Indicadores antropométricos como instrumentos de triagem para sarcopenia em idosos residentes em Florianópolis, Santa Catarina: estudo EpiFloripa Idoso
Palavras-chave:
Idoso, Antropometria, Força da mão, Curva ROC, SarcopeniaResumo
Objetivo
Este estudo transversal, populacional, teve como objetivo determinar pontos de corte de indicadores antropométricos e força de preensão manual para triagem de sarcopenia e verificar a associação entre sarcopenia e estes indicadores.
Métodos
A amostra foi composta por 601 idosos e a sarcopenia foi identificada pelo índice de massa muscular apendicular. A curva Receiver Operating Characteristic identificou os valores de pontos de corte para: índice de massa corporal, razão cintura-estatura, perímetro de cintura e força de preensão manual para triagem da sarcopenia. A partir dos pontos de corte foi realizada análise de componentes principais para definir os que mais se adequaram como discriminantes, compondo um indicador, e realizado análise de regressão logística com este indicador como variável independente principal.
Resultados
Os resultados mostraram que todos os indicadores antropométricos e a força de preensão manual foram considerados discriminadores de sarcopenia, entretanto o índice de massa corporal, o perímetro da cintura e a razão cintura estatura mostram-se como os melhores discriminantes na análise de componentes principais, compondo o novo indicador. A análise de regressão logística (ajustada) mostrou que a sarcopenia foi associada com o indicador em ambos os sexos.
Conclusão
A presença de índice de massa corporal baixo, baixa relação cintura estatura e baixo perímetro da cintura concomitantemente podem auxiliar na discriminação da sarcopenia.
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Copyright (c) 2023 Susana Cararo CONFORTIN, Vandrize MENEGHINI, Lariane Mortean ONO, Ione Jayce Ceola SCHNEIDER, Aline Rodrigues BARBOSA, Eleonora D’ORSI
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