Sociodemographic and nutritional factors associated with physical performance in community-dwelling older adults
DOI:
https://doi.org/10.47197/retos.v75.117677Keywords:
Nutritional status, older adult, physical performanceAbstract
Introduction: The increase in the older adult population has posed significant challenges for public health, particularly regarding physical functionality and quality of life.
Objective: To identify the sociodemographic and nutritional factors associated with physical performance in community-dwelling older adults.
Methodology: An observational, correlational, and cross-sectional study was conducted with a sample of 117 older adults. A sociodemographic survey was applied, including variables such as age, sex, and educational level, along with the assessment of nutritional status through body mass index and waist circumference. Physical performance was evaluated using the Short physical performance battery. Descriptive analyses and non-parametric tests were performed, with statistical significance set at p < 0.05.
Results: A total of 76.1% of participants showed moderate to good physical performance. No significant associations were found between physical performance and age (p = 0.633), body mass index (p = 0.243), or waist circumference (p = 0.470). Likewise, no statistically significant differences were found according to educational level (p = 0.223) or sex (p = 0.071).
Discussion: Unlike previous studies that identified significant associations with nutritional or educational variables, these findings suggested a multifactorial influence not solely explained by those factors.
Conclusions: Although most participants exhibited adequate physical performance, it is necessary to consider other functional and contextual factors to fully understand healthy aging.
References
Abizanda, P., Romero, L., Sánchez-Jurado, P. M., Martínez-Reig, M., Gómez-Arnedo, L., & Alfonso-Silguero, S. (2012). Frailty and mortality, disability and mobility loss in a Spanish cohort of old-er adults: The FRADEA study. Maturitas, 74(1), 54–60. https://doi.org/10.1016/j.maturitas.2012.09.018
Almeida dos Santos, A. D., Porto Sabino Pinho, C., Santos do Nascimento, A. C., & Oliveira Costa, A. C. (2016). Sarcopenia en pacientes ancianos atendidos ambulatoriamente: Prevalencia y factores asociados. Nutrición Hospitalaria, 33(2), 255–262. https://scielo.isciii.es/scielo.php?pid=S0212-16112016000200011&script=sci_arttext
Asociación Médica Mundial. (2024). Declaración de Helsinki de la AMM – Principios éticos para las in-vestigaciones médicas con participantes humanos (75ª Asamblea General, Helsinki, Finlandia). https://www.wma.net/es/policies-post/declaracion-de-helsinki-de-la-amm-principios-eticos-para-las-investigaciones-medicas-en-seres-humanos/
Barbat-Artigas, S., Rolland, Y., Zamboni, M., & Aubertin-Leheudre, M. (2012). How to assess functional status: a new muscle quality index. The Journal of Nutrition, Health & Aging, 16(1), 67–77. https://doi.org/10.1007/s12603-012-0004-5
Bordbar, S., Ahmadinejad, P., & Bahmaei, J. (2025). Examining the severity of disability and vulnerabil-ity among older adults and its impact on elder abuse: A cross-sectional study. Scientific Reports, 15, 16999. https://doi.org/10.1038/s41598-025-02049-0
Cesari, M., Kritchevsky, S. B., Penninx, B. W. J. H., Nicklas, B. J., Simonsick, E. M., Newman, A. B., ... & Pa-hor, M. (2005). Prognostic value of usual gait speed in well-functioning older people—Results from the Health, Aging and Body Composition Study. Journal of the American Geriatrics Society, 53(10), 1675–1680. https://doi.org/10.1111/j.1532-5415.2005.53501.x
Davis, M. R., Lee, C. S., Corcoran, A., Gupta, N., Uchmanowicz, I., & Denfeld, Q. E. (2021). Gender differ-ences in the prevalence of frailty in heart failure: A systematic review and meta‑analysis. Inter-national Journal of Cardiology, 333, 133–140. https://doi.org/10.1016/j.ijcard.2021.02.062
Fielding, R. A., Rejeski, W. J., Blair, S., Church, T., Espeland, M. A., Gill, T. M., Guralnik, J. M., Hsu, F.-C., Kat-ula, J., King, A. C., Kritchevsky, S. B., McDermott, M. M., Miller, M. E., Nayfield, S., Newman, A. B., Williamson, J. D., Bonds, D., Romashkan, S., Hadley, E., & Pahor, M. (2011). The Lifestyle Inter-ventions and Independence for Elders study: Design and methods. The Journals of Gerontology: Series A, 66(11), 1226–1237. https://doi.org/10.1093/gerona/glr123
