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Pereira FSM, Thomasini RL, Pereira DS, Silva TJ, Leite CA, Reis LGO, Câmara VADA, da Costa MBR, Bakir JVS, Xavier LS, Pereira LSM, Parentoni AN, Lacerda ACR. Association Between the Length of Leukocyte Telomeres and Functional Performance of Older Adults: Observational Study. Rejuvenation Res 2024; 27:44-50. [PMID: 38279807 DOI: 10.1089/rej.2023.0050] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/29/2024] Open
Abstract
Despite current literature pointing to a link between shortened telomeres and aging, chronic diseases, and geriatric syndromes, the precise implications of this connection remain unclear. The aim of this exploratory, cross-sectional, observational study was to investigate the association between the relative telomere length (RTL) of peripheral blood leukocyte subtypes (mononuclear cells and granulocytes) and physical performance using the Short Physical Performance Battery (SPPB) in older adults. A cohort of 95 participants was recruited, which included men and women aged over 60 years (70.48 ± 5.5 years). It was found that mononuclear cell RTL was significantly lower than that of granulocytes (p < 0.0001). Moreover, individuals with good SPPB performance exhibited lower mononuclear cell RTL compared with those with moderate or poor performance. However, no significant differences were observed in granulocyte RTL between different SPPB performance groups. The global SPPB score showed an inverse correlation with mononuclear cell RTL, but this correlation was not present with granulocyte RTL. Similarly, the SPPB sit-to-stand domain correlated with mononuclear cell RTL, but no such correlation was found with granulocyte RTL. Our findings challenge conventional expectations, suggesting that shorter mononuclear cell RTL may be associated with favorable functional capacity. The variations in RTL between mononuclear cells and granulocytes highlight their distinct biological roles and turnover rates. A history of immune responses may influence mononuclear cell RTL dynamics, while telomerase activity may protect granulocyte RTL from significant shortening. The unexpected associations observed in mononuclear cell RTL emphasize the complex interplay between immune responses, cellular aging, and functional capacity in older adults.
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Affiliation(s)
- Fabiana Souza Máximo Pereira
- Faculty of Medicine of Diamantina, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Post-Graduation Program in Health Sciences (PPGCS), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Ronaldo Luis Thomasini
- Faculty of Medicine of Diamantina, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Post-Graduation Program in Health Sciences (PPGCS), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Post-Graduation Program in Pharmaceutical Sciences, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Multi-Centric Post-Graduation Program in Physiological Sciences (PMPGCF), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Daniele Sirineu Pereira
- Department of Physiotherapy, Sciences Rehabilitation Program, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Thyago José Silva
- Faculty of Medicine of Diamantina, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Post-Graduation Program in Health Sciences (PPGCS), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Post-Graduation Program in Pharmaceutical Sciences, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Cleyde Amaral Leite
- Multi-Centric Post-Graduation Program in Physiological Sciences (PMPGCF), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | | | | | | | - João Víctor Santos Bakir
- Faculty of Medicine of Diamantina, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Laise Santos Xavier
- University Center of Lavras, Section of Aesthetics and Cosmetics, Lavras, Brazil
| | - Leani Souza Máximo Pereira
- Department of Physiotherapy, Sciences Rehabilitation Program, Federal University of Minas Gerais, Belo Horizonte, Brazil
- Master Program Science of Health Faculty of Medical Science Minas Gerais, Belo Horizonte, Brazil
| | - Adriana Netto Parentoni
- Department of Physiotherapy, Post-Graduation Program in Rehabilitation and Functional Capacity, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Ana Cristina Rodrigues Lacerda
- Post-Graduation Program in Health Sciences (PPGCS), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
- Department of Physiotherapy, Post-Graduation Program in Rehabilitation and Functional Capacity, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
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Batista PP, Perracini MR, do Carmo Correia de Lima M, de Amorim JSC, Pereira DS, Pereira LSM. Risk of sarcopenia and mobility of older adults during the COVID-19 pandemic: the longitudinal data from the REMOBILIZE study. Aging Clin Exp Res 2024; 36:80. [PMID: 38546804 PMCID: PMC10978643 DOI: 10.1007/s40520-024-02720-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Accepted: 02/01/2024] [Indexed: 04/01/2024]
Abstract
BACKGROUND We assessed whether clinical, functional and behavioral factors were associated with the decrease in mobility trajectories reported in older people at risk of sarcopenia (RS) and without risk of sarcopenia (NRS) during COVID-19 pandemic. METHODS We prospectively analyzed mobility trajectories reported in older adults with RS and NRS over 16-month follow-up (Remobilize study). The self-perceived risk of sarcopenia and mobility were assessed using the SARC-F and the Life-Space Assessment (LSA) tools, respectively. Gender, age, comorbidities, pain, functional limitation, physical activity (time spent in walking; min/week), and sitting time (ST; hours/day) were assessed. We used a multilevel model to determine changes in mobility between groups and over time. RESULTS Mobility was lower in RS than in NRS. Older people at RS, who were women, aged 70-79 years and 80 years or older, inactive, and with moderate to severe functional limitation experienced reduced mobility trajectories reported over the pandemic. For older people at NRS, trajectories with reduce mobility reported were experienced by women with comorbidities, for those with insufficient walking time and aged 70-79 years; aged 70-79 years and with ST between 5 and 7 hours/day; for those with insufficient walking time and increased ST; and for those with pain and increased ST. CONCLUSION Mobility trajectories reported in older people at risk of sarcopenia were negatively influenced by insufficient level of physical inactivity and pre-existing moderate to severe functional limitation. Health and social interventions should be target to avoid mobility limitation during and after the COVID-19 pandemic.
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Affiliation(s)
- Patricia Parreira Batista
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Av. Pres. Antônio Carlos, 6.627. Pampulha, Belo Horizonte, MG, Brazil.
| | - Monica Rodrigues Perracini
- Master's and Doctoral Programs in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo, SP, Brazil
- Master's and Doctoral Programs in Gerontology, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil
| | - Maria do Carmo Correia de Lima
- Master's and Doctoral Programs in Gerontology, Faculty of Medical Sciences, Universidade Estadual de Campinas (UNICAMP), Campinas, SP, Brazil
| | | | - Daniele Sirineu Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Av. Pres. Antônio Carlos, 6.627. Pampulha, Belo Horizonte, MG, Brazil
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Av. Pres. Antônio Carlos, 6.627. Pampulha, Belo Horizonte, MG, Brazil
- Postgraduate Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais (FCMMG), Belo Horizonte, MG, Brazil
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de Oliveira Grigorini AE, Pereira LSM, Koes B, da Silva SLA, Chiarotto A, Felício DC, Leopoldino AAO. Does the intensity of pain and disability affect health-related quality of life of older adults with back pain? Multilevel analysis between Brazil and Netherlands: a cross-sectional study of the BACE consortium. BMC Geriatr 2024; 24:230. [PMID: 38443807 PMCID: PMC10916242 DOI: 10.1186/s12877-024-04803-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Accepted: 02/12/2024] [Indexed: 03/07/2024] Open
Abstract
BACKGROUND The prognosis of back pain (BP) in the older adults is less favorable than in younger adults and progress to adverse outcomes and consequent worsening of health-related quality of life (HRQoL). The present study aimed to verify the association between BP intensity, disability and HRQoL in older adults residents in Brazil and Netherlands, and to evaluate whether the country of residence influences the associations. METHODS Data were collected from 602 Brazilian and 675 Dutch participants with a new episode of BP from the Back Complaints in Elders (BACE) consortium. For the present study, a cross section was used. Pain intensity and disability were assessed using the Numerical Rating Scale (NRS) and the Roland-Morris Disability Questionnaire (RMDQ), respectively. HRQoL was assessed using the Short Form Health Survey (SF-36) quality of life questionnaire. Age, sex, and education were descriptive variables. Pain intensity (NPS score) and country were the independent variables and quality of life assessed by each SF domain - 36 was the dependent variable. Analysis of models at the individual level was performed to verify the association between pain and disability, also HRQoL in Netherlands and Brazil in the total sample. The multilevel model was used to verify whether the older adults person's country of residence influenced this relationship. RESULTS The average age of the participants was 67.00 (7.33) years. In the total sample, linear regression analysis adjusted for sex and age showed a significant association between BP intensity scores and HRQoL, for all domains. There was no association between disability and HRQoL. In the multilevel analysis, there was an association between BP intensity and HRQoL in all domains and an association between the country of residence and HRQoL, influencing the effect of pain, in all domains, except for the physical functioning. CONCLUSION Socioeconomic and cultural aspects of different countries can affect the perception of the elderly about their HRQoL in the presence of BP. Pain and disability in Brazilian and Dutch older adults ones are experienced differently in relation to their HRQoL.
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Affiliation(s)
- Adriana Estela de Oliveira Grigorini
- Postgraduate Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais, 275 Alameda Ezequiel Dias, 30130-110, Belo Horizonte, Minas Gerais, Brazil
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais, 275 Alameda Ezequiel Dias, 30130-110, Belo Horizonte, Minas Gerais, Brazil
- Department of Physical Therapy, Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Bart Koes
- Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | | | - Alessandro Chiarotto
- Department of General Practice, Erasmus MC, University Medical Center, Rotterdam, The Netherlands
| | - Diogo Carvalho Felício
- Department of Physical Therapy, Universidade Federal de Juiz de Fora, Juiz de Fora, Brazil
| | - Amanda Aparecida Oliveira Leopoldino
- Postgraduate Program in Health Sciences, Faculdade Ciências Médicas de Minas Gerais, 275 Alameda Ezequiel Dias, 30130-110, Belo Horizonte, Minas Gerais, Brazil.
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Santos AEDN, Nunes ACL, Pereira LSM, Ferreira ML, Ferreira PH, Macedo LG, de Jesus-Moraleida FR. Physical Activity Supported by Low-Cost Mobile Technology for Back Pain (PAT-Back) to Reduce Disability in Older Adults: Results of a Feasibility Study. Phys Ther 2024; 104:pzad153. [PMID: 37941491 DOI: 10.1093/ptj/pzad153] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/06/2022] [Revised: 07/26/2023] [Accepted: 09/24/2023] [Indexed: 11/10/2023]
Abstract
OBJECTIVE The purpose of this study was to evaluate the feasibility of a randomized controlled trial investigating the effectiveness of a multimodal program (PAT-Back) compared to best practice advice on pain and disability in older adults with chronic low back pain (LBP) in primary care. METHODS This feasibility study took place in Fortaleza, Northeast Brazil. The PAT-Back intervention consisted of a program including exercises, pain education, and motivational text messages for the in-home component. The control group received an evidence-based educational booklet. Feasibility outcomes were recruitment, adherence and retention rates, level of difficulty of the education and intervention content, perception of utility of mobile technology, and adverse events. The feasibility criteria were previously defined. RESULTS A total of 248 people were screened, of which 46 older adults were eligible. The retention rate was high (100% in the PAT-Back group and 95% in the control group). The adherence rate to intervention was partially met (60%), whereas the adherence rate to unsupervised exercises was adequate (75%), and perception about safety to perform home exercise was partially acceptable (70%) in the PAT-Back group. In addition, 100% of older adults reported which text messages motivated them to perform the exercises in the PAT-Back group. Difficulty reported by participants in understanding and performing the intervention was small in both groups. Six participants reported transient adverse events in both groups. CONCLUSION Older adults accepted both interventions. Results demonstrated that the program is feasible, although minor changes targeting adherence and safety in home exercise are needed. IMPACT This feasibility study supports progression to a full trial investigating the effectiveness of a multimodal program (PAT-Back) on pain and disability in older adults with chronic LBP within a primary health care setting in low to middle income countries where such data from the older population are scarce and the burden of LBP is increasing.
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Affiliation(s)
- Ana Ellen do Nascimento Santos
- Master Program in Physiotherapy and Functioning, Department of Physiotherapy, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Ana Carla Lima Nunes
- Master Program in Physiotherapy and Functioning, Department of Physiotherapy, Federal University of Ceará, Fortaleza, Ceará, Brazil
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Faculty of Medical Sciences of Minas Gerais, Graduate Program in Health Sciences, Belo Horizonte, Brazil
| | - Manuela Loureiro Ferreira
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, Sydney School of Health Sciences, The Kolling Institute, University of Sydney, Sydney, New South Wales, Australia
| | - Paulo Henrique Ferreira
- Sydney Musculoskeletal Health, Faculty of Medicine and Health, Sydney School of Health Sciences, Charles Perkins Centre, University of Sydney, Sydney, New South Wales, Australia
| | - Luciana Gazzi Macedo
- School of Rehabilitation Science, McMaster University, Hamilton, Ontario, Canada
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de Lacerda TTB, Assis MG, de Carvalho PF, Pereira LSM. Did managers of long-term care facilities neglect the functionality of older adults? A survey during the COVID-19 pandemic. Am J Infect Control 2023; 51:1350-1355. [PMID: 37149265 PMCID: PMC10158166 DOI: 10.1016/j.ajic.2023.05.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2023] [Revised: 04/29/2023] [Accepted: 05/01/2023] [Indexed: 05/08/2023]
Abstract
Physical distancing impaired the health of older adults living in long-term care facilities (LTCF). This study aimed to assess the perception of managers of Brazilian LTCF about the loss of functionality of residents and strategies to prevent it. In this cross-sectional study, 276 managers of LTCF from all Brazilian regions responded to an online survey, following the Checklist for Reporting Results of Internet E-Surveys. The managers reported a loss of cognitive (60.2%) and physical (48.2%) functionality and more depressive symptoms (77.9%) and falls (16.3%) in residents. In addition, 73.2% of LTCFs reduced in-person activities, and 55.8% did not perform remote activities. Managers of LTCF neglected the functionality of residents. Thus, health surveillance, prevention, and care must be reinforced for this population.
