Retos: Nuevas Tendencias en Educación Física, Deportes y Recreación (Apr 2025)

Functional autonomy, bone mineral density and risk of falls in older women with two distinct body composition profiles

  • Lucio Flávio Gomes Ribeiro da Costa,
  • Elizabeth Carvalho Lugão,
  • Karollyni Bastos Andrade Dantas,
  • Matthew T Corey,
  • Rodrigo Gomes de Souza Vale,
  • Claudia Moura Melo,
  • Estelio Henrique Martin Dantas

Journal volume & issue
Vol. 66

Abstract

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Objetive: Evaluate the functional autonomy, bone mineral density and risk of falling in older women of two different body composition profiles. Methods: The study was carried out as a correlational study with a quantitative analytical approach. The older women participants (n=114) were submitted to a diagnostic evaluation, consisting of: Functional Autonomy (FA) assessment GDLAM protocol; Bone Mineral Density (BMD) and Body Composition (BC) - tested by bone densitometry by means of dual X-ray emission (DXA) and the Risk of falls was used the Falls Risk Assessment Battery (BARQ). Results: 114 older women were evaluated ( = 66.7 ± 6.27 years), distributed into two groups according to Body Mass Index (BMI), being normal body composition group NBC (n=39; up to 24.9 kg/m2) and overweight and obese (OO) (n=75; ≥ 25 kg/m2). The overall group studied is in overweight nutritional status ( =27.23 ± 4.5 kg/m2). For FA, the studied group obtained a predominance of the classification "regular" preceded by "good", a total of 63.2% of the participants, with the best result for the group NBC presenting GDLAM index (GI) ( = 29.45 ± 4.14). The Mann-Whitney test showed a significant result only with the standing up from prone position (RPP) test for the obese and overweight (OO) group when compared to the NBC group ( % = 12,81; p=0.027). For BMD a significant result was found for the femoral neck region (BMDNF) (Δ% = 5,88; p=0.047) and significant correlation of the 10-meter walk test (C10m) with the Index of Fall Risk (IRQ) (rho = -0.191; p=0.042). Conclusions: The results allow us to conclude that older women participating in the study, from the OO, present better results in the prone position elevation test (RPP) and in the femoral neck BMD, probably due to the higher body mass, since the BMI does not differentiate fat mass from lean mass

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