Condición física, nivel de actividad física y capacidad funcional en el adulto mayor: instrumentos para su cuantificación

Physical fitness, physical activity level and functional capacity in older adults: instruments for their quantification

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Cindy L. Benavides R.
Jose A. García G.
Jairo A. Fernández O
Diogo Rodrigues B.
John F. Ariza J.

Resumen

Las personas pasan por un proceso de envejecimiento, que está manifestado en los cambios biológicos y en la declinación fisiológica, lo cual, tiene un impacto significativo en el desarrollo de las actividades básicas de la vida diaria. En ese sentido, se hace necesario determinar cuáles son los instrumentos de medición más empleados para la evaluación de la condición física, capacidad funcional y niveles de actividad física de esta población. A través de una revisión sistemática de publicaciones científicas, se logró establecer que, para la medición de la condición física, la batería más utilizada es la SPPB (Short Physical Performance Battery); respecto al nivel de actividad física, la acelerometría es uno de los métodos directos más empleados, junto a los cuestionarios de autoreporte y para identificar la capacidad funcional, el índice de katz es el reportado con mayor frecuencia.

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ABBATECOLA, A.; FERRUCCI, L.; CEDA, G.; RUSSO, C.; LAURETANI, F.; BANDINELLI, S.; PAOLISSO, G. 2005. Insulin resistance and muscle strength in older persons. J. Gerontology - Series A Biological Sciences and Medical Sciences. 60(10):1278-1282.

AIELLO, A.; HAAN, M.; PIERCE, C.; SIMANEK, A.; LIANG, J. 2008. Persistent infection, inflammation, and functional impairment in older Latinos. J. Gerontology Series A Biological Sciences and Medicine Sciences. 63(6):610-618.

AMIN, T.; AL KHOUDAIR, A.; AL HARBI, M.; AL ALI, A. 2012. Leisure time physical activity in Saudi Arabia: prevalence, pattern and determining factors. Asian Pacific J. Cancer Prevention. 13(1):351-360.

ANDERSSON, M.; SLINDE, F.; GRONBERG, A.; SVANTESSON, U.; JANSON, C.; EMTNER, M. 2013. Physical activity level and its clinical correlates in chronic obstructive pulmonary disease: a cross-sectional study. J. Respiratory Research. 14 (3):128-139.

AOYAGI, Y.; PARK, H.; KAKIYAMA, T.; PARK, S.; YOSHIUCHI, K.; SHEPHARD, R. 2010. Yearlong physical activity and regional stiffness of arteries in older adults: the Nakanojo Study. European J. Applied Physiology. 109(3):455-464.

ARIBISALA, B.; GOW, A.; BASTIN, M.; DEL CARMEN VALDES HERNANDEZ, M.; MURRAY, C.; ROYLE, N.A.; WARDLAW, J. 2013. Associations between level and change in physical function and brain volumes. Plos One. 8(11):1-9.

ÁVILA, J.; GUTIERRES, J.; SHEEHY, M.; LOFGREN, I.; DELMONICO, M. 2010. Effect of moderate intensity resistance training during weight loss on body composition and physical performance in overweight older adults. European J. Applied Physiology. 109(3):517-525.

BAPTISTA, F.; SANTOS, D.; SILVA, A.; MOTA, J.; SANTOS, R.; VALE, S.; SARDINHA, L. 2012. Prevalence of the portuguese population attaining sufficient physical activity. Medicine Science Sports Exercise. 44(3):466-473.

BERRYMAN, N.; BHERER, L.; NADEAU, S.; LAUZIERE, S.; LEHR, L.; BOBEUF, F.; BOSQUET, L. 2013. Executive functions, physical fitness and mobility in well-functioning older adults. Experimental Gerontology. 48(12):1402-1409.

BIRNIE, K.; BEN-SHLOMO, Y.; HOLLY, J.; GUNNELL, D.; EBRAHIM, S.; BAYER, A.; MARTIN, R. 2012. Associations of insulin and insulin-like growth factors with physical performance in old age in the boyd orr and caerphilly studies. Plos one. 7(1):1-9.

BRINKLEY, T.E.; LENG, X.; MILLER, M.E.; KITZMAN, D.W.; PAHOR, M.; BERRY, M.J.; MARSH, A.P.; KRITCHEVSKY, S.B.; NICKLAS, B.J. 2009. Chronic inflammation is associated with low physical function in older adults across multiple comorbidities. J. Gerontology Series A Biological Sciences and Medicine Sciences. 64(4):455-461.

