Association between chronic diseases and handgrip strength in older adults residents of Florianópolis – SC, Brazil

Confortin, Susana Cararo; Danielewicz, Ana Lúcia; Antes, Danielle Ledur; Ono, Lariane Mortean; d'Orsi, Eleonora; Barbosa, Aline Rodrigues

doi:10.1590/1413-81232018235.19742016

Susana Cararo Confortin

Departamento de Saúde Pública, Universidade Federal de Santa Catarina. RR. Delfino Conti S/N, Trindade. 88036-020. Florianópolis SC Brasil. susanaconfortin@gmail.com

Ana Lúcia Danielewicz

Departamento de Saúde Pública, Universidade Federal de Santa Catarina. RR. Delfino Conti S/N, Trindade. 88036-020. Florianópolis SC Brasil. susanaconfortin@gmail.com

Danielle Ledur Antes

Departamento de Saúde Pública, Universidade Federal de Santa Catarina. RR. Delfino Conti S/N, Trindade. 88036-020. Florianópolis SC Brasil. susanaconfortin@gmail.com

Lariane Mortean Ono

Departamento de Saúde Pública, Universidade Federal de Santa Catarina. RR. Delfino Conti S/N, Trindade. 88036-020. Florianópolis SC Brasil. susanaconfortin@gmail.com

Eleonora d'Orsi

Departamento de Saúde Pública, Universidade Federal de Santa Catarina. RR. Delfino Conti S/N, Trindade. 88036-020. Florianópolis SC Brasil. susanaconfortin@gmail.com

Aline Rodrigues Barbosa

Departamento de Educação Física, Universidade Federal de Santa Catarina. Florianópolis SC Brasil

Contributions

SC Confortin contributed substantially to the design, planning, data review and interpretation, drafting elaboration, critical review of the work and approval of the work's final version. DL Antes contributed to the design, planning, data review and interpretation, drafting elaboration, critical review of the work and approval of the work's final version. AL Danielewicz contributed to the design, data review and interpretation, critical review of content and approval of the work's final version. LM Ono contributed to the design, planning, data review and interpretation, critical review of content and approval of the work's final version. E d'Orsi contributed to the design, planning, data interpretation, critical review of content and approval of the work's final version. AR Barbosa contributed to the design, planning, data review and interpretation, critical review of content and approval of the work's final version.

Variables		Women		Men		p-value
Variables		n	Mean (SD)	n	Mean (SD)	p-value
Age		390	72.4(6.2)	209	72.1(6.5)	0.962
Body Mass Index (kg/m²)		389	28.6(5.5)	206	27.1(4.2)	0.748
Handgrip strength (Kg/f)		390	17.9(5.4)	209	29.3(8.7)	≤0.001
Number of chronic diseases		390	3.8(2.0)	206	2.8(1.90)	≤ 0.001
		n	%	n	%	p-value
Schooling (n=598)						≤ 0.001
	No schooling	26	6.2	15	5.6
	1 to 4 years	154	39.1	60	24.4
	5 to 8 years	72	18.4	35	20.3
	9 to 11 years	70	18.6	24	16.8
	≥ 12 years	67	17.8	75	32.9
Household arrangement (n =594)						≤ 0.001
	Living alone	104	28.8	22	10.7
	Living with someone	282	71.2	186	89.3
Smoking (n = 599)						≤ 0.001
	Never smoked	300	74.8	76	31.0
	Smoked and stopped smoking	67	19.5	112	58.5
	Currently smoking	23	5.6	21	10.5
Cognitive state (n = 596)						0.040
	Normal	297	75.3	171	84.2
	Probable cognitive impairment	90	24.8	38	15.9
Physical activity (n = 599)						0.027
	<150 minutes / week	169	57.3	102	45.8
	≥ 150 minutes / week	221	42.7	107	54.2
Functional disability (n = 596)						0.008
	None	116	32.1	100	48.0
	1 to 3	160	38.5	67	33.7
	4 and over	114	29.4	39	18.3
Falls in the last year (n = 599)						0.012
	No	260	66.2	160	75.7
	Yes	130	33.8	49	24.3
Arthritis / rheumatism / arthrosis (n = 599)						≤ 0.001
	No	218	57.0	161	76.6
	Yes	172	43.0	48	23.4
Bronchitis or asthma (n = 599)						0.294
	No	321	85.5	169	85.3
	Yes	69	14.5	30	14.7
Cancer (n = 599)						0.002
	No	357	90.2	174	83.7
	Yes	33	9.9	35	16.4
Depression (n = 599)						≤ 0.001
	No	247	65.6	174	86.2
	Yes	143	34.4	35	13.9
Diabetes (n = 599)						0.055
	No	284	73.3	167	80.7
	Yes	106	26.7	42	19.3
Coronary disease (n = 599)						0.042
	No	265	69.7	131	60.3
	Yes	125	30.3	78	39.8
Cerebrovascular disease (n=599)						0.013
	No	362	93.8	181	87.8
	Yes	28	6.2	28	12.2
Hypertension (n=599)						≤ 0.001
	No	119	31.4	91	45.5
	Yes	271	68.6	118	54.5
Chronic renal failure (n=599)						0.099
	No	381	98.2	199	96.1
	Yes	9	1.8	10	3.9
Osteoporosis (n=599)						≤ 0.001
No		263	68.9	201	96.1
Yes		127	31.1	8	3.9

