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Pedersen MM, Juul-Larsen HG, Brødsgaard RH, Jawad B, Bean JF, Petersen J, Bandholm T. Increased knee-extension strength and steps per day after a novel post-hospitalization rehabilitative program in older adults (65+): Secondary analyses of a randomized controlled single-blinded trial using an expanded sample size. Exp Gerontol 2024; 196:112582. [PMID: 39288885 DOI: 10.1016/j.exger.2024.112582] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2024] [Revised: 09/09/2024] [Accepted: 09/11/2024] [Indexed: 09/19/2024]
Abstract
INTRODUCTION Older adults are at risk of developing new or worsened disability when hospitalized for acute medical illness. This study is a secondary analysis of the STAND-Cph trial on the effect of a simple strength training intervention initiated during hospitalization and continued after discharge. We investigated the between-group difference in change in functional performance outcomes, the characteristics of patients who experienced a relevant effect of the intervention, and the characteristics of those who were compliant with the intervention, using an expanded sample size as protocolized. METHODS The STAND-Cph was a randomized controlled trial conducted at a major Danish university hospital. Acutely admitted older adult patients (65+) from the Emergency Department were randomized to the intervention group receiving progressive strength training and a protein supplement during and after hospitalization (12 sessions over 4 weeks) or control group receiving usual care. The primary outcome was the de Morton Mobility Index assessed at baseline and 4 weeks after discharge. The secondary outcomes were 24-h mobility (assessed by ActivPAL accelerometers), isometric knee-extension strength, 30 s. sit-to-stand performance, and habitual gait speed. RESULTS Between September 2013 and September 2018, a total of 158 patients were included and randomized to either the intervention group (N = 80; mean age 79.9 ± 7.6 years) or the control group (N = 78; mean age 80.8 ± 7.4 years). We found no significant between-group difference in change in our primary outcome (p > 0.05). Both the intention-to-treat (difference in change 0.14 Nm/kg (95 % CI 0.03;0.24), p = 0.01) and the per protocol (difference in change 0.16 Nm/kg (95 % CI 0.04;0.29), p = 0.008) analyses showed that between baseline and 4 weeks, knee-extension strength increased significantly more in the intervention group than in the control group. Also, the per protocol analysis showed that the intervention group increased their daily number of steps significantly more than the control group (difference in change 1088 steps (95 % CI 44; 2132); p = 0.04). When examining subgroups of patients, we found no significant differences neither between those who experienced a clinically relevant improvement in the de Morton Mobility Index and those who did not, nor between those who were compliant and those who were not. CONCLUSION This exploratory analysis indicates that while simple progressive strength training and protein supplementation does not improve functional performance assessed by the de Morton Mobility Index, it can benefit specific facets of physical activity and muscle strength among geriatric patients.
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Affiliation(s)
- Mette Merete Pedersen
- Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Physical Medicine and Rehabilitation Research - Copenhagen (PMR-C), Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark.
| | - Helle Gybel Juul-Larsen
- Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark.
| | - Rasmus Hoxer Brødsgaard
- Physical Medicine and Rehabilitation Research - Copenhagen (PMR-C), Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Department of Physical and Occupational Therapy, Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark.
| | - Baker Jawad
- Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark.
| | - Jonathan F Bean
- New England GRECC, VA Boston Healthcare System, 150 S Huntington Ave, Boston, MA 02130, USA; Department of PM&R, Harvard Medical School, Boston, MA, USA; Spaulding Rehabilitation, Boston, MA, USA.
| | - Janne Petersen
- Section of Biostatistics, Department of Public Health, University of Copenhagen, Denmark; Center for Clinical Research and Prevention, Copenhagen University Hospital Bispebjerg and Frederiksberg, Nordre Fasanvej 57, 2000 Frederiksberg, Denmark.
| | - Thomas Bandholm
- Department of Clinical Research, Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Physical Medicine and Rehabilitation Research - Copenhagen (PMR-C), Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Department of Clinical Medicine, University of Copenhagen, Blegdamsvej 3B, 2200 Copenhagen, Denmark; Department of Physical and Occupational Therapy, Copenhagen University Hospital Amager and Hvidovre, Kettegaard Alle 30, 2650 Hvidovre, Denmark; Department of Orthopaedic Surgery, Copenhagen University Hospital Amager and Hvidovre, Hvidovre, Denmark.
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Zheng H, Sun W, Zhou Z, Tian F, Xiao W, Zheng L. Cut-off points for knee extension strength: identifying muscle weakness in older adults. Eur Geriatr Med 2024; 15:913-925. [PMID: 38926333 DOI: 10.1007/s41999-024-01009-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2024] [Accepted: 06/12/2024] [Indexed: 06/28/2024]
Abstract
PURPOSE Generalized muscle weakness is the primary characteristic of sarcopenia. Handgrip strength (HGS) is widely employed to detect muscle weakness. However, knee extension strength (KES) declines much earlier and more pronounced than HGS, and there is a stronger correlation between KES and functional performance. Therefore, KES may be a more appropriate proxy for identifying muscle weakness compared to HGS. The purpose of this review was to clarify the KES measurement towards a standardized approach and summarize the cut-off points for KES. METHODS A literature search was conducted in Web of Science, PubMed, Elsevier, Scopus and Medline databased up to July 10th, 2023. RESULTS A total of 12 articles were ultimately included in this review, which proposed various cut-off points for KES. Notably, these studies exhibited high heterogeneities, including diverse living settings for participants, KES measurement, methods for KES normalization, methodologies for determining cut-off points and study designs. CONCLUSIONS No consensus on cut-off points for KES was reached due to the heterogeneities in KES measurement and normalized methods among studies. To enhance the comparability among studies and facilitate the sarcopenia screening framework, a standardized approach for KES measurement and KES normalization are needed. Regarding KES measurement, the hand-held dynamometer-based isometric KES is easy to access and ideally suited for both clinical and community settings, while isokinetic KES, representing the gold standard, is preferred for research settings. Additionally, it is suggested to normalize isometric KES to body weight (BW), while normalizing isokinetic KES to allometrically scaled BW.
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Affiliation(s)
- Huifen Zheng
- School of Exercise and Health, Shanghai University of Sport, 650 Qingyuan Ring Road, Yangpu District, Shanghai, 200438, China
| | - Wei Sun
- College of Sport and Health, Shandong Sport University, Jinan, China
| | - Zifei Zhou
- Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Middle Yanchang Road, Jing'an District , Shanghai, 20072, China
| | - Fei Tian
- Changzhi Medical College, Changzhi, China
| | - Weihua Xiao
- School of Exercise and Health, Shanghai University of Sport, 650 Qingyuan Ring Road, Yangpu District, Shanghai, 200438, China.
| | - Longpo Zheng
- School of Exercise and Health, Shanghai University of Sport, 650 Qingyuan Ring Road, Yangpu District, Shanghai, 200438, China.
- Department of Orthopedics, Shanghai Tenth People's Hospital, Tongji University School of Medicine, No. 301 Middle Yanchang Road, Jing'an District , Shanghai, 20072, China.
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da Silva SDCS, Pires FDO, Serra LDLP, Reis CBF, de Abreu LP, Pereira PTVT, Cabido CET, Leite RD. Effects of different resistance training programmings on the relative strength, body composition, anthropometric variables, and metabolic risk of elderly women. J Bodyw Mov Ther 2024; 39:496-504. [PMID: 38876674 DOI: 10.1016/j.jbmt.2024.02.038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Revised: 12/03/2023] [Accepted: 02/25/2024] [Indexed: 06/16/2024]
Abstract
The purpose of this study was to analyze the effect of two different programming models of resistance training (RT) on metabolic risk, anthropometric variables, and relative strength in elderly women. The research was a prospective and comparative longitudinal study with a non-probabilistic random sample. Twenty-two elderly women (64 ± 3 years) was divided into two experimental groups being the Linear programming (LP, n = 12) and Daily undulatory programming (DUP, n = 10), with 3 sessions/week for 12 weeks. Submaximal strength (10RM) was evaluated in the horizontal leg press (HL), pulldown (PD), leg curl (LC), vertical bench press (BP), and leg extension (LE). Anthropometric variables, food intake (R24h) and submaximal strength (10RM) was analyzed. Participants were initially classified as overweight or obese evaluated by body mass index (BMI) and percentual of fat mass (%FM) and with moderate to high risk to develop metabolic diseases evaluated by hip-waist ratio (HWR), waist-height ratio (WHR) and waist circumference (WC). There is no change for metabolic risk and anthropometric variables after the intervention period. There was a significant improvement for relative strength accessed by 10RM and body weight (10RM/BW), and lean body mass (10RM/LBM) (p < 0.05), with large or medium effect size for most of variables after 12 weeks of RT. As a conclusion, both programmings increased relative strength after 12 weeks of RT with attenuated change in body composition and metabolic risk in elderly women in both programming groups and all those strategies can be used in elderly women to improve strength.
