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Noronha BP, Mambrini JVDM, Torres KCL, Martins-Filho OA, Teixeira-Carvalho A, Lima-Costa MF, Peixoto SV. Chlamydia pneumoniae and Helicobacter pylori infections and immunological profile of community-dwelling older adults. Exp Gerontol 2021; 156:111589. [PMID: 34637947 DOI: 10.1016/j.exger.2021.111589] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2021] [Revised: 10/04/2021] [Accepted: 10/05/2021] [Indexed: 11/29/2022]
Abstract
Chronic bacterial infections are associated with changes in the immunosenescence process and immunological biomarkers can assist in monitoring these changes. The identification of this immunological profile is important because Chlamydia pneumoniae (C. pneumoniae) and Helicobacter pylori (H. pylori) infections are important factors of morbidity and mortality among the older adults. This study aimed to identify changes in the immunological profile in the presence of C. pneumoniae and H. pylori infections among community-dwelling older adults. This is a cross-sectional study that used data from 1432 participants from the Bambuí Cohort Study of Aging, Minas Gerais, Brazil. The presence of immunoglobulin G (IgG) for C. pneumoniae and H. pylori was considered a dependent variable and assessed in the participants' serum using the enzyme-linked immunosorbent assay (ELISA). In assessing the immunological profile, the following inflammatory markers were considered: CXCL8, CXCL9, CXCL10, CCL2, CCL5, IL-1β, IL-6, IL-10, IL-12, TNF, and CRP. Associations were assessed by logistic regression, estimating odds ratios and confidence intervals (95%) using the Stata® V.13.1 software. The seroprevalence of anti-C. pneumoniae and anti-H. pylori antibodies was 55.9% and 70.3%, respectively. While high levels of anti-C. pneumoniae antibodies were associated with higher concentrations of CXCL10 and IL-10, higher levels of IL-1β and IL-6 were inversely associated with the titration of anti-H. pylori antibodies. The results characterize immunological profiles associated with these chronic infections and reinforce the potential effects of biomarkers on infections by these bacteria and on the immunosenescence process.
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Affiliation(s)
- Beatriz Prado Noronha
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Núcleo de Estudos em Saúde Pública e Envelhecimento, Belo Horizonte, MG, Brazil
| | - Juliana Vaz de Melo Mambrini
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Núcleo de Estudos em Saúde Pública e Envelhecimento, Belo Horizonte, MG, Brazil.
| | - Karen Cecília Lima Torres
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Grupo Integrado de Pesquisas em Biomarcadores, Belo Horizonte, MG, Brazil; Universidade José do Rosário Vellano, UNIFENAS, Belo Horizonte, MG, Brazil
| | - Olindo Assis Martins-Filho
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Grupo Integrado de Pesquisas em Biomarcadores, Belo Horizonte, MG, Brazil.
| | - Andréa Teixeira-Carvalho
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Grupo Integrado de Pesquisas em Biomarcadores, Belo Horizonte, MG, Brazil.
| | - Maria Fernanda Lima-Costa
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Núcleo de Estudos em Saúde Pública e Envelhecimento, Belo Horizonte, MG, Brazil.
| | - Sérgio Viana Peixoto
- Instituto René Rachou, Fundação Oswaldo Cruz, Fiocruz Minas, Núcleo de Estudos em Saúde Pública e Envelhecimento, Belo Horizonte, MG, Brazil; Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Gestão em Saúde, Belo Horizonte, MG, Brazil.
