Força muscular, funcionalidade e fatores comportamentais têm a mesma associação com histórico de quedas?
DOI:
https://doi.org/10.1590/Palavras-chave:
Acidentes por Quedas, Idoso, Desempenho Físico-Funcional.Resumo
O objetivo deste estudo foi investigar a associação de fatores biológicos (força muscular e mobilidade funcional) e comportamentais (nível de atividade física e medo de cair) com o histórico de quedas de idosos de uma
comunidade. Foi realizado um estudo transversal com 173 idosos. Foram avaliadas a força de preensão manual e a mobilidade funcional por meio do timed up and go (TUG) eteste de velocidade de marcha. Os fatores comportamentais foram avaliados pelo escore de atividade física (Minnesota Leisure Time Activities Questionnaire) e medo de cair (Falls Efficacy Scale-International). O histórico de quedas foi avaliado pelo autorrelato de queda(s) ocorrida(s) nos últimos seis meses. Os dados foram analisados pelo teste
de correlação por ponto bisserial (rb) e por uma análise de regressão binomial. Os fatores biológicos, força de preensão manual (rb=−0,282, p<0,001), teste velocidade de marcha (rb=−0,082, p=0,151) e TUG (rb=0,167,p=0,018), além dos fatores comportamentais, medo de cair (rb=0,098, p=0,162) e atividade física (rb
=−0,149, p=0,039), foram incluídos no modelo de regressão. Apenas os fatores biológicos de força
de preensão palmar (p<0,001; OR: 0,891; IC 95%: 0,885-0,898) e mobilidade funcional pelo TUG (p<0,001; OR:
1,031; IC 95%: 1,018-1,043) explicaram a história de quedas. Menores valores de força muscular e pior desempenho no TUG foram associados ao histórico de quedas.
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