Publications by authors named "Dalmo R L Machado"

Article Synopsis
  • The study aimed to explore how low handgrip strength (HGS) relates to the risk of falls in middle-aged and older adults, analyzing data from the Brazilian Longitudinal Study of Aging.
  • It involved 8,112 participants aged 50 to 105, revealing that 21.5% experienced at least one fall and that HGS declines steadily with age.
  • The findings indicate that low HGS significantly contributes to fall risk in individuals through their 50s and continues to be an important factor until the 80s, even when accounting for other health variables.
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Article Synopsis
  • The study aimed to investigate the link between low self-reported sleep quality (LSQ) and the occurrence of falls in middle-aged and older adults, using data from a nationally representative Brazilian study.
  • It included 8,950 participants aged 50 and older, revealing that 21.5% had experienced at least one fall, and found a significant association between LSQ and falls in younger age groups (up to 84 years old).
  • The results suggest that while LSQ is linked to a higher fall risk in adults over 50, this association does not hold for those aged 85 and older.
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  • This study focused on creating predictive models for fat mass ratio (FMR) in individuals living with HIV, using various body measurement techniques to assess body composition.
  • A total of 106 Brazilian participants were evaluated, and six models were developed with varying effectiveness in predicting FMR based on different health-related and anthropometric factors.
  • The most effective model combined several measurements and showed strong agreement with traditional methods, improving the understanding of body composition and potential lipodystrophy diagnosis in people with HIV.
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This study investigated the associations of sarcopenic obesity (SO) with muscle strength and physical performance in sufficiently active older adults. Data from 72 older sarcopenic obese adults classified as sufficiently active were analyzed. Participants were categorized into four groups based on sex and SO status.

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Regular physical activity is vital for the health and disease prevention of older adults. Outdoor fitness equipment has gained popularity for natural exercise spaces among middle-aged and older individuals. This narrative review demonstrates that these programs have the potential to improve cardiovascular health, muscle strength, flexibility, balance, and reduce falls, while also enhancing quality of life, alleviating depression and anxiety, and boosting self-esteem.

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Background: Bioelectrical impedance analysis (BIA) is a technique widely used for estimating body composition and health-related parameters. The technology is relatively simple, quick, and non-invasive, and is currently used globally in diverse settings, including private clinicians' offices, sports and health clubs, and hospitals, and across a spectrum of age, body weight, and disease states. BIA parameters can be used to estimate body composition (fat, fat-free mass, total-body water and its compartments).

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Background: Sarcopenic obesity (SO) is a clinical and functional disease characterized by the coexistence of obesity and sarcopenia. Resistance training (RT) characteristics for older adults with sarcopenia or obesity are already well established in the scientific literature. Nonetheless, we still do not know how detailed the RT protocols are described for older adults with SO.

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Background: Handgrip strength (HGS) is a well-established clinical biomarker that assesses functional capacity in older populations. In addition, HGS is a diagnostic tool that forecasts aging health conditions, such as sarcopenia.

Aims: This paper provides HGS statistical tolerance regions and presents the need to establish HGS reference values according to patients' characteristics.

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Introduction: The time spent in different physical activity (PA) intensities is associated with sarcopenia risk for community-dwelling older women.

Aim: To evaluate the role of sitting time and physical activity (PA) level as predictors of sarcopenia odds.

Methods: In a cross-sectional study, physically independent older women (n = 67) performed the six-minute walk test to identify functional limitation (≤ 400 m).

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People living with HIV (PWH) experience an accelerated aging process. There is no anthropometric predictive model for appendicular skeletal muscle mass (ASM) in PWH. This study develops anthropometric models to predict and validate ASM measured by dual energy x-ray absorptiometry (DXA) in PWH; DXA scans were obtained for 125 PWH (male = 74; age >18 years) on antiretroviral therapy.

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This study examined the potential impact of BMI on physical function and lower-extremity muscle strength (leg extension and flexion peak torque) performance in active/trained older individuals. Sixty-four active/trained older individuals were enrolled, and later allocated to groups according to BMI categories (normal [≤ 24.9 kg/m], overweight [25 to 29.

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Introduction: food type represents higher odds of having obesity (OB), especially in overweight (OW) subjects. Minimally and ultra-processed foods can be associated with the odds of having OB in OW subjects. Objective: to investigate the association of minimally and ultra-processed food consumption with OB in OW adults.