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Noronha BP, Mambrini JVDM, Torres KCL, Martins-Filho OA, Teixeira-Carvalho A, Lima-Costa MF, Peixoto SV. Cytomegalovirus and herpes simplex type 1 infections and immunological profile of community-dwelling older adults. Exp Gerontol 2021; 149:111337. [PMID: 33811928 DOI: 10.1016/j.exger.2021.111337] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2020] [Revised: 02/25/2021] [Accepted: 03/28/2021] [Indexed: 11/28/2022]
Abstract
Chronic infections, such as cytomegalovirus (CMV) and herpes simplex virus type 1 (HSV-1), contribute to the inflammation process among older adults and are associated with the immunosenescence process. The aim was to identify the immunological profile associated with CMV and HSV-1 infections among older adults. This is a cross-sectional study, carried out with 1492 participants from the Bambuí Cohort Study of Aging - Minas Gerais, Brazil. For analysis purposes, we considered the presence of immunoglobulin G (IgG) for CMV and HSV-1 in the participants' serum, assessed by the enzyme-linked immunosorbent assay (ELISA); outcomes were defined by titration above the median (>160 UR/mL for HSV-1 and >399.5 U/mL for CMV). In order to assess the immunological profile, the following biomarkers were considered: IL-1beta, IL-10, IL-12, TNF, CXCL8, CXCL9, CXCL10, CCL2, CCL5, IL-6 and CRP; the first four being categorized as detectable levels or not, and the others using the Classification and Regression Tree (CART) method. The analysis was adjusted for sociodemographic variables, health behaviors and health conditions. The seroprevalence of anti CMV and anti HSV-1 antibodies was 99.4% and 97.0%, respectively. Higher concentrations of CXCL8 and CCL5 chemokines were associated with lower antibody titers for CMV, and higher concentrations of CXCL9, IL-6 and CRP were associated with higher levels of antibodies to CMV. Moreover, intermediate levels of CXCL10 were also associated with higher levels of antibodies to CMV. In HSV-1 infection, intermediate levels of CXCL9, CCL5 and IL-6 were less likely to have higher antibody titers for this infection. On the other hand, higher levels of CXCL10 and CRP were positively associated with higher antibody titers for HSV-1. The results describe important immunological changes and reinforce the potential effect of CMV and HSV-1 on the immunosenescence process.
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Affiliation(s)
- Beatriz Prado Noronha
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Health Studies Center, Public Health and Aging, Belo Horizonte, Minas Gerais, Brazil
| | - Juliana Vaz de Melo Mambrini
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Health Studies Center, Public Health and Aging, Belo Horizonte, Minas Gerais, Brazil.
| | - Karen Cecília Lima Torres
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Integrated Research Group on Biomarkers, Belo Horizonte, Minas Gerais, Brazil; José do Rosário Vellano University - UNIFENAS, Belo Horizonte, Minas Gerais, Brazil
| | - Olindo Assis Martins-Filho
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Integrated Research Group on Biomarkers, Belo Horizonte, Minas Gerais, Brazil.
| | - Andréa Teixeira-Carvalho
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Integrated Research Group on Biomarkers, Belo Horizonte, Minas Gerais, Brazil.
| | - Maria Fernanda Lima-Costa
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Health Studies Center, Public Health and Aging, Belo Horizonte, Minas Gerais, Brazil.
| | - Sérgio Viana Peixoto
- Instituto René Rachou, Oswaldo Cruz Foundation (Fiocruz) Fiocruz Minas, Health Studies Center, Public Health and Aging, Belo Horizonte, Minas Gerais, Brazil; Federal University of Minas Gerais, Nursing School, Department of Health Management, Belo Horizonte, Minas Gerais, Brazil.
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Barcellos PS, Borges N, Torres DPM. New equation to estimate resting energy expenditure in non-critically ill patients. Clin Nutr ESPEN 2020; 37:240-246. [PMID: 32359751 DOI: 10.1016/j.clnesp.2020.02.006] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 01/15/2020] [Accepted: 02/10/2020] [Indexed: 11/16/2022]
Abstract
BACKGROUND Correct measurement of resting energy expenditure (REE) is essential to offer a proper nutritional management during hospital stay. Dietitians are not able to perform an effective dietary treatment if predicted REE values are obtained from invalid equations. OBJECTIVE The aim of this study was to develop a more valid method to estimate REE in non-critically ill Portuguese patients. DESIGN In this cross-sectional study, REE was measured by indirect calorimetry (IC) in 180 non-critically patients during hospital stay (50 participants were allocated to the validation group by simple randomization and the remaining 130 were allocated to the derivation group). The best accurate equations were derived by multiple linear regression analysis (stepwise) based on anthropometric variables. The equations were tested on the validation group and compared with published predictive equations. RESULTS Data was collected from 130 patients, 68 women (52.3%) and 62 men (47.7%), mean age was 58.9 ± 16.8 years and REE-IC was 1918 ± 721 kcal/day. The new best-fit equation REE (kcal/day) = 14.4 (Height) + 52.7 (MUAC) + 453.4 (1 if male, 0 if female) - 371.2 (if Obese) - 2138.3 showed strength of evidence decisive (BF₁₀ = 8008), when compared by Bayesian model, and r2 = 0.315. Only estimated REE values obtained using new equations did not present significant difference when compared with measured REE values (kcal/kg). CONCLUSIONS In this study, new equations derived from a non-critically ill population showed higher validity in estimating REE than currently used equations. A better estimation of REE may lead to a better nutritional intervention and a decreased risk of undernutrition in hospitalized patients.
