Efeito do exercício físico na melhora da capacidade funcional em idosos com obesidade e sarcopênica: uma revisão da literatura

Abstract

Introduction: Sarcopenic obesity is characterized by the concomitant presence of obesity and sarcopenia. In the co-presence of the two clinical conditions, adverse outcomes, including metabolic diseases, physical incapacity, frailty, hospitalizations and mortality, have a great impact on the functional and clinical status of the elderly, overloading the family network and the public health system. Physical intervention represents the most important approach to improving functionality in sarcopenic elderly. Objective: Thus, this integrative review aims to investigate the effect of physical exercise on improving functionality in community- dwelling elderly with sarcopenic obesity. Methods: For this integrative review, a search was carried out in the electronic databases Physiotherapy Evidence Database (PEDro), MEDLINE via PubMed and Scielo in English and Portuguese using the following descriptors: aged OR “older adults” OR "older people" OR "older adult " OR "elderly" OR "community-dwelling" OR "aging" AND "sarcopenic obese" OR Sarcopenia OR Obesity AND “exercise” OR “physical activities” OR “physical exercise” OR “aerobic exercise” OR “exercise training” OR “ strength training” OR “multimodal training” OR “resistance training”. Of the 73 articlesfound, seven were selected. Results: Of the five studies evaluated, four articles showed significant improvement in functional parameters.Our findings demonstrate that physical intervention significantly improves functionality in elderly patients with sarcopenic obesity. Conclusion: Based on this integrative review, it can be stated that physical intervention, including resistance training, improves functionality in elderly people with sarcopenic obesity.