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Affiliation(s)
- Surama do Carmo Souza da Silva
- Federal University of Maranhão, São Luís, MA, Brazil; Postgraduate Program in Science Health, Federal University of Maranhão, São Luís, MA, Brazil.
| | - Flavio de Oliveira Pires
- Federal University of Maranhão, São Luís, MA, Brazil; Postgraduate Program in Physical Education, Federal University of Maranhão, São Luís, MA, Brazil
| | | | - Carlos Brendo Ferreira Reis
- Postgraduate Program in Physical Education of Federal University of Espírito Santo, Center of Physical Education and Sports, Sports Department, Laboratory of Exercise Physiology (LAFEX), Vitoria, Brazil
| | - Leudyenne Pacheco de Abreu
- Federal University of Maranhão, São Luís, MA, Brazil; Postgraduate Program in Physical Education, Federal University of Maranhão, São Luís, MA, Brazil
| | - Paula Tâmara Vieira Teixeira Pereira
- Federal University of Maranhão, São Luís, MA, Brazil; Postgraduate Program in Science Health, Federal University of Maranhão, São Luís, MA, Brazil
| | - Christian Emmanuel Torres Cabido
- Federal University of Maranhão, São Luís, MA, Brazil; Postgraduate Program in Physical Education, Federal University of Maranhão, São Luís, MA, Brazil
| | - Richard Diego Leite
- Postgraduate Program in Physical Education of Federal University of Espírito Santo, Center of Physical Education and Sports, Sports Department, Laboratory of Exercise Physiology (LAFEX), Vitoria, Brazil
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Prüfer F, Pavlović M, Matko Š, Löfler S, Fischer MJ, Šarabon N, Grote V. Responsiveness of Isokinetic Dynamometry in Patients with Osteoarthritis after Knee and Hip Arthroplasty: A Prospective Repeated-Measures Cohort Study. Healthcare (Basel) 2024; 12:314. [PMID: 38338199 PMCID: PMC10855832 DOI: 10.3390/healthcare12030314] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/18/2023] [Revised: 01/18/2024] [Accepted: 01/23/2024] [Indexed: 02/12/2024] Open
Abstract
Functional assessments are crucial for the evaluation of rehabilitation after total knee (TKA) and hip (THA) arthroplasty. Muscle strength, a key determinant of physical function (PF), is often measured with isokinetic dynamometry (ID), which is considered the gold standard. However, studies lack evaluations of responsiveness-the ability to detect changes over time. This study aims to determine the responsiveness of ID in measuring PF in TKA and THA rehabilitation-is muscle strength a valid indicator for assessing improvement in rehabilitation processes? The pre- and post-surgery PF of 20 osteoarthritis patients (age 55-82) was assessed, using ID, performance-based and self-reported measures. Responsiveness was evaluated by comparing the observed relationship of changes in ID and PF scores with the a priori defined expected relationship of change scores. While the performance-based and self-reported measures showed significant improvements post-surgery (Cohen's d [0.42, 1.05] p < 0.05), ID showed no significant differences. Moderate correlations were found between changes in some ID parameters and selected functional tests (r ≈|0.5|, p < 0.05). Responsiveness was solely found for the peak torque of knee extension at 180°/s on the operated side. Responsiveness is an often-overlooked psychometric property of outcome measurements. The findings suggest that ID may not be fully responsive to the construct of PF after TKA and THA, raising questions about its role and usefulness in this context and the need for more appropriate assessment methods.
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Affiliation(s)
- Ferdinand Prüfer
- Ludwig Boltzmann Institute for Rehabilitation Research, A-1100 Vienna, Austria (M.J.F.); (V.G.)
| | - Monika Pavlović
- Faculty of Health Sciences, University of Ljubljana, SI-1000 Ljubljana, Slovenia;
| | - Špela Matko
- Ludwig Boltzmann Institute for Rehabilitation Research, A-1100 Vienna, Austria (M.J.F.); (V.G.)
| | - Stefan Löfler
- Ludwig Boltzmann Institute for Rehabilitation Research, A-1100 Vienna, Austria (M.J.F.); (V.G.)
| | - Michael J. Fischer
- Ludwig Boltzmann Institute for Rehabilitation Research, A-1100 Vienna, Austria (M.J.F.); (V.G.)
- Vamed Rehabilitation Center Kitzbühel, A-6370 Kitzbühel, Austria
| | - Nejc Šarabon
- Ludwig Boltzmann Institute for Rehabilitation Research, A-1100 Vienna, Austria (M.J.F.); (V.G.)
- Faculty of Health Sciences, University of Primorska, SI-6310 Izola, Slovenia
- Innorenew CoE, SI-6310 Izola, Slovenia
| | - Vincent Grote
- Ludwig Boltzmann Institute for Rehabilitation Research, A-1100 Vienna, Austria (M.J.F.); (V.G.)
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Nagata CDA, Garcia PA, Hamu TCDDS, Caetano MBD, Costa RR, Leal JC, Bastos JAI, Cadore EL, Durigan JLQ. Are dose-response relationships of resistance training reliable to improve functional performance in frail and pre-frail older adults? A systematic review with meta-analysis and meta-regression of randomized controlled trials. Ageing Res Rev 2023; 91:102079. [PMID: 37774931 DOI: 10.1016/j.arr.2023.102079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2023] [Revised: 09/11/2023] [Accepted: 09/25/2023] [Indexed: 10/01/2023]
Abstract
This systematic review with meta-analyses investigates the impact of resistance training (RT), using meta-regressions, on functional performance in frail and pre-frail adults aged ≥ 65 years to determine the key variables of RT. Ten randomized controlled trials involving 1303 participants were analyzed. Five studies assessed habitual walking speed (HWS), three studies evaluated performance in the timed-up-and-go test (TUG), three studies evaluated performance in the Short Physical Performance Battery (SPPB), and three studies assessed performance in the sit-to-stand test (STS). RT alone improved STS time and SPPB scores in frail and pre-frail older adults. RT improved STS performance (Effect Size (ES):- 0.536; 95% CI - 0.874 to - 0.199; p = .002) and led to a 2.261-point increase in SPPB performance (ES:1.682; 95% CI 0.579-2.786; p = .003). At least two weekly training sessions are required to increase SPPB scores, and three sessions seem to optimize the improvements. Higher training volume per exercise and volume per session reduce the gains in SPPB performance. We did not observe any association between different doses of RT and STS time improvements. RT alone positively influenced TUG performance only in community-dwelling older frail and pre-frail adults but not in institutionalized older individuals. RT alone did not improve the HWS compared to the non-active control group.
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Affiliation(s)
| | - Patrícia Azevedo Garcia
- Universidade de Brasília, Programa de Pós-Graduação em Ciências da Reabilitação, Brasília, DF, Brazil.
| | | | | | | | - Josevan Cerqueira Leal
- Universidade de Brasília, Programa de Pós-Graduação em Ciências da Reabilitação, Brasília, DF, Brazil.
| | - Júlia Aguillar Ivo Bastos
- Universidade de Brasília, Programa de Pós-Graduação em Ciências da Reabilitação, Brasília, DF, Brazil.
| | - Eduardo Lusa Cadore
- Exercise Research Laboratory (LAPEX), School of Physical Education, Physiotherapy and Dance, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.
| | - João Luiz Quagliotti Durigan
- Universidade de Brasília, Laboratory of Muscle and Tendon Plasticity, Programa de Pós-Graduação em Educação Física, Brasília, DF, Brazil.
