@lattes.cnpq.br
University of São Paulo - Departamento de Clínica Médica (Ribeirão Preto)
Physiotherapist graduated from Universidade Paulista (UNIP). Master and Doctor by the Department of Internal Medicine, Faculty of Medicine of Ribeirão Preto-FMRP/USP. Currently post-doctoral student at the Faculty of Medicine of Ribeirão Preto - University of São Paulo (FMRP/USP). Researcher with emphasis on the health of the elderly, addressing the main topics: Sarcopenia, functionality, Infiltration of Fat Infiltration, Frailty Syndrome, Body Composition.
Older People, Sarcopenia, Fragility Syndrome, Intramuscular fat infiltration
Scopus Publications
Wendell C. Bila, Márcia C.C. Romano, Luciana L. dos Santos, Valmin R. da Silva, Flávio D. Capanema, Karina Pfrimer, Eduardo Ferriolli, Natália M.C. Alves, Cezenário G. Campos, Fabiângelo M. Carlos,et al.
Elsevier BV
Natalia C. R. Iosimuta, Fernanda P. A. S Pessanha, Natalia Alves, Larissa T. Marques, Jaqueline M. Porto, Renato C. Freire, Eduardo Ferriolli, and Daniela C. C. de Abreu
European Journal of Physiotherapy Informa UK Limited
P. P. Abdalla, A. Silva, A. C. R. Venturini, A. P. Santos, A. S. Carvalho, V. Siqueira, E. Gomide, N. Alves, E. Ferriolli and D. Machado
INTRODUCTION
appropriate appendicular lean soft tissue (ALST) parameters to identify sarcopenia in Brazil are scarce. The use of international references may lead to a false positive diagnosis. The objective was to propose cut-off points to identify sarcopenia in older men and women using DXA-derived ALST values from a young adult population.
METHODS
this was an observational study with a cross-sectional analysis. University students of both sexes (n = 125), aged 20 to 30 years, underwent anthropometric measurements and DXA scanning to obtain their ALST (kg). Cut-off points for sarcopenia were set at -2 standard deviations (-2SDs) away from the mean ALST of a young sample. Absolute values and indices (ALST/height2, ALST/weight, and ALST/body mass index [BMI]) were considered as recommended by international consensus.
RESULTS
compared to women, men presented higher values of weight, height, BMI, bone mineral content, lean soft tissue, ALST, and ALST index (kg/m²). Only fat mass was higher in women, and age was not different between genders. The -2SD ALST indices obtained were ≤ 6.56 kg/m² for men and ≤ 4.67 kg/m² for women. They were below international and national values, which tended to classify false positives.
CONCLUSIONS
the -2SD ALST values proposed here are validated cut-offs for identifying low muscle in older adults and to prevent misdiagnosis with sarcopenia. In addition, they contribute to efficient monitoring and control of this disease in geriatric populations.
F. P. Pessanha, L. P. Lustosa, J. Carneiro, K. Pfrimer, P. Fassini, N. Alves, T. L. Pontes, J. Moriguti, N. Lima and E. Ferriolli
BACKGROUND
Anthropometric parameters are closely associated with the pathophysiology of frailty and with clinic and functional parameters assessed for its diagnosis.
OBJECTIVE
To evaluate the possible association of the nutritional status of older people as assessed by Body Mass Index (BMI) and functional disability, self-reported chronic diseases and frailty, comparing the use of two different classifications of BMI.
DESIGN
Cross-sectional study.
SETTING
The sample was selected among community-dwelling older people from the city of Ribeirão Preto/ Brazil.
PARTICIPANTS
326 independent older people (mean age 73.8±6.4 years) who participated in the FIBRA (Frailty in Brazilian Older People) study.
MEASUREMENTS
Weight and height were collected for BMI analysis and frailty criteria were applied according to Fried et al. Participants were also evaluated for self-reported activities of daily living (Katz Index and Lawton and Brody Scale), and the presence of chronic diseases.
RESULTS
The prevalence of frailty was 12.3%. Regardless of the classification of BMI applied, most of the sample was classified as overweight (50.9% and 39.3% in the Lipschitz and WHO classifications, respectively). For both classifications, low weight was the only BMI classification associated with frailty status (OR Lipschitz: 4.12(1.53-11.14); OR WHO: 6.21 (1.26-30.58). Comorbidities and dependence in activities of daily living (ADLs) were associated with BMI ≥ 30kg.m2.
CONCLUSION
Regardless of the classification adopted, low weight is associated with frailty. However, when the WHO stratification is employed, high BMI is also associated to increased functional disability and the presence of comorbidities, coexisting factors of frailty.
Karla H. C. Vilaca, Natalia M. C. Alves, Jose A. O. Carneiro, Eduardo Ferriolli, Nereida K. C. Lima, and Julio C. Moriguti
FapUNIFESP (SciELO)
BACKGROUND
Changes arising from the aging process, particularly changes in body composition, contribute to the functional decline of the elderly.
OBJECTIVE
To compare the body composition and muscle strength, mobility and quality in active elderly women according to the distance walked during the 6-minute walk test (6MWT).
METHOD
The study included 77 active elderly women aged 65 to 80 years, who were divided into tertiles (A, B and C) according to the distance covered in the 6MWT. We performed anthropometric and clinical evaluations. Body composition was determined by dual energy X-ray absorptiometry (DXA). Handgrip strength (HGS) was measured with a portable dynamometer (Saehan), and knee extension strength (KES) was measured with the one repetition maximum test (1-RM). Functional mobility was assessed by the Timed Up and Go (TUG) test, and body balance was assessed by the Berg Balance Scale (BBS). Muscle quality was defined by the ratio between muscle strength (kgf) and muscle mass (kg).
RESULTS
The group that walked the shortest distance in the 6MWT had a higher BMI (A=30.8±7.0, B=27.2±4.2 and C=25.9±3.5 kg/m2), greater amount of fat mass (A=31.3±10.7, B=25.9±6.7 and C=23.81±6.46 kg) lower HGS (A=21.8±5.1, B=22.1±3.5 and C=25.5±5.1 kgf), lower knee extension strength (A=30.6±10.9, B=40.4±12.5 and C=47.2±10.1 kgf), lower arm muscle quality (A=10.1±3.7, B=11.6±2 and C=12.7±2.2 kg) and lower leg muscle quality (A=1.78±1, B=2.84±0.98 and C=3.31±0.77 kg). There was no significant difference between muscle mass (p=0.25) and lean mass (p=0.26).
CONCLUSION
Body fat has a negative influence on functional performance, even among active elderly women.