Correlación entre la caminata de 6 minutos y la batería corta de rendimiento físico (SPPB) como estándar diagnóstico del criterio de rendimiento muscular en sarcopenia para pacientes mayores de 50 años de la comunidad
dc.contributor.advisor | Povea Combariza, Camilo Ernesto | spa |
dc.contributor.advisor | Argothy Bucheli, Rodrigo Esteban | spa |
dc.contributor.author | Valero Orjuela, Oscar Leonardo | spa |
dc.contributor.cvlac | Oscar Leonardo Valero Orjuela [1010232646] | spa |
dc.contributor.orcid | Oscar Leonardo Valero Orjuela [0009-0000-8514-2929] | spa |
dc.contributor.subjectmatterexpert | González Caicedo, Paula Andrea | spa |
dc.coverage.city | Bogotá | spa |
dc.coverage.country | Colombia | spa |
dc.date.accessioned | 2025-03-04T16:07:08Z | |
dc.date.available | 2025-03-04T16:07:08Z | |
dc.date.issued | 2025 | |
dc.description | ilustraciones, tablas | spa |
dc.description.abstract | La sarcopenia es un síndrome caracterizado por la reducción de la masa muscular, la disminución de la fuerza y el deterioro del rendimiento físico. Afecta entre el 5 % y el 13 % de los adultos de 60 a 80 años, y entre el 11 % y el 50 % de los mayores de 80 años. La falta de acuerdo entre los consensos actuales dificulta su identificación y conduce a un subdiagnóstico en la práctica médica diaria. Por ello, es fundamental evaluar la correlación entre las pruebas utilizadas en cada esfera diagnóstica para determinar su aplicabilidad, en la presente investigación se realizó con la esfera de rendimiento muscular. Metodología: Se realizó un estudio descriptivo transversal con 87 adultos de entre 50 y 91 años, evaluados en el laboratorio de fisiología del ejercicio de la Universidad Nacional de Colombia. Se analizaron el rendimiento muscular (medido mediante el SPPB y la velocidad de la caminata de 6 minutos, 6MWT), la masa muscular apendicular y la fuerza de agarre, a fin de diagnosticar sarcopenia. El objetivo principal fue determinar la correlación entre la velocidad de la 6MWT y el puntaje del SPPB. Estadística: La normalidad de los datos se evaluó con la prueba de Shapiro-Wilk. Las variables cualitativas se describieron en frecuencias absolutas y relativas. La correlación entre el SPPB y la caminata de 6 minutos se analizó con la prueba de Spearman, y se calcularon los percentiles de los resultados de ambas pruebas. Resultados: Se encontró una correlación positiva moderadamente fuerte entre el SPPB y la velocidad de la caminata ( r=0.716;p<0.05). Los puntos de corte de ambas pruebas se ubicaron en percentiles diferentes: en la caminata de 6 minutos ( ≤ 0.8 m/s y < 1 m/s) entre los percentiles 1 y 5, mientras que en la SPPB ( ≤ 8 y ≤ 9) entre los percentiles 10 y 25. La prevalencia de sarcopenia en la muestra fue del 18.9 %, siendo más frecuente en mujeres, personas mayores y físicamente inactivas.Discusión y conclusiones: La correlación positiva moderadamente fuerte entre la caminata de 6 minutos y el SPPB, similar al rango de 0.61 a 0.75 reportado en la literatura, sugiere que ambas pruebas son válidas para evaluar el rendimiento muscular. Sin embargo, las diferencias en los puntos de corte en términos de percentiles resaltan la necesidad de ajustar al alza el punto de corte de la caminata de 6 minutos para mejorar su equivalencia diagnóstica (Texto tomado de la fuente). | spa |