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Diniz JDS, Nascimento DDC, Sousa Neto IVD, Alves VP, Stone W, Prestes J, Beal FLR. Muscle performance in octogenarians: Factors affecting dynapenia. J Bodyw Mov Ther 2023; 35:14-20. [PMID: 37330759 DOI: 10.1016/j.jbmt.2023.04.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 08/08/2022] [Accepted: 04/11/2023] [Indexed: 06/19/2023]
Abstract
BACKGROUND The muscle performance is associated with several health outcomes in adults, however modifiable and non-modifiable risk factors in octogenarians have not yet been fully investigated. The aim of this study was to analyze the potential risk factors that negatively affect muscle strength in octogenarians. METHODS This observational, descriptive, cross-sectional study included 87 older adult participants (56 women and 31 men) attending a geriatric clinic. General anthropometrics, health history, and body composition data were collected. Muscle strength was assessed by handgrip strength (HGS), appendicular skeletal muscle mass (ASMM) and the percentage of body fat were identified by Dual Energy X-ray Absorptiometry, and muscle quality index (MQI) was defined as the ratio of HGS by upper limbs ASMM. Multiple linear regression was conducted to determine predictive factors of the muscle strength. RESULTS Females had lower HGS (1.39 kg) than male participants (p = 0.034). An increase of one unit MQI was associated with an increase of 3.38 kg in the HGS (p = 0.001). Each additional year of age was associated with a decrease of 0.12 kg in the HGS (p = 0.047). Regarding ASMM, an increase of one unit was associated with an increase of 0.98 kg in the HGS (p = 0.001). There was no association between dynapenia, body fat percentage, diseases and polypharmacy (p > 0.05). CONCLUSION The gender, age, MQI, and ASMM influenced muscle strength of octogenarians. These intrinsic and extrinsic factors are relevant to improve our understanding of age-related complications and outline treatment guidance by healthcare professionals.
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Affiliation(s)
- Joyce de Sousa Diniz
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasilia, DF, Brazil
| | - Dahan da Cunha Nascimento
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasilia, DF, Brazil; Department of Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil.
| | - Ivo Vieira de Sousa Neto
- School of Physical Education and Sport of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Vicente Paulo Alves
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasilia, DF, Brazil
| | - Whitley Stone
- School of Kinesiology Recreation and Sport, Western Kentucky University, Bowling Green, KY, USA
| | - Jonato Prestes
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasilia, DF, Brazil; Department of Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil
| | - Fabiani Lage Rodrigues Beal
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasilia, DF, Brazil; Department of Nutrition, Health and Medicine School, Catholic University of Brasilia, UCB, Brasilia, DF, Brazil
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Baker JF, Katz P, Weber DR, Gould P, George MD, Long J, Zemel BS, Giles JT. Adipocytokines and Associations With Abnormal Body Composition in Rheumatoid Arthritis. Arthritis Care Res (Hoboken) 2023; 75:616-624. [PMID: 34558809 PMCID: PMC8942864 DOI: 10.1002/acr.24790] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 09/07/2021] [Accepted: 09/21/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVE We determined associations between adipokines and abnormal body composition in patients with rheumatoid arthritis (RA). METHODS Combining data from three RA cohorts, whole-body dual-energy absorptiometry measures of appendicular lean mass and fat mass indices were converted to age-, sex-, and race- and ethnicity-specific Z scores. Lean mass relative to fat mass was determined based on prior methods. Independent associations between body composition profiles and circulating levels of adiponectin, leptin, and fibroblast growth factor (FGF)-21 were assessed using linear and logistic regression models adjusting for demographic characteristics and study cohort. We also determined the improvement in the area under the curve (AUC) for prediction of low lean mass when adipokines were added to predictive models that included clinical factors such as demographic characteristics, study, and body mass index (BMI). RESULTS Among 419 participants, older age was associated with higher levels of all adipokines, whereas higher C-reactive protein level was associated with lower adiponectin levels and higher FGF-21 levels. Greater fat mass was strongly associated with lower adiponectin levels and higher leptin and FGF-21 levels. Higher levels of adiponectin, leptin, and FGF-21 were independently associated with low lean mass. The addition of adiponectin and leptin levels to regression models improved prediction of low lean mass when combined with demographic characteristics, study, and BMI (AUC 0.75 vs. 0.66). CONCLUSION Adipokines are associated with both excess adiposity and low lean mass in patients with RA. Improvements in the prediction of body composition abnormalities suggest that laboratory screening could help identify patients with altered body composition who may be at greater risk of adverse outcomes.
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Affiliation(s)
- Joshua F. Baker
- Philadelphia VA Medical Center, Philadelphia, PA, USA
- University of Pennsylvania School of Medicine, Philadelphia, PA
- Department of Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA
| | - Patricia Katz
- University of California San Francisco, San Francisco, CA, USA
| | - David R. Weber
- Children’s Hospital of Philadelphia, Philadelphia, PA, USA
| | - Patrick Gould
- University of Pennsylvania School of Medicine, Philadelphia, PA
| | | | - Jin Long
- Stanford University, Palo Alto, CA, USA
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Neto IVDS, Diniz JDS, Alves VP, Ventura Oliveira AR, Barbosa MPDS, da Silva Prado CR, Alencar JA, Vilaça e Silva KHC, Silva CR, Lissemerki Ferreira GM, Garcia D, Grisa RA, Prestes J, Rodrigues Melo GL, Burmann LL, Gomes Giuliani FN, Beal FLR, Severiano AP, Nascimento DDC. Field-Based Estimates of Muscle Quality Index Determine Timed-Up-and-Go Test Performance in Obese Older Women. Clin Interv Aging 2023; 18:293-303. [PMID: 36843630 PMCID: PMC9949998 DOI: 10.2147/cia.s399827] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2022] [Accepted: 02/13/2023] [Indexed: 02/24/2023] Open
Abstract
Objective The muscle quality index (MQI) is associated with numerous health outcomes in adults; however, the effects of distinct MQI on functional capacity in obese older women have not yet been fully investigated. Thus, we investigated the contribution of different muscle quality indices on TUG performance prediction in obese older women. We secondarily evaluated the association between MQI, aerobic capacity performance (Treadmill performance and 6-minute walk test), and obesity indices (BMI, body fat percentage, and neck, waist, and hip circumference). Methods Participants included 64 obese older women (mean age 67.05 ± 5.46 years, body fat ≥ 35%). General anthropometric, health history, body composition, treadmill exercise, and functional test (Time up and go) measures were collected. A hydraulic dynamometer was used to assess muscle strength, and Dual Energy X-ray Absorptiometry (DXA) to identify body fat percentage. The field MQI was defined as the highest reading divided by the subject's body mass index (BMI), while the laboratory MQI was obtained by the ratio of grip strength to the entire arm muscle in kilograms measured by DXA. A hierarchical multiple regression was performed to predict TUG-test performance. Results An increase in field MQI of one unit is associated with a decrease of 2.59 seconds in the TUG test (β = -0.540; p = 0.004). There was no association between laboratory MQI and TUG performance (β = 0.067; p = 0.712). Furthermore, field MQI displays a positive correlation (p < 0.05) with aerobic capacity performance (6-minute walk test and peak O2 consumption) and a negative correlation (p < 0.05) with diverse obesity indices (neck and waist circumference, body fat, and BMI). Conclusion MQI displayed an important prediction with TUG-test, a positive correlation with aerobic capacity, and a negative correlation with obesity indices.
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Affiliation(s)
- Ivo Vieira de Sousa Neto
- School of Physical Education and Sport of Ribeirão Preto, University of São Paulo (USP), São Paulo, Brazil
| | - Joyce de Sousa Diniz
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasília, DF, Brazil
| | - Vicente Paulo Alves
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasília, DF, Brazil
| | | | | | | | | | | | - Cristiane Rocha Silva
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil
| | | | - Danielle Garcia
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil
| | - Roberto A Grisa
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil
| | - Jonato Prestes
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil
| | | | - Larissa Lauda Burmann
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasília, DF, Brazil
| | | | | | | | - Dahan da Cunha Nascimento
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasília, Brazil,Correspondence: Dahan da Cunha Nascimento, Programa de Pós-Graduação Stricto Sensu em Educação Física, Universidade Católica de Brasília – Q.S. 07, Lote 01, EPTC – Bloco G. Zip code: 71966-700 – Distrito Federal, Brasilia, Brazil, Tel/Fax +21/55/61 3356 9350, Email
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Liang WM, Bai ZM, Aihemaiti M, Yuan L, Hong ZM, Xiao J, Ren FF, Rukšėnas O. Women's Respiratory Movements during Spontaneous Breathing and Physical Fitness: A Cross-Sectional, Correlational Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:12007. [PMID: 36231308 PMCID: PMC9566329 DOI: 10.3390/ijerph191912007] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/11/2022] [Revised: 09/15/2022] [Accepted: 09/20/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND Abdominal/diaphragmatic breathing exercises are popular worldwide and have been proven to be beneficial for physical performance. Is abdominal motion (AM) during spontaneous breathing correlated with physical fitness? The present study aimed to answer this question. METHODS 434 women (aged 20-59) were enrolled and participated in respiration tests using two respiration belts (one was tied at the height of the xiphoid and another at the navel) to detect AM and thoracic motion (TM). They also performed physical fitness tests to measure body size, muscular strength, muscular power, muscular endurance, balance, flexibility, reaction time, and cardiorespiratory endurance. RESULTS All the correlation coefficients between respiratory movements (AM, TM, AM + TM, AM/(AM + TM)) and physical fitness outcomes were less than 0.4/-0.4. Only AM and muscular power (countermovement jump height) had a weak correlation, with a correlation coefficient close to 0.4 in the 20-29-year age group (rs = 0.398, p = 0.011, n = 40). CONCLUSIONS Women's respiratory movements during spontaneous breathing were not correlated with physical fitness. Future studies may focus on the relationship between AM and countermovement jump height in young women with a larger sample size and using ultrasound to directly test the excursion of the diaphragm.
