Cross-Sectional Study on the Association Between Respiratory Muscle Strength and Dynapenic Abdominal Obesity in Community-Dwelling Older Adults

Larissa do Nascimento Pereira; Maycon Sousa Pegorari; Lislei Jorge Patrizzi; Isabel Aparecida Porcatti de Walsh; Caroline de Fátima Ribeiro Silva; Juliana de Souza da Silva; Areolino Pena Matos; Ana Carolina Pereira Nunes Pinto; Daniela Gonçalves Ohara

doi:10.2147/CIA.S411170

Cross-Sectional Study on the Association Between Respiratory Muscle Strength and Dynapenic Abdominal Obesity in Community-Dwelling Older Adults

Clin Interv Aging. 2023 Aug 16:18:1351-1359. doi: 10.2147/CIA.S411170. eCollection 2023.

Authors

Larissa do Nascimento Pereira¹, Maycon Sousa Pegorari^{2

3

4}, Lislei Jorge Patrizzi^{2

3}, Isabel Aparecida Porcatti de Walsh^{2

3}, Caroline de Fátima Ribeiro Silva¹, Juliana de Souza da Silva⁴, Areolino Pena Matos^{1

4}, Ana Carolina Pereira Nunes Pinto^{1

5

6

7}, Daniela Gonçalves Ohara²

Affiliations

¹ Department of Biological and Health Sciences, Federal University of Amapá, Macapá, AP, Brazil.
² Department of Applied Physiotherapy, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
³ Postgraduate Program in Physical Therapy, Federal University of Triângulo Mineiro, Uberaba, Minas Gerais, Brazil.
⁴ Postgraduate Program in Health Sciences, Federal University of Amapá, Macapá, AP, Brazil.
⁵ Iberoamerican Cochrane Centre - Biomedical Research Institute Sant Pau (IIB Sant Pau), Barcelona, Spain.
⁶ Cochrane Brazil, Center for Evidence-Based Health Studies and Health Technology Assessment, Sao Paulo, Brazil.
⁷ Department of Medicine, Evidence-Based Health Post-Graduation Program, Federal University of São Paulo, Sao Paulo, Brazil.

Abstract

Purpose: Impaired respiratory muscle strength has been associated with some geriatric syndromes. However, no studies have previously evaluated the relationship between respiratory muscle strength and dynapenic abdominal obesity. This study aimed to analyze whether there is an association between respiratory muscle strength and abdominal obesity, dynapenia and dynapenic abdominal obesity (DAO) in community-dwelling older adults.

Patients and methods: Cross-sectional study conducted with community-dwelling older adults (n=382 / 70.03 ± 7.3 years) from Macapá, Amapá, Brazil. Respiratory muscle strength was assessed by measuring maximal inspiratory and expiratory pressures (MIP and MEP, respectively), using an analog manovacuometry. DAO was defined as the combination of dynapenia (grip strength < 26 kgf for men and < 16 kgf for women) and abdominal obesity (abdominal circumference > 102 cm for men and > 88 cm for women). We performed descriptive and inferential statistical analyses using the student's t-test for independent and related samples and linear regression model.

Results: Older adults with abdominal obesity, dynapenia, and DAO presented lower mean values (obtained and obtained versus predicted; except abdominal obesity versus MIP) for maximal respiratory pressures compared to individuals without these conditions. However, the adjusted analysis only indicated an association between MIP and the following conditions: dynapenia (MIP - β =-0.171; p<0.001), abdominal obesity (MIP - β=0.102; p=0.042), and DAO (MIP - β=-0.101; p=0.028).

Conclusion: Older adults with abdominal obesity, dynapenia, and DAO showed impaired maximal respiratory pressures. The results of the adjusted analysis indicate that inspiratory muscle strength may require greater attention by health professionals aiming at preventing respiratory complications and improving respiratory health care in older people with these conditions.

Keywords: abdominal; aged; muscle strength; obesity; respiratory function tests; respiratory muscles.

MeSH terms

Aged
Cross-Sectional Studies
Female
Humans
Independent Living*
Male
Muscle Strength
Obesity / epidemiology
Obesity, Abdominal* / epidemiology
Respiratory Muscles