dc.description.abstract | Sarcopenia is a syndrome characterized by reduced muscle mass, decreased strength, and impaired physical performance. It affects between 5% and 13% of adults aged 60 to 80 years, and between 11% and 50% of those over 80 years. The lack of agreement between current consensus makes its identification difficult and leads to underdiagnosis in daily medical practice. Therefore, it is essential to evaluate the correlation between the tests used in each diagnostic area to determine their applicability, in the present research it was carried out with the muscle performance sphere. Methodology: A descriptive cross-sectional study was conducted with 87 adults aged between 50 and 91 years, evaluated in the exercise physiology laboratory of the National University of Colombia. Muscle performance (measured by the SPPB and 6-minute walk speed, 6MWT), appendicular muscle mass, and grip strength were analyzed to diagnose sarcopenia. The primary objective was to determine the correlation between 6MWT speed and SPPB score. Statistics: Data normality was assessed using the Shapiro-Wilk test. Qualitative variables were described in absolute and relative frequencies. The correlation between SPPB and 6-minute walk was analyzed using the Spearman test, and percentiles of the results of both tests were calculated. Results: A moderately strong positive correlation was found between SPPB and walking speed (r=0.716; p<0.05). The cut-off points of both tests were located at different percentiles: in the 6-minute walk (≤ 0.8 m/s and < 1 m/s) between the 1st and 5th percentiles, while in the SPPB (≤ 8 and ≤ 9) between the 10th and 25th percentiles. The prevalence of sarcopenia in the sample was 18.9%, being more frequent in women, older people and physically inactive people. Discussion and conclusions: The moderately strong positive correlation between the 6-minute walk and the SPPB, similar to the range of 0.61 to 0.75 reported in the literature, suggests that both tests are valid to assess muscle performance. However, the differences in the cut-off points in terms of percentiles highlight the need to adjust the cut-off point of the 6-minute walk upwards to improve its diagnostic equivalence. | eng |
dc.description.degreelevel | Especialidades Médicas | spa |
dc.description.degreename | Especialista en Medicina del Deporte. | spa |
dc.description.methods | Se realizó un estudio descriptivo transversal con 87 adultos de entre 50 y 91 años, evaluados en el laboratorio de fisiología del ejercicio de la Universidad Nacional de Colombia. Se analizaron el rendimiento muscular (medido mediante el SPPB y la velocidad de la caminata de 6 minutos, 6MWT), la masa muscular apendicular y la fuerza de agarre, a fin de diagnosticar sarcopenia. El objetivo principal fue determinar la correlación entre la velocidad de la 6MWT y el puntaje del SPPB. | spa |
dc.description.researcharea | Salud pública y prevención | spa |
dc.format.extent | 75 páginas | spa |
dc.format.mimetype | application/pdf | spa |
dc.identifier.instname | Universidad Nacional de Colombia | spa |
dc.identifier.reponame | Repositorio Institucional Universidad Nacional de Colombia | spa |
dc.identifier.repourl | https://repositorio.unal.edu.co/ | spa |
dc.identifier.uri | https://repositorio.unal.edu.co/handle/unal/87586 | |
dc.language.iso | spa | spa |
dc.publisher | Universidad Nacional de Colombia | spa |
dc.publisher.branch | Universidad Nacional de Colombia - Sede Bogotá | spa |
dc.publisher.faculty | Facultad de Medicina | spa |
dc.publisher.place | Bogotá, Colombia | spa |
dc.publisher.program | Bogotá - Medicina - Especialidad en Medicina del Deporte | spa |
dc.relation.references | Ardeljan AD, Razvan H. Sarcopenia.; 2023. Accessed October 12, 2024. https://pubmed.ncbi.nlm.nih.gov/32809648/ | spa |
dc.relation.references | Lars Larsson X, Degens H, Li M, et al. SARCOPENIA: AGING-RELATED LOSS OF MUSCLE MASS AND FUNCTION. Physiol Rev. 2019;99:427-511. doi:10.1152/physrev.00061 | spa |
dc.relation.references | Sayer AA, Cruz-Jentoft A. Sarcopenia definition, diagnosis and treatment: Consensus is growing. Age Ageing. 2022;51(10). doi:10.1093/ageing/afac220 | spa |
dc.relation.references | Rosenberg IH. Symposium: Sarcopenia: Diagnosis and Mechanisms Sarcopenia: Origins and Clinical Relevance.; 1997. https://academic.oup.com/jn/article-abstract/127/5/990S/4724144 | spa |