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Affiliation(s)
- Wen-Ming Liang
- Life Sciences Center, Vilnius University, LT-10257 Vilnius, Lithuania
- Department of Physiotherapy and Rehabilitation, Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100091, China
| | - Zhen-Min Bai
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China
| | - Maiwulamu Aihemaiti
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China
| | - Lei Yuan
- School of Sports Medicine and Rehabilitation, Beijing Sport University, Beijing 100084, China
| | - Zhi-Min Hong
- School of Science, Inner Mongolia University of Technology, Hohhot 010051, China
| | - Jing Xiao
- Department of Physiotherapy and Rehabilitation, Xiyuan Hospital, Chinese Academy of Chinese Medical Sciences, Beijing 100091, China
| | - Fei-Fei Ren
- Department of Physical Education, Beijing Language and Culture University, Beijing 100083, China
| | - Osvaldas Rukšėnas
- Life Sciences Center, Vilnius University, LT-10257 Vilnius, Lithuania
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10
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Ward-Ritacco CL, Greaney ML, Clark PG, Riebe D. The Longitudinal Association Between Physical Activity and Physical Function in Older Women. Front Sports Act Living 2022; 4:879025. [PMID: 35935068 PMCID: PMC9352878 DOI: 10.3389/fspor.2022.879025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 06/23/2022] [Indexed: 11/13/2022] Open
Abstract
PurposeThe age-related decline in physical function is ameliorated by physical activity; however, less is known about changes in physical function in active vs. inactive older women. The purpose of this study was to determine the longitudinal associations between physical activity and physical function in community-dwelling older women.Methods238 participants (age 79.0 ± 5.1) were dichotomized into two activity groups [inactive (IG); n = 144 or active (AG); n = 94] based on self-reported exercise at baseline. Repeated measures ANCOVA, controlling for age, measured differences in physical function between activity groups at baseline and 48-months using the Timed Up and Go, 30-s chair stand, and 30-second arm curl. Differences in Timed Up and Go classification [normal (≤ 8.23 s); preclinical limitations/limited physical function (>8.23 s)] were analyzed using chi-square tests for activity group and for activity-age group (AG, <80 years; AG, ≥ 80 years; IG, <80 years; IG, ≥ 80 years).ResultsThe repeated measures ANCOVA yielded a significant main effect for activity group for the Timed Up and Go (p = 0.006), 30-s chair stand (p = 0.002) and 30 s arm curl (p = 0.007) and a significant time main effect for the Timed Up and Go (p = 0.016). There were no significant group by time interactions. A larger proportion of the IG than the AG (58.2 vs. 86.5%, respectively) had Timed Up and Go scores >8.23 s (p < 0.001). At 48-months, individuals in the AG were more likely to have normal Timed Up and Go scores compared to those in the IG in both age groups [χ(3, N=236)2 = 42.56, p < 0.001].ConclusionOlder women who engaged in regular exercise at baseline had higher levels of objectively measured physical function and were less likely to have abnormal Timed Up and Go scores. These findings help illustrate the long-term benefit of exercise on physical function in older women.
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Affiliation(s)
| | - Mary L. Greaney
- Department of Health Studies, University of Rhode Island, Kingston, RI, United States
| | - Phillip G. Clark
- Program in Gerontology and Rhode Island Geriatric Education Center, University of Rhode Island, Kingston, RI, United States
| | - Deborah Riebe
- Department of Kinesiology, University of Rhode Island, Kingston, RI, United States
- *Correspondence: Deborah Riebe
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11
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Paranhos Amorim DN, Nascimento DDC, Stone W, Alves VP, Coelho Vilaça e Silva KH. Body composition and functional performance of older adults. Osteoporos Sarcopenia 2022; 8:86-91. [PMID: 35832415 PMCID: PMC9263164 DOI: 10.1016/j.afos.2022.04.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Revised: 04/16/2022] [Accepted: 04/30/2022] [Indexed: 12/16/2022] Open
Abstract
Objectives To determine if anthropometric variables, body composition, medication and gender are associated with functional performance and to compare these variables between octogenarians with high and low functional performance. Methods Observational, cross-sectional study. Weight, height, body mass index (BMI), waist circumference (WC), and waist-to-height ratio (WHtR) were evaluated. Handgrip strength (HGS) was assessed. Participants' body composition was assessed by dual-energy X-ray absorptiometry (DXA) and functional performance by Short Physical Performance Battery (SPPB). A binomial logistic regression was performed. Results One hundred and twenty-two octogenarians were included and separated into high and low function groups. The high function group showed lower values of WHtR (mean difference [MD] = 0.047, P = 0.025) and body fat (BF%) (MD = 3.54, P = 0.032) and higher values of apendicular skeletal muscle mass (ALM) (MD = 3.03, P = 0.001), HGS (MD = 6.11, P = 0.001) and SPPB score (MD = 4.20, P = 0.001). Women were more likely to be classified as low function (OR = 3.66, P = 0.002) and males showed 5.21 odds ratio (P = 0.021) of having high functional performance compared to females. Also, each decrease in age and medication use displayed 1.30 (P = 0.007) and 1.26 odds ratio increases (P = 0.008) in high functional performance. Conclusions Older males display better functional performance than women, and decrements in age and medications increase the high functional performance odds ratio. Octogenarians with high functional performance displayed lower BF measurements and higher values of muscle mass and strength.
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Affiliation(s)
| | - Dahan da Cunha Nascimento
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasília, DF, Brazil
- Department of Physical Education, Catholic University of Brasilia, UCB, Brasília, DF, Brazil
| | - Whitley Stone
- School of Kinesiology, Recreation & Sport, Western Kentucky University, Bowling Green, Kentucky, USA
| | - Vicente Paulo Alves
- Department of Gerontology, Catholic University of Brasilia, UCB, Brasília, DF, Brazil
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12
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Bårdstu HB, Andersen V, Fimland MS, Raastad T, Saeterbakken AH. Muscle Strength Is Associated With Physical Function in Community-Dwelling Older Adults Receiving Home Care. A Cross-Sectional Study. Front Public Health 2022; 10:856632. [PMID: 35548065 PMCID: PMC9081336 DOI: 10.3389/fpubh.2022.856632] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Accepted: 03/28/2022] [Indexed: 11/13/2022] Open
Abstract
Background Higher maximal- and explosive strength is associated with better physical function among older adults. Although the relationship between isometric maximal strength and physical function has been examined, few studies have included measures of isometric rate of force development (RFD) as a measure of explosive strength. Furthermore, little is known about the oldest old (>80 years), especially individuals who receive home care and use mobility devices. Therefore, the aim of this study was to examine the association between maximal- and explosive muscle strength with physical function in community-dwelling older adults receiving home care. Methods An exploratory cross-sectional analysis including 107 (63 females and 43 males) community-dwelling older adults [median age 86 (interquartile range 80–90) years] receiving home care was conducted. Physical function was measured with five times sit-to-stand (5TSTS), timed 8-feet-up-and-go (TUG-8ft), preferred-, and maximal gait speed. Maximal strength was assessed as maximal isometric voluntary contraction (MVC) and explosive strength as RFD of the knee extensors. We used linear regression to examine the associations, with physical function as dependent variables and muscle strength (MVC and RFD) as independent variables. Results MVC was significantly associated with 5TSST [standardized regression coefficient β = −0.26 95% CI (−0.45, −0.06)], TUG-8ft [−0.6 (−0.54, −0.17)], preferred gait speed [0.39 (0.22, 0.57)], and maximal gait speed [0.45 (0.27, 0.62)]. RFD was significantly associated with 5TSST [−0.35 (−0.54, −0.17)], TUG-8ft [−0.43 (−0.60, −0.27)], preferred gait speed [0.40 (0.22, 0.57)], and maximal gait speed [0.48 (0.31, 0.66)]. Conclusions Higher maximal- and explosive muscle strength was associated with better physical function in older adults receiving home care. Thus, maintaining and/or improving muscle strength is important for perseverance of physical function into old age and should be a priority.
