Physical functional profile of hospitalized Brazilian older adults in preoperative vascular surgery


https://doi.org/10.4081/gc.2020.8784
Vol. 6 No. 2 (2020)
Submitted: 2 January 2020
Accepted: 21 May 2020
Published: 28 May 2020
Geriatric physical therapy, strength, functional mobility.
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Authors

  • Juliana Verdini de Carvalho Pinheiro Professional Master’s Degree Program in Biomedical Research Training, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
  • Mariana Fonseca Vaz Pedro Ernesto University Hospital, Rio de Janeiro, RJ, Brazil.
  • Ana Paula Novello Pedro Ernesto University Hospital, Rio de Janeiro, RJ, Brazil.
  • Leonardo Fonseca State Servant Federal Hospital, Rio de Janeiro, RJ, Brazil.
  • Tiago Batista da Costa Xavier Federal Institute of Education, Science and Technology of Rio de Janeiro, RJ, Brazil.
  • Luciana Moisés Camilo Professional Master’s Degree Program in Biomedical Research Training, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, RJ; Federal Institute of Education, Science and Technology of Rio de Janeiro, RJ, Brazil.
  • Marco Orsini Iguaçu University, School of Medicine, Rio de Janeiro, RJ, Brazil; Vassouras University, Rio de Janeiro, RJ, Brazil.
  • Marco Antonio Alves Azizi Iguaçu University, School of Medicine, Rio de Janeiro, RJ, Brazil.
  • Cristiane Sousa Nascimento Baez Garcia Federal Institute of Education, Science and Technology of Rio de Janeiro, RJ, Brazil.
  • Mauricio de Sant Anna Jr
    mauricio.junior@ifrj.edu.br
    Professional Master’s Degree Program in Biomedical Research Training, Carlos Chagas Filho Institute of Biophysics, Federal University of Rio de Janeiro, Rio de Janeiro, RJ; Federal Institute of Education, Science and Technology of Rio de Janeiro, RJ, Brazil.

The objective of the present study was to describe the physical and functioning profile of Brazilian older adults admitted to avascular surgery wards (VSW). This is an observational and cross-sectional study using patients admitted to VSW. The study included subjects considered able to (group 1, G1) or restricted to physical and functional assessment (group 2, G2). Barthel index (BI) was evaluated in G1 and G2 groups, while hand grip strength (HGS), Timed up and Go (TUG), maximal inspiratory and expiratory pressures (MIP and MEP respectively) were assessed only in G1. The data of a total of 104 older adults (G1=56 and G2=48) were analyzed. Most patients had good bed mobility (83.9% in G1 and 75% in G2). There were significant difference between the predicted values and the recorded values obtained for MIP, MEP and HGS (P<0.0001). Pearson correlation showed a significant association between HGS and TUG (P=0.005/r= –0.384) and MEP and TUG (P=0.009/r= –0.353). In conclusion, hospitalized older adults able to perform functional tests showed reduced HGS, MIP and MEP, as well as moderate risk of falls. There was also an association of peripheral muscle strength and expiratory muscle strength with functional mobility evaluated by TUG.


de Carvalho Pinheiro, J. V., Fonseca Vaz, M., Novello, A. P., Fonseca, L., da Costa Xavier, T. B., Moisés Camilo, L., Orsini, M., Alves Azizi, M. A., Nascimento Baez Garcia, C. S., & de Sant Anna Jr, M. (2020). Physical functional profile of hospitalized Brazilian older adults in preoperative vascular surgery. Geriatric Care, 6(2). https://doi.org/10.4081/gc.2020.8784

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