Indicators Of Physical Activity And Frailty In The Elderly: Data From The Fibra Study In Campinas, São Paulo State, Brazil [medidas De Atividade Física E Fragilidade Em Idosos: Dados Do Fibra Campinas, São Paulo, Brasil]

The literature shows methodological differences in measuring physical activity in relation to frailty in the elderly. Therefore, the aim of the present study, part of FIBRA (the Frailty in Brazilian Elderly study), was to investigate relationships between frailty and measurements of physical activity. The study used a probabilistic sample of 689 elderly (72.28 ± 5.40 years; 68.21% women). An adapted version of the Minnesota Leisure Time Physical Activity Questionnaire was used and two criteria were established for measuring physical activity: regular physical exercise and weekly calorie expenditure during physical exercise and household activities. Of the total sample, 15.09% scored on weight loss, 17.13% on fatigue, 16.96% on low grip strength, 15.87% on slow gait, and 43.02% on comorbidities. According to the calorie expenditure criterion, 83.55% of the elders were classified as active, as compared to 45.27% according to the physical activity criterion. Low calorie expenditure was associated with low grip strength, slow gait, and advanced age. Sedentary lifestyle (limited physical activity) was associated with comorbidities. Calorie expenditure was more sensitive for measuring frailty, while physical activity was more sensitive for measuring health status.27815371550Hooi, W., Bergman, H., A review on models and perpectives on frailty in olders persons Singapore General Hospital Proceedings, , http://www.pgmi.com.sg/getpage.aspx?id=SGHProceedings, In, acessado em 12/Out/2010Bortz II, W., Understanding frailty (2010) J Gerontol a Biol Sci Med Sci, 65, pp. 255-256Hogan, D.B., Macknight, C., Bergman, H., Models, definitions and criteria of frailty (2003) Aging Clin Exp Res, 15 (3 SUPPL.), pp. 1-29. , Steering Committee, Canadian Initiative on Frailty and AgingRockwood, K., Hogan, D., Macknight, C., Concetualisation and measurement of frailty in elderly people (2000) Drugs Aging, 17, pp. 295-302Lipsitz, L.A., Dynamics of stability: The physiologic basis of functional health and frailty (2002) J Gerontol a Biol Sci Med Sci, 57, pp. B115-25Bortz, W.M., A conceptual framework of frailty: A review (2002) J Gerontol a Biol Sci Med Sci, 57, pp. M283-8Walston, J., Hadley, E., Ferrucci, L., Guralnik, J., Newman, A., Studenski, S., Research agenda for frailty in older adults: Toward a better understanding of physiology and etiology: Summary from the American Geriatrics Society/National Institute on Aging Research Conference on Frailty in Older Adults (2006) J Am Geriatr Soc, 54, pp. 991-1001Fried, L., Tangen, C., Walston, J., Newman, A., Hirsch, C., Gottdiener, J., Frailty in older adults: Evidence for a phenotype (2001) J Gerontol a Biol Sci Med Sci, 56, pp. M146-56Caspersen, C., Powell, K., Christenso, G., Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research (1985) Public Health Rep, 100, pp. 126-131Chodzko-Zajko, W.J., Proctor, D.N., Fiatarone, S.M.A., Minson, C.T., Nigg, C.R., American College of Sports Medicine position stand. Exercise and physical activity for older adults (2009) Med Sci Sports Exerc, 41, pp. 1510-1530. , American College of Sports MedicineChodzkoZajko WJHallal, P., Dumith, S., Bastos, J., Reichert, F., Siqueira, F., Azevedo, M., Evolução da pesquisa epidemiológica em atividade física no Brasil: Revisão sistemática (2007) Rev Saúde Pública, 41, pp. 453-460Zaitune, M., (2010) Comportamentos De Saúde De Idosos: Resultados De Inquérito Populacional [Tese De Doutorado], , Campinas: Universidade Estadual de CampinasBandeen-Roche, K., Xue, Q., Ferrucci, L., Walston, J., Guralnik, J., Chaves, P., Phenotype of frailty: Characterization in the women's health and aging studies (2006) J Gerontol a Biol Sci Med Sci, 61, pp. 262-266Taylor, H., Jacobs, D., Schucker, B., Knudsen, J., Leon, A., Debacker, G., A questionnaire for the assessment of leisure time physical activities (1978) J Chron Dis, 31, pp. 741-755Ainsworth, B., Haskell, W., Whitt, M., Irwin, M., Swartz, A., Strath, S., Compendium of physical activities: An update of activity codes and MET intensities (2000) Med Sci Sports Exerc, 32 (9 SUPPL.), pp. S498-504Dziura, J., de