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Affiliation(s)
- Hilde Bremseth Bårdstu
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
- *Correspondence: Hilde Bremseth Bårdstu ;
| | - Vidar Andersen
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
| | - Marius Steiro Fimland
- Department of Neuromedicine and Movement Science, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway
- Unicare Helsefort Rehabilitation Centre, Rissa, Norway
| | - Truls Raastad
- Department of Physical Performance, Norwegian School of Sport Sciences, Oslo, Norway
| | - Atle Hole Saeterbakken
- Department of Sport, Food and Natural Sciences, Faculty of Education, Arts and Sports, Western Norway University of Applied Sciences, Sogndal, Norway
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13
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Calvo Aguirre JJ, Ugartemendia Yerobi M, Bueno Yáñez O, Uranga Zaldúa J, Alustiza Navarro J. The Alusti Test, a Functional Assessment Scale Applicable to the Geriatric Population. Dement Geriatr Cogn Disord 2022; 51:18-25. [PMID: 35139521 DOI: 10.1159/000521099] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/06/2021] [Accepted: 11/16/2021] [Indexed: 11/19/2022] Open
Abstract
INTRODUCTION Decreases in functional ability generate dependence, limiting people's quality of life. Assessment tools are needed to evaluate functional abilities of the older adults that can objectively and accurately assess any type of user. Such proper or adapted tools are not always available. The aim of this study was to demonstrate the usefulness and universal application of the Alusti Test, a functional assessment scale, in the older population and to evaluate the sensitivity to change of the Alusti Test short version (Alusti-S) in a psychogeriatric hospitalized population. METHODS Longitudinal study was conducted in a psychogeriatric clinic in Navarra, Spain. The study sample comprised 539 persons of 65 years and older hospitalized at a psychogeriatric clinic (mean age 82.8 ± 7.3 years). The sensitivity to change was assessed upon admission and discharge through the application of three tests: Barthel Index, Complete Alusti Test, and Alusti-S. RESULTS We verified sensitivity to change, as illustrated by an improvement of 24.7%, 13.8%, and 16.0%, respectively. Due to the greater functional deterioration upon admission, the improvement margin in the three tests was higher in patients over 85 years of age and in women. CONCLUSION We consider the Alusti Test an innovative functional assessment tool due to its simplicity, sensitivity, and suitability to universal application in psychogeriatric populations. Correlating recommended physical activity based on the functional ability of the person, based on the Alusti Test, is a pending task that could be of interest for the sake of efficient interventions.
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Affiliation(s)
| | - Maider Ugartemendia Yerobi
- Department of Nursing II, Faculty of Medicine and Nursing, University of the Basque Country UPV/EHU, Donostia/San Sebastián, Guipuzkoa, Spain
| | - Olga Bueno Yáñez
- University Hospital Donostia, Donostia/San Sebastián, Guipuzkoa, Spain
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14
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de Sousa Neto IV, da Cunha Nascimento D, Prestes J, da Fonseca EF, Celes RS, Rolnick N, de Sousa Barbalho YG, Silva ADO, Stival MM, de Lima LR, Funghetto SS. Initial Muscle Quality Affects Individual Responsiveness of Interleukin-6 and Creatine Kinase following Acute Eccentric Exercise in Sedentary Obese Older Women. BIOLOGY 2022; 11:biology11040537. [PMID: 35453736 PMCID: PMC9026080 DOI: 10.3390/biology11040537] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/09/2022] [Revised: 03/09/2022] [Accepted: 03/11/2022] [Indexed: 11/18/2022]
Abstract
This study aimed to evaluate the time course and responsiveness of plasma interleukin-6 (IL-6) and creatine kinase (CK) levels following acute eccentric resistance exercise in sedentary obese older women with a different muscle quality index (MQI). Eighty-eight participants (69.4 ± 6.06 years) completed an acute eccentric resistance exercise (7 sets of 10 repetitions at 110% of 10-repetition maximum with 3 min rest interval). Participants were divided into two groups: high or low MQI according to 50th percentile cut-off. The responsiveness was based on minimal clinical important difference. There were no differences between groups and time on IL-6 and CK levels (p > 0.05). However, the high MQI group displayed a lower proportion of low responders (1 for laboratory and 2 for field-based vs. 5 and 4) and a higher proportion of high responders for IL-6 (7 for laboratory and 6 for field-based vs. 4 and 5) compared to low MQI group. In addition, the high MQI group showed a higher proportion of high responders for CK (11 for laboratory and 9 for field-based vs. 6 and 6) compared to low MQI. A prior MQI screening can provide feedback to understand the magnitude response. Individual responsiveness should be taken into consideration for maximizing eccentric exercise prescription.
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Affiliation(s)
- Ivo Vieira de Sousa Neto
- Laboratory of Molecular Analysis, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil
- Graduate Program of Sciences and Technology of Health, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil; (Y.G.d.S.B.); (M.M.S.); (S.S.F.)
- Correspondence:
| | - Dahan da Cunha Nascimento
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasilia 70910-900, Brazil; (D.d.C.N.); (J.P.); (E.F.d.F.); (R.S.C.)
| | - Jonato Prestes
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasilia 70910-900, Brazil; (D.d.C.N.); (J.P.); (E.F.d.F.); (R.S.C.)
| | - Eduardo Fernandes da Fonseca
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasilia 70910-900, Brazil; (D.d.C.N.); (J.P.); (E.F.d.F.); (R.S.C.)
| | - Rodrigo Souza Celes
- Graduate Program of Physical Education, Catholic University of Brasilia, Brasilia 70910-900, Brazil; (D.d.C.N.); (J.P.); (E.F.d.F.); (R.S.C.)
| | - Nicholas Rolnick
- The Human Performance Mechanic, Lehman College, New York, NY 10468, USA;
| | - Yuri Gustavo de Sousa Barbalho
- Graduate Program of Sciences and Technology of Health, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil; (Y.G.d.S.B.); (M.M.S.); (S.S.F.)
| | | | - Marina Morato Stival
- Graduate Program of Sciences and Technology of Health, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil; (Y.G.d.S.B.); (M.M.S.); (S.S.F.)
- Department of Nursing, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil;
| | - Luciano Ramos de Lima
- Department of Nursing, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil;
| | - Silvana Schwerz Funghetto
- Graduate Program of Sciences and Technology of Health, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil; (Y.G.d.S.B.); (M.M.S.); (S.S.F.)
- Department of Nursing, Faculty of Ceilândia, Universidade de Brasília, Brasilia 70910-900, Brazil;
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15
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Tanaka S, Kamiya K, Matsue Y, Yonezawa R, Saito H, Hamazaki N, Matsuzawa R, Nozaki K, Yamashita M, Wakaume K, Endo Y, Maekawa E, Yamaoka-Tojo M, Shiono T, Inomata T, Ako J. Efficacy and Safety of Acute Phase Intensive Electrical Muscle Stimulation in Frail Older Patients with Acute Heart Failure: Results from the ACTIVE-EMS Trial. J Cardiovasc Dev Dis 2022; 9:jcdd9040099. [PMID: 35448075 PMCID: PMC9032621 DOI: 10.3390/jcdd9040099] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/11/2022] [Revised: 03/15/2022] [Accepted: 03/24/2022] [Indexed: 12/23/2022] Open
Abstract
As frailty in older patients with acute heart failure (AHF) has an adverse effect on clinical outcomes, the addition of electrical muscle stimulation (EMS) to exercise-based early rehabilitation may improve the effects of treatment. Post hoc analysis was performed on a randomized controlled study for clinical outcomes and prespecified subgroups (ACTIVE-EMS: UMIN000019551). In this trial, 31 AHF patients aged ≥ 75 years with frailty (Short Physical Performance Battery [SPPB] score 4–9) were randomized 1:1 to receive treatment with an early rehabilitation program only (n = 16) or early rehabilitation with add-on EMS therapy (n = 15) for 2 weeks. Changes in physical function and cognitive function between baseline and after two weeks of treatment were assessed. There were no adverse events during the EMS period. The EMS group showed significantly greater changes in quadriceps’ isometric strength and SPPB compared to the control group, and EMS therapy showed uniform effects in the prespecified subgroups. There were no significant differences in the changes in other indexes of physical function and cognitive function between groups. There was no significant difference in the rate of heart failure hospitalization at 90 days between groups. In conclusion, older AHF patients with frailty showed greater improvement in lower extremity function with the addition of EMS therapy to early rehabilitation without adverse events.