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Affiliation(s)
- Priscila S Barcellos
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; Universidade Federal do Maranhão, Brazil.
| | - Nuno Borges
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; CINTESIS Center for Health Technology & Services Research, Rua Dr Placido da Costa, 4200-450, Porto, Portugal.
| | - Duarte P M Torres
- Faculty of Nutrition and Food Sciences, University of Porto, Porto, Portugal; EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas, n 135, 4050-600, Porto, Portugal.
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de Amorim JSC, Torres KCL, Carvalho AT, Martins-Filho OA, Lima-Costa MF, Peixoto SV. Inflammatory markers associated with fall recurrence and severity: The Bambuí Cohort Study of Aging. Exp Gerontol 2020; 132:110837. [PMID: 31935439 DOI: 10.1016/j.exger.2020.110837] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 11/21/2019] [Accepted: 01/10/2020] [Indexed: 11/19/2022]
Abstract
BACKGROUND The aim of this study was to analyze the association between inflammatory markers and recurrent and severe falls in 1304 community-dwelling older adults from the Bambuí Cohort Study of Aging. METHODS Information about falls in the previous 12 months was collected, and classified based on recurrence (two or more falls) and severity (requirement of medical attention). The screened biomarkers included interleukins (IL-1β, IL-6, IL-10, and IL-12, TNF), chemokines (CXCL8, CXCL9, CXCL10, CCL2, and CCL5), and high-sensitive C-reactive protein (hs-PCR). Potential confounders included sociodemographic, behavioral, and health indicators. Associations were evaluated through logistic regression, using odds ratios (OR) and 95% confidence intervals (95% CI), with Stata 13.1. RESULTS The prevalence of recurrent and severe falls was 10.7% and 9.0%, respectively. After adjustments, elevated levels of IL-12 (OR: 1.92; 95% CI: 1.09-3.37) and CXCL9 (OR: 1.67; 95% CI: 1.05-2.66) were found to be associated with recurrent falls, while elevated levels of TNF (OR: 1.58; 95% CI: 1.01-2.50), IL-12 (OR: 2.04; 95% CI: 1.13-3.70), CXCL10 (OR: 1.75; 95% CI: 1.04-2.92), and CCL5 (OR: 1.90; 95% CI: 1.18-3.07) were associated with severe falls. CONCLUSIONS The results highlight a wide range of biomarkers not yet explored in the literature and suggest that inflammation may be an important component of recurrent and severe falls.
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Affiliation(s)
- Juleimar Soares Coelho de Amorim
- Postgraduate Program in Public Health, René Rachou Research Institute, Oswaldo Cruz Foundation in the State of Minas Gerais, Belo Horizonte, Brazil.