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Fonseca LS, Silva JP, Souza MB, Mascarenhas RDO, Silva HDJ, Campos MGM, Pereira LSM, Oliveira MX, Oliveira VC. Efficacy of pharmacological and non-pharmacological therapy on pain intensity and disability of older people with chronic nonspecific low back pain: a protocol for a network meta-analysis. Syst Rev 2023; 12:205. [PMID: 37936147 PMCID: PMC10629194 DOI: 10.1186/s13643-023-02369-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Accepted: 10/24/2023] [Indexed: 11/09/2023] Open
Abstract
BACKGROUND The purpose of this network meta-analysis (NMA) is to investigate the efficacy of pharmacological and non-pharmacological therapy on pain intensity and disability of older people with chronic nonspecific low back pain, providing comprehensive evidence for an informed decision-making. METHODS We will perform a systematic search to identify randomized controlled trials of pharmacological and non-pharmacological interventions for older people with chronic nonspecific low back pain. MEDLINE, Cochrane Library, Embase, AMED, PsycINFO, and PEDro will be searched without language or date restrictions. Our primary outcomes are pain intensity and disability. Risk of bias will be assessed for all studies using the revised Cochrane risk-of-bias (RoB) tool 2.0. For each pairwise comparison between the different interventions, estimated mean differences and their 95% confidence intervals will be presented. Standard pairwise meta-analyses will be performed using random effects models in STATA version 16. The competing interventions will be ranked using the surface under the cumulative ranking curve (SUCRA) for the outcomes of interest at short and long terms. The confidence in the results from NMA will be assessed using the Confidence in Network Meta-Analysis (CINeMA) framework. DISCUSSION This NMA compares efficacy of interventions for nonspecific chronic low back pain in older people. It will provide reliable evidence for patients, clinicians, stakeholders, and researchers in this field where competing therapies, many of extraordinarily little value, are commonly used in clinical practice. SYSTEMATIC REVIEW REGISTRATION PROSPERO CRD42022312565.
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Affiliation(s)
- Letícia Soares Fonseca
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil.
| | - Juliana Pereira Silva
- Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil
| | - Mateus Bastos Souza
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil
| | | | - Hytalo de Jesus Silva
- Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Diamantina, Brazil
| | | | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Murilo Xavier Oliveira
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil
| | - Vinicius Cunha Oliveira
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Diamantina, Brazil
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Soares Fonseca L, Pereira Silva J, Bastos Souza M, Gabrich Moraes Campos M, de Oliveira Mascarenhas R, de Jesus Silva H, Souza Máximo Pereira L, Xavier Oliveira M, Cunha Oliveira V. Effectiveness of pharmacological and non-pharmacological therapy on pain intensity and disability in older people with chronic nonspecific low back pain: a systematic review with meta-analysis. Eur Spine J 2023; 32:3245-3271. [PMID: 37464184 DOI: 10.1007/s00586-023-07857-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/05/2023] [Revised: 06/30/2023] [Accepted: 07/04/2023] [Indexed: 07/20/2023]
Abstract
BACKGROUND AND PURPOSE The aim of the present systematic review was to investigate the effectiveness of pharmacological and non-pharmacological therapy on pain intensity and disability in older people with chronic nonspecific low back pain. METHODS Searches were conducted in the MEDLINE, COCHRANE LIBRARY, EMBASE, AMED, PSYCINFO, and PEDRO databases up to 2022. Risk of bias was appraised using the Cochrane Risk of Bias 2.0 tool. Estimated mean differences and respective 95% confidence intervals were presented for each paired comparison and the strength of the current evidence was assessed using the GRADE approach. RESULTS AND DISCUSSION Thirty-one original trials involving 2120 participants were included. All outcomes were self-rated. Pain intensity was measured using the Visual Analogue Scale or Numerical Rating Scale. Disability was evaluated using the Roland Morris Disability Questionnaire, Oswestry Disability Index or Hannover Functional Ability Questionnaire. Short-term: Moderate quality of evidence that mindfulness reduces disability compared to patient education (mean difference [MD] = - 1.38 [95% CI - 2.02 to - 0.73]); low-quality evidence that mixed exercise (MD = - 50.33 [95% CI - 57.11 to - 43.56]) reduces pain compared to no intervention, waiting list, placebo or sham; low quality of evidence that there is no effect for opioid compared to placebo (MD = - 8.26 [95% CI - 19.29 to 2.77]) with regards to reducing pain and opioid/acetaminophen reduces disability more compared to pregabalin (MD = 2.36 [95% CI] 1.86-2.86]). CONCLUSIONS The findings showed low or very low quality of evidence for non-pharmacological interventions with a large effect in short- and long-term follow-up. The two studies that provided moderate quality of evidence had a small clinical effect. Only two studies were found that investigated pharmacological therapies-both with low quality of evidence. However, the studies were methodologically weak and had small sample sizes. Given the adverse effects of low back pain and the scarce information on the effectiveness of pharmacological and non-pharmacological treatments for older people, future randomized trials should be encouraged.
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Affiliation(s)
- Letícia Soares Fonseca
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil.
| | - Juliana Pereira Silva
- Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil
| | - Mateus Bastos Souza
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil
| | | | - Rodrigo de Oliveira Mascarenhas
- Department of Physiotherapy, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil
| | - Hytalo de Jesus Silva
- Postgraduate Program in Health Sciences, Universidade Federal dos Vales do Jequitinhonha e Mucuri, Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Murilo Xavier Oliveira
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil
| | - Vinicius Cunha Oliveira
- Postgraduate Program in Rehabilitation and Functional Performance, Universidade Federal dos Vales do Jequitinhonha e Mucuri (UFVJM), Rodovia MGT 367, Km 583, 5000, Campus JK, Diamantina, CEP 39.100-000, Brazil
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Ferreira ACL, Pereira DS, da Silva SLA, Carvalho GA, Pereira LSM. Validity and reliability of the short form brief pain inventory in older adults with nociceptive, neuropathic and nociplastic pain. Geriatr Nurs 2023; 52:16-23. [PMID: 37192570 DOI: 10.1016/j.gerinurse.2023.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/12/2023] [Revised: 04/14/2023] [Accepted: 04/17/2023] [Indexed: 05/18/2023]
Abstract
OBJECTIVE The aim of this study was to evaluate the validity and reliability of the Short Form Brief Pain Inventory (SF-BPI) for community-dwelling Brazilian older adults with chronic neuropathic, nociceptive and nociplastic pain. METHODS Cross-sectional psychometric testing was conducted in a convenience sample, n=114 (66.5 ± 4.9 years). RESULTS The 2-factor structure of the SF-BPI was ratified by confirmatory factor analysis. Convergent validity was found between the SF-BPI and the Present Pain Intensity (PPI). There was good overall internal consistency (Cronbach's α: 0.87). Test-retest reliability was excellent for pain intensity and interference scores of the SF-BPI (ICC: 0.90 and 0.96, respectively), as well as inter-rater reliability for both dimensions (ICC: 0.77). CONCLUSION The findings support the validity and reliability of the SF-BPI for community-dwelling older adults with chronic pain and may contribute to health professionals having a brief multidimensional assessment for more effective therapeutic approaches in this population.
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Affiliation(s)
- Ana Carolina Lopes Ferreira
- Department of Physiotherapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP 31270-901, Brazil; Sarah Network of Rehabilitation Hospitals, Avenida Amazonas, 5953, Gameleira, Belo Horizonte, Minas Gerais, CEP 30180-001, Brazil.
| | - Daniele Sirineu Pereira
- Department of Physiotherapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP 31270-901, Brazil
| | - Silvia Lanziotti Azevedo da Silva
- Department of Collective Health/School of Medicine, Federal University of Juiz de Fora, Av. Eugênio do nascimento s/n°, Dom Bosco, Juiz de Fora, Minas Gerais, CEP 36038-330, Brazil
| | - Guilherme Almeida Carvalho
- Sarah Network of Rehabilitation Hospitals, Avenida Amazonas, 5953, Gameleira, Belo Horizonte, Minas Gerais, CEP 30180-001, Brazil
| | - Leani Souza Máximo Pereira
- Department of Physiotherapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, Av. Antônio Carlos, 6627, Pampulha, Belo Horizonte, Minas Gerais, CEP 31270-901, Brazil
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Viana JU, Dias JMD, Pereira LSM, Silva SLAD, Dias RC, memoriam) LPL(. Resistance training as a tool for changing muscle mass and frailty status in sarcopenic older women: a quasi-experimental study. Fisioter Pesqui 2022. [DOI: 10.1590/1809-2950/18018629032022en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
ABSTRACT Frailty and sarcopenia are geriatric syndromes highly prevalent, complex, and hard to diagnose and treat. The literature still lacks a consensus on which resistance training program is better for older people, especially when considering frailty status and sarcopenia. We aimed to evaluate the effectiveness of a progressive resistance training program on muscle mass and frailty status in older sarcopenic women. This study included 18 community-dwelling sarcopenic women aged 65 or older enrolled in the progressive resistance training program. The intervention was based on 75% of each subject’s maximum repetition test (3 times/week, for 12 weeks). Before the intervention, 16.7% were frail, and 61.1% were pre-frail; after the intervention, 5.6% were frail, and 50% were pre-frail. The result shows that the intervention reduced frailty status and increased muscle mass (p=0.01). Hence, after the intervention, we observed both a decrease in frailty and a positive change in function, since the percentage of robust women increased twice (p=0.01). We conclude that the progressive resistance training program might be the best strategy to prevent frailty and sarcopenia. Therefore, we suggest using weight resistance training in daily clinical practice to improve muscle mass and decrease frailty status in sarcopenic women.
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Barbosa JMM, Santos TRT, Santos LADO, Cintra TM, Faccio RBÁ, Pereira LSM. Clinimetric properties of a postural assessment software in older people: reliability, standard error of measurement, and minimal detectable change. Geriatr Gerontol Aging 2022. [DOI: 10.53886/gga.e0220023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Objective: To evaluate intra- and inter-rater reliability, standard error of the measurement (SEM), and minimal detectable change (MDC) of the angles obtained with a Postural Assessment Software (SAPO) in older people. Methods: Postural evaluation of 32 older adults was performed using Postural Assessment Software (SAPO). Two raters performed the procedure independently, and one of the raters repeated the process 7 to 10 days later. Reliability was assessed through the intraclass correlation coefficient (ICC) and paired and independent t-tests. SEM and MDC95 values were calculated, and Bland-Altman plots were generated. Results: The inter-rater analysis showed that the raters were not different in any of the angles. Most angles achieved good to excellent inter-rater reliability (ICC = 0.34 – 0.81) and intrarater reliability (ICC = 0.33 – 0.88) and were not different between days. The SEM was lower than 10º in most angles. The MDC95 ranged from 2.88º to 18.49º. Bland-Altman analysis indicated that most angles were within the limits of agreement. Overall, angles generated in lateral view had better reliability properties. Conclusion: Postural Assessment Software (SAPO) showed angles with distinct reliability properties in older adults. Angles that reached good to excellent intra- and inter-reliability and exhibited lower variability could be considered for assessing postural changes in older adults. MDC95 values could be used as a reference for indicating changes greater than the variability of the measurement.
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Batista PP, Perracini MR, de Amorim JSC, de Lima MDCC, Lima CA, Pereira DS, Dantas RG, Fittipaldi EODS, Santos AD, Campos HLM, Pereira LSM. Prevalence risk of sarcopenia in older Brazilian adults during the pandemic: A cross-sectional analysis of the Remobilize Study. SAO PAULO MED J 2022; 141:e2022159. [PMID: 36541952 PMCID: PMC10065115 DOI: 10.1590/1516-3180.2022.0159.r1.19082022] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/24/2022] [Accepted: 08/19/2022] [Indexed: 12/23/2022] Open
Abstract
BACKGROUND Social distancing has led to lifestyle changes among older adults during the coronavirus disease 2019 (COVID-19) pandemic. OBJECTIVES This study aimed to estimate the prevalence risk of sarcopenia (RS) and investigate its associated factors during the COVID-19 pandemic in older Brazilian adults. DESIGN AND SETTING Cross-sectional observational analysis of baseline data as part of the Remobilize Study. METHODS Participants in the study were older adults (≥ 60 years), excluding those who were bedridden or institutionalized. The data collected consisted of answers about the RS (SARC-F), functional status, walking, sedentary behavior (SB), pain, comorbidity, and life space mobility. RESULTS A total of 1,482 older adults (70 ± 8.14 years, 74% women) participated in the study, and an RS prevalence of 17.1% was found. (95% confidence interval [CI] 15.25-19.15%). The adjusted multivariate model showed a significant association between RS and functional limitation (odds ratio [OR]: 19.05; CI 13.00-28.32), comorbidity (OR: 5.11; CI 3.44-7.81), pain (OR: 4.56; CI 3.33-6.28), total walking (OR: 0.99; CI 0.99-1.00), SB of 8-10 hours (OR: 1.85; CI 1.15-2.93), and SB of > 10 hours (OR: 3.93; CI 2.48-6.22). RS was associated with mobility during the pandemic (OR: 0.97; CI 0.96-0.98). P < 0.05. CONCLUSIONS During the pandemic, the prevalence of RS in older Brazilians was estimated at 17.1%. Moderate to severe functional limitation, comorbidities, presence of pain, walking, longer SB period, and reduced life space mobility significantly contributed to RS in older adults during the pandemic.