BROVOLD, T.; SKELTON, D.; BERGLAND, A. 2013. Older adults recently discharged from the hospital: effect of aerobic interval exercise on health-related quality of life, physical fitness, and physical activity. J. Am. Geriatrics Sociecity. 61(9):1580-1585.

BUENO, D.; MARUCCI, M.; ROEDIGER, M.; GOMES, I.; DUARTE, Y.; LEBRÃO, M. 2016. Nível de atividade física, por acelerometria, em idosos do município de são paulo: estudo sabe. Rev. Brasileira Medicina do Esporte. 22(2):108-112.

CASPERSEN, C.; POWELL, K.; CHRISTENSON, G. 1985. Physical activity, exercise, and physical fitness: definitions and distinctions for health-related research. Public Health Reports. 100(2):126-131.

CERIN, E.; BARNETT, A.; SIT, C.; CHEUNG, M.; LEE, L.; HO, S.; CHAN, W. 2011. Measuring walking within and outside the neighborhood in Chinese elders: reliability and validity. Biomed Central Public Health. 11(851):1-10.

CERIN, E.; SIT, C.; BARNETT, A.; CHEUNG, M.; CHAN, W. 2013. Walking for recreation and perceptions of the neighborhood environment in older chinese urban dwellers. J. Urban Health. 90(1):56-66.

CHAN, B.; MARSHALL, L.; WINTERS, K.; FAULKNER, K.; SCHWARTZ, A.; ORWOLL, E. 2007. Incident fall risk and physical activity and physical performance among older men: the osteoporotic fractures in men study. Am. J. Epidemiology. 165(6):696-703.

CRAFT, L.; ZDERIC, T.; GAPSTUR, S.; VANITERSON, E.; THOMAS, D.; SIDDIQUE, J.; HAMILTON, M. 2012. Evidence that women meeting physical activity guidelines do not sit less: an observational inclinometry study. Int. J. Behav. Nutrition Physical Activity. 9(1):1-9.

CURCIO, C.; GÓMEZ, F.; OSORIO, J.; ROSSO, V. 2009. Caídas recurrentes en ancianos. Acta Médica Colombiana. 34(3):103-110.

DAVIS, M.; FOX, K. 2007. Physical activity patterns assessed by accelerometry in older people. European J. Applied Physiology. 100(5):581-589.

DELMONICO, M.J.;. ZMUDA, J.M.; TAYLOR, B.C.; CAULEY, J.A.; HARRIS, T.B.; MANINI, T.M.; SCHWARTZ, A.; LI, R.; ROTH, S.M.; HURLEY, B.F.; BAUER,D.C.; FERRELL,R.E.; NEWMAN, A.B. 2008. Association of the ACTN3 genotype and physical functioning with age in older adults. J. Gerontology - Series A Biological Sciences and Medical Sciences. 63(11):1227-1234.

DYER, C.; GOODWIN, J.; PICKENS-PACE, S.; BURNETT, J.; KELLY, P. 2007. Self-neglect among the elderly: a model based on more than 500 patients seen by a geriatric medicine team. Am. J. Public Health. 97(9):1671-1676.

DYRSTAD, S.; HANSEN, B.; HOLME, I.; ANDERSSEN, S. 2014. Comparison of self-reported versus accelerometer-measured physical activity. Medicine Science Sports Exercise. 46(1):99-106.

FJELDSOE, B.; WINKLER, E.; MARSHALL, A.; EAKIN, E.; REEVES, M. 2013. Active adults recall their physical activity differently to less active adults: test-retest reliability and validity of a physical activity survey. Health Promotion J. Australia. 24(1):26-31.

FOX, K.; STATHI, A.; MCKENNA, J.; DAVIS, M. 2007. Physical activity and mental well-being in older people participating in the better ageing project. European J. Applied Physiology. 100(5):591-602.

FREEDMAN, V.; KASPER, J.; SPILLMAN, B.; AGREE, E.; MOR, V.; WALLACE, R.; WOLF, D. 2014. Behavioral adaptation and late-life disability: a new spectrum for assessing public health impacts. Am. J. Public Health. 104(2):88-94.

GOMEZ, J.; CURCIO, C.; ALVARADO, B.; ZUNZUNEGUI, M.; GURALNIK, J. 2013. Validity and reliability of the short physical performance battery (SPPB): a pilot study on mobility in the Colombian Andes. Colombia Medica. 44(3):165-171.

GRANGER, C.; MCDONALD, C.; IRVING, L.; CLARK, R.; GOUGH, K.; MURNANE, A.; DENEHY, L. 2014. Low physical activity levels and functional decline in individuals with lung cancer. Lung Cancer J. 83(2):292-299.