| | - Karen Cecília Lima Torres
- Laboratory of Diagnostic and Monitoring Biomarkers, René Rachou Research Institute, Oswaldo Cruz Foundation in the State of Minas Gerais, Belo Horizonte, Brazil; Faculty of Medicine, University José do Rosário Vellano, UNIFENAS, Belo Horizonte, Brazil
| | - Andréa Teixeira Carvalho
- Laboratory of Diagnostic and Monitoring Biomarkers, René Rachou Research Institute, Oswaldo Cruz Foundation in the State of Minas Gerais, Belo Horizonte, Brazil
| | - Olindo Assis Martins-Filho
- Laboratory of Diagnostic and Monitoring Biomarkers, René Rachou Research Institute, Oswaldo Cruz Foundation in the State of Minas Gerais, Belo Horizonte, Brazil
| | - Maria Fernanda Lima-Costa
- Center of Studies in Public Health and Aging, René Rachou René Rachou Research Institute, Oswaldo Cruz Foundation in the State of Minas Gerais, Belo Horizonte, Brazil
| | - Sérgio Viana Peixoto
- Laboratory of Diagnostic and Monitoring Biomarkers, René Rachou Research Institute, Oswaldo Cruz Foundation in the State of Minas Gerais, Belo Horizonte, Brazil; Federal University of Minas Gerais, Nursing School, Belo Horizonte, Brazil
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Lima WPD, Lima CA, Santos RBD, Soares WJDS, Perracini MR. Utilitarian walking and walking as exercise among community-dwelling older adults: what factors influence it? REVISTA BRASILEIRA DE GERIATRIA E GERONTOLOGIA 2020. [DOI: 10.1590/1981-22562020023.190255] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Objective : to investigate the association between utilitarian walking and walking as exercise, and socio-demographic, clinical and functional covariates related to these walking types. Methods : a cross-sectional exploratory study was conducted with 148 older adults (aged 60 and over). Walking frequency and duration was assessed using the IPEQ-W (Incidental and Planned Exercise Questionnaire - Version W). Socio-demographic, clinical conditions, level of disability and mobility were also assessed. Types of walking were compared among the variables using the Mann-Whitney test and non-parametric Spearman rho correlations were used to investigate the association between the types of walking and the variables. Results : the participants performed a mean of 1.1 (±2.1) h/week of walking as exercise and 2.2 (±2.3) h/week of utilitarian walking. Older adults who had diabetes (p=0.015) did fewer h/week of walking as exercise. Participants who were older (p=0.014), reported poor self-rated health (p<0.001), poor disability levels (p<0.001), hypertension (p=0.048), strokes (p<0.001), heart disease (p=0.026), urinary incontinence (p<0.001), dizziness (p=0.008), or sleep disorders (p=0.042) spent fewer hours performing utilitarian walking. Correlations between the covariates and types of walking varied from very weak to weak. Conclusion : chronic diseases and unfavorable health conditions decreased walking time. Utilitarian walking was the most frequent type of walking performed by the older adults. Health care professionals and public policy managers should use utilitarian walking as a way of increasing levels of physical activity and to promote healthy aging.
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Amorim JSCD, Torres KCL, Teixeira-Carvalho A, Martins-Filho OA, Lima-Costa MF, Peixoto SV. Inflammatory markers and occurrence of falls: Bambuí Cohort Study of Aging. Rev Saude Publica 2019; 53:35. [PMID: 30942277 PMCID: PMC6474745 DOI: 10.11606/s1518-8787.2019053000855] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2018] [Accepted: 05/29/2018] [Indexed: 01/08/2023] Open
Abstract
OBJECTIVE Analyze whether inflammatory markers are associated with falls among older adults living in Bambuí. METHODS Study that analyzed baseline data from a Bambuí Cohort Study of Aging, involving 1,250 participants. Data about falls were collected from previous 12 months, classified as single or multiple occurrence and severity (participant seeking health services). Information about sociodemographic characteristics, health behaviors and health condition was also collected and used as confounding factors. The exposures of interest included interleukins (IL-1β, IL-6, IL-8, IL-10, IL-12), tumor necrosis factor (TNF), ultra-sensitive C-reactive protein (us-CRP) and chemokines (CXCL9, CCL5, CCL10, MCP1). Data were processed through logistic regression, obtaining odds ratio and 95% confidence interval (95%CI). RESULTS The prevalence of falls was 27.1%; 40.1% of the older adults reported multiple falls and 33.3% sought health services. After adjustments, the following elevated levels were associated with falls: us-CRP (OR = 1.46, 95%CI 1.04–2.03), CCL5 (OR = 1.38, 95%CI 1.01–1.90) and CXCL9 (OR = 1.43, 95%CI 1.02–2.02). An association was observed between the number of elevated markers and the occurrence of falls: two (OR = 1.47, 95%CI 1.02–2.12) and three (OR = 2.08, 95%CI 1.12–3.87) elevated biomarkers indicated fall probability of 32.0% and 39.4%, respectively. CONCLUSIONS Elevated levels of us-CRP, CCL5 and CXCL9, which were associated with falls, may contribute to a proper understanding of the mechanism associated with the occurrence of falls among older people.