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Affiliation(s)
- Patricia Parreira Batista
- PT, MSc. Doctoral Student Postgraduate Program in Rehabilitation
Sciences, Department of Physiotherapy, Universidade Federal de Minas Gerais
(UFMG), Belo Horizonte (MG), Brazil
| | - Monica Rodrigues Perracini
- PT, PhD. Professor, Master’s and Doctoral Programs in Physical
Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo (SP), Brazil;
Master’s and Doctoral Programs in Gerontology, Faculty of Medical Sciences,
Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil
| | | | - Maria do Carmo Correia de Lima
- PT, PhD. Faculty of Medical Sciences, Master’s and Doctoral
Programs in Gerontology, Universidade Estadual de Campinas (UNICAMP), Campinas
(SP), Brazil
| | - Camila Astolphi Lima
- PT, PhD. Postdoctoral Student of Master’s and Doctoral Program
in Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo (SP),
Brazil
| | - Daniele Sirineu Pereira
- PT, PhD. Professor, Postgraduate Program in Rehabilitation
Sciences, Department of Physiotherapy, Universidade Federal de Minas Gerais
(UFMG), Belo Horizonte (MG), Brazil
| | - Renata Gonçalves Dantas
- PT, MSc. Doctoral Student of Master’s and Doctoral Program in
Physical Therapy, Universidade Cidade de São Paulo (UNICID), São Paulo (SP),
Brazil; and Professor of Physical Therapy, Universidade Estadual do Sudoeste da
Bahia (UESB), Vitória da Conquista (BA), Brazil
| | | | - Aurélio Dias Santos
- PT, MSc. Professor, Department of Physiotherapy, Centro
Universitário Dr. Leão Sampaio (UNILEÃO), Juazeiro do Norte (CE), Brazil
| | - Hércules Lázaro Morais Campos
- PT, MSc. Professor, Department of Physiotherapy, Universidade
Federal do Amazonas/Instituto de Saúde e Biotecnologia (UFAM/ISB), Coari (AM),
Brazil. Doctoral Student, Postgraduate Program in Public Health, Universidade
Federal do Espírito Santo (UFES), Vitória (ES), Brazil
| | - Leani Souza Máximo Pereira
- PT, PhD. Professor, Postgraduate Program in Rehabilitation
Sciences, Department of Physiotherapy, Universidade Federal de Minas Gerais
(UFMG), Belo Horizonte (MG), Brazil
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Jesus-Moraleida FRD, Santos AEDN, Máximo Pereira LS, Ferreira ML, Ferreira PH, Macedo LG, Nunes ACL. Physical activity supported by mobile technology program (PAT-Back) for older adults with back pain at primary care: a feasibility study protocol. Motriz: rev educ fis 2022. [DOI: 10.1590/s1980-657420220020321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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Felício DC, Elias Filho J, Pereira DS, Queiroz BZD, Leopoldino AAO, Rocha VTM, Pereira LSM. The effect of kinesiophobia in older people with acute low back pain: longitudinal data from Back Complaints in the Elders (BACE). CAD SAUDE PUBLICA 2021; 37:e00232920. [PMID: 34932682 DOI: 10.1590/0102-311x00232920] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 03/04/2021] [Indexed: 11/22/2022] Open
Abstract
This study aimed to investigate the course of low back pain (LBP) intensity over a period of 12 months in older people with and without kinesiophobia.This was an international multicenter study. LBP intensity was examined by using the Numerical Pain Scale at baseline and over five follow-up periods. The Fear-Avoidance Beliefs Questionnaire was used to measure patients' beliefs and fears. The study included 532 older adults (non kinesiophobic = 227; kinesiophobic = 305). The individuals had moderate pain at baseline, with a significant difference observed between the groups. Participants showed a rapid improvement in the first 6 weeks, followed by minor improvements in the succeeding months. However, a significant difference between groups remained during the follow-up period. Independently, kinesiophobia is a significant prognostic factor. These findings suggest the importance of screening for psychosocial factors in the management of older patients with LBP. Practice implications: patients need to be warned that pain can be perpetuated by inappropriate avoidance behaviors that may later lead to disability.
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Teixeira LF, Diz JBM, Moreira BDS, Silva SLAD, Dias JMD, Pereira LSM, Dias RC. Attitudes and beliefs of older adults with acute low back pain: 12-month results from the Brazilian cohort back complaints in the elders. Musculoskeletal Care 2021; 20:279-289. [PMID: 34379352 DOI: 10.1002/msc.1583] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2021] [Revised: 07/20/2021] [Accepted: 07/29/2021] [Indexed: 11/07/2022]
Abstract
BACKGROUND Psychosocial factors have been identified as important predictors of onset, course and persistence of low back pain (LBP) in the general population. OBJECTIVE To identify factors associated with attitudes/beliefs in older adults with LBP throughout a 12-month follow-up. METHODS A longitudinal investigation was conducted with 500 participants aged ≥60 years reporting a new (acute) episode of nonspecific LBP. Data were obtained at baseline, 6-week, 3-, 6-, 9-, and 12-month interviews. The study variables were: [dependent] LBP-related attitudes/beliefs that were assessed by the Back Beliefs Questionnaire (BBQ); [independent] age; sex; LBP intensity 'at-the-present-time' of interview and 'over-the-past-week' before interview; LBP frequency; LBP-related treatments; disability; mobility; depressive symptoms; self-perceived recovery; expectation of pain improvement; and expectation for returning to activities. Data were analysed by multiple linear regression analysis. RESULTS At baseline, 85.7% of the participants were female, had mean age of 69.0 (6.3) years, mean BBQ score of 24.5 (6.5), and 79.6% reported pain complaints after an acute episode of LBP. After 12 months, participants maintained a mean BBQ score of 24.6 (6.6) and 63.3% still reported pain complaints after an acute episode of LBP at baseline. Multivariate analysis showed that disability, advancing age, poor expectation of pain improvement in 3 months, and mobility decline were significantly associated with worse BBQ scores during all follow-ups. CONCLUSION Ageing, hopelessness, and physical and functional impairment impact pain-related behaviours among older patients seeking healthcare due to acute LBP complaints. Their screening may assist in strategies to manage symptoms and prevent the persistence of pain.
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Affiliation(s)
- Luiza Faria Teixeira
- Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Juliano Bergamaschine Mata Diz
- Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Bruno de Souza Moreira
- Graduate Program in Public Health, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | | | - João Marcos Domingues Dias
- Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Leani Souza Máximo Pereira
- Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Rosângela Corrêa Dias
- Department of Physical Therapy, Graduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
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de Amorim JSC, Rocha VTM, Lustosa LP, Pereira LSM. Use of healthcare services and therapeutic measures associated with new episodes of acute low back pain-related disability among elderly people: a cross-sectional study on the Back Complaints in the Elders - Brazil cohort. SAO PAULO MED J 2021; 139:137-143. [PMID: 33825772 PMCID: PMC9632518 DOI: 10.1590/1516-3180.2020.0414.r1.0712020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/30/2020] [Revised: 12/03/2020] [Accepted: 12/07/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Patients with low back pain frequently undergo a variety of diagnostic and therapeutic interventions, but some of these have uncertain effectiveness. This highlights the importance of the association of healthcare services and therapeutic measures relating to disability. OBJECTIVE To analyze the use of healthcare services and therapeutic measures among Brazilian older adults with disability-related low back pain. DESIGN AND SETTING Observational cross-sectional study on baseline assessment data from the Back Complaints in the Elders - Brazil (BACE-B) cohort. METHODS The main analyses were based on a consecutive sample of 602 older adult participants in BACE-B (60 years of age and over). The main outcome measurement for disability-related low back pain was defined as a score of 14 points or more in the Roland Morris Questionnaire. RESULTS Visits to doctors in the previous six weeks (odds ratio, OR = 1.82; 95% confidence interval, CI 1.22-2.71) and use of analgesics in the previous three months (OR = 1.57; 95% CI 1.07-2.31) showed statistically significant associations with disability-related low back pain. The probability of disability-related low back pain had an additive effect to the combination of use of healthcare services and therapeutic measures (OR = 2.57; 95% CI 1.52-4.36). The analyses showed that this association was significant among women, but not among men. CONCLUSIONS Occurrence of the combined of consultations and medication use was correlated with higher chance of severe disability among these elderly people with nonspecific low back pain. This suggested that overuse and "crowding-in" effects were present in medical services for elderly people.
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Affiliation(s)
- Juleimar Soares Coelho de Amorim
- PhD. Physiotherapist and Associate Professor, Physical Therapy Course, Instituto Federal de Educação Ciência e Tecnologia do Rio de Janeiro (IFRJ), Rio de Janeiro (RJ), Brazil.
| | - Vitor Tigre Martins Rocha
- MD. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Lygia Paccini Lustosa
- PhD. Physiotherapist and Associate Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Leani Souza Máximo Pereira
- PhD. Physiotherapist and Associate Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
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Felício DC, Elias J, de Queiroz BZ, Diz JBM, Pereira DS, Pereira LSM. Knee extension strength and handgrip strength are important predictors of Timed Up and Go test performance among community-dwelling elderly women: a cross-sectional study. SAO PAULO MED J 2021; 139:77-80. [PMID: 33656127 PMCID: PMC9632498 DOI: 10.1590/1516-3180.2020.0182.r1.30102020] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/24/2020] [Accepted: 10/30/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Handgrip and knee extension strengths have each been used to characterize disability. However, it has been reported that the association between handgrip and knee extension strengths is weak. OBJECTIVE To evaluate the influence of knee extensor and handgrip muscle strength on Timed Up and Go (TUG) test results among elderly women with worse (≥ 10 seconds) and better (< 10 seconds) performance, after controlling for confounders. DATA AND SETTING Cross-sectional study on a sample selected according to convenience, carried out in a federal public institution of higher education. METHODS Assessment of handgrip was carried out using the Jamar dynamometer (Lafayette Instrument Company, Inc., Lafayette, United States). Knee extensor muscle performance was measured using an isokinetic dynamometer (Biodex System 3 Pro; Biodex Medical Systems, Inc., United States), The confounding factors were education, age, comorbidities, body mass index and Geriatric Depression Scale and Human Activity Profile scores. Functional performance was assessed through the TUG test. A backward linear regression model was used. RESULTS 127 elderly women performed the TUG test in more than 10 seconds and 93 in less than 10 seconds. However, regardless of test performance, handgrip strength and knee extension strength comprised the reduced final model. CONCLUSIONS Knee extension strength and handgrip strength might be particularly useful indicators for measuring disability.
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Affiliation(s)
- Diogo Carvalho Felício
- PT, PhD. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil; Postgraduate Program on Rehabilitation Sciences and Functional-Physical Performance, School of Physiotherapy, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil.
| | - José Elias
- PT, MSc. Physiotherapist, Postgraduate Program on Rehabilitation Sciences and Functional-Physical Performance, School of Physiotherapy, Universidade Federal de Juiz de Fora (UFJF), Juiz de Fora (MG), Brazil.
| | - Bárbara Zille de Queiroz
- PT, PhD. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Juliano Bergamaschine Mata Diz
- PT, MSc. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Daniele Sirineu Pereira
- PT, PhD. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Leani Souza Máximo Pereira
- PT, PhD. Physiotherapist, Postgraduate Program on Rehabilitation Sciences, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
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Teixeira LF, Diz JBM, da Silva SLA, Viana JU, Dias JMD, Pereira LSM, Dias RC. Cross-cultural adaptation, validity and reproducibility of the Back Beliefs Questionnaire among older Brazilians with acute low back pain. A cross-sectional study. SAO PAULO MED J 2020; 138:287-296. [PMID: 32638941 PMCID: PMC9673831 DOI: 10.1590/1516-3180.2019.0542.r2.16042020] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Accepted: 03/16/2020] [Indexed: 11/21/2022] Open
Abstract
BACKGROUND Low back pain (LBP) has emerging as an epidemic, multifactorial and multidimensional condition in older age. Assessment of attitudes and beliefs of patients with back pain is necessary for understanding the impact of psychosocial factors on pain perception and management. OBJECTIVES To cross-culturally adapt and examine the validity and reproducibility (intra and interrater reliability and agreement) of the Back Beliefs Questionnaire (BBQ) in older Brazilians with acute LBP. DESIGN AND SETTING Cross-sectional methodological report conducted at the Department of Physical Therapy of the Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. METHODS The present study was conducted for translating, adapting, and examining the psychometric properties of a questionnaire. Participants aged ≥ 60 years experiencing an acute episode of LBP were recruited. Coefficients of internal consistency, reliability and agreement were obtained using Cronbach's α, intraclass correlations, and standard error of measurement and the smallest detectable change, respectively. RESULTS Twenty-six participants aged between 60-84 years and reporting a mean of 9.8 (4.3) years of schooling completed the study. The Brazilian Portuguese-language version of the BBQ (BBQ-Brazil) was proposed and presented with adequate conceptual, semantic, operational, and measurement equivalence from the original version. Intra and interrater evaluations showed moderate (0.74) and excellent (0.91) intraclass correlation coefficients, respectively, with small standard error of measurement for both evaluations. Internal consistency was considered adequate (0.70). CONCLUSION BBQ-Brazil had consistent measurements of validity and reproducibility, and proved to be a valuable tool in clinical practice for addressing attitudes and beliefs of older patients with acute LBP.
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Affiliation(s)
- Luiza Faria Teixeira
- PT. Doctoral Student, Department of Physical Therapy, Universidade do Vale do Sapucaí (UNIVAS), Pouso Alegre (MG), Brazil.
| | - Juliano Bergamaschine Mata Diz
- PT. Master’s Student, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Silvia Lanziotti Azevedo da Silva
- PT, PhD. Professor, Department of Physical Therapy, School of Nursing, Universidade Federal de Alfenas (UNIFAL), Alfenas (MG), Brazil.
| | - Joana Ude Viana
- PT. Doctoral Student, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil
| | - João Marcos Domingues Dias
- PT, PhD. Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Leani Souza Máximo Pereira
- PT, PhD. Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
| | - Rosângela Corrêa Dias
- PT, PhD. Professor, Postgraduate Program on Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte (MG), Brazil.
