Functional mobility, strength, fear of falling, lifestyle and quality of life in elderly practitioners of walking
DOI:
https://doi.org/10.11606/issn.2317-0190.v25i1a158829Keywords:
Aged, Mobility Limitation, Physical Fitness, Life Style, Quality of LifeAbstract
The aging process involves changes in locomotor performance and may predispose the elderly to falls and changes in quality of life. Objective: Compare the fear of falling, functional mobility, lower limbs strength, lifestyle and quality of life in sedentary elderly and walking practitioners. Method: It is an observational cross-sectional study involving 51 elderly persons, 25 regular walkers (RW) and 26 sedentary (ST) participants. Participants were evaluated for functional mobility (Timed Up and Go - TUG), lower limb strength (stand and sit test), fear of falling (Falls Efficacy Scale – International - FES-I), lifestyle (FANTASTICO questionnaire) and quality of life (SF-36). Results: There were no differences between both groups regarding mean age, gender distribution and body mass index. Participants from RW displayed significantly better functional mobility (9.45±2.68 vs. 14.97±6.55 seconds, p=0.001) than those from ST, as well as less fear of falling (23.16±5.33 vs. 29.04±10.22, p=0.01). Lifestyle was also higher among walking practitioners (79.84±5.52 vs. 67.19±10.35, p=0.0001). Regarding quality of life, RW presented higher scores in functional capacity (p=0.013), functional limitations (p=0.17), and limitations due to emotional aspects (p=0.05) when compared to the ones in SG. Conclusion: Elderly who practice regular walking have better results regarding functional mobility, ability stand and sit down, less fear of falling, better lifestyle and better quality of life in some domains when compared to sedentary elderly subjects.
Downloads
References
Miranda GMD, Mendes ACG, Silva ALA. O envelhecimento populacional brasileiro: desafios e consequências sociais atuais e futuras. Rev Bras Geriatr Gerontol. 2016;19(3):507-19. DOI: https://doi.org/10.1590/1809-98232016019.150140
Veras R. Envelhecimento populacional contemporâneo: demanda, desafios e inovações. Rev Saúde Pública. 2009;3(43):548-54. DOI: https://doi.org/10.1590/S0034-89102009000300020
Alfieri FM, Moraes MCL. Envelhecimento e o controle postural. Saúde Col. 2008; 4(19):30-3.
Alfieri FM, Silva CR, Alcântara CC, Santos KIS, Melo FC. Equilíbrio e mobilidade funcional em indivíduos independentes para o autocuidado de diferentes faixas etárias. Rev Kairós. 2016;18(4):151-63.
Brovold T, Skelton DA, Bergland A. Older adults recently discharged from the hospital: effect of aerobic interval exercise on health-related quality of life, physical fitness, and physical activity. J Am Geriatr Soc. 2013;61(9):1580-5. DOI: https://doi.org/10.1111/jgs.12400
Moore SC, Patel AV, Matthews CE, Berrington de Gonzalez A, Park Y, Katki HA, et al. Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. PLoS Med. 2012;9(11):e1001335. DOI: https://doi.org/10.1371/journal.pmed.1001335
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801-9. DOI: https://doi.org/10.1503/cmaj.051351
Kemmler W, von Stengel S. Exercise frequency, health risk factors, and diseases of the elderly. Arch Phys Med Rehabil. 2013;94(11):2046-53. DOI: https://doi.org/10.1016/j.apmr.2013.05.013
Hatta A, Nishihira Y, Higashiura T. Effects of a single bout of walking on psychophysiologic responses and execute function in elderly adults: a pilot study. Clin Interv Aging. 2013;8:945-52. DOI: https://doi.org/10.2147/CIA.S46405
Lee YJ, Hung WL. The relationship between exercise participation and well-being of the retired elderly. Aging Ment Health. 2011;15(7):873-81. DOI: https://doi.org/10.1080/13607863.2011.569486
Mazzeo RS, Cavanagh P, Evans WJ, Fiatarone M, Hagberg J, McAuley E, et al. Exercise and physical activity for older adults. Med Sci Sports Exerc. 1998;30: 992-1008.
Falck RS, Davis JC, Milosevic E, Liu-Ambrose T. How much will older adults exercise? A feasibility study of aerobic training combined with resistance training. Pilot Feasibility Stud. 2017;3:2. DOI: https://doi.org/10.1186/s40814-016-0116-5
Queiroz BM, Coqueiro RS, Leal Neto JS, Borgatto AF, Basrbosa AR, Fernandes MH. Physical inactivity among non-institutionalized elderly individuals: a population-based study. Cien Saude Colet. 2014;19(8):3489-96. DOI: https://doi.org/10.1590/1413-81232014198.19882013
Killingback C, Tsofliou F, Clark C. Older people's adherence to community-based group exercise programmes: a multiple-case study. BMC Public Health. 2017;25;17(1):115. DOI: https://doi.org/10.1186/s12889-017-4049-6
Pousas FM, Rodrigues AS, Duarte IA, Bispo AS. Estudo comparativo das alterações na aptidão cardiovascular em idosos praticantes e não participantes de caminhada em Alvarenga, MG. Mundo Saúde. 2007;31(4):489-93.
Davison RCR, Grant S. Is walking sufficient exercise for health? Sports Med. 1993;16:369-73.