GUDLAUGSSON, J.; GUDNASON, V.; ASPELUND, T.; SIGGEIRSDOTTIR, K.; OLAFSDOTTIR, A.S.; JONSSON, P.V.; JOHANNSSON, E. 2012. Effects of a 6-month multimodal training intervention on retention of functional fitness in older adults: a randomized-controlled cross-over design. Int. J. Behavioral Nutrition Physical Activity. 10(9):1-11.

GUEDES, D.P.; HATMANN, A.; MARTINI, F.; BORGES, M.; BERNARDELLI, R. 2012. Quality of life and physical activity in a sample of brazilian older adults. J. Aging and Health. 24(2):212-226.

GUIRAO-GORIS, J.; CABRERO-GARCÍA, J.; PINA, J.; MUÑOZ-MENDOZA, C. 2009. Revisión estructurada de los cuestionarios y escalas que miden la actividad física en los adultos mayores y ancianos. Rev. Gaceta Sanitaria. 23(4):51-67.

GURALNIK, J.; SIMONSICK, E.; FERRUCCI, L.; GLYNN, R.; BERKMAN, L.; BLAZER, D.; SCHERR, P.; WALLACE, R. 1994. A short physical performance battery assessing lower extremity function: association with self-reported disability and prediction of mortality and nursing home admission. J. Gerontology. 49(2):85-94.

HALL, K.; HOWE, C.; RANA, S.; MARTIN, C.; MOREY, M. 2013. METs and accelerometry of walking in older adults: standard versus measured energy cost. Medicine Science Sports and Exercise, 45(3):574-582.

HAMRIK, Z.; SIGMUNDOVA, D.; KALMAN, M.; PAVELKA, J.; SIGMUND, E. 2014. Physical activity and sedentary behaviour in Czech adults: results from the GPAQ study. European J. Sport Science. 14(2):193-198.

HANSEN, A.W; BEYER, N.A-M.; FLENSBORG- MADSEN, T.; GRØNBÆK, M.; HELGE, J.W. 2013. Muscle strength and physical activity are associated with self-rated health in an adult Danish population. J. Preventive Medicine. 57(6):792-798.

HARDY, R.; COOPER, R.; AIHIE SAYER, A.; BEN- SHLOMO, Y.; COOPER, C.; DEARY, I.; KUH, D. 2013. Body mass index, muscle strength and physical performance in older adults from eight cohort studies: the HALCyon programme. Plos one. 8(2):1-13.

HELMERHORST, H.; BRAGE, S.; WARREN, J.; BESSON, H.; EKELUND, U. 2012. A systematic review of reliability and objective criterion-related validity of physical activity questionnaires. Int. J. Behavioral Nutrition and Physical Activity 9(1):103-158.

HICKS, G.; SIMONSICK, E.; HARRIS, T.; NEWMAN, A.; WEINER, D.; NEVITT, M.; TYLAVSKY, F. 2005. Cross-sectional associations between trunk muscle composition, back pain, and physical function in the health, aging and body composition study. J. Gerontology - Series A Biological Sciences and Medical Sciences. 60(7):882-887.

HIGASHIBATA, T.; HAMAJIMA, N.; NAITO, M.; KAWAI, S.; YIN, G.; SUZUKI, S.; KITA, Y.; NIIMURA, H.; IMAIZUMI, T.; OHNAKA, K.; ARISAWA, K.; SHIGETA, M.; ITO, H.; MIKAMI, H.; KUBO, M.; TANAKA, H.; WAKAI, K. 2012. eNOS genotype modifies the effect of leisure-time physical activity on serum triglyceride levels in a japanese population. J. Lipids Health and Disease. 11:150-158.

HURTIG-WENNLÖF, A.; HAGSTRÖMER, M.; OLSSON, L. 2010. The International Physical Activity Questionnaire modified for the elderly: aspects of validity and feasibility. Public Health Nutrition, 13(11):1847-1854.

JEROME, G.; GLASS, T.; MIELKE, M.; XUE, Q.; ANDERSEN, R.; FRIED, L. 2006. Physical activity participation by presence and type of functional deficits in older women: The Women's Health and aging studies. J. Gerontology - Series A Biological Sciences and Medical Sciences. 61(11):1171-1176.

KORTEBEIN, P.; SYMONS, T.; FERRANDO, A.; PADDON-JONES, D.; RONSEN, O.; PROTAS, E.; EVANS, W. 2008. Functional impact of 10 days of bed rest in healthy older adults. J. Gerontology - Series A Biological Sciences and Medical Sciences. 63(10):1076-1081.