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Pereira FSM, Thomasini RL, Lustosa LP, Pereira DS, Pereira LSM, Kassab GBI, Silva TJ, Guerra RO, Parentoni AN. Is the Leukocyte Telomere Length Associated with Decreased Physical Functional Capacity in the Elderly? Rejuvenation Res 2020; 23:387-393. [PMID: 31992162 DOI: 10.1089/rej.2019.2264] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023] Open
Abstract
Leukocyte telomere length in the elderly has been positively associated with healthy living and physical activity. Factors that interfere with telomere shortening are similar to those that may be associated with decreasing functional capacity. To investigate the relationship between mean leukocyte telomere length and functional capacity in community-dwelling elderly individuals, this is an observational, cross sectional, multicentric study conducted with elderly Brazilian patients. Sample characterization was performed using a sociodemographic clinical questionnaire. Telomere length was evaluated by quantitative polymerase chain reaction, and functional capacity was evaluated by the Short Physical Performance Battery (SPPB). A total of 113 elderly individuals (age 70 ± 5.4 years; 75 women and 38 men) were enrolled in this study. Unexpectedly, it was found that lower relative telomere length was associated with better physical capacity in the global SPPB score. Although telomere shortening is observed with increasing age, it is not associated with decreased functional capacity. Functionality is broad and multidimensional, involving the connection of biopsychosocial and cultural factors. While functionality may not be considered a marker of functional aging in an elderly cohort, it can still play an important role in longitudinal studies, which attempt to elucidate process theories. Future studies should use different techniques to measure telomere lengths in subpopulations of cells.
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Affiliation(s)
- Fabiana Souza Máximo Pereira
- Faculty of Medicine of Diamantina, Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil.,Department Physiotherapy, Post-Graduation Program in Rehabilitation and Functional Capacity (PPGReab), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Ronaldo Luis Thomasini
- Faculty of Medicine of Diamantina, NEPii-Center for Studies of Infectious and Inflammatory Diseases, Multi-Centric Post-Graduation Program in Physiological Sciences (PMPGCF) and Post-Graduation Program in Pharmaceutical Sciences (PPGCiFarm), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Lygia Paccini Lustosa
- Department of Physiotherapy, Sciences Rehabilitation Program, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Daniele Sirineu Pereira
- Department of Physiotherapy, Sciences Rehabilitation Program, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Leani Souza Máximo Pereira
- Department of Physiotherapy, Sciences Rehabilitation Program, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - Gabriel Brum Issa Kassab
- Faculty of Medicine of Diamantina, NEPii-Center for Studies of Infectious and Inflammatory Diseases, Multi-Centric Post-Graduation Program in Physiological Sciences (PMPGCF) and Post-Graduation Program in Pharmaceutical Sciences (PPGCiFarm), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | - Thyago José Silva
- Faculty of Medicine of Diamantina, NEPii-Center for Studies of Infectious and Inflammatory Diseases, Multi-Centric Post-Graduation Program in Physiological Sciences (PMPGCF) and Post-Graduation Program in Pharmaceutical Sciences (PPGCiFarm), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
| | | | - Adriana Netto Parentoni
- Department Physiotherapy, Post-Graduation Program in Rehabilitation and Functional Capacity (PPGReab), Federal University of Jequitinhonha and Mucuri Valleys, Diamantina, Brazil
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Lustosa LP, Silva JSD, Pereira DAG, Assis MG, Pereira LSM. Physiological risk of falls, physical and aerobic capacity in community-dwelling elderly. Fisioter mov 2020. [DOI: 10.1590/1980-5918.033.ao42] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Introduction: Falls are multifactorial and are related to the aging process, reduced functional capacity, comorbidities, sensory deficits, muscle weakness, postural instability and decreased protective response. Objective: To verify the correlation between physiological risk of falls and physical and aerobic capacity of the community-dwelling elderly. Method: Participated elderly individuals from the community, aged ≥65 years, without distinction of sex, race, and/or social class. We excluded cognitive impairments, locomotion incapacity, neurological diseases or sequelae, and/or severe pain that prevented the performance of the tests. We evaluated risk of falls (Physiological Profile Assessment - PPA), physical capacity (Short Physical Performance Battery - SPPB) and aerobic capacity (Shuttle Walk Test - ISWT). Results: Participated 59 elderly (71.8±5.0 ys). The mean performance in PPA was 0.4±0.4; SPPB was 10.4±1.7 and ISWT was 281±111.7 meters. PPA presented a moderate and statistically significant correlation (P<0.001) for SPPB (r= -0.53) and ISWT (r= -0.46). Conclusion: There is a moderate correlation between the physiological risk of falls (PPA) and functional (SPPB) and aerobic capacity (ISWT). Preventive measures to reduce the risk of falls should include strategies to increase functional and aerobic capacity. It is suggested the systematic use of SPPB in clinical practice.
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de Carvalho GR, de Oliveira EA, Rocha VTM, Pereira DS, Pereira LSM. Cross-cultural adaptation and reliability of the pain response to activity and position questionnaire. Adv Rheumatol 2019; 59:53. [PMID: 31791421 DOI: 10.1186/s42358-019-0098-0] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/09/2019] [Accepted: 11/15/2019] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND The World Health Organization reports that one of the main incapacitating conditions in older adults is osteomusculoskeletal disorders, and among these is low back pain. There are few instruments translated and transculturally adapted with psychometric properties evaluated for older adults with this health condition in Brazil. The Pain Response to Activity and Positioning (PRAP) questionnaire enables classification of older adults through functional performance. The objective of this study was to perform a cross-cultural adaptation and verify the reliability of the PRAP for older Brazilian people with chronic low back pain. METHODS A cross-sectional methodological study from the international study "Back Complaints in the Elders". We included individuals aged ≥60 years, with chronic lumbar pain complaints lasting ≥3 months. The transcultural translation and adaptation process followed the criteria proposed by Beaton and Guilhemeim, 1993. Reliability was tested using an unweighted Cohen's Kappa. RESULTS Thirty-six (36) older adults participated in the study (71.15 ± 7.23 years, 94.4% female). The intra-rater reliability for Low Back Pain (LBP) was between 0.50-1.00 and 0.23-0.84 for lower limbs, while the inter-rater reliability for LBP was between 0.25-0.63 and between 0.18-0.53 for lower limbs. The criteria for low back pain diagnosis showed intra and inter-rater agreement of 0.52 and 0.47, respectively. CONCLUSION The Brazilian version of the instrument showed adequate reliability and ability to classify older adults in the diagnosis of LBP by reporting the performance of daily activities, and is indicated for use in the context of research and clinical practice. TRIAL REGISTRATION There is no trial registration. This is a methodological study.
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Affiliation(s)
| | | | - Vitor Tigre Martins Rocha
- Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia da Universidade Federal de Minas Gerais, Rua Groenlândia, 276/ 201-Sion CEP, Belo Horizonte, MG, 30.320-060, Brazil
| | - Daniele Sirineu Pereira
- Departamento de Fisioterapia da Universidade Federal de Minas Gerais, Belo Horizonte, Brazil
| | - Leani Souza Máximo Pereira
- Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia da Universidade Federal de Minas Gerais, Rua Groenlândia, 276/ 201-Sion CEP, Belo Horizonte, MG, 30.320-060, Brazil.
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Leopoldino AAO, Megale RZ, Diz JBM, Moreira BDS, Lustosa LP, Pereira LSM, Ferreira ML. Influence of the number and severity of comorbidities in the course of acute non-specific low back pain in older adults: longitudinal results from the Back Complaints in the Elders (BACE-Brazil). Age Ageing 2019; 49:96-101. [PMID: 31665205 DOI: 10.1093/ageing/afz134] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/16/2019] [Revised: 09/16/2019] [Indexed: 01/10/2023] Open
Abstract
BACKGROUND The presence of comorbidities is quite common in older adults. However, the effects of comorbidities on the course of acute low back pain (LBP) are not fully understood. OBJECTIVE To investigate the effects of the number and severity of comorbidities on the severity of pain and disability 3 months from baseline in people with an acute episode of non-specific LBP. METHODS Data from the Back Complaints in the Elders study, a cohort that enrolled 602 community-dwelling older adults with acute LBP at baseline, were used in these analyses. Comorbidities, pain intensity and disability were assessed using the Self-Administered Comorbidities Questionnaire (SCQ), the Numeric Rating Scale (NRS) and the Roland-Morris Disability Questionnaire (RMDQ), respectively. Age, sex, marital status, education, income and body mass index were covariates. RESULTS The mean age of participants was 67.6 ± 7.0 years. Both pain and disability scores decreased from 7.2 (95% confidence interval [95% CI] 7.0-7.4) to 5.8 (95% CI 5.5-6.1) in NRS and from 13.5 (95% CI 13.0-14.1) to 12.0 (95% CI 11.4-12.7) in RMDQ 3 months from baseline. The linear regression analysis showed a significant association between SCQ scores at baseline and pain (coefficient = 0.16, 95% CI 0.08-0.24; P < 0.001) or disability (coefficient = 0.29, 95% CI 0.16-0.41; P < 0.001) scores at the 3-month follow-up, after adjusting for confounders. Participants with highest SCQ scores were less likely to report improvement of at least 30% in pain (OR: 0.41, 95% CI 0.22-0.79; P = 0.008) and disability (OR: 0.42, 95% CI 0.28-0.85; P = 0.015). CONCLUSION The presence and severity of comorbidities were independently associated with the prognosis of acute non-specific LBP in older adults.
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Affiliation(s)
- Amanda Aparecida Oliveira Leopoldino
- Department of Physical Therapy, Faculdade Ciências Médicas de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
- Department of Physical Therapy, Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | | | - Juliano Bergamaschine Mata Diz
- Department of Physical Therapy, Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Bruno de Souza Moreira
- Graduate Program in Public Health, Faculty of Medicine, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Lygia Paccini Lustosa
- Department of Physical Therapy, Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Leani Souza Máximo Pereira
- Department of Physical Therapy, Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Manuela Loureiro Ferreira
- Institute of Bone and Joint Research, The Kolling Institute, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
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Silva JPD, Jesus-Moraleida FD, Felício DC, Queiroz BZD, Ferreira ML, Pereira LSM. Biopsychosocial factors associated with disability in older adults with acute low back pain: BACE-Brasil study. Cien Saude Colet 2019; 24:2679-2690. [PMID: 31340285 DOI: 10.1590/1413-81232018247.14172017] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2017] [Accepted: 10/21/2017] [Indexed: 11/22/2022] Open
Abstract
This cross-sectional study evaluated the association of biopsychosocial factors with disability in older adults with a new episode of acute low back pain. Older patients with a new episode of acute low back pain were included and those with cognitive alterations and severe motor impairment were excluded. Disability was assessed using the Roland Morris Disability Questionnaire. The biopsychosocial factors (clinical, functional, health status, psychological and social variables) were evaluated by a structured multidimensional questionnaire and physical examination. A multivariate linear regression was used to analyze data with a statistical significance of 0.05. A total of 386 older individuals with a mean age of 71.6 (± 4.2) years and disability of 13.7 (± 5.7) points were enrolled. Our regression analyses identified that worse physical and mental health (assessed through SF-36), low falls self-efficacy, trouble sleeping due to pain, worse kinesiophobia levels, higher body mass indexes, lumbar morning stiffness, increased pain intensity, female gender and worse functional mobility were significantly associated with baseline disability (p < 0.05). Low back pain-related disability is significantly associated with worse biopsychosocial health conditions in older adults.
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Affiliation(s)
- Juscelio Pereira da Silva
- Departamento de Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais. Av. Antonio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | | | - Diogo Carvalho Felício
- Departamento de Fisioterapia, Universidade Federal de Juiz de Fora. Juiz de Fora MG Brasil
| | - Bárbara Zille de Queiroz
- Departamento de Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais. Av. Antonio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
| | | | - Leani Souza Máximo Pereira
- Departamento de Fisioterapia e Terapia Ocupacional, Universidade Federal de Minas Gerais. Av. Antonio Carlos 6627, Pampulha. 31270-901 Belo Horizonte MG Brasil.
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Lustosa LP, Tavares CCA, Vital DKDJC, Leopoldino AAO, Xavier DR, Pereira LSM. Risco de sarcopenia em idosas com queixa de dor lombar aguda. Fisioter Pesqui 2018. [DOI: 10.1590/1809-2950/17014525032018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Verificou-se o risco de sarcopenia em idosas comunitárias com queixa de dor lombar aguda e comparou-se o índice de dor e mobilidade/equilíbrio entre aquelas em risco de sarcopenia e as não sarcopênicas. Pesquisa transversal, subprojeto do estudo epidemiológico e multicêntrico Back Complaints in the Elders (Bace). Participaram idosas com ao menos um episódio de dor lombar aguda no prazo de seis semanas antes da coleta de dados. Avaliou-se a velocidade de marcha (4,6m), a força de preensão palmar (dinamômetro Jamar), o índice de dor (escala analógica de dor) e mobilidade/equilíbrio (Timed Up and Go test). O risco de sarcopenia foi estimado por medida percentual e as comparações pelo teste t para amostras independentes; o nível de significância adotado foi de 5%. Participaram deste estudo 322 idosas: o risco de sarcopenia foi de 54%, ou seja, 173 idosas (71,8±5,2 anos) estavam em risco de sarcopenia e 149 (46%) eram não sarcopênicas (71,5±5,1 anos). Houve diferença quanto à intensidade da dor (p=0,02) e à mobilidade/ao equilíbrio (p=0,01), sendo que aquelas em risco de sarcopenia estavam em piores condições. Os resultados demonstraram risco de sarcopenia entre as idosas com dor lombar aguda. Estas apresentavam maior índice de dor e pior mobilidade/equilíbrio, sugerindo que a sarcopenia, se presente em idosas com essa dor, pode influenciar negativamente na funcionalidade.