Murtagh EM, Murphy MH, Boone-Heinonen J. Walking: the first steps in cardiovascular disease prevention. Curr Opin Cardiol. 2010;25(5):490-6. DOI: https://doi.org/10.1097/HCO.0b013e32833ce972
Morris JN, Hardman AE. Walking to health. Sports Med. 1997;23(5):306-32. DOI: https://doi.org/10.2165/00007256-199723050-00004
Chapman RS, Syrjala KL. Measurement of pain. In: Bonica JJ. The management of pain. Londres: Lea & Febiger; 1990. p. 580-94.
Podsiadlo D, Richardson S. The timed "Up & Go": a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc. 1991;39(2):142-8. DOI: https://doi.org/10.1111/j.1532-5415.1991.tb01616.x
Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir GV, et al. Lower extremity function and subsequente disability: consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. J Gerontol A Biol Sci Med Sci. 2000;55(4):221-31. DOI: https://doi.org/10.1093/gerona/55.4.M221
Buatois S, Miljkovic D, Manckoundia P, Gueguen R, Miget P, Vançon G, et al. Five times sit to stand test is a predictor of recurrent falls in healthy community-living subjects aged 65 and older. J Am Geriatr Soc. 2008;56(8):1575-7. DOI: https://doi.org/10.1111/j.1532-5415.2008.01777.x
Bohannon RW. Reference values for the five-repetition sit-to-stand test: a descriptive meta-analysis of data from elders. Percept Mot Skills. 2006;103(1): 215-22. DOI: https://doi.org/10.2466/pms.103.1.215-222
Camargos FFO, Dias RC, Dias JMD, Freire MTF. Adaptação transcultural e avaliação das propriedades psicométricas da Falls Efficacy Scale - International em idosos Brasileiros (FES-I-BRASIL). Rev Bras Fisioter. 2010;14(3):237-43. DOI: https://doi.org/10.1590/S1413-35552010000300010
Ciconelli RM, Ferraz MB, Santos WS, Meinão I, Quaresma MR. Tradução para a língua portuguesa e validação do questionário genérico de qualidade de vida SF-36 (Brasil SF-36). Rev Bras Reumatol. 1999;39(3):143-50.
Anẽz CRR, Reis RS, Petroski EL. Versão brasileira do questionário "Estilo de Vida Fantástico": tradução e validação para adultos jovens. Arq Bras Cardiol. 2008;2(91):102-09.
Skelton DA. Effects of physical activity on postural stability. Age Ageing. 2001;30(4):33-9. DOI: https://doi.org/10.1093/ageing/30.suppl_4.33
Silva EC, Duarte NB, Arantes PMM. Estudo da relação entre o nível de atividade física e o risco de quedas em idosas. Fisioter Pesq. 2011;18(1):23-30. DOI: https://doi.org/10.1590/S1809-29502011000100005
Dias RA, Borba W, Martins MS, Alfieri FM. Nível de atividade física e equilíbrio em idosos da comunidade. Lecturas Ed Física y Dep. 2014; 19(194):1.
Bohannon RW. Reference values for the timed up and go test: a descriptive meta-analysis. J Geriatr Phys Ther. 2006;29(2):64-8. DOI: https://doi.org/10.1519/00139143-200608000-00004
Shumway-Cook A, Brauer S, Woollacott M. Predicting the probability for falls in community-dwelling older adults using the Timed Up & Go Test. Phys Ther. 2000;80(9):896-903.
Alfieri FM, Riberto M, Gatz LS, Ribeiro CPC, Battistella LR. Uso de testes clínicos para verificação do controle postural em idosos saudáveis submetidos a programas de exercícios físicos. Acta Fisiatr. 2010;17(4):153-8.
Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta-analysis. BMC Geriatr. 2014;1(14):14. DOI: https://doi.org/10.1186/1471-2318-14-14
Antes DL, Schneider IJC, Benedetti TRB, D'orsi E. Medo de queda recorrente e fatores associados em idosos de Florianópolis, Santa Catarina, Brasil. Cad Saúde Pública. 2013;29(4):758-68. DOI: https://doi.org/10.1590/S0102-311X2013000800013
Okubo Y, Osuka Y, Jung S, Rafael F, Tsuimoto T, Aiba T, et al. Walking can be more effective than balance training in fall prevention among community-dwelling older adults. Geriatr Gerontol Int. 2016;16(1):118-25. DOI: https://doi.org/10.1111/ggi.12444
Lima ARS, Portes LA, Oliveira NC, Alfieri FM. Limiar de tolerância de dor à pressão, estilo de vida, força muscular e capacidade funcional em idosas com sarcopenia. Acta Fisiatr. 2016;23(2):73-7.
Jesus DF, Silva AF. Percepção da qualidade de vida por idosos praticantes e não praticantes de exercícios resistidos: análise do projeto vida corrida. Lecturas Ed Física y Dep. 2010;15(149):1.
Cunha LL, Mayrink WC. Influência da dor crônica na qualidade de vida em idosos. Rev Dor. 2011;12(2):120-4. DOI: https://doi.org/10.1590/S1806-00132011000200008
Oliveira AC, Oliveira NMD, Arantes PMM, Alencar MA. Qualidade de vida em idosos que praticam atividade física - uma revisão sistemática. Rev Bras Geriatr Gerontol. 2010;13(2):301-12. DOI: https://doi.org/10.1590/S1809-98232010000200014
Olanrewaju O, Kelly S, Cowan A, Brayne C, Lafortune L. Physical activity in community dwelling older people: a systematic review of reviews of interventions and context. PLoS One. 2016;11(12):e0168614. DOI: https://doi.org/10.1371/journal.pone.0168614