dc.relation.references | Evans WJ, Guralnik J, Cawthon P, et al. Sarcopenia: no consensus, no diagnostic criteria, and no approved indication—How did we get here? Geroscience. 2024;46(1):183-190. doi:10.1007/s11357-023-01016-9 | spa |
dc.relation.references | Cawthon PM, Visser M, Arai H, et al. Defining terms commonly used in sarcopenia research: a glossary proposed by the Global Leadership in Sarcopenia (GLIS) Steering Committee. Eur Geriatr Med. 2022;13(6):1239-1244. doi:10.1007/s41999-022-00706-5 | spa |
dc.relation.references | Voulgaridou G, Tyrovolas S, Detopoulou P, et al. Diagnostic Criteria and Measurement Techniques of Sarcopenia: A Critical Evaluation of the Up-to-Date Evidence. Nutrients. 2024;16(3). doi:10.3390/nu16030436 | spa |
dc.relation.references | Ackermans LLGC, Rabou J, Basrai M, et al. Screening, diagnosis and monitoring of sarcopenia: When to use which tool? Clin Nutr ESPEN. 2022;48:36-44. doi:10.1016/j.clnesp.2022.01.027 | spa |
dc.relation.references | Cruz-Jentoft AJ, Bahat G, Bauer J, et al. Sarcopenia: Revised European consensus on definition and diagnosis. Age Ageing. 2019;48(1):16-31. doi:10.1093/ageing/afy169 | spa |
dc.relation.references | Van Exter SH, Koenders N, van der Wees P, van den Berg MGA. A systematic review of the psychometric properties of physical performance tests for sarcopenia in community-dwelling older adults. Age Ageing. 2024;53(6). doi:10.1093/ageing/afae113 | spa |
dc.relation.references | Coletta G, Phillips SM. An elusive consensus definition of sarcopenia impedes research and clinical treatment: A narrative review. Ageing Res Rev. 2023;86. doi:10.1016/j.arr.2023.101883 | spa |
dc.relation.references | Chen LK, Woo J, Assantachai P, et al. Asian Working Group for Sarcopenia: 2019 Consensus Update on Sarcopenia Diagnosis and Treatment. J Am Med Dir Assoc. 2020;21(3):300-307.e2. doi:10.1016/j.jamda.2019.12.012 | spa |
dc.relation.references | Aquiles W, Loyola S, Amafi G, et al. SARCOPENIA, DEFINICIÓN Y DIAGNÓSTICO: ¿NECESITAMOS VALORES DE REFERENCIA PARA ADULTOS MAYORES DE LATINOAMÉRICA? SARCOPENIA, DEFINITION AND DIAGNOSIS: DO WE NEED REFERENCE VALUES IN OLDER ADULTS FROM LATIN AMERICA? PalabRas Claves. http://orcid.org/0000-0001-6173-1104. | spa |
dc.relation.references | Bhasin S, Travison TG, Manini TM, et al. Sarcopenia Definition: The Position Statements of the Sarcopenia Definition and Outcomes Consortium. J Am Geriatr Soc. 2020;68(7):1410-1418. doi:10.1111/jgs.16372 | spa |
dc.relation.references | Papadopoulou SK. Sarcopenia: A contemporary health problem among older adult populations. Nutrients. 2020;12(5). doi:10.3390/nu12051293 | spa |
dc.relation.references | Samper-Ternent R, Reyes-Ortiz C, Ottenbacher KJ, Cano CA. Frailty and sarcopenia in Bogotá: results from the SABE Bogotá Study. Aging Clin Exp Res. 2017;29(2):265-272. doi:10.1007/s40520-016-0561-2 | spa |
dc.relation.references | Pérez-Sousa MÁ, Pozo-Cruz J del, Cano-Gutiérrez CA, Izquierdo M, Ramírez-Vélez R. High Prevalence of Probable Sarcopenia in a Representative Sample From Colombia: Implications for Geriatrics in Latin America. J Am Med Dir Assoc. 2021;22(4):859-864.e1. doi:10.1016/j.jamda.2020.10.021 | spa |
dc.relation.references | Phu S, Kirk B, Bani Hassan E, et al. The diagnostic value of the Short Physical Performance Battery for sarcopenia. BMC Geriatr. 2020;20(1). doi:10.1186/s12877-020-01642-4 | spa |
dc.relation.references | Kong S, Shin S, Lee JK, et al. Association between sarcopenia and physical function among preoperative lung cancer patients. J Pers Med. 2020;10(4):1-11. doi:10.3390/jpm10040166 | spa |
dc.relation.references | Steinmetz C, Krause L, Sulejmanovic S, et al. The prevalence and impact of sarcopenia in older cardiac patients undergoing inpatient cardiac rehabilitation – results from a prospective, observational cohort pre-study. BMC Geriatr. 2024;24(1). doi:10.1186/s12877-024-04694-y | spa |