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Affiliation(s)
- Juleimar Soares Coelho de Amorim
- Instituto René Rachou. Fundação Oswaldo Cruz. Fiocruz Minas. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil
| | - Karen Cecília Lima Torres
- Instituto René Rachou. Fundação Oswaldo Cruz. Fiocruz Minas. Grupo Integrado de Pesquisas em Biomarcadores. Belo Horizonte, MG, Brasil
| | - Andréa Teixeira-Carvalho
- Instituto René Rachou. Fundação Oswaldo Cruz. Fiocruz Minas. Grupo Integrado de Pesquisas em Biomarcadores. Belo Horizonte, MG, Brasil
| | - Olindo Assis Martins-Filho
- Instituto René Rachou. Fundação Oswaldo Cruz. Fiocruz Minas. Grupo Integrado de Pesquisas em Biomarcadores. Belo Horizonte, MG, Brasil
| | - Maria Fernanda Lima-Costa
- Instituto René Rachou. Fundação Oswaldo Cruz. Fiocruz Minas. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil
| | - Sérgio Viana Peixoto
- Instituto René Rachou. Fundação Oswaldo Cruz. Fiocruz Minas. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil.,Universidade Federal de Minas Gerais. Escola de Enfermagem. Departamento de Enfermagem Aplicada. Belo Horizonte, MG, Brasil
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Neves CVB, Mambrini JVDM, Torres KCL, Teixeira-Carvalho A, Martins-Filho OA, Lima-Costa MF, Peixoto SV. Association of metabolic syndrome with inflammatory markers in a sample of community-dwelling older adults. CAD SAUDE PUBLICA 2019; 35:e00129918. [PMID: 30916180 DOI: 10.1590/0102-311x00129918] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/01/2018] [Accepted: 09/27/2018] [Indexed: 12/20/2022] Open
Abstract
The study aimed to identify the cutoff points for inflammatory markers that best discriminate the occurrence of metabolic syndrome in community-dwelling older adults. Baseline data were used from the elderly cohort in the city of Bambuí, Minas Gerais State, Brazil. The target exposure was presence of metabolic syndrome, defined according to the Adult Treatment Panel III criterion, and the outcomes included the following inflammatory markers: cytokines (IL-1β, IL-6, IL-10, IL-12 e TNF), chemokines (CXCL8, CXCL9, CCL2, CXCL10, and CCL5), and C-reactive protein (CRP). Definition of the cutoff points for the inflammatory markers was based on the Classification and Regression Tree (CART) method. The associations between these markers and metabolic syndrome were estimated by logistic regression models, obtaining odds ratios and 95% confidence intervals, considering adjustment for confounding factors. Prevalence of metabolic syndrome was 49.1%, and IL-1β, IL-12, and TNF levels were not associated statistically with this exposure. After adjustment, presence of metabolic syndrome was associated with higher IL-6 and CRP levels and lower CXCL8 and CCL5. Significant associations were also observed with intermediate serum CXCL9 and CXCL10 levels. The combination of markers also showed a significant and consistent association with metabolic syndrome. In addition to demonstrating an association between metabolic syndrome and a wide range of biomarkers (some not previously described in the literature), the results highlight that this association occurs at much lower levels than previously demonstrated, suggesting that metabolic syndrome plays an important role in the inflammatory profile of the older adults.
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Affiliation(s)
| | | | | | | | | | | | - Sérgio Viana Peixoto
- Instituto René Rachou, Fundação Oswaldo Cruz, Belo Horizonte, Brasil.,Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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Rattanachaiwong S, Singer P. Indirect calorimetry as point of care testing. Clin Nutr 2019; 38:2531-2544. [PMID: 30670292 DOI: 10.1016/j.clnu.2018.12.035] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2018] [Revised: 12/10/2018] [Accepted: 12/29/2018] [Indexed: 02/06/2023]
Abstract
Determining energy requirement is a fundamental of nutrition support. Indirect calorimetry (IC) has been long recognized as the gold standard for assessing basal or resting energy expenditure (REE). The measurement of REE is recommended particularly in the situation where adjustment of energy provision is critical. The result of the IC measurement can lead to changes in treatment and since the change can be carried out immediately at the bedside, this may be considered as point-of-care testing. Beyond the nutritional aspects, studies of energy expenditure with IC have brought out more understanding of the metabolic changes during the natural course of diseases or conditions as well as those related to the intervention. The literature in various disease states has shown that changes in energy expenditure may reveal hidden metabolic information that might be translated into clinical information and have the potential of being both prognostic indicators and/or treatment targets.
