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412
Resumo: This study aimed to assess the prevalence and factors associated with dynapenia in a nationally representative sample of Brazilians aged 50 years and older. A cross-sectional study was performed with baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Dynapenia was defined as low muscle strength (< 27kg for men and < 16kg for women). Explanatory variables were sociodemographic characteristics, health conditions, health behaviors and physical performance. Analyses were based on multivariate logistic regression and population attributable fractions. Among the 8,396 participants, the prevalence of dynapenia was 17.2% (16.6% among men and 17.7% among women); for those aged 65 years and older, the prevalence was 28.2% (29.1% and 27.5% among men and women, respectively). Dynapenia was positively associated with age, low gait speed, limitations in performing two or more basic daily activities, falls and self-reported chronic diseases; and negatively associated with education level, physical activity and body mass index (overweight/obese, OR = 0.26). Prevalence of dynapenia is high in Brazilian older adults. Educational skills and physical activity improvement present greater potential to reduce dynapenia in this population.
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spelling A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-BrazilAgingHand StrengthPhysical Functional PerformanceMuscle StrengthSocioeconomic FactorsThis study aimed to assess the prevalence and factors associated with dynapenia in a nationally representative sample of Brazilians aged 50 years and older. A cross-sectional study was performed with baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Dynapenia was defined as low muscle strength (< 27kg for men and < 16kg for women). Explanatory variables were sociodemographic characteristics, health conditions, health behaviors and physical performance. Analyses were based on multivariate logistic regression and population attributable fractions. Among the 8,396 participants, the prevalence of dynapenia was 17.2% (16.6% among men and 17.7% among women); for those aged 65 years and older, the prevalence was 28.2% (29.1% and 27.5% among men and women, respectively). Dynapenia was positively associated with age, low gait speed, limitations in performing two or more basic daily activities, falls and self-reported chronic diseases; and negatively associated with education level, physical activity and body mass index (overweight/obese, OR = 0.26). Prevalence of dynapenia is high in Brazilian older adults. Educational skills and physical activity improvement present greater potential to reduce dynapenia in this population.El objetivo del estudio fue evaluar la prevalencia de la dinapenia y factores asociados en una muestra nacional representativa de individuos con 50 años o más en Brasil. Se realizó un estudio transversal. El presente estudio usó datos de referencia del Estudio Longitudinal de Salud de Ancianos Brasileños (ELSI-Brasil por sus siglas en portugués). La variable dependiente era dinapenia, definida como baja fuerza muscular (< 27kg para hombres y < 16kg para mujeres). Se incluyeron como covariables en el modelo logístico las características sociodemográficas: estado de salud, comportamientos relacionados con la salud y desempeño físico. Se calcularon fracciones atribuibles poblacionales para los factores que demostrasen asociación significativa con el resultado. Se estudiaron a 8.386 participantes con 50 años o más (53,3% del sexo femenino). La prevalencia de la dinapenia fue de un 17,2%, siendo un 16,6% en hombres y un 17,7% en mujeres. Entre los individuos con 65 años o más, la prevalencia fue de 28,2% (29,1% en los hombres y 27,5% en mujeres). La presencia de la dinapenia mostró asociación positiva con edad, velocidad de marcha reducida, limitación autoinformada en dos o más actividades básicas de la vida diaria, género, caídas, hospitalizaciones y enfermedades crónicas. La dinapenia mostró una asociación negativa con: escolaridad, actividad física e índice de masa corporal (sobrepeso/obesidad, OR = 0,26). Aproximadamente un 9% de la dinapenia era atribuible a riesgos modificables. El estudio indica que la dinapenia es prevalente en brasileños con 50 años o más, y las medidas para mejorar la escolaridad y actividad física poseen un mayor potencial para reducir la dinapenia en esa población.O estudo teve como objetivo avaliar a prevalência da dinapenia e fatores associados em uma amostra nacional representativa de indivíduos com 50 anos ou mais no Brasil. Foi realizado um estudo transversal. O presente estudo usou dados da linha de base do Estudo Longitudinal da Saúde dos Idosos Brasileiros (ELSI-Brasil). A variável dependente era dinapenia, definida como baixa força muscular (< 27kg para homens e < 16kg para mulheres). Foram incluídas como covariáveis no modelo logístico, as características sociodemográficas estado de saúde, comportamentos relacionados à saúde e desempenho físico. Foram calculadas frações atribuíveis populacionais para os fatores que demonstrassem associação significativa com o desfecho. Foram estudados 8.386 participantes com 50 anos ou mais (53,3% do sexo feminino). A prevalência da dinapenia foi 17,2%, sendo 16,6% nos homens e 17,7% nas mulheres. Entre os