dc.relation.references | Saito H, Matsue Y, Kamiya K, et al. Sarcopenic obesity is associated with impaired physical function and mortality in older patients with heart failure: insight from FRAGILE-HF. BMC Geriatr. 2022;22(1). doi:10.1186/s12877-022-03168-3 | spa |
dc.relation.references | Guralnik JM, Simonsick EM, Ferrucci L, et al. A Short Physical Performance Battery Assessing Lower Extremity Function: Association With Self-Reported Disability and Prediction of Mortality and Nursing Home Admission. Vol 49.; 1994. http://geronj.oxfordjournals.org/ | spa |
dc.relation.references | Guralnik JM, Ferrucci L, Pieper CF, et al. Lower Extremity Function and Subsequent Disability: Consistency Across Studies, Predictive Models, and Value of Gait Speed Alone Compared With the Short Physical Performance Battery. Vol 55.; 2000. http://biomedgerontology.oxfordjournals.org/ | spa |
dc.relation.references | Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis. Age Ageing. 2010;39(4):412-423. doi:10.1093/ageing/afq034 | spa |
dc.relation.references | Guyatt GH. The 6-Minute Walk: A New Measure of Exercise Capacity in Patients with Chronic Heart Failure Sur Sa Capacite Dans Les Activites de La Vie Quotidienne. Colleagues’0 Introduced the 12-Minute Walking Test, In. | spa |
dc.relation.references | Zhang Y, Morita M, Hirano T, et al. A Novel Method for Identifying Frailty and Quantifying Muscle Strength Using the Six-Minute Walking Test. Sensors. 2024;24(14). doi:10.3390/s24144489 | spa |
dc.relation.references | Yadav A, Chang YH, Carpenter S, et al. Relationship between sarcopenia, six-minute walk distance and health-related quality of life in liver transplant candidates. Clin Transplant. 2015;29(2):134-141. doi:10.1111/ctr.12493 | spa |
dc.relation.references | Chicharro J, Fernández A. Fisiología Del Ejercicio. . Cuarta edición. (Panamericana, ed.).; 2023. | spa |
dc.relation.references | Ramírez-Vélez R, Correa-Bautista JE, García-Hermoso A, Cano CA, Izquierdo M. Reference values for handgrip strength and their association with intrinsic capacity domains among older adults. J Cachexia Sarcopenia Muscle. 2019;10(2):278-286. doi:10.1002/jcsm.12373 | spa |
dc.relation.references | Patiño-Villada FA, Estrada-Restrepo A, Aristizábal J. Handgrip strength in older adults from Antioquia-Colombia and comparison of cutoff points for dynapenia. Sci Rep. 2023;13(1). doi:10.1038/s41598-023-28898-1 | spa |
dc.relation.references | World Medical Association declaration of Helsinki: Ethical principles for medical research involving human subjects. JAMA. 2013;310(20):2191-2194. doi:10.1001/jama.2013.281053 | spa |
dc.relation.references | U.S. National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research. The Belmont Report: Ethical Principles and Guidelines for the Protection of Human Subjects of Research.; 1979. | spa |
dc.relation.references | Council for International Organizations of Medical Sciences (CIOMS). International Ethical Guidelines for Health-Related Research Involving Humans. Fourth Edition. CIOMS; 2016. | spa |
dc.relation.references | Ministerio de Salud de Colombia. Resolución 8430 de 1993. Por La Cual Se Establece El Sistema Nacional de Ética En La Investigación En Salud.; 1993. | spa |
dc.relation.references | Congreso de la República de Colombia. Ley 1581, por medio de la cual se dictan disposiciones generales para la protección de datos personales. Published online October 17, 2012. | spa |
dc.relation.references | Da Silva A, Oliveira Y, Ferreira J, Wong R, Lebrao M. Prevalence and associated factors of sarcopenia among elderly in Brazil: Findings from SABE study. J Nutr Health Aging. 2014;18. doi:10.1007/s12603-013-0413-0 | spa |
dc.relation.references | Barbosa-Silva TG, Bielemann RM, Gonzalez MC, Menezes AMB. Prevalence of sarcopenia among community-dwelling elderly of a medium-sized South American city: Results of the COMO VAI? Study. J Cachexia Sarcopenia Muscle. 2016;7(2):136-143. doi:10.1002/jcsm.12049 | spa |
