Predictive model for the number of weekly steps, based on the physical fragility of centenarians: Project SC100
DOI:
https://doi.org/10.11606/issn.2317-0190.v31i2a210272Keywords:
Aged, 80 and over, Frailty, Exercise, Longevity, Life Style, Sociodemographic FactorsAbstract
Objective: To propose a predictive model of the number of weekly steps, according to the criteria of the frailty phenotype of centenarians, the sociodemographic factors, health conditions and life habits. Method: This is a cross-sectional research that is part of the "Projeto SC100: Estudo Multidimensional dos Centenários de Santa Catarina". The frailty phenotype criteria were: unintentional body mass loss, fatigue, muscle weakness, reduced walking speed, and low level of physical activity. The number of steps/day in a normal week was measured using a pedometer during 7 days of a normal week. Data were collected by previously trained researchers in the homes of the older adults. Binary logistic regression was employed to build the predictive models. Results: We evaluated 54 centenarians with a mean age of 101.8±2.8 years. Among the main results, centenarians who have fewer steps per week are 4.61 (95% CI: 1.34-15.94) times more likely to have the criterion low walking speed, this result was adjusted by socio-demographic variables. Also, centenarians who have fewer steps per week have 8.29 (95%CI: 2.05-33.37) times more chance of presenting the criterion low walking speed and 3.35 (95%CI: 1.02-11.38) times more chance of presenting the criterion fatigue, these results were adjusted by lifestyle variables. Conclusion: Centenarians with fewer steps per week present any of the frailty phenotype criteria (loss of unintentional body mass, fatigue, muscle weakness and reduced gait speed), regardless of socio-demographic variables (gender, education, marital status and income) and lifestyle habits (smoking history, alcoholism and sedentary behavior).
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References
Arai H, Ouchi Y, Toba K, Endo T, Shimokado K, Tsubota K, et al. Japan as the front-runner of super-aged societies: Perspectives from medicine and medical care in Japan. Geriatr Gerontol Int. 2015;15(6):673-87. Doi: https://doi.org/10.1111/ggi.12450
Herr M, Arvieu JJ, Robine JM, Ankri J. Health, frailty and disability after ninety: Results of an observational study in France. Arch Gerontol Geriatr. 2016;66:166-75. Doi: https://doi.org/10.1016/j.archger.2016.06.002
Franco PS, Capanema BSV, Pereira FS, Barcia SO, Gil PR, Mazo GZ. Fragilidade e atividade física em centenários: revisão sistemática. ABCS Health Sci. 2022; 47: e022307. Doi: https://doi.org/10.7322/abcshs.2021018.1747
Apóstolo J, Bobrowicz-Campos E, Moreno-Casbas T, Teixeira-Santos L, Sánchez de Madariaga R, Casado-Ramírez E, et al. A Study Protocol for Development and Validation of a Clinical Prediction Model for Frailty (ModulEn): a new European Commitment to Tackling Frailty. Transl Med UniSa. 2019;19:36-41.
Sousa JAV, Lenardt MH, Grden CRB, Kusomota L, Dellaroza MSG, Betiolli SE. Physical frailty prediction model for the oldest old1. Rev Lat Am Enfermagem. 2018;26:e3023. Doi: https://doi.org/10.1590/1518-8345.2346.3023
Soong J, Poots AJ, Scott S, Donald K, Bell D. Developing and validating a risk prediction model for acute care based on frailty syndromes. BMJ Open. 2015;5(10):e008457. Doi: https://doi.org/10.1136/bmjopen-2015-008457
Mazo GZ, Capanema BSV, Pereira FS, Franco OS, Korbes AS, Fank F. Força de preensão manual e velocidade máxima da caminhada de acordo com o nível de atividade física e o sexo de centenários. Estud Interdiscipl Envelhec. 2022; 26(3):335–49.
Apóstolo J, Cooke R, Bobrowicz-Campos E, Santana S, Marcucci M, Cano A, et al. Effectiveness of interventions to prevent pre-frailty and frailty progression in older adults: a systematic review. JBI Database System Rev Implement Rep. 2018;16(1):140-232. Doi: https://doi.org/10.11124/JBISRIR-2017-003382
Jadczak AD, Makwana N, Luscombe-Marsh N, Visvanathan R, Schultz TJ. Effectiveness of exercise interventions on physical function in community-dwelling frail older people: an umbrella review of systematic reviews. JBI Database System Rev Implement Rep. 2018;16(3):752-775. Doi: https://doi.org/10.11124/JBISRIR-2017-003551
Puts MTE, Toubasi S, Andrew MK, Ashe MC, Ploeg J, Atkinson E, et al. Interventions to prevent or reduce the level of frailty in community-dwelling older adults: a scoping review of the literature and international policies. Age Ageing. 2017;46(3):383-392. Doi: https://doi.org/10.1093/ageing/afw247
Malta M, Cardoso LO, Bastos FI, Magnanini MMF, Silva CMFP. Iniciativa STROBE: subsídios para a comunicação de estudos observacionais. Rev Saúde Pública. 2010;44(3):559–65. Doi: https://doi.org/10.1590/S0034-89102010000300021
Mazo GZ. Interviewer's Manual: Application and Analysis of the Centennial Elderly Multidimensional Assessment Protocol. Florianópolis: UDESC/LAGER; 2017.