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Viana JU, Dias JMD, Pereira LSM, Silva SLAD, Hoelzle LF, Dias RC. Pontos de corte alternativos para massa muscular apendicular para verificação da sarcopenia em idosos brasileiros: dados da Rede Fibra - Belo Horizonte/Brasil. Fisioter Pesqui 2018. [DOI: 10.1590/1809-2950/17533725022018] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
RESUMO Estabeleceram-se pontos de corte alternativos para o cálculo da massa muscular apendicular (MMA) em idosos brasileiros para classificar a sarcopenia. Foram analisados dados de 562 idosos participantes do estudo Fibra (Fragilidade em Idosos Brasileiros), no polo Belo Horizonte. Por meio da equação de Lee, determinaram-se pontos de corte para MMA baseado na percentil 20 de sua distribuição na população estudada. Em seguida, os sujeitos foram classificados para sarcopenia de acordo com os critérios do Consenso Europeu sobre Definição e Diagnóstico da Sarcopenia em Idosos, além de avaliadas as possíveis associações desta com a capacidade funcional e comorbidades. A maioria da amostra foi composta por mulheres (65,5%) com idade média de 74,1 (±6,4) e média de 1,5 (±1,4) comorbidades. Os pontos de corte para MMA foram <6.47kg/m2 para mulheres e <8.76kg/m2 para homens. A prevalência de sarcopenia foi de 14,9%, sendo 13,5% da população parcialmente dependente para atividades básicas de vida diária (ABVD), 30,6% para atividades instrumentais de vida diária (AIVD) e 66,7% para atividades avançadas de aida diária (AAVD). A sarcopenia se correlacionou apenas com AIVD (r=0,081, p= 0.05), e encontrou-se uma correlação negativa entre sarcopenia e comorbidades (r= −0,103, p=0,014). Foram propostos pontos de corte específicos para MMA para a população de idosos brasileiros e não foram encontradas correlações entre as variáveis do estudo, exceto para AIVD e comorbidades.
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Lustosa LP, Silva SLAD, Marra TA, Dias JMD, Pereira LSM, Dias RC. FACTOR ANALYSIS OF THE MINNESOTA LEISURE TIME ACTIVITIES QUESTIONNAIRE - BRAZILIAN PORTUGUESE. REV BRAS MED ESPORTE 2018. [DOI: 10.1590/1517-869220182403156284] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Introduction: Accurate measures of physical activity to establish dose-response relationship in health outcomes are still controversial. Scales that estimate caloric expenditure are proposed with a view to categorizing the phenomenon globally. Objective: To carry out a factor analysis of the structure of the Minnesota Leisure Time Activities Questionnaire - Brazilian Portuguese, and propose a new adapted version for the Brazilian elderly community. Methods: Participants were elderly female members of the community, without any distinction in terms of ethnic group and/or social class, who frequented extension projects of two higher education institutions. Those with cognitive impairments; dependence on walking aids; musculoskeletal pain in the last two weeks and neurological diseases were excluded from the study. All participants answered the questionnaire with sociodemographic and clinical data and the Minnesota Leisure Time Activities Questionnaire - Brazilian Portuguese version. We determined whether each activity had been undertaken by the participants and the average number of times it was performed over the last two weeks, considering average time, in minutes, on each occasion. Each activity was considered a single item and energy expenditure was calculated according to the authors’ instructions. We used factor analysis with Varimax orthogonal rotation, excluding items whose variance was equal to zero. Correlation between items was determined using the Pearson correlation matrix. Internal consistency between items, before and after the factor analysis, was verified using Cronbach’s α coefficient. 5% significance level. Results: Participants were 220 women (70.8 ± 5.9 years). The factor analysis resulted in 10 components, which explained, in total, 61.87% of the variance of the total score on the scale. Each component was composed of one, two or three aggregate items. Internal consistency by Cronbach’s α coefficient was 0.30. Conclusion: The factor analysis of the structure of the Minnesota Leisure Time Activities Questionnaire - Brazilian Portuguese- has shown a new range with 10 components, which explained, in total, more than 60% of the variance of the total score on the scale, yet with low internal consistency. Level of Evidence III; Study of nonconsecutive patients; without consistently applied reference ‘‘gold’’ standard.
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Abstract
RESUMO Vulnerabilidade é a capacidade de um indivíduo sofrer dano em resposta a um estímulo. Identificou-se a vulnerabilidade física de idosos na alta hospitalar e a associação dessa condição com fatores clínicos e sociodemográficos, e foram comparados idosos vulneráveis com os não vulneráveis e aqueles acompanhados ou não pela fisioterapia durante a internação. Este foi um estudo exploratório, com amostra de 122 idosos hospitalizados. Os dados foram obtidos por meio de questionário clínico e sociodemográfico, Mini Exame do Estado Mental, Escala de Depressão Geriátrica e Vunerable Elders Survey-13. Utilizou-se para tanto o teste de correlação de Spearman para identificar a correlação entre vulnerabilidade e dados clínicos e sociodemográficos e o teste de Mann-Whitney. O nível de significância foi de 5%. A vulnerabilidade foi identificada em 75,4% dos idosos. Houve correlação significativa entre vulnerabilidade e idade (r=0,52 p=0,01), tempo de internação (r=0,25 p=0,01) e número de comorbidades (r=0,25 p=0,01), e negativa entre vulnerabilidade e escolaridade (r=-0,20 p=0,02). Houve diferença estatística entre idosos vulneráveis e não vulneráveis para idade (p=0,01), comorbidades (p=0,01), tempo de internação (p=0,01), MEEM (p=0,01) e GDS (p=0,01), e entre idosos acompanhados ou não pela fisioterapia para vulnerabilidade (p=0,04) e tempo de internação (p=0,01). A maioria dos idosos era fisicamente vulnerável na alta hospitalar, sendo eles mais velhos, com mais comorbidades, maior tempo de internação, presença de declínio cognitivo e sintomas depressivos. Aqueles que receberam acompanhamento fisioterapêutico apresentaram maior vulnerabilidade e tempo de internação.
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Affiliation(s)
| | | | | | - Lygia Paccini Lustosa
- Universidade Federal de Minas Gerais, Brazil; Universidade Federal de Minas Gerais, Brazil
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Abstract
Abstract Introduction: Chronic neck pain is associated with significant health costs and loss of productivity at work. Objective: to assess pain and disability in individuals with chronic neck pain. Methods: 31 volunteers with chronic neck pain, mean age 29, 65 years, were assessed using the McGill Pain Questionnaire in Brazilian version (Br-MPQ) and Neck Disability Index (NDI). The Br-MPQ analysis was performed based on the numerical values associated with the words selected to describe the experience of pain (Pain Rating Index - PRI), and present pain intensity (PPI). NDI was used to evaluate the influence of neck pain in performance of everyday tasks. Finally, we investigated the association between PPI and NDI. Results: PRI revealed that the most significant dimension was the sensory pain (70%), and the number of chosen words was 10 (2,62) out of 20 words. Mean PPI value was 1,23 (0,76) in five points; 40% of participants described pain intensity as moderate. NDI score was 9,77 (3,34), indicating mild disability. There was a positive association between disability and pain intensity (r = 0,36; p =0,046). Pain intensity and duration of pain were not associated. Conclusions: Findings of this study identified important information related to neck pain experienced by patients when suffering from chronic neck pain, moreover, the association between disability and pain intensity reinforces the importance of complementary investigation of these aspects to optimize function in them.
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Jesus-Moraleida FRD, Ferreira PH, Ferreira ML, Silva JPD, Assis MG, Pereira LSM. The Brazilian Back Complaints in the Elders (Brazilian BACE) study: characteristics of Brazilian older adults with a new episode of low back pain. Braz J Phys Ther 2017; 22:55-63. [PMID: 28870602 PMCID: PMC5816084 DOI: 10.1016/j.bjpt.2017.06.018] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/24/2016] [Revised: 02/08/2017] [Accepted: 02/13/2017] [Indexed: 12/25/2022] Open
Abstract
OBJECTIVE Low back pain (LBP) is little explored in the aging population especially when considering age-relevant and culturally dependent outcomes. We aimed to describe socio-demographic and clinical characteristics of Brazilian older people with a new episode of LBP presenting to primary care. METHODS We sourced baseline information on socio-demographic, pain-related and clinical characteristics from 602 older adults from the Brazilian Back Complaints in the Elders (Brazilian BACE) study. We analyzed differences in pain, disability, functional capacity and psychosocial factors between sub-groups based on age (i.e. participants aged 55-74 or ≥75 years), education (i.e. those with four years or less of schooling or those with more than four years of schooling) and income (i.e. participants who reported earning two or less minimal wages or three and more). RESULTS Participants presented severe LBP (7.18/10, SD: 2.59). Younger participants were slightly more disabled (mean difference 1.29 points, 95% confidence interval [CI]: 0.03/5.56), reporting poorer physical health, and less fall-related self-efficacy (mean difference of 2.41, 95% CI 0.35/4.46). Those less educated, and those with income equal or less than two minimum wages had more disability, pain catastrophizing and worse functional capacity. CONCLUSIONS This was the first study showing that Brazilian older adults with LBP present high levels of functional disability and psychological distress, especially those with low socioeconomic status.
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Affiliation(s)
- Fabianna Resende De Jesus-Moraleida
- Universidade Federal do Ceará, Faculdade de Medicina, Departmento de Fisioterapia, Fortaleza, CE, Brazil; Universidade Federal de Minas Gerais (UFMG), Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Departamento de Fisioterapia, Belo Horizonte, Brazil.
| | | | - Manuela Loureiro Ferreira
- The University of Sydney, Sydney Medical School, Institute of Bone and Joint Research, Sydney, New South Wales, Australia
| | - Juscelio Pereira Da Silva
- Universidade Federal do Ceará, Faculdade de Medicina, Departmento de Fisioterapia, Fortaleza, CE, Brazil
| | - Marcella Guimarães Assis
- Universidade Federal de Minas Gerais (UFMG), Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Departamento de Fisioterapia, Belo Horizonte, Brazil
| | - Leani Souza Máximo Pereira
- Universidade Federal de Minas Gerais (UFMG), Escola de Educação Física, Fisioterapia e Terapia Ocupacional, Departamento de Fisioterapia, Belo Horizonte, Brazil
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Ribeiro-Samora GA, Rabelo LA, Ferreira ACC, Favero M, Guedes GS, Pereira LSM, Parreira VF, Britto RR. Inflammation and oxidative stress in heart failure: effects of exercise intensity and duration. ACTA ACUST UNITED AC 2017; 50:e6393. [PMID: 28793058 PMCID: PMC5572846 DOI: 10.1590/1414-431x20176393] [Citation(s) in RCA: 30] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/13/2017] [Accepted: 05/25/2017] [Indexed: 12/20/2022]
Abstract
Although acute exercise is apparently pro-inflammatory and increases oxidative stress, it can promote the necessary stress stimulus to train chronic adaptations in patients with chronic heart failure (CHF). This study aimed to compare the effects of exercise intensity and duration on the inflammatory markers soluble tumor necrosis factor receptor (sTNFR1) and interleukin-6 (IL-6), and on oxidative stress [malondialdehyde (MDA) and antioxidant enzymes: catalase (CAT) and superoxide dismutase (SOD)] in individuals with CHF. Eighteen patients performed three exercise sessions: 30 min of moderate-intensity (M30) exercise, 30 min of low-intensity (L30) exercise, and 45 min of low-intensity (L45) exercise. Blood analysis was performed before exercise (baseline), immediately after each session (after), and 1 h after the end of each session (1h after). Thirty min of M30 exercise promoted a larger stressor stimulus, both pro-inflammatory and pro-oxidative, than that promoted by exercises L30 and L45. This was evidenced by increased sTNFR1 and MDA levels after exercise M30. In response to this stressor stimulus, 1 h after exercise, there was an increase in IL-6 and CAT levels, and a return of sTNFR1 to baseline levels. These findings suggest that compared with the duration of exercise, the exercise intensity was an important factor of physiologic adjustments.
