| Abstract [eng] |
The aim of research work: to evaluate the relationship between body composition and functional capacity in frailty Task of work: 1. To evaluate the peculiarities of body composition and functional capacity of persons with frailty; 2. To determine the relationship between body composition and functional capacity in men and women with frailty; Materials and methods: A total of 71 eldery subjects aged 60 to 90 years with frailty (SIS – 3 points) participated in the study. An instantaneous study was performed in which patients treated at Vilnius city hospital were examined using the frailty questionnaire (according to criteria of L. P. Fried). The survey was conducted from March 2021 to February 2022. A questionnaire survey was used in the study. To assess body composition, we measured body weight, height, thickness of skin fat folds, body volume measurements, and hand strength. The Barthel index was used to assess independence, and Short Physical Performance Battery (TFFT), consisting of gait speed, ability to stand up from a chair, and maintaining balance in three positions, was used to assess functional capacity. Results: In the male group, a statistically significant moderate positive correlation was found between the strength of the two hands and the highest score with chest circumference (right arm r = 0,45; p = 0,020; left arm r = 0,45; p = 0,023; maximum score r = 0,48; p = 0,014). A moderately strong positive correlation was aslo found between the right hand force, the highest hand force score with the lumbar (right r = 0,47; p = 0,016; highest score r = 0,52; p = 0,007) and the hips (r = 0,42; p = 0,034; r = 0,44; p = 0,024). Fatty abdominal fold of skin is associated with both hand strength and maximum score (right hand r = 0,49; p = 0,011; left hand r = 0,40; p = 0,045; maximum score r = 0,43; p = 0,030), hip pleat thickness (right hand r = 0,57; p = 0,002; left hand r = 0,49; p = 0,012; highest score r = 0,58; p = 0,002) and maxillary sebaceous skin pleat thickness (respectively r = 0,42, p = 0,032; r = 0,39, p = 0,049). In the female group, statistically significant moderate positive associations were found between the independence and the following parts of the body: both arms (right r = 0,49; p = 0,001; left r = 0,46; p = 0,002) and the right thigh (right r = 0,40; p = 0,006). There were statistically significant weak positive associations between independence and chest (r = 0,31; p = 0,039), hips (r = 0,31; p = 0,041) and left thigh (r = 0,38; p = 0,010). Conclusions: 1. Assessing the body composition parameters of the eldery, it was found that man have a higher body mass index and women have a higher percentage of body fat. Mental condition, physical capacity and arm strength are better for men than women, but independence is better for women that men. 2. In the group of men, a moderate correlation was found between chest, lumbar and hip circumference and arm strength. Moderate-strength correlation between fatty folds of the mandibular, abdominal, and hip skin with hand force. In the female group, a moderate correlation was found between the chest, hip and thigh volumes of both arms with independence. |
