Influência do estado nutricional, distribuição da gordura corporal e força muscular na estabilometria de idosas

Autores/as

  • Fabiano da Mota Silva SIQUEIRA Universidade Federal de Alagoas
  • Amandio Aristides Rihan GERALDES Universidade Federal de Alagoas

Palabras clave:

Composição corporal, Equilíbrio postural, Estado nutricional, Força muscular

Resumen

Objetivo
Investigar as associações entre diversas medidas indicadoras do estado nutricional, a força muscular e as diferentes variáveis estabilométricas em uma amostra de idosas.

Métodos
Neste estudo exploratório de corte transversal, 108 idosas tiveram suas variáveis estabilométricas avaliadas através de uma plataforma de força, em duas condições experimentais: olhos abertos e olhos fechados. Verificaram-se as associações entre as variáveis explicativas: idade, massa corporal, estatura, índice de massa corporal, circunferência de quadril, circunferência de cintura, relação cintura/quadril, percentual de gordura corporal, massa gorda, massa magra, área muscular de braço corrigida, força isométrica voluntária máxima e diversas variáveis estabilométricas: amplitude anteroposterior, deslocamento da oscilação e área elíptica da superfície, dentre outras.

Resultados
Com exceção da estatura, todas as variáveis explicativas associaram-se significativamente com as variáveis estabilométricas. A regressão múltipla (forward) revelou que a circunferência de cintura e a força isométrica voluntária máxima foram as variáveis que mais influenciaram as variáveis estabilométricas, entretanto sem diferenças significativas entre as condições olhos abertos e olhos fechados. O percentual de gordura parece não sobrecarregar o sistema de controle postural. Na condição olhos abertos, a variável estabilométrica desvio--padrão médio-lateral foi a mais influenciada pelas variáveis explicativas. A circunferência de cintura foi responsável por 8,8% de toda variação do desvio-padrão médio-lateral e a força isométrica voluntária máxima contribuiu com 9,4% adicionais.

Conclusão
Os resultados sugerem que a distribuição centrípeta de gordura corporal associada à diminuição da força muscular são as principais responsáveis pelas alterações estabilométricas em idosas. 

Citas

Kirkwood TBL, Austad SN. Why do we age? Nature. 2000; 408(6809):233-8. http://dx.doi.org/10.1038/ 35041682

Rubenstein LZ. Falls in older people: Epidemiology, risk factors and strategies for prevention. Age Ageing. 2006; 35(2):37-41. http://dx.doi.org/10.10 93/ageing/afl084

Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits. Eur J Phys Rehabl Med. 2010; 46(2):239-48.

Duarte M, Freitas SMSF. Revisão sobre posturografia ba-seada em plataforma de força para avaliação do equilíbrio. Rev Bras Fisio. 2010; 14(3):183-92.

Abrahamová D, Hlavacka F. Age-related changes of human balance during quiet stance. Physiol Res. 2008; 57(6):957-64.

Nardone A, Schieppati M. The role of instrumental assessment of balance in clinical decision making. Eur J Phys Rehabil Med. 2010; 46(2):221-37.

Pajala S, Era P, Koskenvuo M, Kaprio J. Force platform balance measures as predictors of indoor and outdoor falls in community-dwelling women aged 63-76 years. J Gerontol. 2008; 63(2):171-8.

Lihavainen K, Sipilä S, Rantanen T, Sihvonen S, Sulkava R, Hartikainen S. Contribution of musculoskeletal pain to postural balance in community-dwelling people aged 75 years and older. J Gerontol. 2010; 65(9):990-6. http://dx.doi. org/10.1093/gerona/glq052

Baumgartner RN, Koehler KM, Gallagher D, Romero L, Heymstleld SB, Ross RR, et al. Epidemiology of sarcopenia among the elderly in New Mexico. Am J Epidemiol. 1998; 147(8):755-63.

