Does Locomotive Syndrome, Associated with Sarcopenia or otherwise, Influence Quality of Life in Individuals Aged over 80 years? Third Wave of the LOCOMOV Project

Authors

  • Patrícia de Castro Rodrigues Discipline of Geriatrics and Gerontology (DIGG), Federal University of São Paulo (UNIFESP), São Paulo, Brazil
  • Julia Carvalho Galiano Discipline of Geriatrics and Gerontology (DIGG), Federal University of São Paulo (UNIFESP), São Paulo, Brazil
  • Virginia Fernandes Moça Trevizani Department of Evidence-Based Medicine, Brazilian Cochrane Centre, Federal University of São Paulo (UNIFESP), Sao Paulo, Brazil
  • Fania Cristina Santos Department of Evidence-Based Medicine, Brazilian Cochrane Centre, Federal University of São Paulo (UNIFESP), Sao Paulo, Brazil

DOI:

https://doi.org/10.30564/jgm.v3i2.3663

Abstract

Introduction: Locomotion is a determinant of intrinsic capacity ofolder people and can be limited by dysfunction in locomotory organs,characterizing Locomotive Syndrome (LoS). Knowledge on locomotiveproblems and sarcopenia, and their interface with quality of life, in theoldest old in the literature is scarce.Objective: To evaluate the correlation between LoS and sarcopenia andtheir influence on quality of life in oldest old.Methods: A cross-sectional study of an observational, descriptive andanalytical epidemiological survey in independent older adults aged 80and over from São Paulo, Brazil and who participated in the third waveof the LOCOMOV Project, was carried out. Sociodemographic data,comorbidities, functioning in activities of daily living, physical functioning,quality of life, and presence of sarcopenia and LoS were assessed. Thestatistical analyses included the Test-for-Comparing-Two-Proportions,Pearson's Correlation Coefficient, the chi-Square test and Student´s t-test.Results: Thirty oldest old with a mean age of 89.1 years were evaluated.The prevalence of LoS was high (53.3%) and correlated significantly withchronic pain (p-value 0.024), worse performance on the SPPB and Gaitspeed (p-value <0.001). Sarcopenia was not correlated with LoS, but worsequality of life on the physical domain was significantly associated with LoS(p-value <0.001) regardless of the presence of sarcopenia.Conclusions: LoS was highly prevalent among the oldest old studied andnegatively impacted their quality of life, regardless of the presence ofsarcopenia.

 

Keywords:

Older adults, Longevity, Locomotive syndrome, Sarcopenia, Functioning, Physical tests, Quality of life

References

[1] World Health Organization. (2015). World report on ageing and health. Geneva, Switzerland: World Health Organization.

[2] Beard JR, Jotheeswaran AT, Cesari M, et al. The structure and predictive value of intrinsic capacity in a longitudinal study of ageing. BMJ Open 2019;9:e026119. DOI:https://doi.org/10.1136/bmjopen-2018-026119

[3] Nakamura K, Yoshimura N, Akune T, Ogata T, Tanaka S. [The concept and definition of locomotive syndrome in a super-aged society]. Nihon Rinsho. 2014 Oct;72(10):1715-20. Japanese.

[4] Ishibashi H. Locomotive syndrome in Japan. Osteoporosis Sarcopenia. 2018 Sep;4(3):86-94. DOI:https://doi.org/10.1016/j.afos.2018.09.004

[5] Nakamura K. The concept and treatment of locomotive syndrome: its acceptance and spread in Japan. Journal of Orthopaedic Science. 2011; 16(5):489-491. DOI:https://doi.org/10.1007/s00776-011-0108-5

[6] Seichi A. Hoshino, Y. Doi, T. Akai, M. Tobimatsu, Y. Iwaya, T. Development of a screening tool for risk of locomotive syndrome in the elderly: the 25-question Geriatric Locomotive Function Scale. J Orthop Sci, 17 (2) (2012), pp. 163-172.

[7] Tavares DRB, Santos FC. Síndrome locomotora em idosos: tradução, adaptação cultural e validação brasileira do instrumento 25-Question Geriatric Locomotive Function Scale. Rev Bras Reumatol. 2017; 57 (1): 56-63.

[8] Arbex MCFB, Okazaki JEF, Tavares DRB, Figueiredo Bersani AL, Santos FC. Locomotive Syndrome is associated with chronic pain and poor quality of life in Brazilian oldest old: LOCOMOV Project. J Orthop Sci. 2020 Mar 12:S0949-2658(20)30057-9. DOI:https://doi.org/10.1016/j.jos.2020.02.007

[9] Cruz-Jentoft AJ, Bahat G, Bauer J, Boirie Y, Bruyère O, Cederholm T, Cooper C, Landi F, Rolland Y, Sayer AA, Schneider SM, Sieber CC, Topinkova E, Vandewoude M, Visser M, Zamboni M; Writing Group for the European Working Group on Sarcopenia in Older People 2 (EWGSOP2), and the Extended Group for EWGSOP2. Sarcopenia: revised European consensus on definition and diagnosis. Age Ageing. 2019 Jan 1;48(1):16-31. DOI:https://doi.org/10.1093/ageing/afy169. Erratum in: Age Ageing. 2019 Jul 1;48(4):601.