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Affiliation(s)
- Shinya Tanaka
- Department of Rehabilitation, Nagoya University Hospital, Nagoya 466-8560, Japan;
| | - Kentaro Kamiya
- Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Yokohama 252-0373, Japan;
- Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University, Yokohama 252-0373, Japan;
- Correspondence: ; Tel.: +81-42-778-9693
| | - Yuya Matsue
- Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo 113-8421, Japan; (Y.M.); (H.S.)
| | - Ryusuke Yonezawa
- Department of Rehabilitation, Kitasato University Medical Center, Saitama 364-8501, Japan; (R.Y.); (K.W.)
| | - Hiroshi Saito
- Department of Cardiovascular Biology and Medicine, Juntendo University Graduate School of Medicine, Tokyo 113-8421, Japan; (Y.M.); (H.S.)
- Department of Rehabilitation, Kameda Medical Center, Chiba 296-8602, Japan;
| | - Nobuaki Hamazaki
- Department of Rehabilitation, Kitasato University Hospital, Yokohama 252-0375, Japan; (N.H.); (K.N.)
| | - Ryota Matsuzawa
- Department of Physical Therapy, School of Rehabilitation, Hyogo University of Health Sciences, Kobe 650-8530, Japan;
| | - Kohei Nozaki
- Department of Rehabilitation, Kitasato University Hospital, Yokohama 252-0375, Japan; (N.H.); (K.N.)
| | - Masashi Yamashita
- Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University, Yokohama 252-0373, Japan;
- Research Fellow of Japan Society for the Promotion of Science, Tokyo 102-0083, Japan
| | - Kazuki Wakaume
- Department of Rehabilitation, Kitasato University Medical Center, Saitama 364-8501, Japan; (R.Y.); (K.W.)
| | - Yoshiko Endo
- Department of Rehabilitation, Kameda Medical Center, Chiba 296-8602, Japan;
| | - Emi Maekawa
- Department of Cardiovascular Medicine, Kitasato University School of Medicine, Yokohama 252-0374, Japan; (E.M.); (J.A.)
| | - Minako Yamaoka-Tojo
- Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Yokohama 252-0373, Japan;
- Department of Rehabilitation Sciences, Graduate School of Medical Sciences, Kitasato University, Yokohama 252-0373, Japan;
| | - Takaaki Shiono
- Department of Cardiovascular Medicine, Kitasato University Medical Center, Saitama 364-8501, Japan;
| | - Takayuki Inomata
- Department of Cardiovascular Medicine, Niigata University School of Medical and Dental Sciences, Niigata 951-8510, Japan;
| | - Junya Ako
- Department of Cardiovascular Medicine, Kitasato University School of Medicine, Yokohama 252-0374, Japan; (E.M.); (J.A.)
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16
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Baker JF, Giles JT, Weber D, George MD, Leonard MB, Zemel BS, Long J, Katz P. Sarcopenic Obesity in Rheumatoid Arthritis: Prevalence and Impact on Physical Functioning. Rheumatology (Oxford) 2021; 61:2285-2294. [PMID: 34559201 DOI: 10.1093/rheumatology/keab710] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2021] [Revised: 09/07/2021] [Indexed: 11/12/2022] Open
Abstract
OBJECTIVE We determined the prevalence of sarcopenic obesity in patients with rheumatoid arthritis (RA) using multiple methods and assessed associations with physical functioning. METHODS This study evaluated data from three RA cohorts. Whole-body dual-energy absorptiometry (DXA) measures of appendicular lean mass index (ALMI, kg/m2) and fat mass index (FMI) were converted to age, sex, and race-specific Z-Scores and categorized using a recently validated method and compared it to a widely-used existing method. The prevalence of body composition abnormalities in RA was compared with two reference populations. In the RA cohorts, associations between body composition and change in the Health Assessment Questionnaire (HAQ) and the Short Physical Performance Battery (SPPB) in follow-up were assessed using linear and logistic regression, adjusting for age, sex, race, and study. RESULTS The prevalence of low lean mass and sarcopenic obesity were higher in patients with RA (14.2; 12.6%, respectively) compared with the reference population cohorts (7-10%; 4-4.5%, respectively, all p< 0.05). There was only moderate agreement among methods of sarcopenic obesity categorization (Kappa 0.45). The recently validated method categorized fewer subjects as obese, and many of these were categorized as low lean mass only. Low lean mass, obesity, and sarcopenic obesity were each associated with higher HAQ and lower SPPB at baseline and numerically greater worsening. CONCLUSION RA patients had higher rates of low lean mass and sarcopenic obesity than the general population. The recently validated methods characterized body composition changes differently from traditional methods and were more strongly associated with physical function.
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Affiliation(s)
- Joshua F Baker
- Philadelphia VA Medical Center, Philadelphia, PA, USA.,University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.,Department of Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA, USA
| | | | - David Weber
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.,Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Michael D George
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA
| | - Mary B Leonard
- Stanford University School of Medicine, Stanford, CA, USA
| | - Babette S Zemel
- University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, USA.,Children's Hospital of Philadelphia, Philadelphia, PA, USA
| | - Jin Long
- Stanford University School of Medicine, Stanford, CA, USA
| | - Patricia Katz
- University of California San Francisco, San Francisco, CA, USA
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17
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Assantachai P, Phulsawat A, Ruengsinpinya P, Udompunturak S. Diagnostic accuracy of quadriceps strength-based criteria compared to handgrip-based criteria for diagnosing sarcopenia and severe sarcopenia in older adults. Arch Gerontol Geriatr 2021; 97:104504. [PMID: 34392048 DOI: 10.1016/j.archger.2021.104504] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2021] [Revised: 08/05/2021] [Accepted: 08/06/2021] [Indexed: 12/31/2022]
Abstract
AIM . Handgrip strength (HS) is an established parameter for sarcopenia diagnosis; however, a considerable proportion of older adults have some kind of hand abnormality or limitation that can prevent reliable hand muscle power testing. This study set forth to investigate the diagnostic accuracy of quadriceps strength (QS)-based criteria compared to handgrip strength (HS)-based criteria for diagnosing sarcopenia and severe sarcopenia in older adults. SETTING AND PARTICIPANTS . A total of 381 subjects aged ≥60 years who attended the outpatient geriatric clinic at Siriraj Hospital (Bangkok, Thailand) during 2015-2017 were recruited via convenience sampling. Patients who were ambulatory, able to communicate, and without metallic prosthesis or pacemaker were eligible for inclusion. METHODS . All consenting subjects underwent HS and QS testing, muscle mass measurement by bioelectrical impedance analysis, and gait speed analysis. The Asian Working Group for Sarcopenia (AWGS) 2019 consensus criteria were used as reference standard. RESULTS . The prevalence of sarcopenia and severe sarcopenia by HS-based criteria was 13.9% and 6.8%, respectively. In comparison, the prevalence of sarcopenia and severe sarcopenia by QS-based criteria was 14.7% and 10.2%, respectively. The sensitivity and specificity of QS-based criteria for diagnosing sarcopenia was 100% (95% confidence interval [CI]: 93.3-100%) and 99.1% (95%CI: 97.4-99.8%), respectively. The sensitivity and specificity of QS-based criteria for diagnosing severe sarcopenia was 88.5% (95%CI: 69.9-97.6%) and 95.5% (95%CI: 92.8-97.4%), respectively. CONCLUSIONS . With very high sensitivity and specificity, QS-based diagnostic criteria could be used to diagnose sarcopenia and severe sarcopenia in older adults whose HS measurements could not be reliably obtained. THAI CLINICAL TRIALS REGISTRY REGISTRATION NUMBER: . TCTR 20200717004.
