Dyspnea is associated with poor physical performance among community-dwelling older adults: a population-based cross-sectional study

Caroline de Fátima Ribeiro Silva, Maycon Sousa Pegorari, Areolino Pena Matos, Daniela Gonçalves Ohara, Caroline de Fátima Ribeiro Silva, Maycon Sousa Pegorari, Areolino Pena Matos, Daniela Gonçalves Ohara

Abstract

Background: Dyspnea and poorer physical performance are conditions that may be related and be present among the elderly. However, few studies have evaluated associations between these variables.

Objective: To determine whether there is an association between dyspnea and physical performance among community-dwelling older adults of both sexes (age 60 years and over).

Design and setting: Cross-sectional study conducted in the city of Macapá, state of Amapá, Brazil.

Methods: Socioeconomic and health data were collected using a structured form. Frailty syndrome was assessed based on the frailty phenotype proposed by Fried et al. Dyspnea was measured using the modified Medical Research Council (mMRC) scale and physical performance was measured using the Short Physical Performance Battery (SPPB). Data were analyzed using a linear regression model.

Results: A total of 411 subjects (70.15 ± 7.25 years) were evaluated, most of them females (66.4%). It was observed from the mMRC scale that 30.9% (n = 127) of the subjects had some dyspnea symptoms: grade 1 was most frequent. The physical performance score from the SPPB was 9.22 ± 2.01. Higher dyspnea scores were associated with poor physical performance, both in the crude analysis (β = -0.233; P = 0.028) and after adjustment for frailty condition (β = -0.148; P = 0.002) and for the socioeconomic and health variables (age, sex, number of diseases, smoking habit and frailty status) (β = -0.111; P = 0.025).

Conclusion: Higher dyspnea score was independently associated with poor physical performance among community-dwelling older adults.