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Affiliation(s)
- G A Ribeiro-Samora
- Programa de Pós-Graduação em Ciências da Reabilitação, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
| | - L A Rabelo
- Laboratório de Reatividade Cardiovascular, Instituto de Ciências Biológicas e da Saúde, Universidade Federal de Alagoas, Maceió, AL, Brasil
| | - A C C Ferreira
- Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
| | - M Favero
- Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
| | - G S Guedes
- Laboratório de Reatividade Cardiovascular, Instituto de Ciências Biológicas e da Saúde, Universidade Federal de Alagoas, Maceió, AL, Brasil.,Faculdade de Nutrição, Universidade Federal de Alagoas, Maceió, AL, Brasil
| | - L S M Pereira
- Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
| | - V F Parreira
- Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
| | - R R Britto
- Departamento de Fisioterapia, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brasil
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Lustosa LP, Batista PP, Pereira DS, Pereira LSM, Scianni A, Ribeiro-Samora GA. Comparison between parameters of muscle performance and inflammatory biomarkers of non-sarcopenic and sarcopenic elderly women. Clin Interv Aging 2017; 12:1183-1191. [PMID: 28814844 PMCID: PMC5546767 DOI: 10.2147/cia.s139579] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023] Open
Abstract
Background Sarcopenia is a multifactorial geriatric syndrome with complex interrelationships. Increased plasma levels of inflammatory mediators increase the catabolic stimuli of the musculature, thereby causing a decrease in mass and muscular function. Objective The objective of this study was to compare the performance of the knee extensors test (by isokinetic dynamometer) and plasma levels of interleukin-6 (IL-6) and soluble receptors of tumor necrosis factor alpha (sTNFR1) between sarcopenics and non-sarcopenics community-dwelling elderly women residents of Brazil. Material and methods The diagnosis of sarcopenia included measurements of body composition (by densitometry with dual energy source of X-ray), handgrip strength (by Jamar® dynamometer), and the usual gait velocity according to the recommendations of the European Working Group on Sarcopenia in Older People. In both sarcopenics and non-sarcopenics elderly women, we evaluated the muscle function by knee extensors test (using an isokinetic dynamometer Byodex System 4 Pro®) at angular speeds of 60°/s and 180°/s) and also we evaluated the plasma concentrations of IL-6 and sTNFR1. Comparisons of muscle performance between groups were carried out using mixed factorial ANOVA with post hoc Bonferroni test; sTNFR1 and IL-6 variables were analyzed by applying Mann–Whitney U test. Results Statistical differences were observed between groups regarding muscle power (P=0.01), total work adjusted to body weight (P=0.01) at a rate of 180°/s, and plasma levels of sTNFR1 (P=0.01). Conclusion Sarcopenic elder women showed lower performance of the lower limbs, especially at a higher speed, predisposing these older women to greater vulnerability in functional activities that require agility and postural stability. Plasma levels of sTNFR1 were higher for non-sarcopenics elderlies. However, due to the observational nature of the study, it was impossible to infer causality among the variables surveyed.
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Affiliation(s)
| | | | | | | | - Aline Scianni
- Physical Therapy Department, Universidade Federal de Minas Gerais, Belo Horizonte
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Felício DC, Diz JBM, Pereira DS, Queiroz BZD, Silva JPD, Moreira BDS, Oliveira VC, Pereira LSM. Handgrip strength is associated with, but poorly predicts, disability in older women with acute low back pain: A 12-month follow-up study. Maturitas 2017; 104:19-23. [PMID: 28923172 DOI: 10.1016/j.maturitas.2017.07.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Revised: 05/22/2017] [Accepted: 07/14/2017] [Indexed: 11/26/2022]
Abstract
BACKGROUND Older women with low back pain (LBP) constitute a special subpopulation at risk of severe and permanent disability. It is important to identify factors limiting functionality in this population in order to reduce costs and improve both prevention and intervention. Handgrip strength (HGS) is a biomarker of aging associated with several adverse health outcomes, but long-term associations with disability in older patients with LBP are not known. OBJECTIVE To examine whether HGS predicts disability in older women with acute low back pain (LBP). METHODS Longitudinal analyses were conducted with a sample of 135 older women from the international multicenter study Back Complaints in the Elders (BACE-Brazil). Women aged 60 years and over with a new episode of acute LBP were included. HGS was assessed with Jamar® dynamometer, and disability was assessed using the Roland Morris questionnaire and gait speed test. Variables were assessed at baseline and at 12-month follow-up. Linear regression models explored associations between HGS and disability measures. RESULTS Significant association was found between HGS at baseline and gait speed at 12-month follow-up (r=-0.24; p=0.004). A multivariable-adjusted model showed that this association was independent of age, body mass index, and pain intensity (adjusted R2=0.13; p<0.001). A final prediction model showed an incremental difference of only 2.1% in gait speed after inclusion of HGS as an independent variable. No association was found between HGS and score on the Roland Morris questionnaire. CONCLUSION Caution is needed regarding the use of HGS as a predictive measure of disability in older women with acute LBP. Changes in gait speed were very small and unlikely to be of clinical relevance.
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Affiliation(s)
- Diogo Carvalho Felício
- Department of Physical Therapy, Federal University of Juiz de Fora, s/n Eugênio do Nascimento Avenue, 36038-330, Juiz de Fora, Minas Gerais, Brazil; Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Juliano Bergamaschine Mata Diz
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Daniele Sirineu Pereira
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil; Faculty of Physical Therapy, Federal University of Alfenas, 2600 Jovino Fernandes Sales Avenue, 31270-901, Alfenas, Minas Gerais, Brazil.
| | - Bárbara Zille de Queiroz
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Juscélio Pereira de Silva
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Bruno de Souza Moreira
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Vinícius Cunha Oliveira
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil; Department of Physical Therapy, Postgraduate Program in Rehabilitation and Functional Performance, Federal University of Vales do Jequitinhonha e Mucuri, Campus JK, 5000 MGT 367 Highway, 39100-000, Diamantina, Minas Gerais, Brazil.
| | - Leani Souza Máximo Pereira
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Federal University of Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
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Diz JBM, de Souza Moreira B, Felício DC, Teixeira LF, de Jesus-Moraleida FR, de Queiroz BZ, Pereira DS, Pereira LSM. Brain-derived neurotrophic factor plasma levels are increased in older women after an acute episode of low back pain. Arch Gerontol Geriatr 2017; 71:75-82. [PMID: 28376368 DOI: 10.1016/j.archger.2017.03.005] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2016] [Revised: 03/08/2017] [Accepted: 03/17/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Low back pain (LBP) is a growing public health problem in old age, and it is associated with disabling pain and depressive disorders. We compared brain-derived neurotrophic factor (BDNF) plasma levels, a key neurotrophin in pain modulation, between older women after an acute episode of LBP and age-matched pain-free controls, and investigated potential differences in BDNF levels between controls and LBP subgroups based on pain severity, presence of depressive symptoms and use of analgesic and antidepressant drugs. METHODS A total of 221 participants (154 with LBP and 67 pain-free) were studied. A comprehensive assessment of sociodemographic and clinical variables was conducted including pain severity (11-point NRS), depressive symptoms (GDS-15), age, body mass index, physical activity and total number of comorbidities and medications in use. RESULTS BDNF levels in LBP group were significantly higher than controls (7515.9±3021.2; Md=7116.0 vs 6331.8±3364.0; Md=5897.5pg/mL, P=0.005). LBP subgroups exhibited higher BDNF levels than controls, regardless of pain severity, presence of depressive symptoms and use of analgesic drugs. BDNF levels were significantly higher in LBP subgroup without use of antidepressant drugs compared to both controls and LBP subgroup with use of antidepressant drugs. DISCUSSION This study provides evidence that older women with acute low back pain exhibit higher BDNF plasma levels compared to pain-free controls. Subgroup comparisons suggest that use of pain-relief drugs may influence BDNF levels. The study results offer a novel target for research on mechanisms of back pain in older adults.
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Affiliation(s)
- Juliano Bergamaschine Mata Diz
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Bruno de Souza Moreira
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Diogo Carvalho Felício
- Department of Physical Therapy, Universidade Federal de Juiz de Fora, s/n Eugênio do Nascimento Avenue, 36038-330, Juiz de Fora, Minas Gerais, Brazil.
| | - Luiza Faria Teixeira
- Department of Physical Therapy, Universidade do Vale do Sapucaí, 320 Coronel Alfredo Custódio de Paula Avenue, 37550-000, Pouso Alegre, Minas Gerais, Brazil.
| | - Fabianna Resende de Jesus-Moraleida
- Department of Physical Therapy, Faculty of Medicine, Universidade Federal do Ceará, 949 Alexandre Barúna Street, 60430-160, Fortaleza, Ceará, Brazil.
| | - Bárbara Zille de Queiroz
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
| | - Daniele Sirineu Pereira
- Department of Physical Therapy, Universidade Federal de Alfenas, 2600 Jovino Fernandes Sales Avenue, 31270-901, Alfenas, Minas Gerais, Brazil.
| | - Leani Souza Máximo Pereira
- Department of Physical Therapy, Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, 6627 Antônio Carlos Avenue, 31270-901, Belo Horizonte, Minas Gerais, Brazil.
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Rocha VTM, Soares TDM, Leopoldino AAO, Queiroz BZD, Rosa NMDB, Lustosa LP, Dias RC, Pereira LSM. ADAPTAÇÃO TRANSCULTURAL E CONFIABILIDADE DO ACTIVE AUSTRALIA QUESTIONNAIRE PARA IDOSOS. REV BRAS MED ESPORTE 2017. [DOI: 10.1590/1517-869220172301154744] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
RESUMO Introdução: A atividade física é um importante parâmetro a ser quantificado em idosos. São necessários instrumentos de medida confiáveis para avaliar e elaborar metas de intervenções terapêuticas efetivas e verificar a evolução do paciente. Objetivo: Adaptar transculturalmente e determinar a confiabilidade teste-reteste e interexaminadores do Active Australia Questionnaire em idosos da comunidade. Métodos: A adaptação transcultural foi realizada de acordo com os critérios propostos por Guillemin e Beaton, a saber, tradução, retrotradução, síntese das traduções, apresentação ao comitê de especialistas e aplicação da versão pré-final para testar o questionário. Para a confiabilidade teste-reteste foi dado um intervalo de quatro horas para as coletas e um intervalo de seis horas para a análise interexaminador, após o reteste. Foram consideradas as informações de atividade física nos últimos sete dias. A caracterização da amostra foi feita pela análise descritiva. Para a análise da confiabilidade utilizou-se o coeficiente de correlação intraclasse (CCI). Participaram do estudo 22 idosos (72,5 ± 5,3 anos) e com 7,6 ± 3,9 anos de escolaridade. Resultados: A confiabilidade teste-reteste foi CCI = 0,97 e interexaminadores CCI = 0,82. Conclusão: O instrumento mostrou-se semântica e linguisticamente adequado e confiável, para avaliar o nível de atividade física em idosos na comunidade.
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Abstract
Abstract Introduction: Low back pain is a common condition among older adults and an important cause of disability. Objective: To evaluate the relationship between functional performance of older adults with low back pain and the following variables: sociodemographic and clinical factors, self-perceived health and back pain beliefs. Methods: A cross-sectional study that used data from the Back Complaints in the Elders international consortium. Information about sociodemographic factors (sex, age, marital status, formal education), clinical factors (intensity and frequency of pain, comorbidities), self-perceived health, back pain beliefs and functional performance (measured by the disability component of the Late Life Function and Disability Instrument - LLFDI) were collected through self-report. 191 older adults above 60 years with a new episode of back complaints who did not have any cognitive disorder, visual or hearing impairment, or motor disabilities participated in the study. A bivariate analysis was conducted between each independent variable and each outcome. Associations with p < 0.20 were selected for the multiple linear regression analysis, which was carried out for each LLFDI domain. Results: The multiple regression coefficients of determination were significant despite the modest magnitude. The variables related to functional performance were back beliefs, self-perceived health, formal education, pain frequency and marital status. Conclusion: These results may contribute to the expansion of health professionals’ work in the therapeutic approach of low back pain, broadening its focus beyond clinical aspects in order to value beliefs of older adults and their self-perceived health.
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Queiroz BZ, Pereira DS, Rosa NMDB, Lopes RA, Felício DC, Pereira DG, Dias JMD, Dias RC, Pereira LSM. Functional performance and plasma cytokine levels in elderly women with and without low back pain. J Back Musculoskelet Rehabil 2016; 28:343-9. [PMID: 25271196 DOI: 10.3233/bmr-140526] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
BACKGROUND AND OBJECTIVES Low back pain (LBP) is a complaint of great importance among the elderly due to its significant impact on function. LBP could contribute to changes in the regulatory process of inflammatory mediators observed in elders. The aim of this study was to compare plasma levels of interleukin(IL)-6, soluble tumor necrosis factor receptor 1(sTNF-R1), and functionality among 3 groups of elderly women: GI, with LBP; GII, without LBP but reports of other pain; and GIII, without any reported pain. MATERIAL AND METHOD This was an observational study of a subsample of the international Back Complaints in the Elders cohort study. IL-6 and sTNF-R1 were measured using the enzyme-linked immunosorbent assay. Functionality was assessed using the Timed Up and Go, gait speed and Roland Morris Disability Questionnaire; and pain, using the numerical pain scale. RESULTS Two hundred and thirteen women aged 71.35 ± 4.76 years were included. GI presented the highest sTNF-R1 levels (p=0.016), worst TUG performance (p< 0.001) and slowest gait speed (p< 0.01) compared to GII and GIII, which were similar (p > 0.05). No difference was found between the IL-6 plasma levels in any of the groups. CONCLUSION Elderly women with LBP had the highest sTNF-R1 plasma levels and the worst functional performance compared to elderly women with reports of other pain (not LBP) or no pain.