Variables	Crude analysis		Model 1
Variables	β (CI95%)	P-value	β (CI95%)	P-value
Arthritis / rheumatism / arthrosis	-3.01 (-4.54; -1.49)	<0.001	-2.06 (-3.24;-0.88)	0.001
Bronchitis or asthma	1.23 (-0.60;3.10)	0.186	1.52 (0.06;2.98)	0.042
Cancer	1.25 (-1.70;4.20)	0.402	0.49 (-1.63;2.62)	0.644
Depression	-0.68 (-2.43;1.07)	0.443	-0.59 (-2.17;0.99)	0.460
Diabetes	-1.56 (-3.27;0.15)	0.074	-0.77 (-2.31;0.77)	0.322
Coronary disease	-0.88 (-2.34;0.59)	0.237	0.47 (-0.93;1.87)	0.506
Cerebrovascular disease	-2.22 (-4.24; -0.20)	0.032	0.00 (-1.93;1.94)	0.996
Hypertension	-1.36 (-2.86;0.14)	0.074	0.21 (-1.24;1.66)	0.774
Chronic renal failure	1.23 (-2.98;5.45)	0.562	2.50 (-0.94;5.94)	0.152
Osteoporosis	-2.78 (-4.32;-1.25)	0.001	-1.46 (-2.84;-0.73)	0.039
Falls in the last year	-0.94 (-2.53;0.66)	0.246	-1.10 (-2.39;0.18)	0.092
Variables	Model 2		Model 3
Variables	β (CI95%)	P-value	β (CI95%)	P-value
Arthritis / rheumatism / arthrosis	-1.45 (-2.63;-0.27)	0.017	-1.37 (-2.55;-0.20)	0.022
Bronchitis or asthma	1.57 (0.22;2.92)	0.016	1.61 (0.21;3.00)	0.024
Cancer	0.42 (-1.62;2.48)	0.683	0.19 (-1.70;2.08)	0.844
Depression	-0.65 (-2.08;0.77)	0.365	-0.47 (-1.86;0.91)	0.500
Diabetes	-0.04 (-1.65;1.56)	0.955	-0.25 (-1.72;1.22)	0.736
Coronary disease	0.61 (-0.87;2.09)	0.413	0.76 (-0.66;2.19)	0.291
Cerebrovascular disease	0.85 (-1.35;3.04)	0.445	0.68 (-1.52;2.88)	0.538
Hypertension	0.85 (-0.67;2.37)	0.268	0.67 (-0.75;2.09)	0.354
Chronic renal failure	2.08 (-1.27;5.44)	0.220	1.81 (-1.19;4.82)	0.233
Osteoporosis	-0.99 (-2.34;0.36)	0.148	-0.92 (-2.19;-0.36)	0.156
Falls in the last year	-0.59 (-1.81;0.63)	0.341	-0.56 (-1.85;0.72)	0.385