Conflict of interest statement

Conflict of interest: None

References

    1. van Mourik Y, Rutten FH, Moons KG, et al. Prevalence and underlying causes of dyspnea in older people: a systematic review. Age Ageing. 2014;43(3):319–326. doi: 10.1093/ageing/afu001.
    1. Hegendörfer E, Vaes B, Matheï C, Van Pottelbergh G, Degryse JM. Correlates of dyspnoea and its association with adverse outcomes in a cohort of adults aged 80 and over. Age Ageing. 2017;46(6):994–1000. doi: 10.1093/ageing/afx095.
    1. Mahler DA. Evaluation of Dyspnea in the Elderly. Clin Geriatr Med. 2017;33(4):503–521. doi: 10.1016/j.cger.2017.06.004.
    1. Vaz Fragoso CA, Araujo K, Leo-Summers L, Van Ness PH. Lower Extremity Proximal Muscle Function and Dyspnea in Older Persons. J Am Geriatr Soc. 2015;63(8):1628–1633. doi: 10.1111/jgs.13529.
    1. Larsson P, Borge CR, Nygren-Bonnier M, Lerdal A, Edvardsen A. An evaluation of the short physical performance battery following pulmonary rehabilitation in patients with chronic obstructive pulmonary disease. BMC Res Notes. 2018;11(1):348–348. doi: 10.1186/s13104-018-3458-7.
    1. Bousquet J, Dinh-Xuan AT, Similowski T, et al. Should we use gait speed in COPD, FEV1 in frailty and dyspnoea in both? Eur Respir J. 2016;48(2):315–319.
    1. Trevisan C, Vianello A, Zanforlinia BM, et al. The mutual association between dyspnea and depressive symptoms in older adults: a 4-year prospective study. Aging & Mental Health. 2019 doi: 10.1080/13607863.2019.1582005.
    1. Petersen S, von Leupoldt A, Van den Bergh O. Geriatric dyspnea: doing worse, feeling better. Ageing Res Rev. 2004;15:94–99. doi: 10.1016/j.arr.2014.03.001.
    1. Ohara DG, Pegorari MS, Oliveira Dos Santos NL, et al. Respiratory Muscle Strength as a Discriminator of Sarcopenia in Community-Dwelling Elderly: A Cross-Sectional Study. J Nutr Health Aging. 2018;22(8):952–958. doi: 10.1007/s12603-018-1079-4.
    1. Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O mini-exame do estado mental em uma população geral: impacto da escolaridade [The mini-mental state examination in na outpatient population: influence of literacy] Arq Neuro-psiquiatr. 1994;52(1):1–7.
    1. Ferris BG. Epidemiology Standardization Project (American Thoracic Society) Am Rev Respir Dis. 1978;118(6 Pt 2):1–120.
    1. Kovelis D, Segretti NO, Probst VS, et al. Validação do Modified Pulmonary Functional Status and Dyspnea Questionnaire e da escala do Medical Research Council para o uso em pacientes com doença pulmonar obstrutiva crônica no Brasil. J Bras Pneumol. 2008;34(12):1008–1018. doi: 10.1590/S1806-37132008001200005.
    1. Nakano MM. Versão Brasileira da Short Physical Performance Battery - SPPB: Adaptação Cultural e Estudo da Confiabilidade [Brazilian version of the SHORT Physical Performance Battery - SPPB: cross-cultural adaptation and reliability study] Campinas: Faculdade de Educação; 2007. Dissertation (Master’s Degree in Education)
    1. Guralnik JM, Ferrucci L, Simonsick EM, Salive ME, Wallace RB. Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. N Engl J Med. 1995;332(9):556–561. doi: 10.1056/NEJM199503023320902.
    1. Penninx BWJH, Ferrucci L, Leveille SG, et al. Lower Extremity Performance in Nondisabled Older Persons as a Predictor of Subsequent Hospitalization. The Journals of Gerontology: Series A. 2000;55(11):M691M697–M691M697. doi: 10.1093/gerona/55.11.M691.
    1. Belisario MS, Dias FA, Pegorari MS, et al. Cross-sectional study on the association between frailty and violence against community-dwelling elderly people in Brazil. Sao Paulo Med J. 2018;136(1):10–19. doi: 10.1590/1516-3180.2017.0203290817.
    1. Dos Santos Tavares DMS, de Freitas Corrêa TA, Dias FA, Dos Santos Ferreira PC, Sousa Pegorari M. Frailty syndrome and socioeconomic and health characteristics among older adults. Colomb Med (Cali) 2017;48(3):126–131. doi: 10.25100/cm.v48i3.1978.
    1. Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146–M156. doi: 10.1093/gerona/56.3.m146.
    1. Benedetti TB, Mazo GZ, Barros MVG. Aplicação do Questionário Internacional de Atividades Físicas para avaliação do nível de atividades físicas de mulheres idosas: validade concorrente e reprodutibilidade teste-reteste. R Bras Ci Mov. 2004;12(1):25–34. doi: 10.18511/rbcm.v12i1.538.
    1. Miner B, Tinetti ME, Van Ness PH, et al. Dyspnea in Community-Dwelling Older Persons: A Multifactorial Geriatric Health Condition. J Am Geriatr Soc. 2016;64(10):2042–2050. doi: 10.1111/jgs.14290.
    1. Jacob ME, Travison TG, Ward RE, et al. Neuromuscular Attributes Associated With Lower Extremity Mobility Among Community-Dwelling Older Adults. J Gerontol A Biol Sci Med Sci. 2019;74(4):544–549. doi: 10.1093/gerona/gly102.
    1. Pavasini R, Guralnik J, Brown JC, et al. Short Physical Performance Battery and all-cause mortality: systematic review and meta-analysis. BMC Med. 2016;14(1):215–215. doi: 10.1186/s12916-016-0763-7.
    1. Corsonello A, Lattanzio F, Pedone C, et al. Prognostic significance of the short physical performance battery in older patients discharged from acute care hospitals. Rejuvenation Res. 2012;15(1):41–48. doi: 10.1089/rej.2011.1215.
    1. Vaz Fragoso CA, Beavers DP, Hankinson JL, et al. Respiratory impairment and dyspnea and their associations with physical inactivity and mobility in sedentary community-dwelling older persons. J Am Geriatr Soc. 2014;62(4):622–628. doi: 10.1111/jgs.12738.
    1. Vaz Fragoso CA, Beavers DP, Anton SD, et al. Effect of Structured Physical Activity on Respiratory Outcomes in Sedentary Elderly Adults With Mobility Limitations. J Am Geriatr Soc. 2016;64(3):501–509. doi: 10.1111/jgs.14013.

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