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Affiliation(s)
- Sornwichate Rattanachaiwong
- Division of Clinical Nutrition, Department of Medicine, Faculty of Medicine, Khon Kaen University, Thailand.
| | - Pierre Singer
- Department of General Intensive Care, Rabin Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University, Israel
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Peixoto SV, Mambrini JVDM, Firmo JOA, de Loyola AI, de Souza PRB, de Andrade FB, Lima-Costa MF. Physical activity practice among older adults: results of the ELSI-Brazil. Rev Saude Publica 2018; 52Suppl 2:5s. [PMID: 30379280 PMCID: PMC6255086 DOI: 10.11606/s1518-8787.2018052000605] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/06/2017] [Accepted: 03/21/2018] [Indexed: 12/31/2022] Open
Abstract
OBJECTIVE To describe the prevalence of the practice of physical activity (PA) among older Brazilian adults and associated factors. In addition, potential effect modifiers of the association between PA and age were investigated. METHODS We have analyzed data from 8,736 participants (92.8%) aged 50 and older from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Physical activity was measured using the short version of the International Physical Activity Questionnaire. The outcome variable was defined as at least 150 minutes of weekly activities in all domains. The exploratory variables were age, sex, education, ethnicity, marital status, number of chronic diseases and medical appointments, and knowledge about or participation in public programs that encourage physical activity. Logistic regression and estimates of predicted probabilities were performed. RESULTS The prevalence of recommended levels of physical activity was 67.0% (95%CI 64.3-69.5). Physical activity was associated with age [odds ratio (OR) = 0.97; 95%CI 0.96-0.98], higher educational level (OR = 1.27; 95%CI 1.11-1.45 for 4-7 years and OR = 1.52; 95%CI 1.28-1.81 for eight years or more), participants who were married/ in a long term relationship (OR = 1.22; 95%CI 1.08-1.38), and those who reported knowledge about (OR = 1.34; 95%CI 1.16-1.54) or participation in (OR = 1.78; 95%CI 1.34-2.36) a program aimed at the practice of physical activity. Women and those with lower educational level (p value for interaction < 0.05) reported lower physical activity levels. CONCLUSIONS In addition to the association with marital status and health promotion programs, there were significant sex and educational level inequalities in physical activity decline later in life. These findings help the identification of groups more vulnerable to decreased physical activity levels with aging, as well as the planning of health promotion strategies, especially in older groups.
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Affiliation(s)
- Sérgio Viana Peixoto
- Fundação Oswaldo Cruz . Instituto René Rachou . Núcleo de Estudos em Saúde Pública e Envelhecimento . Belo Horizonte , MG , Brasil
- Fundação Oswaldo Cruz . Instituto René Rachou . Programa de Pós-Graduação em Saúde Coletiva . Belo Horizonte , MG , Brasil
- Universidade Federal de Minas Gerais . Escola de Enfermagem . Departamento de Enfermagem Aplicada . Belo Horizonte , MG , Brasil
| | - Juliana Vaz de Melo Mambrini
- Fundação Oswaldo Cruz . Instituto René Rachou . Núcleo de Estudos em Saúde Pública e Envelhecimento . Belo Horizonte , MG , Brasil
- Fundação Oswaldo Cruz . Instituto René Rachou . Programa de Pós-Graduação em Saúde Coletiva . Belo Horizonte , MG , Brasil
| | - Josélia Oliveira Araújo Firmo
- Fundação Oswaldo Cruz . Instituto René Rachou . Núcleo de Estudos em Saúde Pública e Envelhecimento . Belo Horizonte , MG , Brasil
- Fundação Oswaldo Cruz . Instituto René Rachou . Programa de Pós-Graduação em Saúde Coletiva . Belo Horizonte , MG , Brasil
| | - Antônio Ignácio de Loyola
- Fundação Oswaldo Cruz . Instituto René Rachou . Núcleo de Estudos em Saúde Pública e Envelhecimento . Belo Horizonte , MG , Brasil
- Fundação Oswaldo Cruz . Instituto René Rachou . Programa de Pós-Graduação em Saúde Coletiva . Belo Horizonte , MG , Brasil
- Universidade Federal de Minas Gerais . Escola de Enfermagem . Departamento de Enfermagem Aplicada . Belo Horizonte , MG , Brasil
| | - Paulo Roberto Borges de Souza