Leon, M.C., Kasl, S., Dipietro, L., Can physical activity attenuate aging-related weight loss in older people? The Yale Health and Aging Study, 1982-1994 (2004) Am J Epidemiol, 159, pp. 759-767Lee, W., Auyeung, T., Kwok, T., Lau, E., Leung, P., Woo, J., Associated factors and health impact of sarcopenia in older Chinese men and women: A cross-sectional study (2007) Gerontology, 53, pp. 404-410Daly, R., Ahborg, H., Ringsberg, K., Gardsell, P., Sernbo, I., Karlsson, M., Association between changes in habitual physical activity and changes in bone density, muscle strength, and functional performance in elderly men and women (2008) J Am Geriatr Soc, 56, pp. 2252-2260Raguso, C., Kyle, U., Kossovsky, M., Roynette, C., Paoloni-Giacobino, A., Hans, D., A 3-year longitudinal study on body composition changes in the elderlyRole of physical exercise (2006) Clin Nutr, 25, pp. 573-580Kuh, D., Bassey, E., Butterworth, S., Hardy, R., Wadsworth, M., Grip strength, postural control, and functional leg power in a representative cohort of British men and women: Assocations with physical activity, health status, and socioeconomic conditions (2005) J Gerontol a Biol Sci Med Sci, 60, pp. 224-231Brach, J., Simonsick, E., Kritchevsky, S., Yaffe, K., Newman, A., The association between physical function and lifestyle activity and exercise in the health, aging and body composition study (2004) J Am Geriatr Soc, 52, pp. 502-509Hughes, V., Frontera, W., Wood, M., Evans, W., Dallal, G., Roubenoff, R., Longitudinal muscle strength changes in older adults: Influence of muscle mass, physical activity, and health (2001) J Gerontol a Biol Sci Med Sci, 56, pp. B209-17Ravaglia, G., Forti, P., Lucicesare, A., Pisacane, N., Rietti, E., Patterson, C., Development of an easy prognostic score for frailty outcomes in the aged (2008) Age Ageing, 37, pp. 161-166Hubbard, R., Fallah, N., Searle, S., Mitnitski, A., Rockwood, K., Impact of exercise in community-dwelling older adults (2009) PLoS One, e6174, p. 4Peterson, M., Giuliani, C., Morey, M., Pieper, C., Evenson, K., Mercer, V., Physical activity as a preventative factor for frailty: The health, aging, and body composition study (2009) J Gerontol a Biol Sci Med Sci, 64, pp. 61-68Nelson, M., Rejeski, I.J., Blair, S., Duncan, P., Judge, J., King, A., Physical activity and public health in older adults: Recommendation from the American College of Sports Medicine and the American Heart Association (2007) Circulation, 116, pp. 1094-1105Ferrucci, L., Guralnik, J., Studenski, S., Fried, L., Cutler, G., Walston, J., Designing randomized, controlled trials aimed at preventing or delaying functional decline and disability in frail, older persons: A consensus report (2004) J Am Geriatr Soc, 52, pp. 625-634Brucki, S., Nitrini, R., Caramelli, P., Bertolucci, P., Okamoto, I., Sugestões para o uso do Mini-Exame do Estado Mental no Brasil (2003) Arq Neuropsiquiatr, 61, pp. 777-781Folstein, M.F., Folstein, S.E., McHugh, P.R., "Mini-mental State". A practical method for grading the cognitive state of the patients for the clinician (1975) J Psychiatr Res, 12, pp. 189-198Herrera, E.J., Caramelli, P., Silveira, A., Nitrini, R., Epidemiologic survey of dementia in a communitydwelling Brazilian population (2002) Alzheimer Dis Assoc Disord, 16, pp. 103-108Radloff, L., The CES-D Scale: A self-report depression scale for research in the general population (1977) Appl Psychol Meas, 1, pp. 385-401Batistone, S., Neri, A., Cupertino, A., Validade da escala de depressão do Center for Epidemiological Studies entre idosos brasileiros (2007) Rev Saúde Pública, 41, pp. 589-605Marucci, M., Barbosa, A., (2003) Organizadores. SABE Saúde, Bem-estar E Envelhecimento. Projeto SABE No Município De São Paulo: Uma Abordagem Inicial, pp. 93-118. , Lebrão ML, Duarte YAO, Brasília: Organização PanAmericana da SaúdeGuralnik, J., Simonsick, E., Ferrucci, L., Glynn, R., Berkman, L., Blazer, L., A short physical performance battery asseissing lower extremity function: Association with self-reported disability and predicition of mortality and nursing home admission (1994) J Gerontol a Biol Sci Med Sci, 49, pp. 85-94Nakano, M.M., (2007) Adaptação Cultural Do Instrument Short Physical Performance Battery SPPB: Adaptação Cultural E Estudo Da Confiabilidade [Dissertação De Mestrado], , Campinas: Universidade