Evaluation of sarcopenia in older adults in extreme longevity using different methods and its relationship to cognitive performance
DOI:
https://doi.org/10.11606/issn.2317-0190.v27i3a174634Keywords:
Sarcopenia, Anthropometry, Body Mass Index, Cognition, Aged, 80 and overAbstract
Sarcopenia is highly prevalent in older adults, and generates several individual and social challenges for public health, which makes screening it fundamental. Objective: To evaluate the relationship between skeletal muscle mass (SMM) and calf circumference (CC), body mass index (BMI) and cognitive performance of older adults in extreme longevity. Method: A cross-sectional and quantitative research was carried out with n = 69 elderly people aged 90 years or older, treated at the Unified Health System. Sociodemographic and anthropometric data were collected. The muscle mass index (MMI) was calculated based on the SMM, which was estimated by the formula of Lee and collaborators. The definition of sarcopenia used was proposed by Janssen and collaborators. CC was measured, BMI was calculated, and cognitive performance was assessed by the Verbal Fluency (VF) test. The relationship between the variables was analyzed using Spearman's correlation test. Results: All older adults evaluated were considered to have severe sarcopenia according to the MMI. According to the CC, 39.4% of men and 52.8% of women had indicative values for sarcopenia; and by BMI, 33.3% of men and 36.1% of women have low body weight. The only variables that showed a significant and direct relationship were BMI and CC, for men and women. Conclusion: No correlation was found between SMM and CC, BMI and cognitive performance. The evaluation of sarcopenia in long-lived elderly should be carried out using methods that are more reliable. The high prevalence of sarcopenia highlights the urgency of looking at the group of extreme longevity.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
Grant numbers 001