dc.relation.references | Chang CF, Yeh YL, Chang HY, Tsai SH, Wang JY. Prevalence and risk factors of sarcopenia among older adults aged ≥65 years admitted to daycare centers of taiwan: Using awgs 2019 guidelines. Int J Environ Res Public Health. 2021;18(16). doi:10.3390/ijerph18168299 | spa |
dc.relation.references | Bean JF, Kiely DK, Leveille SG, et al. The 6-Minute Walk Test in Mobility-Limited Elders: What Is Being Measured? Vol 57.; 2002. http://biomedgerontology.oxfordjournals.org/ | spa |
dc.relation.references | Rodrigues Pereira NM, Massè Araya MJP, Scheicher ME. Analysis of correlation between instruments for evaluation of postural balance in institutionalized elderly. MOJ Gerontology & Geriatrics. 2019;4(2). doi:10.15406/mojgg.2019.04.00181 | spa |
dc.relation.references | Benavent-Caballer V, Francisco J, Rosado-Calatayud P, José Amer-Cuenca J, Segura-Orti E. Factors Associated with the 6-Minute Walk Test in Nursing Home Residents and Community-Dwelling Older Adults. | spa |
dc.rights.accessrights | info:eu-repo/semantics/openAccess | spa |
dc.rights.license | Atribución-NoComercial-SinDerivadas 4.0 Internacional | spa |
dc.rights.uri | http://creativecommons.org/licenses/by-nc-nd/4.0/ | spa |
dc.subject.ddc | 610 - Medicina y salud::613 - Salud y seguridad personal | spa |
dc.subject.ddc | 610 - Medicina y salud::616 - Enfermedades | spa |
dc.subject.ddc | 617.1027 | spa |
dc.subject.ddc | 610 - Medicina y salud::617 - Cirugía, medicina regional, odontología, oftalmología, otología, audiología | spa |
dc.subject.decs | Atrofia Muscular | spa |
dc.subject.decs | Muscular Atrophy | eng |
dc.subject.decs | Pathological Conditions, Anatomical | eng |
dc.subject.decs | Rendimiento Físico Funcional | spa |
dc.subject.decs | Aptitud Física | spa |
dc.subject.decs | Physical Fitness | eng |
dc.subject.decs | Rendimiento Atlético | spa |
dc.subject.decs | Athletic Performance | eng |
dc.subject.decs | Salud del Anciano | spa |
dc.subject.decs | Health of the Elderly | eng |
dc.subject.lemb | MEDICINA DEPORTIVA | spa |
dc.subject.lemb | Sports medicine | eng |
dc.subject.lemb | Physical Functional Performance | eng |
dc.subject.proposal | Sarcopenia | spa |
dc.subject.proposal | Rendimiento muscular | spa |
dc.subject.proposal | Batería corta de rendimiento físico | spa |
dc.subject.proposal | Caminata de 6 minutos | spa |
dc.subject.proposal | Correlación diagnóstica | spa |
dc.subject.proposal | Sarcopenia | eng |
dc.subject.proposal | Muscle performance | eng |
dc.subject.proposal | Short battery of physical performance | eng |
dc.subject.proposal | 6-minute walk | eng |
dc.subject.proposal | Diagnostic correlation | eng |
dc.title | Correlación entre la caminata de 6 minutos y la batería corta de rendimiento físico (SPPB) como estándar diagnóstico del criterio de rendimiento muscular en sarcopenia para pacientes mayores de 50 años de la comunidad | spa |
dc.title.translated | Correlation between the 6-minute walk test and the Short Physical Performance Battery (SPPB) as a diagnostic standard for muscle performance criteria in sarcopenia for community-dwelling individuals aged over 50 | eng |
dc.type | Trabajo de grado - Especialidad Médica | spa |
dc.type.coar | http://purl.org/coar/resource_type/c_bdcc | spa |
dc.type.coarversion | http://purl.org/coar/version/c_ab4af688f83e57aa | spa |
dc.type.content | Text | spa |
dc.type.driver | info:eu-repo/semantics/masterThesis | spa |
dc.type.redcol | http://purl.org/redcol/resource_type/TM | spa |
dc.type.version | info:eu-repo/semantics/acceptedVersion | spa |
dcterms.audience.professionaldevelopment | Público general | spa |
oaire.accessrights | http://purl.org/coar/access_right/c_abf2 | spa |
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