Waters DL, Hale L, Grant AM, Herbison P, Goulding A. Osteoporosis and gait and balance disturbances in older sarcopenic obese New Zealanders. Osteoporos Int. 2010; 21(2):351-7. http://dx.doi. org/10.1007/s00198-009-0947-5

Corbeil P, Simoneau M, Rancourt D, Tremblay A, Teasdale N. Increased risk for falling associated with obesity: Mathematical modeling of postural control. IEEE Trans Neural Syst Rehabil Eng. 2001; 9(2):126- 36. http://dx.doi.org/10.1109/7333.928572

Blaszczyk JW, Plewa M, Cies J, Zahorska-Markiewicz B, Markiewicz A. Effects of excessive body weight on postural control. J Biomech. 2009; 42(9):1295-300. http://dx.doi.org/10.1016/j.jbiomech.2009.03.006

Mainenti M, Rodrigues EC. Adiposity and postural balance control: Correlations between bioelectrical impedance and stabilometric signal in elderly Brazilian women. Clinics. 2011; 66(9):1513-8. http://dx.doi.org/10.1590/S1807-593220110009 00001

Handrigan G, Hue O, Simoneau M, Corbeil P, Marceau P, Marceau S, et al. Weight loss and muscular strength affect static balance control. Int J Obesity. 2010; 34(5):936-42. http://dx.doi.org/ 10.1038/ijo.2009.300

Winters K. Body composition predicts bone mineral density and balance in premenopausal women. J Women’s Health Gender-Based Med. 2000; 9(8):856-72.

Hassinen M, Komulainen P, Lakka TA, Väisänen SB, Rauramaa R. Associations of body composition and physical activity with balance and walking ability in the elderly. J Phys Act Health. 2005; 3:298-306.

Kinney JM. Nutritional frailty, sarcopenia and falls in the elderly. Curr Opin Clin Nutr Metabol Care. 2004; 7(1):15-20.

Miller MD, Thomas JM, Cameron ID, Sheng Chen J, Sambrook PN, March LM, et al. BMI: A simple, rapidand clinically meaningful index of under-nutrition in the oldest old? Br J Nutr. 2008; 101(9):1300-5.

Young Y, Myers AH, Provenzano G. Factors associated with time to first hip fracture. J Aging Health. 2001; 13(4):511-26.

Rantanen T, Guralnik JM, Sakari-Rantala R, Leveille S, Simonsick EM, Ling S, et al. Disability, physical activity, and muscle strength in older women: The women’s health and aging study. Arch Phys Med Rehabil. 1999; 80(2):130-5. http://dx.doi.org/ 10.1016/S0003-9993(99)90109-0

Orr R. Contribution of muscle weakness to postural instability in the elderly: A systematic review. Eur Phys Rehebil Med. 2010; 46(2):183-220.

Jubrias SA, Odderson IR, Esselman PC, Conley KE. Decline in isokinetic force with age: Muscle cross sectional area and specific force. Eur J Physiol. 1997; 434(3):246-53.

Lohman TG, Roche AF, Martorell R. Anthropometric Standardization Reference Manual. Champaign (IL): Human Kinetics Books; 1991.

Chiari L, Rocchi L, Cappello A. Stabilometric parameters are affected by anthropometry and foot placement. Clin Biomec. 2002; 17(9-10):666-77.

Frisancho AR. New norms of upper limb fat and muscle areas for assessment of nutritional status. Am J Clin Nutr. 1981; 34(11):2540-5.

Oliveira DWL, Geraldes AR. Validação de equação preditiva para a composição corporal em idosas alagoanas [mestrado]. Alagoas: Universidade Federal de Alagoas; 2011.

Edwards RH, Young A, Hosking GP, Jones DA. Human skeletal muscle function: Description of tests and normal values. Clin Sci Mol Med. 1977; 52(3):283-90.