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Affiliation(s)
- Bárbara Zille Queiroz
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Daniele Sirineu Pereira
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Nayza Maciel de Britto Rosa
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Renata Antunes Lopes
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Diogo Carvalho Felício
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Danielle Gomes Pereira
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - João Marcos Domingues Dias
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rosângela Correa Dias
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
| | - Leani Souza Máximo Pereira
- Rehabilitation Sciences Program, Physical Therapy Department, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil
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Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, Oliveira VC. Prevalência de lombalgia na população idosa brasileira: revisão sistemática com metanálise. Revista Brasileira de Reumatologia 2016. [DOI: 10.1016/j.rbr.2016.01.004] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
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Leopoldino AAO, Diz JBM, Martins VT, Henschke N, Pereira LSM, Dias RC, Oliveira VC. Prevalence of low back pain in older Brazilians: a systematic review with meta-analysis. Rev Bras Reumatol Engl Ed 2016; 56:258-69. [PMID: 27267645 DOI: 10.1016/j.rbre.2016.03.011] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2015] [Accepted: 01/29/2016] [Indexed: 10/21/2022] Open
Abstract
INTRODUCTION Prevalence of low back pain (LBP) is expected to increase worldwide with aging of the population but its prevalence in older people is not clear, mainly in developing countries. OBJECTIVE To estimate the prevalence of LBP in older Brazilians. METHODS Electronic searches on SciELO, LILACS, MEDLINE, EMBASE and CINAHL, as well as hand-searching identified studies investigating prevalence of LBP in older Brazilians aged 60 years or over. Two independent reviewers selected studies fulfilling the inclusion criteria, assessed risk of bias for each included study and extracted relevant data. Meta-analysis was conducted when enough homogeneity allowed and the GRADE system was used to summarize the overall quality of the evidence. RESULTS Sixteen studies were included with a total of 28,448 participants. Data from point- and period-prevalence of LBP were obtained. Meta-analysis was conducted for 13 studies reporting point-prevalence. Pooled point-prevalence of LBP was 25.0% (95% CI 18.0-32.0). Other three studies investigated period-prevalence: one-week prevalence=15.0% (95% CI 13.0-18.0); six-month prevalence=43.0% (95% CI 42.0-44.0); and 12-month prevalence=13.0% (95% CI 11.0-16.0). Sensitivity analyses were performed for point-prevalence and exclusion of studies with poorer methodological quality tended to increase the estimated prevalence of LBP. CONCLUSION Moderate-quality evidence showed that at any point in time one in four older Brazilians suffers from LBP. This was the first systematic review investigating nationwide data on the prevalence of LBP in older people and contributes important clinical and epidemiological evidence for policymakers.
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Affiliation(s)
- Amanda Aparecida Oliveira Leopoldino
- The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, Australia; Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil.
| | | | - Vítor Tigre Martins
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Nicholas Henschke
- Institute of Public Health, University of Heidelberg, Heidelberg, Germany
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Rosângela Correa Dias
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
| | - Vinícius Cunha Oliveira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, MG, Brazil
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Moreira BDS, Dos Anjos DMDC, Pereira DS, Sampaio RF, Pereira LSM, Dias RC, Kirkwood RN. The geriatric depression scale and the timed up and go test predict fear of falling in community-dwelling elderly women with type 2 diabetes mellitus: a cross-sectional study. BMC Geriatr 2016; 16:56. [PMID: 26940811 PMCID: PMC4776357 DOI: 10.1186/s12877-016-0234-1] [Citation(s) in RCA: 35] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Accepted: 02/25/2016] [Indexed: 12/13/2022] Open
Abstract
Background Fear of falling is a common and potentially disabling problem among older adults. However, little is known about this condition in older adults with diabetes mellitus. The aims of this study were to investigate the impact of the fear of falling on clinical, functional and gait variables in older women with type 2 diabetes and to identify which variables could predict the fear of falling in this population. Methods Ninety-nine community-dwelling older women with type 2 diabetes (aged 65 to 89 years) were stratified in two groups based on their Falls Efficacy Scale-International score. Participants with a score < 23 were assigned to the group without the fear of falling (n = 50) and those with a score ≥ 23 were assigned to the group with the fear of falling (n = 49). Clinical data included demographics, anthropometrics, number of diseases and medications, physical activity level, fall history, frailty level, cognition, depressive symptoms, fasting glucose level and disease duration. Functional measures included the Timed Up and Go test (TUG), the five times sit-to-stand test (5-STS) and handgrip strength. Gait parameters were obtained using the GAITRite® system. Results Participants with a fear of falling were frailer and presented more depressive symptoms and worse performance on the TUG and 5-STS tests compared with those without a fear of falling. The group with the fear of falling also walked with a lower velocity, cadence and step length and increased step time and swing time variability. The multivariate regression analysis showed that the likelihood of having a fear of falling increased 1.34 times (OR 1.34, 95 % CI 1.11–1.61) for a one-point increase in the Geriatric Depression Scale (GDS-15) score and 1.36 times (OR 1.36, 95 % CI 1.07–1.73) for each second of increase in the TUG performance. Conclusions The fear of falling in community-dwelling older women with type 2 diabetes mellitus is associated with frailty, depressive symptoms and dynamic balance, functional mobility and gait deficits. Furthermore, both the GDS-15 and the TUG test predict a fear of falling in this population. Therefore, these instruments should be considered during the assessment of diabetic older women with fear of falling.
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Affiliation(s)
- Bruno de Souza Moreira
- Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Minas Gerais, Belo Horizonte, Brazil.
| | | | - Daniele Sirineu Pereira
- Nursing School, Physical Therapy Course, Universidade Federal de Alfenas, Minas Gerais, Alfenas, Brazil.
| | - Rosana Ferreira Sampaio
- Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Minas Gerais, Belo Horizonte, Brazil. .,Department of Physical Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Belo Horizonte, Brazil.
| | - Leani Souza Máximo Pereira
- Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Minas Gerais, Belo Horizonte, Brazil.
| | - Rosângela Corrêa Dias
- Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Minas Gerais, Belo Horizonte, Brazil.
| | - Renata Noce Kirkwood
- Graduate Program in Rehabilitation Science, Universidade Federal de Minas Gerais, Minas Gerais, Belo Horizonte, Brazil.
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Diz JBM, Leopoldino AAO, Moreira BDS, Henschke N, Dias RC, Pereira LSM, Oliveira VC. Prevalence of sarcopenia in older Brazilians: A systematic review and meta-analysis. Geriatr Gerontol Int 2016; 17:5-16. [PMID: 26799062 DOI: 10.1111/ggi.12720] [Citation(s) in RCA: 67] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/26/2015] [Indexed: 12/25/2022]
Abstract
AIM Sarcopenia is the age-related loss of muscle mass and function that evolves into disability, loss of independence and death. In Brazil the number of older people is rapidly growing, resulting in an increased prevalence of chronic conditions associated with old age. As prevalence estimates provide essential information to policymakers when developing healthcare strategies, this systematic review and meta-analysis aimed to estimate the prevalence of sarcopenia in older Brazilians. METHODS Electronic database searches and hand-searching in relevant journals and reference lists were carried out without language restriction. Studies that reported the prevalence of sarcopenia in Brazilians aged 60 years or older were considered for inclusion. Sarcopenia was defined as low muscle mass, low muscle function or low muscle mass and function. Meta-analysis was carried out using a random-effects model. RESULTS A total of 31 studies were included pooling 9416 participants. The overall prevalence of sarcopenia in older Brazilians was 17.0% (95% CI 13.0-22.0). Sensitivity analysis showed rates of 20.0% (95% CI 11.0-32.0) in women and 12.0% (95% CI 9.0-16.0) in men. Prevalence was 16.0% (95% CI 12.0-23.0) based on low muscle mass and function; and 17.0% (95% CI 9.0-31.0) based only on low muscle mass. The difference between these two criteria was not significant (P = 0.96). CONCLUSIONS Sarcopenia is an emerging public health issue in Brazil. Attention should be paid to changes in prevalence rates over the next years because of the increase in the older population. Geriatr Gerontol Int 2017; 17: 5-16.
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Affiliation(s)
- Juliano Bergamaschine Mata Diz
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Amanda Aparecida Oliveira Leopoldino
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.,The George Institute for Global Health, Sydney Medical School, University of Sydney, Sydney, New South Wales, Australia
| | - Bruno de Souza Moreira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Nicholas Henschke
- Institute of Public Health, University of Heidelberg, Heidelberg, Germany
| | - Rosangela Correa Dias
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Leani Souza Máximo Pereira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Vinicius Cunha Oliveira
- Postgraduate Program in Rehabilitation Sciences, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Diz JBM, Queiroz BZD, Tavares LB, Pereira LSM. Prevalência de sarcopenia em idosos: resultados de estudos transversais amplos em diferentes países. Rev bras geriatr gerontol 2015. [DOI: 10.1590/1809-9823.2015.14139] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022] Open
Abstract
ResumoA sarcopenia caracteriza-se pela perda generalizada e progressiva da força e massa muscular esquelética com o envelhecimento. Com o aumento da população idosa em ritmo acelerado em todo o mundo, torna-se necessário o maior entendimento dos fenômenos associados ao processo de envelhecimento. Portanto, descrever a frequência e distribuição desses fenômenos, tal como a sarcopenia, é um passo fundamental para se conhecer os componentes atrelados a sua ocorrência e promover a assistência à saúde direcionada ao idoso. O objetivo desta revisão de literatura foi apresentar a síntese dos resultados de estudos epidemiológicos de base populacional sobre a prevalência de sarcopenia em idosos da comunidade, mostrando também as características sociodemográficas das populações estudadas e a diferença dos resultados entre os sexos. Os resultados de seis estudos transversais, entre os anos 2002 e 2014, provenientes dos seguintes países: Estados Unidos, Reino Unido, Brasil, Japão, Coreia do Sul e Taiwan, foram apresentados. Verificou-se neles que a sarcopenia tem alta prevalência na população a partir dos 60 anos de idade, em ambos os sexos, sendo mais alta nas mulheres em cinco dos seis trabalhos. O Japão foi o país que apresentou as maiores taxas de prevalência, seguido pelo Brasil. A sarcopenia aumentou com a idade em todos os estudos e esteve associada com várias adversidades. A dificuldade em se estabelecer uma avaliação padronizada para sarcopenia, sobretudo pelas peculiaridades de cada população, constitui um importante fator a ser analisado na leitura de estudos de prevalência sobre essa síndrome.
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da Cruz Anjos DM, de Souza Moreira B, Pereira DS, Picorelli AMA, Pereira DAG, Kirkwood RN, Dias RC, Pereira LSM. Impact of Type-2 Diabetes Time Since Diagnosis on Elderly Women Gait and Functional Status. Physiother Res Int 2015; 22. [DOI: 10.1002/pri.1651] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2015] [Revised: 05/15/2015] [Accepted: 07/17/2015] [Indexed: 11/05/2022]
Affiliation(s)
- Daniela Maria da Cruz Anjos
- Graduate Programme in Rehabilitation Sciences; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
- Physical Therapy Course; Faculdade Estácio de Sá; Belo Horizonte Minas Gerais Brazil
| | - Bruno de Souza Moreira
- Graduate Programme in Rehabilitation Sciences; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
| | - Daniele Sirineu Pereira
- Physical Therapy Course, Nursing School; Universidade Federal de Alfenas; Alfenas Minas Gerais Brazil
| | | | - Danielle Aparecida Gomes Pereira
- Graduate Programme in Rehabilitation Sciences; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
- Department of Physical Therapy; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
| | - Renata Noce Kirkwood
- Graduate Programme in Rehabilitation Sciences; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
- Department of Kinesiology and Physical Education; Wilfrid Laurier University; Waterloo Ontario Canada
| | - Rosângela Corrêa Dias
- Graduate Programme in Rehabilitation Sciences; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
| | - Leani Souza Máximo Pereira
- Graduate Programme in Rehabilitation Sciences; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
- Department of Physical Therapy; Universidade Federal de Minas Gerais; Belo Horizonte Minas Gerais Brazil
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Picorelli AMA, Pereira DS, Felício DC, Dos Anjos DM, Pereira DAG, Dias RC, Assis MG, Pereira LSM. Adherence of older women with strength training and aerobic exercise. Clin Interv Aging 2014; 9:323-31. [PMID: 24600212 PMCID: PMC3933242 DOI: 10.2147/cia.s54644] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Background Participation of older people in a program of regular exercise is an effective strategy to minimize the physical decline associated with age. The purpose of this study was to assess adherence rates in older women enrolled in two different exercise programs (one aerobic exercise and one strength training) and identify any associated clinical or functional factors. Methods This was an exploratory observational study in a sample of 231 elderly women of mean age 70.5 years. We used a structured questionnaire with standardized tests to evaluate the relevant clinical and functional measures. A specific adherence questionnaire was developed by the researchers to determine motivators and barriers to exercise adherence. Results The adherence rate was 49.70% in the aerobic exercise group and 56.20% in the strength training group. Multiple logistic regression models for motivation were significant (P=0.003) for the muscle strengthening group (R2=0.310) and also significant (P=0.008) for the aerobic exercise group (R2=0.154). A third regression model for barriers to exercise was significant (P=0.003) only for the muscle strengthening group (R2=0.236). The present study shows no direct relationship between worsening health status and poor adherence. Conclusion Factors related to adherence with exercise in the elderly are multifactorial.
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Affiliation(s)
- Alexandra Miranda Assumpção Picorelli
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Daniele Sirineu Pereira
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Diogo Carvalho Felício
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Daniela Maria Dos Anjos
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Danielle Aparecida Gomes Pereira
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Rosângela Corrêa Dias
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Marcella Guimarães Assis
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
| | - Leani Souza Máximo Pereira
- Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil
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Vieira RA, Guerra RO, Giacomin KC, Vasconcelos KSDS, Andrade ACDS, Pereira LSM, Dias JMD, Dias RC. [Prevalence of frailty and associated factors in community-dwelling elderly in Belo Horizonte, Minas Gerais State, Brazil: data from the FIBRA study]. CAD SAUDE PUBLICA 2014; 29:1631-43. [PMID: 24005928 DOI: 10.1590/0102-311x00126312] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2012] [Accepted: 03/05/2013] [Indexed: 11/21/2022] Open
Abstract
The prevalence of frailty varies greatly and has received insufficient attention in developing countries. This study aimed to identify the prevalence of frailty and associated factors among the elderly in Belo Horizonte, Minas Gerais State, Brazil. Clinical, functional, and socio-demographic factors were analyzed. An ordinal regression model was used to verify conditions associated with frailty and to determine odds ratios ( α= 0.05). Prevalence rates were 46.3% for pre-frailty was 8.7% for weakness. Pre-frail and frail elderly, respectively, showed higher and increasing odds ratios for dependency in instrumental activities of daily living; restrictions in advanced activities of daily living; use of walking aids; comorbidities; falls; depressive symptoms; lower self-efficacy in preventing falls; hospitalization; and advanced age. The study identified a high percentage of frail states associated with higher odds of adverse health conditions, especially related to disability.