- Fundação Oswaldo Cruz . Instituto de Comunicação e Informação Científica e Tecnológica em Saúde . Rio de Janeiro , RJ , Brasil
| | - Fabíola Bof de Andrade
- Fundação Oswaldo Cruz . Instituto René Rachou . Núcleo de Estudos em Saúde Pública e Envelhecimento . Belo Horizonte , MG , Brasil
- Fundação Oswaldo Cruz . Instituto René Rachou . Programa de Pós-Graduação em Saúde Coletiva . Belo Horizonte , MG , Brasil
| | - Maria Fernanda Lima-Costa
- Fundação Oswaldo Cruz . Instituto René Rachou . Núcleo de Estudos em Saúde Pública e Envelhecimento . Belo Horizonte , MG , Brasil
- Fundação Oswaldo Cruz . Instituto René Rachou . Programa de Pós-Graduação em Saúde Coletiva . Belo Horizonte , MG , Brasil
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Nascimento CDM, Oliveira CD, Firmo JO, Lima-Costa MF, Peixoto SV. Prognostic value of disability on mortality: 15-year follow-up of the Bambuí cohort study of aging. Arch Gerontol Geriatr 2018; 74:112-117. [DOI: 10.1016/j.archger.2017.10.011] [Citation(s) in RCA: 15] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/22/2017] [Revised: 08/04/2017] [Accepted: 10/13/2017] [Indexed: 11/30/2022]
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11
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Santana JDO, Ramalho JRDO, Firmo JOA, Lima-Costa MF, Peixoto SV. [Physical activity and Framingham risk score in older adults: the Bambuí Health and Aging Study]. CAD SAUDE PUBLICA 2016; 31:2235-40. [PMID: 26735389 DOI: 10.1590/0102-311x00056915] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/10/2015] [Accepted: 08/27/2015] [Indexed: 11/21/2022] Open
Abstract
This study explored the association between energy expenditure during physical activity and the Framingham risk score in the elderly. This was a cross-sectional study with a sample of 1,473 older adults. The dependent variable was level of physical activity, estimated by the metabolic equivalents in tertiles. The exploratory variables were the components of the Framingham risk score and the Framingham risk score itself. The force of associations was estimated by odds ratios and confidence intervals using ordinal logistic regression. Higher physical activity was associated with lower Framingham risk score, younger age, lower proportion of diabetes, and higher mean HDL levels. Higher energy expenditure was also associated with lower odds of smoking in men. The findings suggest that the adoption of a physically active lifestyle can reduce coronary risk, and that the promotion of physical activity is a universal strategy to fight chronic noncommunicable diseases.
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Affiliation(s)
| | | | | | | | - Sérgio Viana Peixoto
- Escola de Enfermagem, Universidade Federal de Minas Gerais, Belo Horizonte, Brasil
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João TMS, Rodrigues RCM, Gallani MCBJ, Miura CTP, Domingues GDBL, Amireault S, Godin G. Validity of the Brazilian version of the Godin-Shephard Leisure-Time Physical Activity Questionnaire. CAD SAUDE PUBLICA 2015; 31:1825-38. [PMID: 26578007 DOI: 10.1590/0102-311x00189713] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2013] [Accepted: 07/06/2015] [Indexed: 11/22/2022] Open
Abstract
This study provides evidence of construct validity for the Brazilian version of the Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ), a 1-item instrument used among 236 participants referred for cardiopulmonary exercise testing. The Baecke Habitual Physical Activity Questionnaire (Baecke-HPA) was used to evaluate convergent and divergent validity. The self-reported measure of walking (QCAF) evaluated the convergent validity. Cardiorespiratory fitness assessed convergent validity by the Veterans Specific Activity Questionnaire (VSAQ), peak measured (VO2peak) and maximum predicted (VO2pred) oxygen uptake. Partial adjusted correlation coefficients between the GSLTPAQ, Baecke-HPA, QCAF, VO2pred and VSAQ provided evidence for convergent validity; while divergent validity was supported by the absence of correlations between the GSLTPAQ and the Occupational Physical Activity domain (Baecke-HPA). The GSLTPAQ presents level 3 of evidence of construct validity and may be useful to assess leisure-time physical activity among patients with cardiovascular disease and healthy individuals.
