Abstract
Introduction: Metabolic syndrome (MetS) is the most common metabolic abnormality in the population that predisposes to cardiovascular events and may be related to poor physical fitness and low functional capacity in the elderly. The objective of this study was to evaluate the interference of metabolic changes in functional capacity and risk of falls in the elderly. Methods: A cross-sectional study was carried out with 126 elderly subjects, 58 presented MetS and 68 without MetS, according to the criteria of the International Diabetes Federation. Katz Index, Tinetti Index, Timed Up and Go test and Berg Scale were applied to evaluate the functional capacity. Falls Efficacy Scale-International scale (FES-I-Brazil) was used to evaluate the fear of falling. For statistical analysis, the Mann-Whitney, Chi-square and Spearman correlation tests were used. Results: There was an association between the MetS and non-MetS groups in relation to the risk strata of the TUG index [p=0.02; OR=0.38; 95%CI (0.16-0.91)]. Between these two groups, there was a significant difference in the mean of the following markers: Berg scale (p=0.03); TUG (p=0.03); FES-I-Brazil (p=0.02). The Kats and IPAQ index did not show any significant association. Conclusions: Elderly patients with MetS presented higher risk and fear of falls when compared to patients without MetS. However, there was no variation in walking ability or balance.
Highlights
Metabolic syndrome (MetS) is the most common metabolic abnormality in the population that predisposes to cardiovascular events and may be related to poor physical fitness and low functional capacity in the elderly.The objective of this study was to evaluate the interference of metabolic changes in functional capacity and risk of falls in the elderly
In the comparison of functional capacity and risk of falls in elderly with and without MetS, we verified that the results of the Tinetti Index, Katz Index and the Ipaq were without significant differences between the groups
Patients and patients with MetS presented higher risk and fear of falls when compared to patients without MetS, there was no variation in gait ability and balance
Summary
Metabolic syndrome (MetS) is the most common metabolic abnormality in the population that predisposes to cardiovascular events and may be related to poor physical fitness and low functional capacity in the elderly.The objective of this study was to evaluate the interference of metabolic changes in functional capacity and risk of falls in the elderly. The biological changes during aging favor the evolution of MetS, which is closely related to the advanced age group.[4] At the same time, the aging process is directly associated with a high prevalence of disability favoring the condition of dependence to perform daily activities, which can generate reduction in physical performance and motor skills These changes in functional capacity predispose to the risk of falls, increase dependence and the appearance of fear in relation to new falls, causing a restriction of their routine activities, with a decrease in their functional mobility and consequent social isolation.[5]
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