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Pereira LSM, Sherrington C, Ferreira ML, Tiedemann A, Ferreira PH, Blyth FM, Close JCT, Taylor M, Lord SR. Self-reported chronic pain is associated with physical performance in older people leaving aged care rehabilitation. Clin Interv Aging 2014; 9:259-65. [PMID: 24523583 PMCID: PMC3921084 DOI: 10.2147/cia.s51807] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Background/objectives The impact of pain on the physical performance of patients in aged care rehabilitation is not known. The study sought to assess 1) the prevalence of pain in older people being discharged from inpatient rehabilitation; 2) the association between self-reported pain and physical performance in people being discharged from inpatient rehabilitation; and 3) the association between self-reported pain and physical performance in this population, after adjusting for potential confounding factors. Methods This was an observational cross-sectional study of 420 older people at two inpatient aged care rehabilitation units. Physical performance was assessed using the Lower Limb Summary Performance Score. Pain was assessed with questions about the extent to which participants were troubled by pain, the duration of symptoms, and the impact of chronic pain on everyday activity. Depression and the number of comorbidities were assessed by questionnaire and medical file audit. Cognition was assessed with the Mini-Mental State Examination. Results Thirty percent of participants reported chronic pain (pain lasting more than 3 months), and 17% reported that this pain interfered with daily activities to a moderate or greater extent. Chronic pain (P=0.013) and chronic pain affecting daily activities (P<0.001) were associated with a poorer Lower Limb Summary Performance Score. The relationship between chronic pain affecting daily activities and Lower Limb Summary Performance Score remained significant (P=0.001) after adjusting for depression, age, comorbidities, and Mini-Mental State Examination score. This model explained 10% of the variability in physical performance. Conclusion One-third of participants reported chronic pain, and close to one-fifth reported that this pain interfered with daily activities. Chronic pain was associated with impaired physical performance, and this relationship persisted after adjusting for likely confounding factors.
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Affiliation(s)
- Leani Souza Máximo Pereira
- Department of Physiotherapy, School of Physical Education, Physiotherapy, and Occupational Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil ; Musculoskeletal Division, The George Institute for Global Health, The University of Sydney, Sydney, Australia
| | - Catherine Sherrington
- Musculoskeletal Division, The George Institute for Global Health, The University of Sydney, Sydney, Australia ; Neuroscience Research Australia, University of New South Wales, Sydney, Australia
| | - Manuela L Ferreira
- Musculoskeletal Division, The George Institute for Global Health, The University of Sydney, Sydney, Australia
| | - Anne Tiedemann
- Musculoskeletal Division, The George Institute for Global Health, The University of Sydney, Sydney, Australia ; Neuroscience Research Australia, University of New South Wales, Sydney, Australia
| | - Paulo H Ferreira
- Discipline of Physiotherapy, Faculty of Health Sciences, The University of Sydney, Sydney, Australia
| | - Fiona M Blyth
- Pain Management and Research Institute, Royal North Shore Hospital, The University of Sydney, Sydney, Australia
| | - Jacqueline C T Close
- Neuroscience Research Australia, University of New South Wales, Sydney, Australia ; Prince of Wales Clinical School, University of New South Wales, Sydney, Australia
| | - Morag Taylor
- Neuroscience Research Australia, University of New South Wales, Sydney, Australia ; Prince of Wales Clinical School, University of New South Wales, Sydney, Australia
| | - Stephen R Lord
- Neuroscience Research Australia, University of New South Wales, Sydney, Australia
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Antunes RS, Macedo BGD, Amaral TDS, Gomes HDA, Pereira LSM, Rocha FL. Pain, kinesiophobia and quality of life in chronic low back pain and depression. Acta ortop bras 2014; 21:27-9. [PMID: 24453639 PMCID: PMC3862015 DOI: 10.1590/s1413-78522013000100005] [Citation(s) in RCA: 40] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 01/30/2011] [Accepted: 07/25/2011] [Indexed: 12/03/2022]
Abstract
OBJECTIVE: To describe the characteristics of pain, kinesiophobia and quality of life in patients with chronic low back pain and depression. METHODS: Cross-sectional study in which 193 individuals with chronic low back pain were included. The presence of depression was measured by the Beck Depression Inventory, using a cutoff validated by the Mini International Neuropsychiatric Interview. The intensity and quality of pain in the groups with and without depression were assessed by the McGill Questionnaire. The Tampa Scale for Kinesiophobia was applied to assess fear of movement. With respect to quality of life, the Medical Outcomes Study 36 was used. The statistical significance level was set at p <0.05. RESULTS: The prevalence of depression was 32.1%. The group with depression had worse scores in relation to pain, kinesiophobia and quality of life (physical functioning, rolephysical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health. CONCLUSION: Patients with low back pain and depression had higher pain intensity, greater fear of movement and poorer quality of life. Level of Evidence III, Cross-sectional
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Affiliation(s)
| | | | | | | | | | - Fábio Lopes Rocha
- Instituto de Previdência dos Servidores do Estado de Minas Gerais, Brasil
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Pereira DS, Mateo ECC, de Queiroz BZ, Assumpção AM, Miranda AS, Felício DC, Rocha NP, da Cruz dos Anjos DM, Pereira DAG, Teixeira AL, Pereira LSM. TNF-α, IL6, and IL10 polymorphisms and the effect of physical exercise on inflammatory parameters and physical performance in elderly women. Age (Dordr) 2013; 35:2455-2463. [PMID: 23430759 PMCID: PMC3824985 DOI: 10.1007/s11357-013-9515-1] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/04/2012] [Accepted: 01/28/2013] [Indexed: 06/01/2023]
Abstract
High levels of inflammatory mediators are associated with reduced physical capabilities and muscle function in the elderly. Single nucleotide polymorphisms (SNPs) may affect the expression and synthesis of these molecules, thus influencing the intensity of the inflammatory response and susceptibility to certain diseases. Physical exercise may attenuate age-related chronic inflammation and improve physical performance. This study evaluated the interaction between the SNP rs1800629 in TNF-α, rs1800795 in IL6, and rs1800896 in IL10 and the effect of physical exercise on physical performance and inflammation in elderly women. There was a significant interaction between rs1800629 and the effect of exercise on physical performance and between the combined 3-SNP genotype and changes in physical performance in response to exercise. These SNPs did not influence the effect of exercise on inflammatory parameters. Elderly women with a combination of genotypes associated with an anti-inflammatory profile (low TNF-α and IL-6 production, high IL-10 production) showed better physical performance independent of exercise modality, evidence of an interactive influence of genetic and environmental factors on improving physical performance in elderly women.
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Affiliation(s)
- Daniele Sirineu Pereira
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
| | - Elvis Cristian Cueva Mateo
- />Laboratório de Imunofarmacologia, Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais Brazil
| | - Bárbara Zille de Queiroz
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
| | - Alexandra Miranda Assumpção
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
| | - Aline Silva Miranda
- />Laboratório de Imunofarmacologia, Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais Brazil
| | - Diogo Carvalho Felício
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
| | - Natália Pessoa Rocha
- />Laboratório de Imunofarmacologia, Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais Brazil
| | - Daniela Maria da Cruz dos Anjos
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
| | - Danielle Aparecida Gomes Pereira
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
| | - Antonio Lucio Teixeira
- />Laboratório de Imunofarmacologia, Departamento de Bioquímica e Imunologia, Instituto de Ciências Biológicas, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, Minas Gerais Brazil
| | - Leani Souza Máximo Pereira
- />Programa de Pós-Graduação em Ciências da Reabilitação, Departamento de Fisioterapia, Universidade Federal de Minas Gerais/UFMG, Av. Antônio Carlos, 6627, 31270-901 Belo Horizonte, Minas Gerais Brazil
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Abstract
INTRODUÇÃO: A dor lombar modifica e limita aspectos tanto físicos quanto psicossociais da vida do idoso, impondo muitas vezes mudanças que causam transtornos pessoais, familiares e redução da capacidade funcional. OBJETIVO: Verificar a prevalência de dor lombar (DL) não específica em uma amostra de idosos da comunidade e determinar a correlação existente entre as variáveis: sexo, índice de massa corpórea (IMC), incapacidade funcional e sintomas depressivos. MATERIAIS E MÉTODOS: Participaram deste estudo 54 idosos da comunidade (72 ± 5,2 anos). As características clínicas e sociodemográficas foram avaliadas por meio de questionário semiestruturado e a DL, por meio do Questionário de McGill. Para a medida de incapacidade em indivíduos com disfunções na coluna foi usado o Questionário de Roland Morris - Brasil (RM-BR). Sintomas depressivos e o nível geral de atividade física foram avaliados, respectivamente, por meio da versão reduzida da Escala de Depressão Geriátrica (GDS-15) e pelo Perfil de Atividade Humana. RESULTADOS: Evidenciou-se correlação alta e positiva entre a presença de DL, incapacidade funcional (RM-BR) (rs = 0,774; p = 0,00) e presença de sintomas depressivos (GDS-15) (rs = 0,271; p = 0,048). Nenhuma correlação foi evidenciada entre IMC (rs = 0,178; p = 0,197), sexo (rs = -0,073; p = 0,599) e DL. CONCLUSÃO: Observou-se prevalência alta de DL não específica na amostra de idosos estudada. Incapacidade funcional e depressão são condições fortemente associadas com DL em idosos da comunidade; cabe, portanto, desenvolver outras abordagens a fim de alcançar melhor efetividade das propostas terapêuticas.
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Abstract
INTRODUÇÃO: O medo de cair é definido como baixa autoeficácia ou confiança no próprio equilíbrio para evitar quedas, causando declínio no desempenho físico e funcional, alterações no equilíbrio e na marcha dos idosos, tendo impacto negativo na qualidade de vida. Vários estudos têm identificado o déficit visual como fator contributivo para a ocorrência de quedas e do medo de cair em idosos. OBJETIVOS: Avaliar a associação entre o medo de cair e as alterações na visão funcional e na qualidade de vida relacionada à visão de idosos com catarata. MÉTODOS: Trata-se de estudo observacional com 139 idosos com catarata (71,4±6,2 anos). A qualidade de vida relacionada à visão foi avaliada pelo Visual Function Questionnaire (VFQ) e a preocupação com a possibilidade de quedas foi avaliada pela Falls Efficacy Scale International (FES-I-Brasil). RESULTADOS: Idosos que relataram algum grau de medo de cair apresentaram médias mais altas na escala FES-I-Brasil, quando comparados aos que não o relataram, indicando maior preocupação com a possibilidade de cair (p=0,000; Kruskal-Wallis). Com relação à visão funcional (VFQ) e à qualidade de vida relacionada à visão, quanto maior o medo de cair, piores eram a visão e a qualidade de vida (p=0,003; Kruskal-Wallis). CONCLUSÃO: Idosos com catarata e com relato de medo de cair apresentaram menor confiança no seu equilíbrio para evitar quedas e pior qualidade na visão funcional e na qualidade de vida relacionada à visão.
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Affiliation(s)
| | | | - Fábio Lopes Rocha
- Instituto da Previdência dos Servidores do Estado de Minas Gerais, Brasil
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Vieira RA, Guerra RO, Giacomin KC, Vasconcelos KSDS, Andrade ACDS, Pereira LSM, Dias JMD, Dias RC. Prevalência de fragilidade e fatores associados em idosos comunitários de Belo Horizonte, Minas Gerais, Brasil: dados do estudo FIBRA. CAD SAUDE PUBLICA 2013. [DOI: 10.1590/s0102-311x2013001200015] [Citation(s) in RCA: 55] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
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Felicio DC, Pereira DS, Assumpção AM, de Jesus-Moraleida FR, de Queiroz BZ, da Silva JP, de Brito Rosa NM, Dias JMD, Pereira LSM. Poor correlation between handgrip strength and isokinetic performance of knee flexor and extensor muscles in community-dwelling elderly women. Geriatr Gerontol Int 2013; 14:185-9. [PMID: 23617580 DOI: 10.1111/ggi.12077] [Citation(s) in RCA: 38] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/17/2013] [Indexed: 12/25/2022]
Abstract
AIM To investigate the correlation between handgrip strength and performance of knee flexor and extensor muscles determined using an isokinetic dynamometer in community-dwelling elderly women. METHODS This was a cross-sectional study. Sample selection for the study was made by convenience, and 221 (71.07 ± 4.93 years) community-dwelling elderly women were included. Knee flexor and extensor muscle performance was measured using an isokinetic dynamometer Biodex System 3 Pro. The isokinetic variables chosen for analysis were peak torque, peak torque/bodyweight, total work/bodyweight, total work, average power, and agonist/antagonist ratio at the angular velocities of 60°/s and 180°/s. Assessment of handgrip strength was carried out using the Jamar dynamometer. Spearman's correlation coefficient was calculated to identify intervariable correlations. RESULTS Only knee flexor peak torque (60°/s) and average power (60°/s), and knee extensor peak torque (180°/s) and total work (180°/s) were significantly (P < 0.05), yet poorly, correlated with handgrip strength (r < 0.30). CONCLUSION The majority of analyses did not show any correlation between variables assessed by isokinetic dynamometer and handgrip dynamometer. Caution is required when generalizing handgrip strength as a predictor of global muscle strength in community-dwelling elderly women.
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Affiliation(s)
- Diogo Carvalho Felicio
- Department of Physical Therapy, Post Graduate Program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Federal University of Minas Gerais, Belo Horizonte/MG, Brazil
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