indivíduos com 65 anos ou mais, a prevalência foi 28,2% (29,1% nos homens e 27,5% nas mulheres). A presença da dinapenia mostrou associação positiva com idade, velocidade de marcha reduzida, limitação autorrelatada em duas ou mais atividades básicas da vida diária, gênero, quedas, hospitalizações e doenças crônicas. A dinapenia mostrou associação negativa com escolaridade, atividade física e índice de massa corporal (sobrepeso/obesidade, OR = 0,26). Aproximadamente 9% da dinapenia eram atribuíveis a riscos modificáveis. O estudo indica que a dinapenia é prevalente em brasileiros com 50 anos ou mais, e que medidas para melhorar a escolaridade e atividade física têm o maior potencial de reduzir a dinapenia nessa população.Reports in Public HealthCadernos de Saúde Pública2020-04-30info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlapplication/pdfhttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412Reports in Public Health; Vol. 36 No. 4 (2020): AprilCadernos de Saúde Pública; v. 36 n. 4 (2020): Abril1678-44640102-311Xreponame:Cadernos de Saúde Públicainstname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZenghttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412/16376https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412/16377Viviane Santos BorgesMaria Fernanda Furtado Lima-CostaFabíola Bof de Andradeinfo:eu-repo/semantics/openAccess2024-03-06T15:29:57Zoai:ojs.teste-cadernos.ensp.fiocruz.br:article/7412Revistahttps://cadernos.ensp.fiocruz.br/ojs/index.php/csphttps://cadernos.ensp.fiocruz.br/ojs/index.php/csp/oaicadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br1678-44640102-311Xopendoar:2024-03-06T13:08:31.109355Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)true
dc.title.none.fl_str_mv A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
title A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
spellingShingle A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
Viviane Santos Borges
Aging
Hand Strength
Physical Functional Performance
Muscle Strength
Socioeconomic Factors
title_short A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
title_full A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
title_fullStr A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
title_full_unstemmed A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
title_sort A nationwide study on prevalence and factors associated with dynapenia in older adults: ELSI-Brazil
author Viviane Santos Borges
author_facet Viviane Santos Borges
Maria Fernanda Furtado Lima-Costa
Fabíola Bof de Andrade
author_role author
author2 Maria Fernanda Furtado Lima-Costa
Fabíola Bof de Andrade
author2_role author
author
dc.contributor.author.fl_str_mv Viviane Santos Borges
Maria Fernanda Furtado Lima-Costa
Fabíola Bof de Andrade
dc.subject.por.fl_str_mv Aging
Hand Strength
Physical Functional Performance
Muscle Strength
Socioeconomic Factors
topic Aging
Hand Strength
Physical Functional Performance
Muscle Strength
Socioeconomic Factors
description This study aimed to assess the prevalence and factors associated with dynapenia in a nationally representative sample of Brazilians aged 50 years and older. A cross-sectional study was performed with baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Dynapenia was defined as low muscle strength (< 27kg for men and < 16kg for women). Explanatory variables were sociodemographic characteristics, health conditions, health behaviors and physical performance. Analyses were based on multivariate logistic regression and population attributable fractions. Among the 8,396 participants, the prevalence of dynapenia was 17.2% (16.6% among men and 17.7% among women); for those aged 65 years and older, the prevalence was 28.2% (29.1% and 27.5% among men and women, respectively). Dynapenia was positively associated with age, low gait speed, limitations in performing two or more basic daily activities, falls and self-reported chronic diseases; and negatively associated with education level, physical activity and body mass index (overweight/obese, OR = 0.26). Prevalence of dynapenia is high in Brazilian older adults. Educational skills and physical activity improvement present greater potential to reduce dynapenia in this population.
publishDate 2020
dc.date.none.fl_str_mv 2020-04-30
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412
url https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412/16376
https://cadernos.ensp.fiocruz.br/ojs/index.php/csp/article/view/7412/16377
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
application/pdf
dc.publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
publisher.none.fl_str_mv Reports in Public Health
Cadernos de Saúde Pública
dc.source.none.fl_str_mv Reports in Public Health; Vol. 36 No. 4 (2020): April
Cadernos de Saúde Pública; v. 36 n. 4 (2020): Abril
1678-4464
0102-311X
reponame:Cadernos de Saúde Pública
instname:Fundação Oswaldo Cruz (FIOCRUZ)
instacron:FIOCRUZ
instname_str Fundação Oswaldo Cruz (FIOCRUZ)
instacron_str FIOCRUZ
institution FIOCRUZ
reponame_str Cadernos de Saúde Pública
collection Cadernos de Saúde Pública
repository.name.fl_str_mv Cadernos de Saúde Pública - Fundação Oswaldo Cruz (FIOCRUZ)
repository.mail.fl_str_mv cadernos@ensp.fiocruz.br||cadernos@ensp.fiocruz.br
_version_ 1798943392285065216

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