Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study

CONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS) with functional independence in relation to sex, age and number of frailty criteria, and to ascer...

Full description

Bibliographic Details
Main Authors: Fernanda Sotello Batista, Grace Angélica de Oliveira Gomes, Maria José D'Elboux, Fernanda Aparecida Cintra, Anita Liberalesso Neri, Maria Elena Guariento, Maria da Luz Rosário de Souza
Format: Article
Language:English
Published: Associação Paulista de Medicina
Series:São Paulo Medical Journal
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000500282&lng=en&tlng=en
_version_ 1818994434121924608
author Fernanda Sotello Batista
Grace Angélica de Oliveira Gomes
Maria José D'Elboux
Fernanda Aparecida Cintra
Anita Liberalesso Neri
Maria Elena Guariento
Maria da Luz Rosário de Souza
author_facet Fernanda Sotello Batista
Grace Angélica de Oliveira Gomes
Maria José D'Elboux
Fernanda Aparecida Cintra
Anita Liberalesso Neri
Maria Elena Guariento
Maria da Luz Rosário de Souza
author_sort Fernanda Sotello Batista
collection DOAJ
description CONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS) with functional independence in relation to sex, age and number of frailty criteria, and to ascertain the influence of these variables on elderly outpatients' independence.DESIGN AND SETTING: Quantitative cross-sectional study, in a tertiary hospital.METHODS: The study was conducted on 150 elderly outpatients of both sexes who were in a cognitive condition allowing oral communication, between October 2005 and October 2007. The following instruments were used: five-times sit-to-stand test (FTSST), Functional Independence Measurement (FIM) and Lawton's Instrumental Activities of Daily Living Scale (IADL). Descriptive, comparative, multivariate, univariate and Cronbach alpha analyses were performed.RESULTS: The mean time taken in the FTSST was 21.7 seconds; the mean score for FIM was 82.2 and for IADL was 21.2; 44.7% of the subjects presented 1-2 frailty criteria and 55.3% > 3 criteria. There was a significant association between LLMS and functional independence in relation to the number of frailty criteria, without homogeneity regarding sex and age. Functional independence showed significant influence from sex and LLMS.CONCLUSION: Elderly individuals with 1 or 2 frailty criteria presented greater independence in all FTSST scores. The subjects with higher LLMS presented better functional independence.
first_indexed 2024-12-20T20:57:53Z
format Article
id doaj.art-6cd2b0c7759b4f0f8ed81c168fa06edf
institution Directory Open Access Journal
issn 1806-9460
language English
last_indexed 2024-12-20T20:57:53Z
publisher Associação Paulista de Medicina
record_format Article
series São Paulo Medical Journal
spelling doaj.art-6cd2b0c7759b4f0f8ed81c168fa06edf2022-12-21T19:26:47ZengAssociação Paulista de MedicinaSão Paulo Medical Journal1806-9460132528228910.1590/1516-3180.2014.1325669S1516-31802014000500282Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional studyFernanda Sotello BatistaGrace Angélica de Oliveira GomesMaria José D'ElbouxFernanda Aparecida CintraAnita Liberalesso NeriMaria Elena GuarientoMaria da Luz Rosário de SouzaCONTEXT AND OBJECTIVE: Muscle strength and functional independence are considered to be determinants of frailty levels among elderly people. The aim here was to compare lower-limb muscle strength (LLMS) with functional independence in relation to sex, age and number of frailty criteria, and to ascertain the influence of these variables on elderly outpatients' independence.DESIGN AND SETTING: Quantitative cross-sectional study, in a tertiary hospital.METHODS: The study was conducted on 150 elderly outpatients of both sexes who were in a cognitive condition allowing oral communication, between October 2005 and October 2007. The following instruments were used: five-times sit-to-stand test (FTSST), Functional Independence Measurement (FIM) and Lawton's Instrumental Activities of Daily Living Scale (IADL). Descriptive, comparative, multivariate, univariate and Cronbach alpha analyses were performed.RESULTS: The mean time taken in the FTSST was 21.7 seconds; the mean score for FIM was 82.2 and for IADL was 21.2; 44.7% of the subjects presented 1-2 frailty criteria and 55.3% > 3 criteria. There was a significant association between LLMS and functional independence in relation to the number of frailty criteria, without homogeneity regarding sex and age. Functional independence showed significant influence from sex and LLMS.CONCLUSION: Elderly individuals with 1 or 2 frailty criteria presented greater independence in all FTSST scores. The subjects with higher LLMS presented better functional independence.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000500282&lng=en&tlng=enElderlyMuscle strengthDisability evaluationActivities of daily livingFrail elderly
spellingShingle Fernanda Sotello Batista
Grace Angélica de Oliveira Gomes
Maria José D'Elboux
Fernanda Aparecida Cintra
Anita Liberalesso Neri
Maria Elena Guariento
Maria da Luz Rosário de Souza
Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study
São Paulo Medical Journal
Elderly
Muscle strength
Disability evaluation
Activities of daily living
Frail elderly
title Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study
title_full Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study
title_fullStr Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study
title_full_unstemmed Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study
title_short Relationship between lower-limb muscle strength and functional independence among elderly people according to frailty criteria: a cross-sectional study
title_sort relationship between lower limb muscle strength and functional independence among elderly people according to frailty criteria a cross sectional study
topic Elderly
Muscle strength
Disability evaluation
Activities of daily living
Frail elderly
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802014000500282&lng=en&tlng=en
work_keys_str_mv AT fernandasotellobatista relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy
AT graceangelicadeoliveiragomes relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy
AT mariajosedelboux relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy
AT fernandaaparecidacintra relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy
AT anitaliberalessoneri relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy
AT mariaelenaguariento relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy
AT mariadaluzrosariodesouza relationshipbetweenlowerlimbmusclestrengthandfunctionalindependenceamongelderlypeopleaccordingtofrailtycriteriaacrosssectionalstudy