Agreement between upper and lower limb measures to identify older adults with low skeletal muscle strength, muscle mass and muscle quality

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dc.contributor.authorFayh, Ana Paula Trussardi
dc.contributor.authorAlves, Charles Phillipe de Lucena
dc.contributor.authorCâmara, Marcyo
dc.contributor.authorMacêdo, Geovani Araújo Dantas
dc.contributor.authorFreire, Yuri Alberto
dc.contributor.authorSilva, Raíssa de Melo
dc.contributor.authorPereira, Ronildo Paulo
dc.contributor.authorFarias Júnior, Luiz Fernando
dc.contributor.authorMortatti, Arnaldo Luis
dc.contributor.authorCosta, Eduardo Caldas
dc.date.accessioned2023-11-29T19:59:20Z
dc.date.available2023-11-29T19:59:20Z
dc.date.issued2022-01
dc.description.resumoBackground: Identifying low skeletal muscle strength (SMS), skeletal muscle mass (SMM) and skeletal muscle quality (SMQ) is pivotal for diagnosing sarcopenia cases. Age-related declines in SMS, SMM, and SMQ are dissimilar between the upper (UL) and lower limbs (LL). Despite this, both UL and LL measures have been used to assess SMS, SMM and SMQ in older adults. However, it is not clear whether there is agreement between UL and LL measures to identify older adults with low SMS, SMM and SMQ. Objective: To investigate the agreement between UL and LL measures to identify older adults with low SMS, SMM and SMQ. Methods: Participants (n = 385; 66.1 ± 5.1 years; 75,4% females) performed the handgrip strength test (HGS) and the 30-s chair stand test (CST) to assess UL- and LL-SMS, respectively. The SMM was assessed by dual-energy X-ray absorptiometry (DXA). The UL-SMQ was determined as: handgrip strength (kgf) ÷ arm SMM (kg). LL-SMQ was determined as: 30-s CST performance (repetitions) ÷ leg SMM (kg). Results below the 25th percentile stratified by sex and age group (60–69 and 70–80 years) were used to determine low SMS, SMM and SMQ. Cohen’s kappa coefficient (κ) was used for the agreement analyses. Results: There was a slight and non-significant agreement between UL and LL measures to identify older adults with low SMS (κ = 0.046; 95% CI 0.093–0.185; p = 0.352). There was a moderate agreement to identify low SMM (κ = 0.473; 95% CI 0.371–0.574; p = 0.001) and a fair agreement to identify low SMQ (κ = 0.206; 95% CI 0.082 to 0.330; p = 0.005). Conclusion: The agreement between UL and LL measures to identify older adults with low SMS, SMM and SMQ is limited, which might generate different clinical interpretations for diagnosing sarcopenia casespt_BR
dc.identifier.citationALVES, Charles Phillipe de Lucena; CÂMARA, Marcyo; MACÊDO, Geovani Araújo Dantas; FREIRE, Yuri Alberto; SILVA, Raíssa de Melo; PEREIRA, Ronildo Paulo; FARIAS JUNIOR, Luiz Fernando; FAYH, Ana Paula Trussardi; MORTATTI, Arnaldo Luis; COSTA, Eduardo Caldas. Agreement between upper and lower limb measures to identify older adults with low skeletal muscle strength, muscle mass and muscle quality. PLoS One, [S.l.], v. 17, p. e0262732, 21 jan. 2022. DOI: https://doi.org/10.1371/journal.pone.0262732. Disponível em: https://journals.plos.org/plosone/doi?id=10.1371/journal.pone.0262732. Acesso em: 14 nov. 2023.pt_BR
dc.identifier.doihttps://doi.org/10.1371/journal.pone.0262732
dc.identifier.urihttps://repositorio.ufrn.br/handle/123456789/55493
dc.languageenpt_BR
dc.publisherPLoS Onept_BR
dc.rightsAttribution 3.0 Brazil*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/br/*
dc.subjectsarcopenia casespt_BR
dc.subjectSkeletal Muscle Strength (SMS)pt_BR
dc.subjectSkeletal Muscle Mass (SMM)pt_BR
dc.subjectSkeletal Muscle Quality (SMQ)pt_BR
dc.titleAgreement between upper and lower limb measures to identify older adults with low skeletal muscle strength, muscle mass and muscle qualitypt_BR
dc.typearticlept_BR

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