KU, P.; FOX, K.; CHEN, L.; CHOU, P. 2012. Physical activity and depressive symptoms in older adults: 11-year follow-up. Am. J. Preventive Medicine. 42(4):355-362.

LANDINEZ PARRA, N.; CONTRERAS VALENCIA, K.; CASTRO VILLAMIL, Á. 2012. Proceso de envejecimiento, ejercicio y fisioterapia. Rev. Cubana de Salud Pública. 38(4):562-580.

MANTY, M.; HEINONEN, A.; LEINONEN, R.; TORMAKANGAS, T.; HIRVENSALO, M.; KALLINEN, M.; RANTANEN, T. 2009. Long-term effect of physical activity counseling on mobility limitation among older people: a randomized controlled study. J. Gerontology - Series A Biological Sciences and Medical Sciences. 64(1):83-89.

MATHIAS, S.; NAYAK, U.; ISAACS, B. 1986. Balance in elderly patients: the" get-up and go" test. Archives Physical Medicine and Rehabilitation. 67(6):387-389.

MONTERO MENDOZA, S., PELEGRÍN MOLINA, M.A. 2010. Revisión de las escalas de valoración de las capacidades funcionales en la enfermedad de Alzheimer. Fisioterapia. 32(3):131-138.

MONTERO-ODASSO, M.; SCHAPIRA, M.; SORIANO, E.; VARELA, M.; KAPLAN, R.; CAMERA, L.; MAYORGA, L. 2005. Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J. Gerontology - Series A Biological Sciences and Medical Sciences. 60(10):1304-1309.

MOORE, S.; PATEL, A.; MATTHEWS, C.; BERRINGTON DE GONZALEZ, A.; PARK, Y.; KATKI, H.; LEE, I. 2012. Leisure time physical activity of moderate to vigorous intensity and mortality: a large pooled cohort analysis. Journal plos medicine. 9(11):1-14.

MOSALLANEZHAD, Z.; HÖRDER, H.; SALAVATI, M.; NILSSON-WIKMAR, L.; FRÄNDIN, K. 2012. Physical activity and physical functioning in Swedish and Iranian 75-year-olds-A comparison. Archives Gerontology and Geriatrics. 55(2):422-430

MUELLER, M.; BREIL, F.; VOGT, M.; STEINER, R.; LIPPUNER, K.; POPP, A.; DAPP, C. 2009. Different response to eccentric and concentric training in older men and women. European J. Applied Physiology, 107(2):145-153.

OJEDA, G.; ORDÓÑEZ, M.; OCHOA, L. 2011. Encuesta nacional de demografía y salud: Profamilia, Ministerio de la Protección Social. Disponible desde Internet en: https://profamilia.org.co/investigaciones/ends/ (con acceso 27/11/2016).

PARDO, A.; ROMAN-VINAS, B.; RIBAS-BARBA, L.; ROURE, E.; VALLBONA, C.; SERRA-MAJEM, L. 2014. Health-enhancing physical activity and associated factors in a Spanish population. J. Sciences Medical Sport. 17(2):188-194.

PARK, H.; PARK, S.; SHEPHARD, R.; AOYAGI, Y. 2010. Yearlong physical activity and sarcopenia in older adults: the nakanojo study. European J. Applied Physiology. 109(5):953-961.

PARK, S.; PARK, H.; TOGO, F.; WATANABE, E.; YASUNAGA, A.; YOSHIUCHI, K.; AOYAGI, Y. 2008. Year-long physical activity and metabolic syndrome in older japanese adults: cross-sectional data from the Nakanojo Study. J. Behavioral Nutrition and Physical Activity. 63(10):1119-1123.

PATERSON, D.; WARBURTON, D. 2010. Physical activity and functional limitations in older adults: a systematic review related to Canada's physical activity guidelines. Int. J. Behavioral Nutrition and Physical Activity. 7(1):38.

POPA, M.; BRANCH, L.; ANDEL, R. 2008. The white-black disability gap revisited: does an incident heart attack change this gap? J. Gerontology - Series A Biological Sciences and Medical Sciences. 63(4):420-425.

PUTHOFF, M.; NIELSEN, D. 2007. Relationships among impairments in lower-extremity strength and power, functional limitations, and disability in older adults. Physical Therapy J. 87(10):1334-1347.