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Affiliation(s)
- Prasert Assantachai
- Department of Preventive and Social Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
| | - Apirath Phulsawat
- Division of Geriatric Medicine, Department of Medicine, Golden Jubilee Medical Center, Mahidol University, Nakhon Pathom, Thailand.
| | | | - Suthipol Udompunturak
- Research Group and Research Network Division, Research Department, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
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18
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Nakaya Y, Akamatsu M, Ogimoto A, Kitaoka H. Early cardiac rehabilitation for acute decompensated heart failure safely improves physical function (PEARL study): a randomized controlled trial. Eur J Phys Rehabil Med 2021; 57:985-993. [PMID: 34291626 DOI: 10.23736/s1973-9087.21.06727-7] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND Improvements in the Short Physical Performance Battery (SPPB) rather than exercise tolerance reportedly lead to favorable prognosis in elderly patients with acute decompensated heart failure (ADHF). However, about 50% of heart failure shows heart failure with preserved ejection fraction, safe and effective interventions to improve SPPB for these types remain unclear. In addition, although a standard cardiac rehabilitation (CR) program for heart failure is widely used in Japan, whether this is sufficient to improve SPPB in elderly patients with ADHF remains unclear. AIM This study was to evaluate whether the addition of multidisciplinary physical interventions to the standard CR program would prove effective for improving SPPB among elderly patients with ADHF regardless types of heart failure. DESING Randomized, prospective study. SETTING Patients admitted to our hospital due to ADHF in Japan. POPULATION Elderly patients with ADHF between March 2019 and March 2020 were randomized to two groups, an Intervention group and a Control group. METHODS The Control group performed standard CR. The Intervention group received balance training and resistance training and used a cycling ergometer in addition to the standard CR program. The primary outcome was the improvement in SPPB after CR. RESULTS Seventy-five patients with ADHF were divided into the two groups (Intervention group, n=36; Control group, n=39). At baseline, both groups showed low physical performance and a high prevalence of frailty. Intervention size effect was an improvement in SPPB score of +2.2 (+3.7±1.1 vs. +1.5±1.7; p<0.001). Of the 3 components of SPPB, both gait speed and timed repeated chair rise were significantly improved in the Intervention group compared to the Control group, with intervention size effect of +0.76 and +0.94, respectively (p<0.001). Subgroup analysis of heart failure with preserved ejection fraction showed significant improvement in SPPB score in the Intervention group compared to the Control group (p<0.001).No adverse events were observed during the study period. CONCLUSIONS A multi-faceted intervention in addition to standard CR improved physical performance among elderly patients with ADHF regardless types of heart failure. CLINICAL REHABILITATION IMPACT We believe that use of a cycling ergometer and loadspecific resistance training provide specific CR for patients with ADHF during acute hospitalization and highlight the need for active intervention.
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Affiliation(s)
- Yuta Nakaya
- Department of Rehabilitation, Uwajima City Hospital, Uwajima, Japan - .,Medical Science Graduate School of Kochi University, Kochi, Japan -
| | | | | | - Hiroaki Kitaoka
- Department of Cardiology and Geriatrics, Kochi Medical School, Kochi University, Kochi, Japan
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19
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Buckinx F, Peyrusqué É, Granet J, Aubertin-Leheudre M. Impact of current or past physical activity level on functional capacities and body composition among elderly people: a cross-sectional analysis from the YMCA study. ACTA ACUST UNITED AC 2021; 79:50. [PMID: 33858506 PMCID: PMC8048256 DOI: 10.1186/s13690-021-00573-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/09/2021] [Accepted: 04/03/2021] [Indexed: 12/25/2022]
Abstract
Background Physical activity (PA) is recognized as important predictor of healthy aging. However, the influence of the type of voluntary PA as well as age or sex in this relationship is unclear. Thus, we assess the association between current and past PA level and physical performances among voluntary active older adults. Methods Functional capacities (timed Up and Go, sit-to-stand, alternate step test, unipodal balance, grip strength, knee extension strength, estimated muscle power and VO2 max) as well as body composition (DXA: total and appendicular lean masses (LM; kg), fat mass (FM; %)) were measured. Current and last 5-years PA level (time spent on total, aerobic, resistance and body & mind activities) were assessed using an interview. Multiple regressions, adjusted on age, sex and BMI, were performed to assess the relationship between current or past PA level and physical performances. Sub-group analysis, according to the sex (men/women) or age (< 65 yrs. vs. ≥65 yrs) were performed. Results 525 subjects (age:61.7 ± 8.1 yrs.; women:68.9%; BMI:26.4 ± 4.8 kg/m2) were enrolled in this study. After adjustment on confounding factors, total current PA level has positive impact on total FM (β = − 2.09, p = 0004) and balance (β = 0.10; p = 0.05). Moreover, current body & mind activities influence total LBM (β = − 0.22, p = 0.02) and balance (β = 0.17; p = 0.001) whereas resistance activities influence total LBM (β = 0.17; p = 0.05), FM (β = − 0.16; p = 0.04) and sit-to-stand capacities (β = − 0.10; p = 0.05). Globally, these results were more pronounced in women than in men and among people aged over 65 years. Past level of PA has low impact on functional capacities and body composition, regardless of sex. Among people < 65 years, there is no relationship between time spent on total PA and functional capacities or body composition. However, a significant correlation was found between past total PA and balance (r=` 0.19; p = 0.01), alternate-step test (r = 0.24; p = 0.02) and VO2max (r = 0.19; p = 0.02) in people aged over 65 years. More precisely, the past time spent on aerobic and resistance activities influence balance (r = 0.16; p = 0.03 and r = 0.15; p = 0.04, respectively) after 65 yrs. old. Conclusion Even if physical activity history has little influence on physical aging process, being active is associated with body composition and functional capacities, especially among women aged 65 years and over.
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Affiliation(s)
- Fanny Buckinx
- Département des Sciences de l'Activité Physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal (UQAM), Montréal, Qc, Canada.,Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Qc, Canada.,WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Ageing, University of Liège, Liège, Belgium
| | - Éva Peyrusqué
- Département des Sciences de l'Activité Physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal (UQAM), Montréal, Qc, Canada.,Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Qc, Canada
| | - Jordan Granet
- Département des Sciences de l'Activité Physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal (UQAM), Montréal, Qc, Canada.,Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Qc, Canada
| | - Mylène Aubertin-Leheudre
- Département des Sciences de l'Activité Physique, Groupe de Recherche en Activité Physique Adapté, Université du Québec à Montréal (UQAM), Montréal, Qc, Canada. .,Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Qc, Canada.
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20
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Nascimento DDC, Prestes J, de Sousa Diniz J, Beal PR, Alves VP, Stone W, Beal FLR. Comparison of field- and laboratory-based estimates of muscle quality index between octogenarians and young older adults: an observational study. J Exerc Rehabil 2020; 16:458-466. [PMID: 33178648 PMCID: PMC7609849 DOI: 10.12965/jer.2040668.334] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Accepted: 09/25/2020] [Indexed: 12/25/2022] Open
Abstract
Muscle quality (the ratio of strength to lean muscle mass) might be a better indicator of muscle function than strength alone. Differences in muscle quality index (MQI) between octogenarians and young older adults remain unclear. The aims of the present cross-sectional study were to compare (1) MQI between octogenarians and young older adults, (2) lab versus field-based MQI tools, and (3) determine possible confounding factors affecting MQI in older adults. Compiled data from two cross-sectional studies included 175 younger and older adults (31 men and 144 women) with a mean age of 75.93±9.49 years. Participants with age ≥80 years old were defined as octogenarians (n=79) and <80 years was defined as young older adults (n=96). Laboratory MQI was derived from the ratio of grip strength to arm muscle mass (in kg) measured by dual-energy x-ray absorptiometry. Field-based MQI was quantified from the ratio of grip strength to body mass index (BMI). Octogenarians displayed lower field (P=0.003) and laboratory MQI (P<0.001) as compared with young older adults. There was a strong correlation effect between field MQI and laboratory MQI (P=0.001, R=0.85). BMI (P=0.001), and diabetes mellitus (P=0.001) negatively affected MQI. Women presented lower MQI (P=0.001) values than men. In light of this information, rehabilitation specialists should consider the use of field-based MQI as a tool for evaluation and follow-up of older population.