Variables	Crude analysis		Model 1
Variables	β (CI95%)	P-value	β (CI95%)	P-value
Arthritis / rheumatism / arthrosis	-1.30 (-4.89;2.30)	0.475	-0.86 (-3.74;2.02)	0.553
Bronchitis or asthma	-1.76 (-5.99;2.47)	0.410	-0.70 (-4.06;2.65)	0.677
Cancer	-1.32 (-5.86;3.22)	0.565	-1.73 (-5.82;2.35)	0.401
Depression	0.03 (-2.75;2.80)	0.985	0.75 (-2.21;3.72)	0.614
Diabetes	-4.29 (-7.60;-0.98)	0.012	-4.11 (-7.26;-0.97)	0.011
Coronary disease	-0.94 (-4.13;2.24)	0.558	-0.97 (-3.75;1.81)	0.489
Cerebrovascular disease	-4.67 (-7.72;-1.62)	0.003	-2.62 (-5.91;0.67)	0.117
Hypertension	-0.94 (-4.57;2.68)	0.606	1.19 (-2.10;4.49)	0.472
Chronic renal failure	-0.54 (-8.56;7.47)	0.893	1.10 (-4.02;6.22)	0.670
Osteoporosis	-3.30 (-10.31;3.70)	0.351	0.58 (-7.06;8.22)	0.880
Falls in the last year	-4.38 (-8.29;-0.46)	0.029	-3.65 (-7.35;0.04)	0.052
Variables	Model 2		Model 3
Variables	β (IC95%)	P-value	β (IC95%)	P-value
Arthritis / rheumatism / arthrosis	-0.49 (-3.26;2.27)	0.725	-1.32 (-4.04;1.41)	0.141
Bronchitis or asthma	0.29 (-2.72;3.31)	0.848	-0.99 (-3.98;2.00)	0.512
Cancer	-0.62 (-4.33;3.09)	0.741	-0.03 (-3.50;3.45)	0.987
Depression	-1.92 (-1.01;4.85)	0.195	1.85 (-1.03;4.73)	0.205
Diabetes	-3.73 (-6.54;-0.93)	0.010	-3.78 (-6.51;-1.05)	0.007
Coronary disease	-1.57 (-3.98;0.84)	0.199	-1.42 (-3.78;0.96)	0.240
Cerebrovascular disease	-0.62 (-4.51;3.27)	0.752	-0.28 (-3.93;3.37)	0.879
Hypertension	1.58 (-1.48;4.64)	0.308	2.34 (-0.54;5.21)	0.110
Chronic renal failure	2.41 (-2.76;7.58)	0.356	1.72 (-3.09;6.53)	0.479
Osteoporosis	1.43 (-4.52;7.37)	0.634	1.66 (-4.31;7.62)	0.582
Falls in the last year	-1.89 (-4.80;0.10)	0.199	-1.83 (-5.06;1.40)	0.263

Morbidity	Women		Men
Morbidity	Mean	CI95%	Mean	CI95%
0	26.95	24.35-29.55	28.05	25.77-30.33
1	24.92	23.76-26.08	27.55	26.55-28.54
2	23.31	22.30-24.32	25.41	24.32-26.51
3	20.87	19.57-22.17	23.85	22.46-25.25
4	19.01	18.05-19.96	21.25	19.47-23.03
5	19.28	18.27-20.29	20.57	18.07-23.06
6	17.87	16.47-19.27	20.66	18.72-22.60
7	15.59	14.19-16.99	19.46	15.95-22.96
8	15.54	12.96-18.12	11.67	-
9	13.71	7.85-19.56	-	-

[1] Contributions

SC Confortin contributed substantially to the design, planning, data review and interpretation, drafting elaboration, critical review of the work and approval of the work's final version. DL Antes contributed to the design, planning, data review and interpretation, drafting elaboration, critical review of the work and approval of the work's final version. AL Danielewicz contributed to the design, data review and interpretation, critical review of content and approval of the work's final version. LM Ono contributed to the design, planning, data review and interpretation, critical review of content and approval of the work's final version. E d'Orsi contributed to the design, planning, data interpretation, critical review of content and approval of the work's final version. AR Barbosa contributed to the design, planning, data review and interpretation, critical review of content and approval of the work's final version.

Brasil

Brasil

Association between chronic diseases and handgrip strength in older adults residents of Florianópolis – SC, Brazil

Abstract