Lafond D, Corriveau H, Hebert R, Prince F. Intrasession reliability of center of pressure measures of postural steadiness in healthy elderly people. Arch Phys Med Rehabil. 2004; 85(6):896-901. http://dx.doi.org/10.1016/j.apmr.2003.08.089

Riley MA, Baker AA, Schmit JM, Weaver E. Effects of visual and auditory short-term memory tasks on the spatiotemporal dynamics and variability of postural sway. J Motor Behav. 2005; 37(4):311-24. http://dx.doi.org/10.3200/JMBR.37.4.311-324

Hue O, Simoneau M, Marcotte J, Berrigan F, Doré J, Marceau P, et al. Body weight is a strong predictor of postural stability. Gait Posture. 2007; 26(1):32-8. http://dx.doi.org/10.1016/j.gaitpost.2006.07.005

Birtane M, Tuna H. The evaluation of plantar pressure distribution in obese and non-obese adults. Clin Biomech. 2004; 19(10):1055-9. http:// dx.doi.org/10.1016/j.clinbiomech.2004.07.008

Hills AP, Hennig EM, McDonald M, Bar-Or O. Plantar pressure differences between obese and non-obese adults: A biomechanical analysis. Int J Obest Relat Metab Disord. 2001; 25(11):1674-9.

Teasdale N, Hue O, Marcotte J, Berrigan F, Simoneau M, Dore J, et al. Reducing weight increases postural stability in obese and morbid obese men. Int J Obest. 2007; 31(1):153-60. http://dx.doi.org/10.10 38/sj.ijo.0803360

Mickle KJ, Munro BJ, Lord SR, Menz HB, Steele JR. Foot pain, plantar pressures, and falls in older people: A prospective study. J Am Geriatr Soc. 2010; 58(10):1936-40. http://dx.doi.org/10.1111/j.1532-54 15.2010.03061.x

Piirtola M, Era P. Force platform measurements as predictors of falls among older people: A review. Gerontology. 2006; 52(1):1-16. http://dx.doi.org/ 10.1159/000089820

Cervi A, Franceschini CC, Priore E, Federal U, Regional U, Grande R, et al. Análise crítica do uso do índice de massa corporal para idosos. Rev Nutr. 2005; 18(6):765-75. http://dx.doi.org/10.1590/ S1415-52732005000600007

Visser M, Langlois J, Guralnik JM, Cauley J, Kronmal R, Robbins J, et al. High body fatness, but not low fat-free mass, predicts disability in older men and women: The cardiovascular health study. Am J Clin Nutr. 1998; 68(3):584-90.

Broadwin J, Goodman-Gruen D, Slymen D. Ability of fat and fat-free mass percentages to predict functional disability in older men and women. J Am Geriatr Soc. 2001; 49(12):1641-5. http://dx. doi.org/10.1111/j.1532-5415.2001.49273.x

Goodpaster B, Park S. The loss of skeletal muscle strength, mass, and quality in older adults: The health, aging and body composition study. J Gerontol. 2006; 61(10):1059-64.

Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS. Sarcopenia. J Lab Clin Med. 2001; 137(4):231-43.

Horak FB. Postural orientation and equilibrium: What do we need to know about neural control of balance to prevent falls? Age Ageing. 2006; 35(2):7-11. http://dx.doi.org/10.1093/ageing/ afl077

Era P, Schroll M, Ytting H, Gause-Nilsson I, Heikkinen E, Steen B. Postural balance and its sensory-motor correlates in 75-year -old men and women: A cross-national comparative study. J Gerontol.1996; 51(2):M53-63. http://dx.doi.org/ 10.1093/gerona/51A.2.M53

Publicado

2023-04-05

Cómo citar

da Mota Silva SIQUEIRA, F. ., & Aristides Rihan GERALDES, A. (2023). Influência do estado nutricional, distribuição da gordura corporal e força muscular na estabilometria de idosas. Revista De Nutrição, 28(6). Recuperado a partir de https://puccampinas.emnuvens.com.br/nutricao/article/view/8255

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ARTIGOS ORIGINAIS