Measurement of respiratory muscle strength is performed through static measurements of maximal respiratory pressures and is an important tool for determining the existence and prognosis of neuromuscular and pulmonary disorders, such as weakness or fatigue of this musculature. Objectives: To evaluate and compare respiratory muscle strength among healthy adult and elderly women. Methods: A total of 163 healthy women were recruited through convenience sampling at the family centers of the city of Manaus (AM, Brazil), divided into two groups: adult women (age 20 - 59 years) and elderly women (over 60 years of age). The evaluation was performed by Manovacuometry, in order to measure the maximum inspiratory pressure (MIP) and maximum expiratory pressure (MEP). For statistical analysis we used the Student’s T test, considering significant p value ≤ 0.05. Results: The final sample consisted of 116 adult women and 47 elderly women. The mean age in the group of women between 20 - 59 years was 44.5 ± 12 and the elderly group was 65 ± 6.6. MIP values in adult women were significantly higher when compared to the elderly (−108 ± 5.3 cmH2O × −79.5 ± 4 cmH2O, p = 0.0014, respectively). The same behavior was observed in the evaluation of MEP (87.1 ± 2.9 cmH2O in adults and 69.8 ± 3.5 cmH2O in the elderly; p = 0.0008). Conclusion: The results indicate that inspiratory and expiratory muscle strength is lower in older women, suggesting that the aging process tends to interfere with those muscles, resulting in altered respiratory system function.
References
[1]
Black, L.F. and Hyatt, R.E. (1969) Maximal Respiratory Pressures: Normal Values and Relationship to Age and Sex. The American Review of Respiratory Disease, 99, 696-702.
[2]
Neder, J.A., Andreoni, S., Castelo-Filho, A. and Nery, L.E. (1999) Reference Values for Lung Function Tests. I. Static Volumes. Brazilian Journal of Medical and Biological Research, 32, 703-717. https://doi.org/10.1590/S0100-879X1999000600006
[3]
Neder, J.A., Andreoni, S., Castelo-Filho, A. and Nery, L.E. (1999) Reference Values for Lung Function Tests. II. Maximal Respiratory Pressures and Voluntary Ventilation. Brazilian Journal of Medical and Biological Research, 32, 719-727.
https://doi.org/10.1590/S0100-879X1999000600007
[4]
Goncalves, M.P., Tomaz, C.A.B., Cassiminho, A.L.F. and Dutra, M.F. (2006) Avaliacao da forca muscular inspiratória e expiratória em idosas praticantes de atividade física e sedentárias. Revista Brasileira de Ciência e Movimento, 14, 37-44.
[5]
Fiori Junior, J.F., Paisani, D.M., Franceschini, J., Chiavegato, L.D. and Faresin, S.M. (2004) Pressoes respiratórias máximas e capacidade vital: Comparacao entre avaliacoes através de bocal e de máscara facial. Jornal Brasileiro de Pneumologia, 30, 515-520. https://doi.org/10.1590/S1806-37132004000600005
[6]
Leal, A.H., Hamasaki, T.A., Jamami, M., Di Lorenzo, V.A.P. and Pessoa, V.B. (2007) Comparacao entre valores de forca muscular respiratória medidos e previstos por diferentes equacoes. Fisioterapia e Pesquisa, 14, 25-30.
[7]
Costa, D., Goncalves, H.A., de Lima, L.P., Ike, D., Cancelliero, K.M. and Montebelo, M.I. (2010) New Reference Values for Maximal Respiratory Pressures in the Brazilian Population. Jornal Brasileiro de Pneumologia, 36, 306-312.
https://doi.org/10.1590/S1806-37132010000300007
[8]
Günther Mangelsdorff, G., Gisella Borzone, T., Alicia Leiva, G., Alejandro Martínez, S. and Carmen Lisboa, B. (2001) Potencia de los músculos inspiratorios en insufiencia cardíaca crónica y en enfermedad pulmonar obtructiva crónica. Revista Médica de Chile, 129, 51-59.
[9]
Pessoa, I.M.B.S., Houri Neto, M., Montemezzo, D., Silva, L.A.M., Andrade, A.D. and Parreira, V.F. (2014) Predictive Equations for Respiratory Muscle Strength According to International and Brazilian Guidelines. Brazilian Journal of Physical Therapy. https://doi.org/10.1590/bjpt-rbf.2014.0044
[10]
Gorzoni, M.L. and E. Russo, M.R. (2002) Envelhecimento respiratório. In Freitas, E.V., Py, L., Neri, A.L., Cancado, F.A.X., Gorzoni, M.L. and Rocha, S.M., Eds., Tratado de Geriatria e Gerontologia, Guanabara Koogan, Rio de Janeiro, 340-343.
[11]
American Thoracic Society/European Respiratory Society (2002) ATS/ERS Statement on Respiratory Muscle Testing. American Journal of Respiratory and Critical Care Medicine, 166, 518-624. https://doi.org/10.1164/rccm.166.4.518
[12]
Simoes, R.P., Deus, A.P.L., Auad, M.A., Dionísio, J., Mazzonetto, M. and Borghi-Silva, A. (2001) Pressoes respiratórias máximas em indivíduos saudáveis sedentários de 20 a 89 anos da regiao central do Estado de Sao Paulo. Brazilian Journal of Physical Therapy, 14, 60-67.
https://doi.org/10.1590/S1413-35552010000100010
[13]
Carpenter, M.A., Tockman, M.S., Hutchinson, R.G., Davis, C.E. and Heiss, G. (1999) Demographic and Antropometric Correlates of Maximum Inspiratoy Pressure. The Atherosclerosis Risk in Communities Study. American Journal of Respiratory and Critical Care Medicine, 51, 415-422.
https://doi.org/10.1164/ajrccm.159.2.9708076
[14]
Enright, P.L., Kronmal, R.A., Manolio, T.A., Schenker, M.B. and Hyatt, R.E. (1994) Respiratory Muscle Strength in the Elderly. Correlates and Reference Values. American Journal of Respiratory and Critical Care Medicine, 149, 430-438.
https://doi.org/10.1164/ajrccm.149.2.8306041
[15]
Tolep, K., Higgins, N., Muza, S., Griner, G. and Kelsen, S.G. (1995) Comparison of Diaphragm Strength between Healthy Adult Elderly and Young Men. American Journal of Respiratory and Critical Care Medicine, 152, 677-682.
https://doi.org/10.1164/ajrccm.152.2.7633725
[16]
Simoes, L.A., Dias, J.M.D., Marinho, K.C., Pinto, C.L.L.R. and Britto, R.R. (2010) Relationship between Functional Capacity Assessed by Walking Test and Respiratory and Lower Limb Muscle Function in Community-Dwelling Elders. Brazilian Journal of Physical Therapy, 14, 24-30.
https://doi.org/10.1590/S1413-35552010000100005