0063/2022 - PRESSÃO EXPIRATÓRIA MÁXIMA É BOA PREDITORA DE INCIDÊNCIA DA SÍNDROME DE FRAGILIDADE EM HOMENS IDOSOS MAXIMUM EXPIRATORY PRESSURE IS A GOOD PREDICTOR OF THE INCIDENCE OF FRAGILITY SYNDROME IN ELDERLY MEN
Objetivo: Investigar a associação entre a Pressão Inspiratória Máxima (PImáx) e Pressão Expiratória Máxima (PEmáx) com a incidência da síndrome de fragilidade (SF), além de testar a capacidade preditiva da PImáx e PEmáx em discriminar a SF em idosos, de acordo com o sexo. Método: Estudo longitudinal com cinco anos de seguimento (2014-2019), realizado com 104 idosos cadastrados na Estratégia Saúde da Família de um município da Bahia. A incidência da síndrome de fragilidade foi diagnosticada de acordo os critérios propostos por Fried et al., utilizando dados de 2019, após cinco anos de seguimento. A PImáx e PEmáx foram avaliadas conforme recomendações da Sociedade Brasileira de Pneumologia e Tisiologia em 2014 (linha de base). Resultados: A incidência total da SF foi de 16,3% (IC95%: 9,2 - 23,6), sendo 13,6% (IC95%: 4,56 – 22,55) no sexo feminino e 20,0% (IC95%: 7,85 – 32,15) no sexo masculino. Os valores médios da PImáx e PEmáx foram, respectivamente, 60,8±21,2 cmH2O e 76,7±23,1 cmH2O no sexo feminino, e 79,5±27,0 cmH2O e 114,7±29,8 cmH2O no sexo masculino. A SF esteve associada à PEmáx em idosos do sexo masculino (RR ajustado: 0,96; IC95%: 0,95-0,98; p-valor: 0,002), indicando que o aumento de 1cmH2O da PEmáx reduz em 4% o risco de desenvolver a síndrome de fragilidade.
Objective: Investigate the association between maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) with the incidence of frailty syndrome (FS), in addition to testing the predictive ability of MIP and MEP in discriminate the FS in older adults, according to sex. Method: Longitudinal study with five years of follow-up (2014-2019), carried out with 104 older adults registered in the Family Health Strategy of a municipality in Bahia. The incidence of frailty syndrome was diagnosed according criteria proposed by Fried et al., using data2019, after five years of follow-up. The MIP and MEP were evaluated according the recommendations of the Brazilian Society of Pulmonology and Phthisiology in 2014 data (baseline data). Results: The total incidence of frailty syndrome was 16.3% (IC95%: 9.2 – 23.6), with 13.6% (IC95%: 4.56 – 22.55) in women and 20.0% (IC95%: 7.85 – 32.15) in men. The mean values of MIP and MEP were, respectively, 60,8±21,2 cmH2O and 76,7±23,1 cmH2O in women, and 79,5±27,0 cmH2O and 114,7±29,8 cmH2O in men. The frailty syndrome was associated with MEP in older adult men (adjusted RR: 0.96; 95% CI: 0.95-0.98; P-value: 0.002), indicating that the increase of 1cmH2O in MEP reduces by 4% the risk of developing the syndrome.
MAXIMUM EXPIRATORY PRESSURE IS A GOOD PREDICTOR OF THE INCIDENCE OF FRAGILITY SYNDROME IN ELDERLY MEN
Resumo (abstract):
Objective: Investigate the association between maximal inspiratory pressure (MIP) and maximal expiratory pressure (MEP) with the incidence of frailty syndrome (FS), in addition to testing the predictive ability of MIP and MEP in discriminate the FS in older adults, according to sex. Method: Longitudinal study with five years of follow-up (2014-2019), carried out with 104 older adults registered in the Family Health Strategy of a municipality in Bahia. The incidence of frailty syndrome was diagnosed according criteria proposed by Fried et al., using data2019, after five years of follow-up. The MIP and MEP were evaluated according the recommendations of the Brazilian Society of Pulmonology and Phthisiology in 2014 data (baseline data). Results: The total incidence of frailty syndrome was 16.3% (IC95%: 9.2 – 23.6), with 13.6% (IC95%: 4.56 – 22.55) in women and 20.0% (IC95%: 7.85 – 32.15) in men. The mean values of MIP and MEP were, respectively, 60,8±21,2 cmH2O and 76,7±23,1 cmH2O in women, and 79,5±27,0 cmH2O and 114,7±29,8 cmH2O in men. The frailty syndrome was associated with MEP in older adult men (adjusted RR: 0.96; 95% CI: 0.95-0.98; P-value: 0.002), indicating that the increase of 1cmH2O in MEP reduces by 4% the risk of developing the syndrome.
Santos, A. O., Fernandes, Marcos Henrique, Pedreira, R. B. S., Brito, Thais Alves, Coqueiro, R.S, Carneiro, José Ailton Oliveira. PRESSÃO EXPIRATÓRIA MÁXIMA É BOA PREDITORA DE INCIDÊNCIA DA SÍNDROME DE FRAGILIDADE EM HOMENS IDOSOS. Cien Saude Colet [periódico na internet] (2022/Abr). [Citado em 11/10/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/pressao-expiratoria-maxima-e-boa-preditora-de-incidencia-da-sindrome-de-fragilidade-em-homens-idosos/18319?id=18319
