Loss of Muscle Mass and Vulnerability in Institutionalized Older Adults
Abstract
:1. Introduction
2. Materials and Methods
3. Results
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Variables | Loss of MM n (%) | Preserved MM n (%) | Total 1 n (%) | p-Value 2 | |
---|---|---|---|---|---|
Demographic | |||||
Sex | Female | 91 (36.4) | 80 (32.0) | 171 (68.4) | 0.062 |
Male | 32 (12.8) | 47 (18.8) | 79 (31.6) | ||
Age group in years | 60 to 74 | 25 (10.0) | 43 (17.2) | 68 (27.2) | 0.006 |
75 to 84 | 45 (18.0) | 52 (20.8) | 97 (38.8) | ||
≥85 | 53 (21.2) | 32 (12.8) | 85 (34.0) | ||
Race | Non-white | 59 (25.0) | 63 (26.7) | 122 (51.7) | 0.801 |
White | 57 (24.2) | 57 (24.2) | 114 (48.3) | ||
Marital status | Single | 64 (27.0) | 52 (21.9) | 116 (48.9) | 0.169 |
Widowed | 31 (13.1) | 40 (16.9) | 71 (30.0) | ||
Divorced/separated | 21 (8.9) | 29 (12.2) | 50 (21.1) | ||
Literacy | Yes | 62 (26.6) | 78 (33.5) | 140 (60.1) | 0.058 |
No | 53 (22.7) | 40 (17.2) | 93 (39.9) | ||
Schooling | No | 48 (21.7) | 37 (16.7) | 85 (38.5) | 0.058 |
1 to +8 years | 59 (26.7) | 77 (34.8) | 136 (61.5) | ||
Religion | Yes | 102 (45.7) | 101 (45.3) | 203 (91.0) | 0.193 |
No | 7 (3.1) | 13 (5.8) | 20 (9.0) | ||
Type of religion | Catholic | 78 (38.8) | 74 (36.8) | 152 (75.6) | 0.864 |
Evangelical | 22 (10.9) | 25 (12.4) | 47 (23.4) | ||
Spiritist | 1 (0.5) | 1 (0.5) | 2 (1.0) | ||
Lifestyle habits | |||||
Smoking | Yes | 9 (3.7) | 25 (10.2) | 34 (13.9) | 0.005 |
No | 110 (44.9) | 101 (41.2) | 211 (86.1) | ||
Alcohol consumption | Yes | 4 (1.6) | 11 (4.5) | 15 (6.1) | 0.080 3 |
No | 115 (46.9) | 115 (46.9) | 230 (93.9) | ||
Nutritional status | |||||
BMI | Low weight | 72 (30.6) | 16 (6.8) | 88 (37.4) | <0.001 |
Adequate | 32 (13.6) | 45 (19.1) | 77 (32.8) | ||
Overweight | 9 (3.8) | 61 (26.0) | 70 (29.8) |
Physical Limitations and Disabilities | Loss of MM n (%) | Preserved MM n (%) | Total 1 n (%) | p-Value 2 | |
---|---|---|---|---|---|
Physical limitation | |||||
Performing heavy housework | Difficulty | 110 (45.1) | 96 (39.3) | 206 (84.4) | 0.002 |
No difficulty | 10 (4.1) | 28 (11.5) | 38 (15.6) | ||
Stooping, crouching, or kneeling | Difficulty | 104 (42.1) | 88 (35.6) | 192 (77.7) | 0.005 |
No difficulty | 18 (7.3) | 37 (15.0) | 55 (22.3) | ||
Lifting or carrying objects as heavy as 5 kg | Difficulty | 95 (38.8) | 77 (31.4) | 172 (70.2) | 0.001 |
No difficulty | 24 (9.8) | 49 (20.0) | 73 (29.8) | ||
Walking 400 m | Difficulty | 93 (37.5) | 76 (30.6) | 169 (68.1) | 0.004 |
No difficulty | 28 (11.3) | 51 (20.6) | 79 (31.9) | ||
