Associação da Mobilidade com a Condição Físico-Funcional em Pacientes Oncológicos Hospitalizados

Vanessa de Mello Konzen; Matheus Santos Gomes  Jorge; Ana Luisa Sant’Anna Alves; Lia Mara Wibelinger

doi:10.32635/2176-9745.RBC.2026v72n4.5522

Authors

Vanessa de Mello Konzen Universidade de Passo Fundo (UPF), Programa de Pós-Graduação em Envelhecimento Humano. Passo Fundo (RS), Brasil. https://orcid.org/0000-0001-5408-9598
Matheus Santos Gomes Jorge Universidade de Passo Fundo (UPF), Programa de Pós-Graduação em Envelhecimento Humano. Passo Fundo (RS), Brasil. https://orcid.org/0000-0002-4989-0572
Ana Luisa Sant’Anna Alves Universidade de Passo Fundo (UPF), Programa de Pós-Graduação em Envelhecimento Humano. Passo Fundo (RS), Brasil. https://orcid.org/0000-0002-1107-7471
Lia Mara Wibelinger Universidade de Passo Fundo (UPF), Programa de Pós-Graduação em Envelhecimento Humano. Passo Fundo (RS), Brasil. https://orcid.org/0000-0002-7345-3946

DOI:

https://doi.org/10.32635/2176-9745.RBC.2026v72n4.5522

Keywords:

Motor Skills, Motor Activity, Sarcopenia, Oncology, Hospitalization

Abstract

Introduction: Mobility is essential for the functional independence of cancer patients, especially during hospitalization. The Johns Hopkins Highest Level of Mobility (JH-HLM) scale provides an objective measure of this ability and has been applied in oncological contexts. Handgrip strength (HGS) reflects muscle strength and nutritional status, while the risk of sarcopenia, characterized by the loss of muscle mass and strength, negatively affects prognosis. Objective: To assess mobility and its associations with HGS, risk of sarcopenia, and pre-admission physical activity level in hospitalized cancer patients. Method: Observational, descriptive, and cross-sectional study conducted with adults and older adults hospitalized in two hospitals in southern Brazil between December 2024 and July 2025. Mobility was assessed using the JH-HLM; HGS, with a dynamometer; risk of sarcopenia, using the SARC-F combined with calf circumference; and physical activity, through the short IPAQ. Results: A total of 210 patients participated, mostly women aged 60 years or older, self-declared white, sedentary, and with muscle weakness. According to the JH-HLM, 87.1% presented high mobility and 12.9% restricted mobility. High mobility was significantly associated with younger age, having a partner, higher physical activity, and lower risk of sarcopenia. After multivariate adjustment, sedentarism (PR=1.084; 95%; CI: 1.001–1.173) and sarcopenia risk (PR=0.905; 95% CI: 0.824–0.993) remained independent predictors. Conclusion: Prior physical activity and low risk of sarcopenia favor better mobility in hospitalized cancer patients.

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