Respiratory muscle strength, pulmonary function and thoracoabdominal expansion in older adults and its relation with nutritional status

Pascotini, Fernanda dos Santos; Fedosse, Elenir; Ramos, Mônica de Castro; Ribeiro, Vanessa Veis; Trevisan, Maria Elaine

doi:10.1590/1809-2950/16843223042016

Acessibilidade / Reportar erro

Brasil

Español English

sumário « anterior atual seguinte »

Sumário

ORIGINAL RESEARCH • Fisioter. Pesqui. 23 (4) • Dec 2016 • https://doi.org/10.1590/1809-2950/16843223042016 copy

Respiratory muscle strength, pulmonary function and thoracoabdominal expansion in older adults and its relation with nutritional status

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

This study aimed at describing Respiratory Muscle Strength, Pulmonary Function and Thoracoabdominal Expansion and associating its relation with nutritional status. It is an observational, cross-sectional study with 50 older adults of both sexes, aged between 60 and 84 years, with no previous diagnosis of respiratory pathologies, invited through local media. It have been evaluated maximal inspiratory (MIP) and expiratory (MEP) pressures, forced vital capacity (FVC), forced expiratory volume in one second (FEV1), thoracoabdominal cirtometry and anthropometric measurements (weight, height, body mass index – BMI –, and nutritional status). Values obtained from MIP, MEP, FVC, and FEV1 were lower than the values intended for this population (p<0.05) as well as measurements for the thoracoabdominal expansion. Regarding nutritional status, 10 older adults were classified as malnourished, 24 as eutrophic, and 16 as obese. Values of respiratory parameters showed no association with nutritional status (p> 0.05). It was concluded that aging influenced the respiratory parameters evaluated in this study group. Nutritional status, on the other hand, did not influence measures of respiratory muscle strength, pulmonary function, intra-abdominal expansion.

Keywords
Elderly; Muscle Strength; Respiration

Parameter	Sex		1Q	Median	3Q	Mean	SD	p-value
MIP	FEM	Expected	74.14	77.57	79.53	76.80	3.21	<0.001*
	FEM	Obtained	42.00	45.00	58.00	51.43	15.08	<0.001*
	MALE	Expected	91.30	98.10	103.30	97.53	6.21	<0.001*
	MALE	Obtained	45.00	57.00	75.00	59.33	17.74	<0.001*
MEP	FEM	Expected	70.46	74.73	77.17	73.77	4.00	<0.001*
	FEM	Obtained	46.00	57.00	67.00	58.37	15.67	<0.001*
	MALE	Expected	100.50	107.79	113.46	107.62	6.47	0.001*
	MALE	Obtained	63.00	67.00	80.00	73.80	23.94	0.001*
FVC	FEM	Expected	2.39	2.56	2.73	2.57	0.24	<0.001*
	FEM	Obtained	1.75	2.16	2.60	2.17	0.57	<0.001*
	MALE	Expected	3.39	3.57	3.75	3.55	0.45	0.002*
	MALE	Obtained	2.44	2.73	3.01	2.83	0.67	0.002*
FEV1	FEM	Expected	1.89	2.05	2.21	2.06	0.25	<0.001*
	FEM	Obtained	1.44	1.67	2.09	1.77	0.47	<0.001*
	MALE	Expected	2.66	2.76	2.97	2.76	0.36	<0.001*
	MALE	Obtained	1.85	2.14	2.64	2.15	0.62	<0.001*

Parameter	Sex	1Q	Median	3Q	Mean	SD	p-value
Axilla skinfold	FEM	3.00	4.00	5.00	4.11	1.66	0.762
	MALE	3.00	4.00	5.00	4.33	1.54	0.762
	Total	3.00	4.00	5.00	4.18	1.61
Xiphoid appendix	FEM	2.00	3.00	4.00	3.11	1.23	0.052
	MALE	2.00	4.00	5.00	3.93	1.39	0.052
	Total	2.00	3.00	4.00	3.36	1.32
Umbilical line	FEM	3.00	4.00	4.00	3.63	1.14	0.374
	MALE	2.00	3.00	4.00	3.33	1.11	0.374
	Total	3.00	3.50	4.00	3.54	1.12

Nutritional status	n	%	Age (mean±SD) years
MAL	10	20	69.6±7.42
EUT	24	48	68.6±6.76
OBE	16	32	70.62±7.43

Variable	Nutritional status	Mean	SD	Q1	Median	Q3	p-value
Obtained MIP	MAL	51.70	13.91	42.00	51.50	57.00	0.966
	EUT	53.71	15.50	44.00	50.50	63.00
	OBE	55.08	19.06	43.00	49.00	89.00
Obtained MEP	MAL	57.10	13.99	46.00	64.00	65.00	0.670
	EUT	63.17	21.68	49.50	61.50	70.00
	OBE	65.77	19.47	42.00	52.00	73.00
Obtained FVC	MAL	2.60	0.54	2.19	2.37	2.83	0.441
	EUT	2.41	0.73	1.85	2.45	2.89
	OBE	11.16	24.73	1.50	2.43	2.76
Obtained FEV1	MAL	1.99	0.47	1.72	1.93	2.08	0.511
	EUT	1.95	0.53	1.50	1.85	2.44
	OBE	12.12	28.63	1.14	2.00	2.55
AXILLA	MAL	4.60	1.78	3.00	4.00	6.00	0.693
	EUT	4.17	1.63	3.00	4.00	5.00
	OBE	3.88	1.50	2.00	3.00	5.00
XIPHOID	MAL	3.30	1.16	3.00	3.50	4.00	0.841
	EUT	3.29	1.40	2.00	3.00	4.00
	OBE	3.63	1.36	3.00	4.00	6.00
UMB	MAL	3.10	0.74	3.00	3.00	4.00	0.209
	EUT	3.83	1.24	3.00	4.00	5.00
	OBE	3.29	1.07	1.75	3.00	4.00

Universidade de São Paulo Rua Ovídio Pires de Campos, 225 2° andar. , 05403-010 São Paulo SP / Brasil, Tel: 55 11 2661-7703, Fax 55 11 3743-7462 - São Paulo - SP - Brazil
E-mail: revfisio@usp.br

Acompanhe os números deste periódico no seu leitor de RSS

[1] Mailing address: Fernanda dos Santos Pascotini - Rua Nabuco de Araújo, nº 41, ap. 401 - Santa Maria (RS), Brazil - CEP: 97045-340 - Phone: +55 30255517 E-mail: fepascotini@hotmail.com