Freiberger, E., de Vreede, P., Schoene, D., Rydwik, E., Mueller, V., Frändin, K., & Hopman-Rock, M. (2012). Performance-based physical function in older community-dwelling persons: A system-atic review of instruments. Age and Ageing, 41(6), 712–721. https://doi.org/10.1093/ageing/afs099
Fried, L. P., Tangen, C. M., Walston, J., Newman, A. B., Hirsch, C., Gottdiener, J., … McBurnie, M. A. (2001). Frailty in older adults: Evidence for a phenotype. Journal of Gerontology: Series A, 56(3), M146–M156. https://doi.org/10.1093/gerona/56.3.M146
Gómez, J., Curcio, C., Alvarado, B., Zunzunegui, M., & Guralnik, J. (2013). Validity and reliability of the Short Physical Performance Battery (SPPB): A pilot study on mobility in the Colombian Andes. Colombian Medical, 44(3), 165–171. http://www.scielo.org.co/scielo.php?pid=S1657-95342013000300006&script=sci_arttext
Guralnik, J. M., Simonsick, E. M., Ferrucci, L., Glynn, R. J., Berkman, L. F., Blazer, D. G., ... & Wallace, R. B. (1994). A Short Physical Performance Battery assessing lower extremity function: Association with self-reported disability and prediction of mortality and nursing home admission. Journal of Gerontology, 49(2), M85–M94. https://doi.org/10.1093/geronj/49.2.M85
Guralnik, J. M., Ferrucci, L., Simonsick, E. M., Salive, M. E., & Wallace, R. B. (1995). Lower-extremity function in persons over the age of 70 years as a predictor of subsequent disability. The New England Journal of Medicine, 332(9), 556–561. https://www.nejm.org/doi/full/10.1056/NEJM199503023320902
Kim, S., Leng, X. I., & Kritchevsky, S. B. (2017). Body composition and physical function in older adults with various comorbidities. Innovation in Aging, 1(1), igx008. https://doi.org/10.1093/geroni/igx008
Maresova, P., Krejcar, O., Maskuriy, R., Abu Bakar, N. A., Selamat, A., Truhlarova, Z., … Vítkova, L. (2023). Challenges and opportunity in mobility among older adults – key determinant identification. BMC Geriatrics, 23, 447. https://doi.org/10.1186/s12877-023-04106-7
Marfell-Jones, M., Stewart, A. D., & de Ridder, J. H. (2012). International Society for the Advancement of Kinanthropometry. https://repository.openpolytechnic.ac.nz/handle/11072/1510
Martínez, J., & Ortiz, M. (2013). Manual básico para estudios de salud pública, nutrición comunitaria y epidemiología nutricional. Universidad de Alicante. https://rua.ua.es/dspace/bitstream/10045/28100/1/Martinez_y_Ortiz_ANTROPOMETRIA_manual_basico_SP_NC_y_Epi_2013.pdf
Medina, R., Sanjuan, J., Concha, Y., Murcia, L. A., Medina Cabrera, M. M., & Polanía, H. A. (2015). Estado nutricional y capacidad funcional en la unidad de crónicos del Hospital Universitario de Neiva. Revista Facultad de Salud, 7(2), 35–40. https://journalusco.edu.co/index.php/rfs/article/view/953
Melsæter, K. N., Tangen, G. G., Skjellegrind, H. K., Vereijken, B., Strand, B. H., Thingstad, P., et al. (2022). Physical performance in older age by sex and educational level: The HUNT Study. BMC Geria-trics, 22, 821. https://doi.org/10.1186/s12877-022-03528-z
Ministerio de Salud. (1993). Resolución 8430 de 1993: Por la cual se establecen las normas científicas, técnicas y administrativas para la investigación en salud. https://www.minsalud.gov.co/Normatividad_Nuevo/Resolucion%208430%20de%201993.pdf
Ministerio de Salud y Protección Social. (2016). Resolución No. 2465 del 14 de junio de 2016. https://www.icbf.gov.co/sites/default/files/resolucion_no._2465_del_14_de_junio_de_2016.pdf
Norman, K., Haß, U., Pirlich, M., & Guest, J. F. (2021). Malnutrition in older adults—Recent advances and remaining challenges. Nutrients, 13(8), 2764. https://doi.org/10.3390/nu13082764
Organización Mundial de la Salud (OMS). (2022). Envejecimiento y salud. https://www.who.int/news-room/fact-sheets/detail/ageing-and-health
Pahor, M., Guralnik, J. M., Ambrosius, W. T., Blair, S., Bonds, D. E., Church, T. S., ... & Kritchevsky, S. B. (2014). Effect of structured physical activity on prevention of major mobility disability in older adults: The LIFE study randomized clinical trial. JAMA, 311(23), 2387–2396. https://doi.org/10.1001/jama.2014.5616