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Affiliation(s)
- Dahan da Cunha Nascimento
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil.,Department of Physical Education, Center University of Distrito Federal (UDF), Brasilia, Brazil.,Department of Gerontology, Catholic University of Brasilia (UCB), Brasilia, Brazil
| | - Jonato Prestes
- Department of Physical Education, Catholic University of Brasilia (UCB), Brasilia, Brazil
| | - Joyce de Sousa Diniz
- Department of Gerontology, Catholic University of Brasilia (UCB), Brasilia, Brazil
| | | | - Vicente Paulo Alves
- Department of Gerontology, Catholic University of Brasilia (UCB), Brasilia, Brazil
| | - Whitley Stone
- Department of School of Kinesiology Recreation and Sport, Western Kentucky University, Bowling Green, FL, USA
| | - Fabiani Lage Rodrigues Beal
- Department of Gerontology, Catholic University of Brasilia (UCB), Brasilia, Brazil.,Department of Nutrition, Health and Medicine School, Catholic University of Brasilia (UCB), Brasilia, Brazil
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21
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F B, L P C, V M, M D, G HB, G G, P G, P N, M AL. High intensity interval training combined with L-citrulline supplementation: Effects on physical performance in healthy older adults. Exp Gerontol 2020; 140:111036. [PMID: 32721549 DOI: 10.1016/j.exger.2020.111036] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2020] [Revised: 06/25/2020] [Accepted: 07/20/2020] [Indexed: 12/25/2022]
Abstract
INTRODUCTION The aim of this study was to evaluate the effect of citrulline (CIT) supplementation combined to high intensity interval training (HIIT) on physical performance in healthy older adults. METHODS This study is a secondary analysis from a double-blind, randomized trial. Among the participants (sedentary & inactive older adults aged over 65 yrs), 44 were non obese (BMI <30 kg/m2) and completed the intervention: Placebo + HIIT (PLA; n = 21) or CIT + HIIT (n = 23). All participants ingested either 10 g of CIT supplementation/day or placebo and followed HIIT sessions (30 min/session; cycle: 30 s > 85% of maximal heart rate (HR) and Borg scale >17/20 + 1:50 min at 65% HR and Borg scale between 13 and 16) on an elliptical device 3 times per week over a 12-week period. Body composition, muscle strength, muscle power, functional capacities (unipodal balance; self-paced and fast Timed Up and Go (nTUG; fTUG); chair test; step tests; 4-meter walking test; 6-minute walking test); dietary intake, energy expenditure and biological markers were measured pre and post-intervention. A repeated-measure analysis of variance was used to estimate time (HIIT intervention), group (PLA vs. CIT) and time*group effects. RESULTS The decrease in BMI (p = 0.02) and android fat mass (p = 0.05) were significantly greater in the HIIT+CIT group than in the HIIT+PLA group. Finally, a greater increase in self-paced gait speed (nTUG) (p = 0.02) and fast-paced gait speed (fTUG) (p = 0.03) were also observed in the HIIT+CIT group than in the HIIT+PLA group. CONCLUSION CIT supplementation combined to HIIT is more effective in improving functional capacities and body composition in healthy older adults than HIIT alone.
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Affiliation(s)
- Buckinx F
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada; WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Ageing, Liège, Belgium
| | - Carvalho L P
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada
| | - Marcangeli V
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada
| | - Dulac M
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada
| | - Hajj Boutros G
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada
| | - Gouspillou G
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada
| | - Gaudreau P
- Département de Médecine, Université de Montréal, Montréal, Canada; Centre de Recherche du Centre Hospitalier de l'Université de Montréal, Montréal, Canada
| | - Noirez P
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Inserm UMR S-1124 & IRMES EA7329, Université de Paris, Paris, France
| | - Aubertin-Leheudre M
- Département des Sciences de l'Activité Physique, GRAPA, Université du Québec À Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal, Montréal, Canada.
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22
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Kong S, Shin S, Lee JK, Lee G, Kang D, Cho J, Kim HK, Zo JI, Shim YM, Park HY, Shin DW. Association between Sarcopenia and Physical Function among Preoperative Lung Cancer Patients. J Pers Med 2020; 10:E166. [PMID: 33066134 PMCID: PMC7712435 DOI: 10.3390/jpm10040166] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2020] [Revised: 09/28/2020] [Accepted: 10/08/2020] [Indexed: 12/26/2022] Open
Abstract
We aimed to investigate the prevalence of sarcopenia using new diagnostic criteria and association of sarcopenia with cardiopulmonary function and physical activity (PA) in preoperative lung cancer patients. The data of 614 patients were obtained from the CATCH-LUNG cohort study. Patients were classified into three groups-normal (n = 520), pre-sarcopenia (n = 60, low skeletal muscle mass index only), and sarcopenia (n = 34, low SMI and strength). Cardiopulmonary function was measured using the 6-min walk test (6MWT), and PA was objectively measured using a wearable device. The adjusted odds ratio (aOR) for a <400-m distance in 6MWT was 3.52 (95% confidence interval (CI) 1.34-9.21) and 6.63 (95% CI 2.25-19.60) in the pre-sarcopenia and sarcopenia groups, respectively, compared to that in the normal group. The aOR (95% CI) for <5000 steps/day was 1.64 (0.65-4.16) and 4.20 (1.55-11.38) in the pre-sarcopenia and sarcopenia groups, respectively, compared to that in the normal group. In conclusion, the prevalence of pre-sarcopenia and sarcopenia was 9.8% and 5.5%, respectively, among preoperative lung cancer patients. Cardiopulmonary function and physical activity were significantly lower in the pre-sarcopenia and sarcopenia groups than in the normal group. Patients with sarcopenia had more robust findings, suggesting the importance of muscle strength and mass.
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Affiliation(s)
- Sunga Kong
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul 06351, Korea; (S.K.); (G.L.); (D.K.); (J.C.)
- Patient-Centered Outcomes Research Institute, Samsung Medical Center, Seoul 06351, Korea;
| | - Sumin Shin
- Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea; (S.S.); (H.K.K.); (J.I.Z.); (Y.M.S.)
| | - Jae Kyung Lee
- Patient-Centered Outcomes Research Institute, Samsung Medical Center, Seoul 06351, Korea;
| | - Genehee Lee
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul 06351, Korea; (S.K.); (G.L.); (D.K.); (J.C.)
- Patient-Centered Outcomes Research Institute, Samsung Medical Center, Seoul 06351, Korea;
| | - Danbee Kang
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul 06351, Korea; (S.K.); (G.L.); (D.K.); (J.C.)
- Center for Clinical Epidemiology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea
| | - Juhee Cho
- Department of Clinical Research Design and Evaluation, SAIHST, Sungkyunkwan University, Seoul 06351, Korea; (S.K.); (G.L.); (D.K.); (J.C.)
- Center for Clinical Epidemiology, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea
- Departments of Epidemiology and Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA
| | - Hong Kwan Kim
- Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea; (S.S.); (H.K.K.); (J.I.Z.); (Y.M.S.)
| | - Jae Ill Zo
- Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea; (S.S.); (H.K.K.); (J.I.Z.); (Y.M.S.)
| | - Young Mog Shim
- Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea; (S.S.); (H.K.K.); (J.I.Z.); (Y.M.S.)
| | - Hye Yun Park
- Division of Pulmonary and Critical Care Medicine, Department of Medicine, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea
| | - Dong Wook Shin
- Department of Family Medicine & Supportive Care Center, Samsung Medical Center, Seoul 06351, Korea
- Department of Digital Health, SAIHST, Sungkyunkwan University, Seoul 06351, Korea
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23
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Pereira JC, Neri SGR, Vainshelboim B, Gadelha AB, Bottaro M, de Oliveira RJ, Lima RM. Normative Values of Knee Extensor Isokinetic Strength for Older Women and Implications for Physical Function. J Geriatr Phys Ther 2020; 42:E25-E31. [PMID: 29794885 DOI: 10.1519/jpt.0000000000000198] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
BACKGROUND AND PURPOSE Lower-limb strength is required for everyday activities and thus its evaluation has been especially emphasized in older adults. Isokinetic testing is a criterion standard method to assess muscle strength; however, lack of reference values limits its usefulness in geriatric evaluation and rehabilitation. The aim of this study was to develop reference values of knee extensor isokinetic strength for older women. As a secondary aim, functional tests were performed for clinical significance validation. METHODS A total of 453 older women aged 60 to 84 years participated in this study. Knee extensor isokinetic strength was measured using the Biodex System dynamometer at 60° per second. The Timed Up and Go test and the 5 times Sit-to-Stand test were used for functional performance evaluation. Participants were categorized into age groups of 5 years range. The 20th, 40th, 60th, and 80th percentiles were used for stratification purposes. RESULTS AND DISCUSSION As expected, mean strength values significantly decreased with advancing age groups. Isokinetic percentile groups are presented according to age. Individuals in the lower percentile strata showed significantly reduced performance in both the Timed Up and Go and 5 times Sit-to-Stand tests (P < .05). CONCLUSION This study provides normative values of isokinetic knee extensor strength in older women. The association between lower isokinetic knee extensor strength strata and reduced functional capacity supports the potential application of these reference values in clinical and research settings. Future studies should ascertain these findings in different female populations.
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Affiliation(s)
- Juscelia Cristina Pereira
- Faculty of Physical Education, University of Brasília, Brasília, Distrito Federal, Brazil.,Federal Institute of Triângulo Mineiro, Campus Paracatu, Paracatu, Minas Gerais, Brazil
| | | | - Baruch Vainshelboim
- Master of Cancer Care Program, School of Health Sciences, Saint Francis University, Loretto, Pennsylvania
| | - André Bonadias Gadelha
- Faculty of Physical Education, University of Brasília, Brasília, Distrito Federal, