Análise da associação da prática insuficiente de atividade física com sarcopenia e obesidade sarcopênica em indivíduos com idade igual ou superior a 50 anos

Autores

  • Vanessa Ribeiro dos SANTOS Universidade Estadual Paulista
  • Monique Yndawe Castanho ARAUJO Universidade Estadual Paulista
  • Michel Rocha CARDOSO Universidade Estadual Paulista
  • Vitor Cabrera BATISTA Universidade Estadual Paulista
  • Diego Giulliano Destro CHRISTOFARO Universidade Estadual Paulista
  • Luís Alberto GOBBO Universidade Estadual Paulista

Palavras-chave:

Antropometria, Composição Corporal, Serviços de saúde, Atividade motora, Dinamômetro de Força muscular

Resumo

Objetivo
Analisar a associação entre a prática insuficiente de atividade física em diferentes domínios e a presença de sarcopenia ou obesidade sarcopênica em indivíduos com idade maior ou igual a 50 anos.

Métodos
A amostra foi constituída por 770 indivíduos de ambos os sexos. Para o diagnóstico da sarcopenia, considerou-se: (1) baixas massa e força muscular; ou (2) baixa velocidade de locomoção e baixa massa muscular; para o diagnóstico de obesidade sarcopênica, foram considerados aqueles com indicativo de risco para obesidade e sarcopenia. A massa muscular foi mensurada por meio de equação preditiva e, posteriormente, foi calculado o índice de massa muscular em kg/m² a partir da razão entre massa muscular e estatura. A força muscular foi estimada, em kg, por força de preensão manual através de um dinamômetro digital. O teste de caminhada de quatro metros foi utilizado para avaliar a velocidade de locomoção. Foram considerados com baixas massa muscular, força muscular e velocidade de locomoção os indivíduos com valores abaixo do percentil 25; já os indivíduos com indicativo de risco para obesidade foram aqueles com valores de índice de massa corporal igual ou superior a 25kg/m2. A prática de atividade física habitual foi avaliada por questionário autorreferido.

Resultados
A prática insuficiente de exercício físico no lazer associou-se à sarcopenic (OR=2,55; IC95%=1,10–5,88). Além disso, a prática insuficiente de exercício físico no lazer (OR=4,75; IC95%=1,64–13,72) e atividade física no lazer e locomoção (OR=2,49; IC95%=1,02–6,11), bem como a atividade física habitual (OR=3,55; IC95%=1,07–11,79) se associaram à obesidade sarcopênica.

Conclusão
A prática insuficiente de atividade física associou-se à sarcopenia ou à obesidade sarcopênica em indivíduos com idade maior ou igual a 50 anos na amostra investigada. 

Referências

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis: Report of the European Working Group on Sarcopenia in older people. Age Ageing. 2010;39(4):412-23. https://doi.org/10.1093/ageing/afq034

Zamboni M, Mazzali G, Fantin F, Rossi A, Di Francesco V. Sarcopenic obesity: A new category of obesity in the elderly. Nutr Metab Cardiovasc Dis. 2008;18(5):388-95. https://doi.org/10.1016/j.numecd.2007.10.002

Baek SJ, Nam GE, Han KD, Choi SW, Jung SW, Bok AR, et al. Sarcopenia and sarcopenic obesity and their association with dyslipidemia in Korean elderly men: The 2008-2010 Korea National Health and Nutrition Examination Survey. J Endocrinol Invest. 2014;37(3):247-60. https://doi.org/10.1007/s40618-013-0011-3

Han K, Park YM, Kwon HS, Ko SH, Lee SH, Yim HW, et al. Sarcopenia as a determinant of blood pressure in older Koreans: Findings from the Korea National Health and Nutrition Examination Surveys (KNHANES) 2008-2010. PLoS One. 2014;9(1): e86902. https://doi.org/10.1371/journal.pone.0086902

Woo N, Kim SH. Sarcopenia influences fall-related injuries in community-dwelling older adults. Geriatr Nurs. 2014;35(4):279:82. https://doi.org/10.1016/j.gerinurse.2014.03.001

Cawthon PM, Peters KW, Shardell MD, McLean RR, Dam TT, Kenny AM, et al. Cutpoints for low appendicular lean mass that identify older adults with clinically significant weakness. J Gerontol A Biol Sci Med Sci. 2014;69(5):567-75. https://doi.org/10.1093/gerona/glu023

Kim JH, Lim S, Choi SH, Kim KM, Yoon JW, Kim KW, et al. Sarcopenia: An independent predictor of mortality in community-dwelling older Korean men. J Gerontol A Biol Sci Med Sci. 2014;69(10):1244-52. https://doi.org/10.1093/gerona/glu050

Atkins JL, Whincup PH, Morris RW, Lennon LT, Papacosta O, Wannamethee SG. Sarcopenic obesity and risk of cardiovascular disease and mortality: A population-based cohort study of older men. J Am Geriatr Soc. 2014;62(2):253-60. https://doi.org/10.1111/jgs.12652

Bann D, Kuh D, Wills AK, Adams J, Brage S, Cooper R. Physical activity across adulthood in relation to fat and lean body mass in early old age: Findings from the medical research council national survey of health and development, 1946-2010. Am J Epidemiol. 2014;179(10):1197-207. https://doi.org/10.1093/aje/kwu033

Dodds R, Kuh D, Aihie Sayer A, Cooper R. Physical activity levels across adult life and grip strength in early old age: Updating findings from a British birth cohort. Age Ageing. 2013; 42(6):794-8. https://doi.org/10.1093/ageing/aft124

Martin HJ, Syddall HE, Dennison EM, Cooper C, Sayer AA. Relationship between customary physical activity, muscle strength and physical performance in older men and women: Findings from the Hertfordshire Cohort Study. Age Ageing. 2008;37(5):589-93. https://doi.org/10.1093/ageing/afn148

Landi F, Marzetti E, Martone AM, Bernabei R, Onder G. Exercise as a remedy for sarcopenia. Curr Opin Clin Nutr Metab Care. 2014;17(1):25-31. https://doi.org/10.1097/MCO.0000000000000018

Park H, Park S, Shephard RJ, Aoyagi Y. Yearlong physical activity and sarcopenia in older adults: The Nakanojo Study. Eur J Appl Physiol. 2010;109(5): 953-61. https://doi.org/10.1007/s00421-010-1424-8

Kim SH, Kim TH, Hwang HJ. The relationship of physical activity (PA) and walking with sarcopenia in Korean males aged 60 years and older using the Fourth Korean National Health and Nutrition Examination Survey (KNHANES IV-2, 3), 2008-2009. Arch Gerontol Geriatr. 2013;56(3):472-7. http://dx.doi.org/10.1016/j.archger.2012.12.009

Shephard RJ, Park H, Park S, Aoyagi Y. Objectively measured physical activity and progressive loss of lean tissue in older Japanese adults: Longitudinal data from the Nakanojo study. J Am Geriatr Soc. 2013; 61(11):1887-93. https://doi.org/10.1111/jgs.12505

Ryu M, Jo J, Lee Y, Chung YS, Kim KM, Baek WC. Association of physical activity with sarcopenia and sarcopenic obesity in community-dwelling older adults: the Fourth Korea National Health and Nutrition Examination Survey. Age Ageing. 2013;42(6):734-40. https://doi.org/10.1093/ageing/aft063

Freitas Junior IF, Bueno DR, Buonani C, Codogno JS, Conterato I, Fernandes RA, et al. Padronização de técnicas antropométricas. Presidente Prudente: Cultura Acadêmica; 2009.

Washington State Health Insurance Pool. Standard Health Questionnaire for Washington state. Washington (DC): WSHIP; 2005.

Lee RC, Wang Z, Heo M, Ross R, Janssen I, Heymsfield SB. Total-body skeletal muscle mass: Development and cross-validation of anthropometric prediction models. Am J Clin Nutr. 2000;72(3):796-803.

