Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults

cross-sectional study

Authors

  • Ricardo Aurélio Carvalho Sampaio School of Physical Education, Universidade Estadual de Campinas
  • Priscila Yukari Sewo Sampaio School of Physical Education, Universidade Estadual de Campinas
  • Luz Albany Arcila Castaño School of Physical Education, Universidade Estadual de Campinas
  • João Francisco Barbieri School of Physical Education, Universidade Estadual de Campinas
  • Hélio José Coelho Júnior School of Physical Education, Universidade Estadual de Campinas
  • Hidenori Arai School of Physical Education, Universidade Estadual de Campinas
  • Marco Carlos Uchida School of Physical Education, Universidade Estadual de Campinas
  • Gustavo Luis Gutierrez School of Physical Education, Universidade Estadual de Campinas

Keywords:

Aging, Sarcopenia, Muscle, skeletal, Hand strength, Walking speed

Abstract

CONTEXT AND OBJECTIVE: Sarcopenia is an emerging public health issue in Brazil. Because of its high prevalence and the lack of national data, the objective here was to identify cutoff points for appendicular skeletal muscle (ASM) and handgrip strength in relation to fear of falling among Brazilian older adults. DESIGN AND SETTING: Cross-sectional study; in the community. METHODS: Participants underwent morphological and functional evaluations; and were asked about previous falls and fear of falling. Different adjustments to ASM and handgrip strength were used. Slow walking speed was defined as < 0.8 m/s or 1.0 m/s. Gender and age groups were compared using t tests, analysis of variance (ANOVA), chi-square test or Fisher’s exact test. Receiver operating characteristic curves were used to identify cutoffs for ASM and handgrip strength in relation to fear of falling. RESULTS: 578 older adults participated in this study. Function levels decreased with increasing age, and body composition differed between the sexes. In relation to fear of falling, the cutoffs for ASM adjusted for body mass index (BMI) were < 0.85 for men and < 0.53 for women; the cutoffs for absolute handgrip strength and relative handgrip strength (adjusted for BMI) were 30.0 kgf and 21.7 kgf, and 1.07 and 0.66, for men and women, respectively. CONCLUSION: The values presented can be used as references in clinical practice and research. We recommend use of ASM adjusted for BMI and choosing between absolute and relative handgrip strength for men and women, according to study needs.

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Author Biographies

Ricardo Aurélio Carvalho Sampaio, School of Physical Education, Universidade Estadual de Campinas

PhD. Physical Educator, Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Priscila Yukari Sewo Sampaio, School of Physical Education, Universidade Estadual de Campinas

PhD. Occupational Therapist and Assistant Professor, Department of Occupational Therapy, Universidade Federal de Sergipe (UFS), Lagarto (SE), Brazil.

Luz Albany Arcila Castaño, School of Physical Education, Universidade Estadual de Campinas

Physical Educator, Department of Sports Science and Recreation, Universidad Tecnologica de Pereira, Pereira, Risaralda, Colombia.

João Francisco Barbieri, School of Physical Education, Universidade Estadual de Campinas

Physical Educator and Master’s Stu­dent, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Hélio José Coelho Júnior, School of Physical Education, Universidade Estadual de Campinas

MSc. Physical Educator and Doctoral Student, Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Hidenori Arai, School of Physical Education, Universidade Estadual de Campinas

MD, PhD. Deputy Director, Kokuritsu Choju Iryo Kenkyu Center Kenkyujo (NCGG), Obu, Aichi Prefecture, Japan.

Marco Carlos Uchida, School of Physical Education, Universidade Estadual de Campinas

PhD. Associate Professor and Head of Applied Kinesiology Laboratory, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

Gustavo Luis Gutierrez, School of Physical Education, Universidade Estadual de Campinas

PhD. Professor, School of Physical Education, Universidade Estadual de Campinas (UNICAMP), Campinas (SP), Brazil.

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Published

2017-10-05

How to Cite

1.
Sampaio RAC, Sampaio PYS, Castaño LAA, Barbieri JF, Coelho Júnior HJ, Arai H, Uchida MC, Gutierrez GL. Cutoff values for appendicular skeletal muscle mass and strength in relation to fear of falling among Brazilian older adults: cross-sectional study. Sao Paulo Med J [Internet]. 2017 Oct. 5 [cited 2025 Mar. 12];135(5):434-43. Available from: https://periodicosapm.emnuvens.com.br/spmj/article/view/816

Issue

Vol. 135 No. 5 (2017)

Section

Original Article

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