Dyspnea in Community-Dwelling Older Persons

• Autores: Brienne Miner, Mary E. Tinetti, Peter H. Van Ness, Ling Han, Linda Leo-Summers, Anne B. Newman, Patty J. Lee-, Carlos A. Vaz Fragoso
• Localización: Journal of the American Geriatrics Society, ISSN 0002-8614, Vol. 64, Nº. 10, 2016, págs. 2042-2050
• Idioma: inglés
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• Resumen

  • Objectives To evaluate the associations between a broad array of cardiorespiratory and noncardiorespiratory impairments and dyspnea in older persons.

    Design Cross-sectional.

    Setting Cardiovascular Health Study.

    Measurements Dyspnea severity (moderate to severe defined as American Thoracic Society Grade ≥2) and several impairments, including those established using spirometry (forced expiratory volume in 1 second (FEV1)), maximal inspiratory pressure (respiratory muscle strength), echocardiography, ankle–brachial index, blood pressure, whole-body muscle mass (bioelectrical impedance), single chair stand (lower extremity function), grip strength, serum hemoglobin and creatinine, Center for Epidemiologic Studies Depression Scale (CES-D), Mini-Mental State Examination, medication use, and body mass index (BMI).

    Conclusion In community-dwelling older persons, several cardiorespiratory and noncardiorespiratory impairments were significantly associated with moderate to severe dyspnea, akin to a multifactorial geriatric health condition.