Estadual de CampinasLustosa, L., Pereira, D., Dias, R., Britto, R., Pereira, L., Tradução, adaptação transcultural e análise das propriedades psicométricas do Questionário Minnesota de Atividades Físicas e de Lazer (2010) Belo Horizonte: Universidade Federal De Minas GeraisHaskell, W., Lee, I., Pate, R., Powel, K., Blair, S., Franklin, B., Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association (2007) Med Sci Sports Exerc, 39, pp. 1423-1434Lebrão, M.L., Duarte, Y.A.O., (2003) SABE Saúde, Bem-estar E Envelhecimento. Projeto SABE No Município De São Paulo: Uma Abordagem Inicial, , Brasília: Organização Pan-Americana da SaúdeUm panorama da saúde no Brasil acesso e utilização dos serviços, condições de saúde e fatores de risco e proteção à saúde (2008) Rio De Janeiro: Instituto Brasileiro De Geografia E Estatística, , Instituto Brasileiro de Geografia e Estatística. Pesquisa Nacional por Amostra de DomicíliosPhillips, E., Katula, J., Miller, M., Walkup, M., Brach, J., King, A., Interruption of physical activity because of illness in the lifestyle interventions and independence for elders pilot trial (2010) J Aging Phys Act, 18, pp. 61-74Diehl, M., Wahl, H., Awareness of age-related change: Examination of a (mostly) unexplored concept (2010) J Gerontol B Psychol Sci Soc Sci, 65 B, pp. 340-350Neri, A., (2007) Neri A, Organizador. Qualidade De Vida Na Velhice: Enfoque Multidisciplinar, pp. 13-60. , Campinas: Editora AlíneaScheibe, S., Carstensen, L.L., Emotional aging: Recent findings and future trends (2010) J Gerontol B Sychol Sci Soc Sci, 65 B, pp. 135-144Sawatzky, R., Liu-Ambrose, T., Miller, W., Marra, C., Physical activity as a mediator of the impact of chronic conditions on quality of life in older adults (2007) Health Qual Life Outcomes, 5, pp. 1-11Kruger, J., Ham, S., Sanker, S., Physical inactivity during leisure time among older adults: Behavioral risk factor surveillance system (2005) J Aging Phys Act 2008, 16, pp. 280-291Zaitune, M., Barros, M., César, C., Carandina, L., Goldbaum, M., Fatores associados ao sedentarismo no lazer em idosos, Campinas, São Paulo (2007) Brasil. Cad Saúde Pública, 23, pp. 1329-1338Gomes, V., Siqueira, K., Sichieri, R., Atividade física em uma amostra probabilística da população do Mu do Rio de Janeiro (2001) Cad Saúde Pública, 17, pp. 969-976Chipperfield, J., Everyday physical activity as a predictor of late-life mortality (2008) Gerontologist, 48, pp. 349-357Hughes, J., McDowell, M., Brody, D., Leisure-time physical activity among US adults 60 or more years of age: Results from NHANES 1999-2004 (2008) J Phys Act Health, 5, pp. 347-358Pitanga, F., Lessa, I., Prevalência e fatores associados ao sedentarismo no lazer em adultos (2005) Cad Saúde Pública, 21, pp. 870-877Marshall, S., Jones, D., Ainsworth, B., Reis, J., Levy, S., Macera, C., Race/ethnicity, social class, and leisuretime physical inactivity (2007) Med Sci Sports Exerc, 39, pp. 44-51Cassou, A., Fermino, R., Santos, M., Rodriguez-Añez, C., Reis, R., Barreiras para a atividade física em idosos: Uma análise de grupos focais (2008) Rev Educ Fís, 19, pp. 353-360Annear, M., Cushman, G., Gidlow, B., Leisure time physical activity differences among older adults from diverse socioeconomic neighborhoods (2009) Health Place, 15, pp. 482-490Borodulin, K., Laatikainen, T., Lahti-Koski, M., Jousilahti, P., Lakka, T., Association of age and education with different types of leisure-time physical activity among 4437 Finnish adults (2008) J Phys Act Health, 5, pp. 242-251Droomers, M., Schrijvers, C., Mackenbach, J., Educational level and decreases in leisure time physical activity: Predictors from the longitudinal GLOBE study (2001) J Epidemiol Community Health, 55, pp. 562-568Benedetti, T., Borges, L., Petroski, E., Gonçalves, L., Atividade física e estado de saúde mental de idosos (2008) Rev Saúde Pública, 42, pp. 302-307Barbosa, A.R., Lebrão, M.L., Marucci, M.F.N., Prevalência De Inatividade Física Em Idosos Do Município DeSão Paulo. Lecturas: EF Y Deportes (2007), 11 (105). , http://www.efdeportes.com/efd105/prevalenciade-inatividade-fisica-em-idosos.htmMalta, D., Moura, E., Castro, A., Cruz, D., Neto, O., Monteiro, C., Padrão de atividade física em adultos brasileiros: Resultados de um inquérito por entrevistas telefônicas, 2006 (2009) Epidemiol Serv Saúde, 18, pp. 7-1