[10] Malmstrom TK, Morley JE. SARC-F: a simple questionnaire to rapidly diagnose sarcopenia. J Am Med Dir Assoc. 2013 Aug;14(8):531-2. DOI:https://doi.org/10.1016/j.jamda.2013.05.018. Epub 2013 Jun 25.

[11] Barbosa-Silva, T. G., Menezes, A. M. B., Bielemann, R. M., Malmstrom, T. K., & Gonzalez, M. C. (2016). Enhancing SARC-F: Improving Sarcopenia Screening in the Clinical Practice. Journal of the American Medical Directors Association, 17(12), 1136-1141. DOI:https://doi.org/10.1016/j.jamda.2016.08.004.

[12] Almeida, MABD. Gonçalves, A.; Vilarta, R. (org.).Qualidade de vida e atividade física: explorando teoria e prática. Barueri: Manole, 2004. Conexões, Campinas, SP, v. 2, n. 2, p. 105-108, 2007. DOI:https://doi.org/10.20396/conex.v2i2.8637950.

[13] Bullinger, M., Anderson, R., Cella, D., & Aaronson, N. (1993). Developing and evaluating cross-cultural instruments from minimum requirements to optimal models. Quality of life research: an international journal of quality of life aspects of treatment, care and rehabilitation, 2(6), 451-459.

[14] Freitas, EV, Py, Lígia. Tratado de geriatria e gerontologia, 4. ed., Rio de Janeiro: Guanabara Koogan, 2017.

[15] Carmo SN, Santos FC. Locomoção em idosos longevos: um estudo de coorte prospectiva. Dissertação (Mestrado Profissional) - Universidade Federal de São Paulo, Escola Paulista de Medicina. Programa de Pós-Graduação em Tecnologias e Atenção à Saúde. São Paulo, 2019.

[16] World Health Organization (WHO). Obesity: preventing and managing the global epidemic. Geneva: Program of Nutrition, Family and Reproductive Health; 1998.

[17] Organização Pan-Americana (OPAS). XXXVI Reunion del Comite Asesor de Investigaciones en Salud - Encuestra Multicentrica - Salud Bienestar y Envejecimiento.(SABE) en America Latina e el Caribe - Informe preliminar [Internet]. [cited Mar. 2002]. Available from: http://www.opas.org/program/sabe.htm.

[18] Lino, V. T. S., Pereira, S. R. M., Camacho, L. A. B., Ribeiro Filho, S. T., & Buksman, S. (2008). Adaptação transcultural da Escala de Independência em Atividades da Vida Diária (Escala de Katz). Cadernos de Saúde Pública, 24(1), 103-112. DOI:https://doi.org/10.1590/s0102-311x2008000100010.

[19] Lawton MP, Brody E. Assessment of older people: self-maintaining and Instrumental Activities of Daily Living. Gerontologist. 1969; 9:179-86.

[20] Lawton MP. The functional assessment of elderly people. J Am Geriatr Soc. 1971; 19:465-81.

[21] Barbosa-Silva TG, Menezes AM, Bielemann RM, Malmstrom TK, Gonzalez MC; Grupo de Estudos em Composição Corporal e Nutrição (COCONUT). Enhancing SARC-F: Improving Sarcopenia Screening in the Clinical Practice. J Am Med Dir Assoc. 2016 Dec 1;17(12):1136-1141. DOI:https://doi.org/10.1016/j.jamda.2016.08.004.

[22] The WHOQOL Group. Development of the World Health Organization WHOQOL-BREF quality of life assessment (1998). Psychological medicine, 28(3), 551-558.

[23] Fleck, Marcelo PA, Louzada, Sérgio, Xavier, Marta, Chachamovich, Eduardo, Vieira, Guilherme, Santos, Lyssandra, & Pinzon, Vanessa. (2000). Aplicação da versão em português do instrumento abreviado de avaliação da qualidade de vida "WHOQOL-bref". Revista de Saúde Pública, 34(2), 178- 183.

[24] Figueiredo IM, Sampaio RS,Mancini MC, Silva FCM,Souza MAP. Teste de força de preensão utilizando o dinamômetro Jamar. ACTA FISIATR 2007; 14(2): 104 - 110.

[25] Bohannon RW. Reference values for the five-repetition sit-to-stand test: a descriptive metaanalysis of data from elders. Percept Mot Skills 2006; 103(1):215-222.

[26] Buatois S, Miljkovic D, Manckoundia P, Gueguen R, Miget P, Vancon G et al. Five times sit to stand test is a predictor of recurrent falls in healthy community-living subjects aged 65 and older. J Am Geriatr Soc 2008; 56(8):1575-1577.

[27] Studenski S, Perera S, Patel K, Rosano C, Faulkner K, Inzitari M, et al. Gait speed and survival in older adults. JAMA 2011;305(1):50-8.

[28] Nakano, MM. Versão brasileira da Short Physical Performance Battery SPPB: adaptação cultural e estudo da confiabilidade. 2007. Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Educação, Campinas, SP. Available from: http://www.repositorio.unicamp.br/handle/REPOSIP/252485

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How to Cite

Rodrigues, P. de C., Galiano, J. C., Trevizani, V. F. M., & Santos, F. C. (2021). Does Locomotive Syndrome, Associated with Sarcopenia or otherwise, Influence Quality of Life in Individuals Aged over 80 years? Third Wave of the LOCOMOV Project. Journal of Geriatric Medicine, 3(2), 17–26. https://doi.org/10.30564/jgm.v3i2.3663

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