Mazo GZ, Hoffmann L, Alves LG, Capanema BSV, Oliveira AC, Franco PS. Atividade física e qualidade de vida de centenários. Estud Interdiscipl. Envelhec. 2019;24:211-220. Doi: https://doi.org/10.22456/2316-2171.97742
Folstein MF, Folstein SE, McHugh PR. "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res. 1975;12(3):189-98. Doi: https://doi.org/10.1016/0022-3956(75)90026-6
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq Neuro-Psiquiatr. 1994;52(1):01-7. Doi: https://doi.org/10.1590/S0004-282X1994000100001
Kahle-Wrobleski K, Corrada MM, Li B, Kawas CH. Sensitivity and specificity of the mini-mental state examination for identifying dementia in the oldest-old: the 90+ study. J Am Geriatr Soc. 2007;55(2):284-9. Doi: https://doi.org/10.1111/j.1532-5415.2007.01049.x
Lino VTS, Pereira SRM, Camacho LAB, Ribeiro Filho ST, Buksman S. Adaptação transcultural da Escala de Independência em Atividades da Vida Diária (Escala de Katz). Cad Saúde Pública. 2008;24(1):103–12. Doi: https://doi.org/10.1590/S0102-311X2008000100010
Katz S, Ford Ab, Moskowitz Rw, Jackson Ba, Jaffe Mw. Studies of illness in the aged. the index of adl: a standardized measure of biological and psychosocial function. JAMA. 1963;185:914-9. Doi: https://doi.org/10.1001/jama.1963.03060120024016
Rosenkranz RR, Duncan MJ, Rosenkranz SK, Kolt GS. Active lifestyles related to excellent self-rated health and quality of life: cross sectional findings from 194,545 participants in The 45 and Up Study. BMC Public Health. 2013;13:1071. Doi: https://doi.org/10.1186/1471-2458-13-1071
Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56. Doi: https://doi.org/10.1093/gerona/56.3.m146
Herr M, Jeune B, Fors S, Andersen-Ranberg K, Ankri J, Arai Y, et al. Frailty and Associated Factors among Centenarians in the 5-COOP Countries. Gerontology. 2018;64(6):521-31. Doi: https://doi.org/10.1159/000489955
Duarte N, Teixeira L, Ribeiro O, Paúl C. Frailty phenotype criteria in centenarians: Findings from the Oporto Centenarian Study. Eur Geriatr Med. 2014;5(6):371–376. Doi: https://doi.org/10.1016/j.eurger.2014.09.015
Grden CRB, Lenardt MH, Sousa JAV, Kusomota L, Dellaroza MSG, Betiolli SE. Associations between frailty syndrome and sociodemographic characteristics in long-lived individuals of a community. Rev Lat Am Enfermagem. 2017;25:e2886. Doi: https://doi.org/10.1590/1518-8345.1770.2886
Liberalesso TEM, Dallazen F, Bandeira VAC, Berlezi EM. Prevalência de fragilidade em uma população de longevos na região Sul do Brasil. Saúde debate. 2017;41(113):553-6. Doi: https://doi.org/10.1590/0103-1104201711316
Hirsch C, Anderson ML, Newman A, Kop W, Jackson S, Gottdiener J, et al. The association of race with frailty: the cardiovascular health study. Ann Epidemiol. 2006;16(7):545-53. Doi: https://doi.org/10.1016/j.annepidem.2005.10.003
Clegg A, Hassan-Smith Z. Frailty and the endocrine system. Lancet Diabetes Endocrinol. 2018;6(9):743-52. Doi: https://doi.org/10.1016/S2213-8587(18)30110-4
Fried L, Walston J. Frailty and failure to thrive. In: Hazzard W, Blass J, Halter J, et al., editors. Principles of geriatric medicine and gerontology. 5th ed. New York: McGraw-Hill; 2003. p. 1487-1502.