Rech CR, Dellagrana RA, Marucci MFN, Petroski EL. Validity of anthropometric equations for the estimation of muscle mass in elderly. Braz J Kineant. 2012;14(1):23-31. https://doi.org/10.5007/1980-0037.2012v14n1p23

Guralnik JM, Simonsick EM, Ferrucci L, Glynn R.J, Berkman LF, Blazer DG, et al. A short physical performance battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. J Gerontol. 1994;49(2):M85-94.

World Health Organization. Obesity: Preventing and managing the global epidemic: Report of a WHO consultation on obesity. Geneva: WHO; 1998.

Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in epidemiological studies. Am J Clin Nutr. 1982;36(5):936-42.

Florindo AA, Latorre MRDO, Jaime PC, Tanaka T, Zerbini CAF. Methodology to evaluation the habitual physical activity in men aged 50 years or more. Rev Saúde Pública. 2004;38(2):307-14. https://dx.doi.org/10.1590/S0034-89102004000200022

Janssen I, Baumgartner RN, Ross R, Rosenberg IH, Roubenoff R. Skeletal muscle cutpoints associated with elevated physical disability risk in older men and women. Am J Epidemiol. 2004;159(4):413-21.

Abe T, Thiebaud RS, Loenneke JP, Loftin M, Fukunaga T. Prevalence of site-specific thigh sarcopenia in Japanese men and women. Age (Dordr). 2014;36(1):417-26. https://doi.org/10.1007/s11357-013-9539-6

Kim TN, Park MS, Lim KI, Choi HY, Yang SJ, Yoo HJ, et al. Relationships between sarcopenic obesity and insulin resistance, inflammation, and vitamin D status: The Korean Sarcopenic Obesity Study. Clin Endocrinol. 2013;78(4):525-32. https://doi.org/10.1111/j.1365-2265.2012.04433.x

Hwang B, Lim JY, Lee J, Choi NK, Ahn YO, Park BJ. Prevalence rate and associated factors of sarcopenic obesity in Korean elderly population. J Korean Med Sci. 2012;27(7):748-55. https://doi.org/10.3346/jkms.2012.27.7.748

Florindo AA, Hallal PC, Moura EC, Malta DC. Practice of physical activities and associated factors in adults, Brazil, 2006. Rep Public Health. 2009;43(Supl.2):65-73. https://doi.org/10.1590/S0034-89102009000900009

Moschny A, Platen P, Klaassen-Mielke R, Trampisch U, Hinrichs T. Physical activity patterns in older men and women in Germany: A cross-sectional study. BMC Public Health. 2011;11:559. https://doi.org/10.1186/1471-2458-11-559

Mourao ARC, Novais FV, Andreoni S, Ramos LR. Atividade física de idosos relacionada ao transporte e lazer, Maceió, Brasil. Rev Saúde Pública. 2013;47(6):1112-22. https://doi.org/10.1590/S0034-8910.2013047004904

Montero-Fernández N, Serra Rexach JA. Role of exercise on sarcopenia in the elderly. Eur J Rehabil Med. 2013;49(1):131-43.

Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation. 2007; 116(9):1081-93.

Pedersen BK, Febbraio MA. Muscles, exercise and obesity: Skeletal muscle as a secretory organ. Nat Rev Endocrinol. 2012;8(8):457-65. https://doi.org/10.1038/nrendo.2012.49

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Publicado

16-03-2023

Como Citar

Ribeiro dos SANTOS, V. ., Yndawe Castanho ARAUJO, M. ., Rocha CARDOSO, M. ., Cabrera BATISTA, V. ., Giulliano Destro CHRISTOFARO, D. ., & GOBBO, L. A. . (2023). Análise da associação da prática insuficiente de atividade física com sarcopenia e obesidade sarcopênica em indivíduos com idade igual ou superior a 50 anos. Revista De Nutrição, 30(2). Recuperado de https://periodicos.puc-campinas.edu.br/nutricao/article/view/7843

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