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Background: During aging, changes occur in the proportions of muscle, fat, and bone. Body composition (BC) alterations have a great impact on health, quality of life, and functional capacity. Several equations to predict BC using anthropometric measurements have been developed from a bi-compartmental (2-C) approach that determines only fat mass (FM) and fat-free mass (FFM).

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Background: Handgrip strength (HGS) asymmetry is associated with slow gait speed. Both mark muscle dysfunction, potential risk of falls, and adverse health outcomes. This association was found in older adults from high-income countries, but not yet studied in low- and middle-income countries.

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The regular practice of physical activity helps in the prevention and control of several non-communicable diseases. However, evidence on the role of physical activity in mitigating worsening clinical outcomes in people with COVID-19 is still unclear. The aim of this study was to verify whether different levels of physical activity provide protection for clinical outcomes caused by SARS-CoV-2 infection.

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People living with HIV (PWH) experience an accelerated reduction in bone mineral content (BMC), and a high risk of osteopenia and osteoporosis. Anthropometry is an accurate and low-cost method that can be used to monitor changes in body composition in PWH. To date, no studies have used anthropometry to estimate BMC in PWH.

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Background: Identifying muscle weakness is challenging, because the reduction of strength with aging does not depend only on sarcopenia, but also on sensorimotor deficits. Nevertheless, this identification is improved by adjusting muscle strength allometrically, by removing the influence of body size. However, the effectiveness of foreign models to normalize these (dys)functionalities is not yet tested.

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Article Synopsis
  • The study investigates the use of bioelectrical impedance vector analysis (BIVA) to assess body composition, hydration, and physical performance in older adults, particularly focusing on those with sarcopenia (muscle loss condition).
  • It involved 94 older adults (ages 60-85) and found that both classic and specific BIVA effectively identified sarcopenia in women, but had limitations with men; classic BIVA was more reliable in distinguishing muscle index and performance.
  • The findings suggest that classic BIVA is a valuable tool for monitoring risks related to sarcopenia in older adults, especially for female subjects, while specific BIVA showed less distinction.
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Background: The risk of falling increases with neuromusculoskeletal and cognitive changes resulting from aging. Physical exercise shows beneficial effects on the risk of falling, but the results are unknown when associated with cognitive activity dual-task (DT).

Objective: The objective of the study was to evaluate the impacts of the Otago Exercise Program (OEP) plus DT cognitive activity on the risk of falling in older adults.

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Background: Although home confinement reduces the number of SARS-CoV-2 infections, it may negatively impact the psychological and physical health of older adults.

Objective: The present study attempted to describe the quality of life (QoL) of older adults before and during the COVID-19 outbreak, focusing on evaluating QoL, physical activity, sitting time, and sleep quality during home confinement.

Methods: The present study was conducted in 1,063 older adults (91 % females) enrolled in a Brazilian social program.

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Objectives: Absolute handgrip strength and adjusted by body mass index are useful to identify age-related conditions. However, these values are not accurate for older adults with extreme body size because of the nonlinear relationship between strength, height, and body mass. The purpose of this study was to determine cut-off points for age-related conditions of older adults using allometric coefficients to normalize grip strength by body size.

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Background: To propose cut-off points for older adults' weakness for upper and lower limbs muscle strength normalized by body size with the ratio standard/muscle quality and allometric scaling.

Methods: Ninety-four community-dwelling older adults (69.1% women) were assessed for 49 body-size variables (anthropometry, body composition and body indexes), handgrip strength (HGS), one maximum repetition measurement for knee extensors (1RM), isokinetic knee extension peak torque at 60°/s (PT), and six-minute walk test (6MWT).

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Reduced levels of children's physical activity (PA) and fundamental motor skills (FMS) along with increased sedentary behaviors have been observed in recent years. Yet, associations between these variables are not yet well established. This study aimed to observe the associations between FMS, PA and sedentary time in elementary school children.

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Introduction: functional limitation is a result of sarcopenia and is associated with loss of skeletal muscle mass (SMM). Cost-effective methods are important for the identification of sarcopenia. Objective: to propose cutoff points for normalized calf circumference (CC) in order to identify low SMM in older women based on their functional limitation.

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Introduction: the estimation of appendicular lean soft tissue by DXA (ALSTDXA) is one of the criteria for the diagnosis of sarcopenia. However, this method is expensive and not readily avaiable in clinical practice. Anthropometric equations are low-cost and able to accurate predict ALST, but such equations have not been validated for male Brazilian older adults between the ages of 60 to 79 years.

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