Título principal
Dinapenia, deficit de equilíbrio e sensação de fadiga [recurso eletrônico] : evidências ELSU-Br / Bruna Fogaça ; orientadora, Heloyse Uliam Kuriki ; coorientadora, Ione Jayce Ceola Schneider
Data de publicação
2024
Descrição física
86 p. : il.
Nota
Disponível somente em versão on-line.
Dissertação (mestrado) – Universidade Federal de Santa Catarina, Centro de Ciências, Tecnologia e Saúde, Programa de Pós-Graduação em Ciências da Reabilitação, Araranguá, 2024.
Inclui referências.
Dinapenia, deficit de equilíbrio e sensação de fadiga [recurso eletrônico] : evidências ELSU-Br / Bruna Fogaça ; orientadora, Heloyse Uliam Kuriki ; coorientadora, Ione Jayce Ceola Schneider
Data de publicação
2024
Descrição física
86 p. : il.
Nota
Disponível somente em versão on-line.
Dissertação (mestrado) – Universidade Federal de Santa Catarina, Centro de Ciências, Tecnologia e Saúde, Programa de Pós-Graduação em Ciências da Reabilitação, Araranguá, 2024.
Inclui referências.
Abstract: Ageing results in a number of changes in the body of the elderly. This involves factors such as dynapenia, changes in balance and increased perceptions of fatigue, which are prevalent and have an impact on the functionality of the elderly. Therefore, this study aimed to investigate the relationship between dynapenia, perceived fatigue and balance in the elderly. Methods: A cross-sectional study was conducted using data from the Brazilian Longitudinal Study of Aging (ELSI-Br). Dynapenia was assessed using handgrip strength, establishing cut-off values of <26 kg for men and <16 kg for women. Balance was assessed by the time spent in three positions: side-by-side, semi-tandem and tandem, while the perception of fatigue was assessed based on questions taken from the Center for Epidemiological Studies depression questionnaire (CES-D). Absolute and relative frequencies and 95% confidence intervals (95%CI) were described. Bivariate analyses were also carried out using Pearson's chi-squared test. Crude and adjusted multinomial regression analysis were used to analyze the association between dynapenia and balance, calculating the odds ratio and its 95%CI as a measure of association. While for the analysis of the association between dynapenia and feelings of fatigue, crude and adjusted Poisson regression analysis was used, calculating the prevalence ratio and its 95%CI as a measure of association. Results: Of the 4276 individuals aged over 60 included in the analysis, 29.7% (95%CI: 26.9-32.6) had dynapenia, 60.3% (95%CI: 56.2-64.3) reached the maximum time in the tandem test and 24.8% (22.6 - 27.1) reported feeling fatigued. The adjusted analysis revealed that dynapenic elderly people were 2.3 times (95%CI: 1.7 - 3.3) more likely not to reach the required time or not to perform the increased test than those without dynapenia. In addition, difficulties in performing the Basic Activities of Daily Living (BADL) (OR: 4.9; 95%CI: 1.0 - 1.7), age over 80 (OR: 2.1; 95%CI: 1.6 - 2.8) and performing less than 150 minutes of moderate to vigorous intensity physical activity (OR: 2.2; 95%CI: 1.3 - 3.6) increased the chances of not reaching the required time or not performing the test. Regarding perceived fatigue, no association was found between dynapenia and this condition. However, difficulties with BADLs (PR: 1.7; 95%CI: 1.5-2.0), multimorbidities (PR: 1.5; 95%CI: 1.3-1.7), cognitive impairment (PR: 1.2; 95%CI: 1.1-1.4) and poor sleep quality (PR: 1.6; 95%CI: 1.4-1.8) were identified as factors associated with feeling fatigued in the elderly. Conclusion: The results indicate that dynapenia and difficulty in performing the balance test are associated in the elderly. In addition, in relation to the perception of fatigue, they highlight the complexity of this relationship and emphasize the importance of considering a variety of physical health factors when addressing fatigue in the elderly.