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Affiliation(s)
| | | | | | | | | | - Steve Amireault
- College of Health and Human Sciences, Purdue University, West Lafayette, U.S.A
| | - Gaston Godin
- Faculté des Sciences Infirmières, Université Laval, Québec, Canada
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13
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Ramalho JRO, Mambrini JVM, César CC, de Oliveira CM, Firmo JOA, Lima-Costa MF, Peixoto SV. Physical activity and all-cause mortality among older Brazilian adults: 11-year follow-up of the Bambuí Health and Aging Study. Clin Interv Aging 2015; 10:751-8. [PMID: 25931817 PMCID: PMC4404991 DOI: 10.2147/cia.s74569] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective To investigate the association between physical activity (eg, energy expenditure) and survival over 11 years of follow-up in a large representative community sample of older Brazilian adults with a low level of education. Furthermore, we assessed sex as a potential effect modifier of this association. Materials and methods A population-based prospective cohort study was conducted on all the ≥60-year-old residents in Bambuí city (Brazil). A total of 1,606 subjects (92.2% of the population) enrolled, and 1,378 (85.8%) were included in this study. Type, frequency, and duration of physical activity were assessed in the baseline survey questionnaire, and the metabolic equivalent task tertiles were estimated. The follow-up time was 11 years (1997–2007), and the end point was mortality. Deaths were reported by next of kin during the annual follow-up interview and ascertained through the Brazilian System of Information on Mortality, Brazilian Ministry of Health. Hazard ratios (95% confidence intervals [CIs]) were estimated by Cox proportional-hazard models, and potential confounders were considered. Results A statistically significant interaction (P<0.03) was found between sex and energy expenditure. Among older men, increases in levels of physical activity were associated with reduced mortality risk. The hazard ratios were 0.59 (95% CI 0.43–0.81) and 0.47 (95% CI 0.34–0.66) for the second and third tertiles, respectively. Among older women, there was no significant association between physical activity and mortality. Conclusion It was possible to observe the effect of physical activity in reducing mortality risk, and there was a significant interaction between sex and energy expenditure, which should be considered in the analysis of this association in different populations.
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Affiliation(s)
- Juciany R O Ramalho
- Rene Rachou Research Center, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | | | - Cibele C César
- Rene Rachou Research Center, Oswaldo Cruz Foundation, Belo Horizonte, Brazil ; Department of Statistics, Federal University of Minas Gerais, Belo Horizonte, Brazil
| | - César M de Oliveira
- Research Department of Epidemiology and Public Health, University College London, London, UK
| | - Josélia O A Firmo
- Rene Rachou Research Center, Oswaldo Cruz Foundation, Belo Horizonte, Brazil
| | | | - Sérgio V Peixoto
- Rene Rachou Research Center, Oswaldo Cruz Foundation, Belo Horizonte, Brazil ; Nursing School, Federal University of Minas Gerais, Belo Horizonte, Brazil
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Santos JPD, Lima-Costa MF, Peixoto SV. Aspectos nutricionais associados à infecção crônica pelo Trypanosoma cruzi (Chagas 1909) entre idosos: Projeto Bambuí. CAD SAUDE PUBLICA 2013. [DOI: 10.1590/s0102-311x2013000600011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
O objetivo do estudo foi verificar os aspectos nutricionais associados à infecção crônica pelo Trypanosoma cruzi entre os participantes da linha de base da coorte de idosos de Bambuí, Minas Gerais, Brasil. A análise incluiu 84,9% (1.479) de todos os residentes com 60 anos ou mais na cidade em 1997. A infecção pelo Tr. cruzi foi avaliada por três testes sorológicos e o perfil nutricional foi caracterizado por variáveis antropométricas e bioquímicas. As associações foram avaliadas pelas razões de prevalência e intervalos de 95% de confiança, utilizando a regressão de Poisson robusta e ajustando por potenciais fatores de confusão. A infecção foi observada em 38,1% dos idosos. Todas as variáveis antropométricas apresentaram associação significativa com a infecção, evidenciando menores valores entre os idosos com sorologia positiva. As variáveis bioquímicas não foram associadas ao evento estudado. Os resultados evidenciaram a concomitância da doença de Chagas crônica e pior estado nutricional nessa população, reforçando a importância da avaliação nutricional entre idosos com infecção crônica pelo Tr. cruzi.
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Affiliation(s)
| | | | - Sérgio Viana Peixoto
- Universidade Federal de Minas Gerais, Brasil; Universidade Federal de Minas Gerais, Brasil
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