Palicio Martínez, C. (2018). Valoración funcional del anciano en atención primaria mediante el test SPPB. Revista Española de Geriatría y Gerontología, 53(1), 54–60. https://www.elsevier.es/es-revista-revista-espanola-geriatria-gerontologia-124-articulo-valoracion-funcional-del-anciano-atencion-S0211139X17301300
Paterson, D. H., & Warburton, D. E. (2010). Physical activity and functional limitations in older adults: A systematic review related to Canada's Physical Activity Guidelines. The International Journal of Behavioral Nutrition and Physical Activity, 7(1), 38. https://doi.org/10.1186/1479-5868-7-38
Pavasini, R., Guralnik, J., Brown, J. C., di Bari, M., Cesari, M., Landi, F., Vaes, B., Legrand, D., Verghese, J., Wang, C., Stenholm, S., Ferrucci, L., Lai, J. C., Arnau Bartes, A., Espaulella, J., Ferrer, M., Lim, J.-Y., Ensrud, K. E., Cawthon, P., … Volpato, S. (2016). Short Physical Performance Battery and all cause mortality: systematic review and meta analysis. BMC Medicine, 14, 215. https://doi.org/10.1186/s12916-016-0763-7
Rodrigues, F., Domingos, C., Monteiro, D., & Morouço, P. (2022). A review on aging, sarcopenia, falls, and resistance training in community-dwelling older adults. International Journal of Environmental Research and Public Health, 19(2), 874. https://doi.org/10.3390/ijerph19020874
Sallinen, J., Stenholm, S., Rantanen, T., Heliövaara, M., Sainio, P., & Koskinen, S. (2010). Hand‐grip strength cut points to screen older persons at risk for mobility limitation. Journal of the Ameri-can Geriatrics Society, 58(9), 1721-1726. https://doi.org/10.1111/j.1532-5415.2010.03035.x
Shafran, I., Krakauer, N. Y., Krakauer, J. C., Goshen, A., & Gerber, Y. (2024). The predictive ability of ABSI compared to BMI for mortality and frailty among older adults. Frontiers in Nutrition, 11. https://doi.org/10.3389/fnut.2024.1305330
Sialino, L. D., Schaap, L. A., van Oostrom, S. H., Nooyens, A. C. J., Picavet, H. S. J., Twisk, J. W. R., Verschuren, W. M. M., Visser, M., & Wijnhoven, H. A. H. (2019). Sex differences in physical per-formance by age, educational level, ethnic groups and birth cohort: The Longitudinal Aging Study Amsterdam. PLOS ONE, 14(12), e0226342. https://doi.org/10.1371/journal.pone.0226342
Sposito, G., Diogo, M. J. E., Cintra, F. A., Neri, A. L., Guariento, M. E., & De Sousa, M. L. (2010). Relações entre o bem-estar subjetivo e a funcionalidade em idosos em seguimento ambulatorial. Brazili-an Journal of Physical Therapy, 14, 81-89. https://doi.org/10.1590/S1413-35552010000100013
Studenski, S., Perera, S., Patel, K., Rosano, C., Faulkner, K., Inzitari, M., … Guralnik, J. (2011). Gait speed and survival in older adults. JAMA, 305(1), 50–58. https://doi.org/10.1001/jama.2010.1923
Treacy, D., & Hassett, L. (2018). The short physical performance battery. Journal of Physiotherapy, 64(1), 61. https://doi.org/10.1016/j.jphys.2017.04.002
Uchai, S., Andersen, L. F., Hopstock, L. A., & Hjartåker, A. (2023). Body mass index, waist circumference and pre-frailty/frailty: the Tromsø study 1994–2016. BMJ Open, 13(1), e065707. https://doi.org/10.1136/bmjopen-2022-065707
Vagetti, G. C., Barbosa Filho, V. C., Moreira, N. B., de Oliveira, V., Mazzardo, O., & Campos, W. (2017). As-sociation between physical activity and quality of life in the elderly: A systematic review, 2000–2012. Revista Brasileira de Psiquiatria, 36(1), 76–88. https://doi.org/10.1590/1516-4446-2012-0895
Wang, L.-Y., Hu, Z.-Y., Chen, H.-X., Zhu, H., Zhou, C.-F., Zhang, R.-X., Tang, M.-L., & Hu, X.-Y. (2025). Sys-tematic review of longitudinal studies on daily health behavior and activity of daily living among older adults. Frontiers in Public Health, 13, 1419279. https://doi.org/10.3389/fpubh.2025.1419279
Western, M. J., & Malkowski, O. S. (2022). Associations of the Short Physical Performance Battery (SPPB) with adverse health outcomes in older adults: A 14-year follow-up from the English Longitudinal Study of Ageing (ELSA). International Journal of Environmental Research and Public Health, 19(23), 16319. https://doi.org/10.3390/ijerph192316319
Zunzunegui, M. V., Alvarado, B. E., Guerra, R., Gómez, J. F., & Ylli, A. (2015). The mobility gap between older men and women: The embodiment of gender. Archives of Gerontology and Geriatrics, 63, 126–133. https://doi.org/10.1016/j.archger.2015.06.005
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