Patel HP, Clift E, Lewis L, Cooper C. Epidemiology of sarcopenia and frailty. In: Dionyssiotis Y. Frailty and Sarcopenia - Onset, Development and Clinical Challenges. London: InTech; 2017. Doi: https://doi.org/10.5772/intechopen.69771
Yu Z, Ruan Q, D’Onofrio G, Greco A. From sarcopenia to frailty: the pathophysiological basis and potential target molecules of intervention. In: Dionyssiotis Y. Frailty and Sarcopenia - Onset, Develop-ment and Clinical Challenges. London: InTech; 2017. Doi: https://doi.org/10.5772/intechopen.69639
Dupre ME, Gu D, Warner DF, Yi Z. Frailty and type of death among older adults in China: prospective cohort study. BMJ. 2009;338:b1175. Doi: https://doi.org/10.1136/bmj.b1175
Gu D, Dupre ME, Sautter J, Zhu H, Liu Y, Yi Z. Frailty and mortality among Chinese at advanced ages. J Gerontol B Psychol Sci Soc Sci. 2009;64(2):279-89. Doi: https://doi.org/10.1093/geronb/gbn009
Valenzuela PL, Castillo-García A, Morales JS, Izquierdo M, Serra-Rexach JA, Santos-Lozano A, et al. Physical Exercise in the Oldest Old. Compr Physiol. 2019;9(4):1281-1304. Doi: https://doi.org/10.1002/cphy.c190002
Riley WT, Rothrock N, Bruce B, Christodolou C, Cook K, Hahn EA, et al. Patient-reported outcomes measurement information system (PROMIS) domain names and definitions revisions: further evaluation of content validity in IRT-derived item banks. Qual Life Res. 2010;19(9):1311-21. Doi: https://doi.org/10.1007/s11136-010-9694-5
Silva VD, Tribess S, Meneguci J, Sasaki JE, Garcia-Meneguci CA, Carneiro JAO, et al. Association between frailty and the combination of physical activity level and sedentary behavior in older adults. BMC Public Health. 2019;19(1):709. Doi: https://doi.org/10.1186/s12889-019-7062-0
Meneguci J, Santos DAT, Silva RB, Santos RG, Sasaki JE, Tribess S, et al. Comportamento sedentário: conceito, implicações fisiológicas e os procedimentos de avaliação. Motricidade. 2015;11(1):160-74. Doi: https://doi.org/10.6063/motricidade.3178
Charansonney OL. Physical activity and aging: a life-long story. Discov Med. 2011;12(64):177-85.
De Lepeleire J, Iliffe S, Mann E, Degryse JM. Frailty: an emerging concept for general practice. Br J Gen Pract. 2009;59(562):e177-82. Doi: https://doi.org/10.3399/bjgp09X420653
Pel-Littel RE, Schuurmans MJ, Emmelot-Vonk MH, Verhaar HJ. Frailty: defining and measuring of a concept. J Nutr Health Aging. 2009;13(4):390-4. Doi: https://doi.org/10.1007/s12603-009-0051-8
Chamberlain AM, St Sauver JL, Jacobson DJ, Manemann SM, Fan C, Roger VL, et al. Social and behavioural factors associated with frailty trajectories in a population-based cohort of older adults. BMJ Open. 2016;6(5):e011410. Doi: https://doi.org/10.1136/bmjopen-2016-011410
Barbosa MB, Pereira CV, Cruz DT, Leite ICG. Prevalence and factors associated with alcohol and tobacco use among non-institutionalized elderly persons. Rev Bras Geriatr Gerontol. 2018;21(2):123-133. Doi: https://doi.org/10.1590/1981-22562018021.170185
São José BP, Côrrea RA, Malta DC, Passos VMA, França EB, Teixeira RA, et al. Mortalidade e incapacidade por doenças relacionadas à exposição ao tabaco no Brasil, 1990 a 2015. Rev Bras Epidemiol. 2017; 20 Suppl 1:75-89. Doi: https://doi.org/10.1590/1980-5497201700050007
Andersen-Ranberg K, Schroll M, Jeune B. Healthy centenarians do not exist, but autonomous centenarians do: a population-based study of morbidity among Danish centenarians. J Am Geriatr Soc. 2001;49(7):900-8. Doi: https://doi.org/10.1046/j.1532-5415.2001.49180.x
Jeune B. Living longer--but better? Aging Clin Exp Res. 2002;14(2):72-93. Doi: https://doi.org/10.1007/BF03324421
Faber MJ, Bosscher RJ, Chin A Paw MJ, van Wieringen PC. Effects of exercise programs on falls and mobility in frail and pre-frail older adults: a multicenter randomized controlled trial. Arch Phys Med Rehabil. 2006;87(7):885-96. Doi: https://doi.org/10.1016/j.apmr.2006.04.005
Pillatt AP, Nielsson J, Schneider RH. Efeitos do exercício físico em idosos fragilizados: uma revisão sistemática. Fisioter Pesq. 2019;26(2):210-17. Doi: https://doi.org/10.1590/1809-2950/18004826022019
Navarrete-Villanueva D, Gómez-Cabello A, Marín-Puyalto J, Moreno LA, Vicente-Rodríguez G, Casajús JA. Frailty and physical fitness in elderly people: a systematic review and meta-analysis. Sports Med. 2021;51(1):143-160. Doi: https://doi.org/10.1007/s40279-020-01361-1
Silva RB, Aldoradin-Cabeza H, Eslick GD, Phu S, Duque G. The effect of physical exercise on frail older persons: a systematic review. J Frailty Aging. 2017;6(2):91-96. Doi: https://doi.org/10.14283/jfa.2017.7
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