REGAZZONI, C.; ZAMORA, R.; PETRUCCI, E.; PISAREVSKY, A.; SAAD, A.; DE MOLLEIN, D.; PODEROSO, J. 2008. Hospital and 1-year outcomes of septic syndromes in older people: a cohort study. J. Gerontology - Series A Biological Sciences and Medical Sciences. 63(2): 210-212.

REJESKI, W.; MARSH, A.; CHMELO, E.; PRESCOTT, A.; DOBROSIELSKI, M.; WALKUP, M.; KRITCHEVSKY, S. 2009. The lifestyle interventions and independence for elders pilot (LIFE-P): 2-year follow-up. J. Gerontology - Series A Biological Sciences and Medical Sciences. 64(4):462-467.

RIKLI, R.; JONES, C. 2001. Senior fitness test manual: Human kinetics. . Disponible desde Internet en: https://books.google.com.co/books/about/Senior_Fitness_Test_Manual.html?id=NXfXxOFFOVwC&redir_esc=y (con acceso 30/11/2016).

RUBIO, C.; TOMÁS, A.; MURO, B. 2017. Validity, Reliability and Associated Factors of the International Physical Activity Questionnaire Adapted to Elderly (IPAQ-E). Rev. Española Salud Pública. 91:1-12.

SERRA, A.; SANTOS, L.; GOMES, S. 2014. Nível de dependência e qualidade de vida da população idosa. Rev. Brasilera de Enfermagen. 67(6):913-918.

SOLER, P.; HIDALGO, J.; RIZOS, L.; JURADO, P.; NOGUERAS, I.; REQUENA, J. 2012. Valores normativos de instrumentos de valoración funcional en ancianos españoles: estudio FRADEA. Rev. Atención Primaria. 44(3):162-171.

STRATH, S.; GREENWALD, M.; ISAACS, R.; HART, T.; LENZ, E.; DONDZILA, C.; SWARTZ, A. 2012. Measured and perceived environmental characteristics are related to accelerometer defined physical activity in older adults. Int. J. Behavioral Nutrition and Physical Activity. 9(40):1-9.

TEYCHENNE, M.; BALL, K.; SALMON, J. 2012. Promoting physical activity and reducing sedentary behavior in disadvantaged neighborhoods: a qualitative study of what women want. Plos one, 7(11):1-8

TOLOZA, S.; GÓMEZ-CONESA, A. 2007. El Cuestionario Internacional de Actividad Física. Un instrumento adecuado en el seguimiento de la actividad física poblacional. Rev. Iberoamericana de Fisioterapia y Kinesiología. 10(1):48-52.

TRIGÁS-FERRÍN, M., FERREIRA-GONZÁLEZ, L., MEIJIDE-MÍGUEZ, H. 2011. Escalas de valoración funcional en el anciano. Galicia Clínica. 72(1):11-16.

TSUNODA, K.; TSUJI, T.; KITANO, N.; MITSUISHI, Y.; YOON, J.; YOON, J.; OKURA, T. 2012. Associations of physical activity with neighborhood environments and transportation modes in older Japanese adults. J. Preventive Medicine. 55(2):113-118.

VALENTINE, R.; WOODS, J.; MCAULEY, E.; DANTZER, R.; EVANS, E. 2011. The associations of adiposity, physical activity and inflammation with fatigue in older adults. J. Brain, Behavior, and Immunity. 25(7):1482-1490.

VESTERGAARD, S.; NAYFIELD, S.; PATEL, K.; ELDADAH, B.; CESARI, M.; FERRUCCI, L.; GURALNIK, J. 2009. Fatigue in a representative population of older persons and its association with functional impairment, functional limitation, and disability. J. Gerontology - Series A Biological Sciences and Medical Sciences. 64(1):76-82.

VOLPATO, S.; CAVALIERI, M.; GUERRA, G.; SIOULIS, F.; RANZINI, M.; MARALDI, C.; GURALNIK, J. 2008. Performance-based functional assessment in older hospitalized patients: feasibility and clinical correlates. J. Gerontology - Series A Biological Sciences and Medical Sciences. 63(12):1393-1398.

WELLMAN, N.; KAMP, B.; KIRK-SANCHEZ, N.; JOHNSON, P. 2007. Eat better & move more: a community-based program designed to improve diets and increase physical activity among older Americans. Am. J. Public Health. 97(4):710-717.

YOSHIDA, D.; NINOMIYA, T.; DOI, Y.; HATA, J.; FUKUHARA, M.; IKEDA, F.; KIYOHARA, Y. 2012. Prevalence and causes of functional disability in an elderly general population of Japanese: the Hisayama study. J. Epidemiology. 22(3):222-229.

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