Reaching or extending arms above shoulder level | Difficulty | 66 (26.9) | 40 (16.3) | 106 (43.3) | <0.001 |
No difficulty | 53 (21.6) | 86 (35.1) | 139 (56.7) | ||
Writing or handling and grasping small objects | Difficulty | 64 (26.1) | 33 (13.5) | 97 (39.6) | <0.001 |
No difficulty | 55 (22.4) | 93 (38.0) | 148 (60.4) | ||
Disabilities | |||||
Shopping for personal items | Yes | 107 (44.2) | 96 (39.7) | 203 (83.9) | 0.012 |
No | 12 (5.0) | 27 (11.2) | 39 (16.1) | ||
Managing money | Yes | 106 (43.8) | 93 (38.4) | 199 (82.2) | 0.006 |
No | 13 (5.4) | 30 (12.4) | 43 (17.8) | ||
Doing light housework | Yes | 95 (39.6) | 79 (32.9) | 174 (72.5) | 0.003 |
No | 22 (9.2) | 44 (18.3) | 66 (27.5) | ||
Bathing or showering | Yes | 90 (37.2) | 47 (19.4) | 137 (56.6) | <0.001 |
No | 28 (11.6) | 77 (31.8) | 105 (43.4) | ||
Walking across the room | Yes | 74 (30.6) | 41 (16.9) | 115 (47.5) | <0.001 |
No | 44 (18.2) | 83 (34.3) | 127 (52.5) |
VES-13 | Loss of MM | Preserved MM | R 2 (Exp(B); 95% CI) 1 p-Value | ||
---|---|---|---|---|---|
Mean (SD) | Percentiles (25/50/75) | Mean (SD) | Percentiles (25/50/75) | ||
Vulnerability | 7.4 (1.98) | 6/7/9 | 6.3 (2.36) | 5/7/8 | 8.8 (0.781; 0.690–0.884) <0.001 |
p-value 2 | 0.001 | ||||
Physical limitation | 1.7 (0.65) | 2/2/2 | 1.4 (0.84) | 1/2/2 | 7.0 (0.533; 0.376–0.757) <0.001 |
p-value 2 | 0.001 | ||||
Age group | 1.7 (1.23) | 1/1/3 | 1.2 (1.15) | 0/1/3 | 5.5 (0.709; 0.574–0.876) 0.001 |
p-value 2 | 0.006 | ||||
Disability | 3.7 (1.10) | 4/4/4 | 3.3 (1.50) | 4/4/4 | 2.8 (0.796; 0.651–0.973) 0.026 |
p-value 2 | 0.052 | ||||
Self-perceived health | 1.0 (0.00) | 1/1/1 | 1.0 (0.00) | 1/1/1 | - |
p-value 2 | - |
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Araújo, M.P.D.; Nobre, T.T.X.; Rosendo, C.W.F.; Lima, F.A.S.d.; Nunes, V.M.d.A.; Torres, G.d.V. Loss of Muscle Mass and Vulnerability in Institutionalized Older Adults. Int. J. Environ. Res. Public Health 2023, 20, 426. https://doi.org/10.3390/ijerph20010426
Araújo MPD, Nobre TTX, Rosendo CWF, Lima FASd, Nunes VMdA, Torres GdV. Loss of Muscle Mass and Vulnerability in Institutionalized Older Adults. International Journal of Environmental Research and Public Health. 2023; 20(1):426. https://doi.org/10.3390/ijerph20010426
Chicago/Turabian StyleAraújo, Mayara Priscilla Dantas, Thaiza Teixeira Xavier Nobre, Clara Wilma Fernandes Rosendo, Flávio Anselmo Silva de Lima, Vilani Medeiros de Araújo Nunes, and Gilson de Vasconcelos Torres. 2023. "Loss of Muscle Mass and Vulnerability in Institutionalized Older Adults" International Journal of Environmental Research and Public Health 20, no. 1: 426. https://doi.org/10.3390/ijerph20010426