Abstract

Design of the study: Epidemiological cross-sectional population-based household study. Objective: To investigate the relationship between anthropometric indicators of nutritional status and muscular strength in community-dwelling elderly with low human development index. Methodology: Elderly (N = 316) residents of a city in Brazil’s Northeast Region were submitted to an interview and a physical evaluation. The dependent variable assessed was handgrip strength. The independent variables were body mass index and arm muscle area. The control variables were age, smoking, physical activity, hospitalization and hyperglycemia. Simple and multiple linear regression models were used for statistical analyses. Results: Following control by adjustment variables, there was significant positive correlation of handgrip strength with body mass index (βadjusted = 0.439; p = 0.010; r2 adjusted = 0.062) and arm muscle area (βadjusted = 0.046; p = 0.003; r2 adjusted = 0.087) for male individuals, but not for female individuals. Conclusions: Anthropometric indicators of nutritional status have been positively related to handgrip strength in elderly men, but not in women.

Highlights

  • Aging causes structural and functional changes to our many organic systems

  • Considering that socio-cultural, economic and political differences in different Brazilian regions can provide different results to the object of investigation, this study aimed to assess the relationship between anthropometric indicators of nutritional status and handgrip strength in community-dwelling Brazilian elderly with low human development index (HDI)

  • The multiple linear model indicated that when controlled by age, smoking, physical activity, hospitalization and hyperglycemia, the relationship between both indicators and handgrip strength lost significance for female individuals, remaining significantly associated only for male individuals. This is the first population-based study involving community-dwelling elderly subjects with low HDI to verify the relationship between anthropometric indicators of nutritional status and handgrip strength, considering the adjustment of intervening variables such as age, smoking habits, physical activity, hospitalization and hyperglycemia

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Summary

Introduction

Aging causes structural and functional changes to our many organic systems. Changes to the musculoskeletal system are commonly associated with the progressive decline in muscle strength and mass.[1]. Handgrip strength is one of the most used methods in population-based studies to assess muscle. Núcleo de Estudos em Epidemiologia do Envelhecimento (NEPE), Universidade Estadual do Sudoeste da Bahia (UESB).

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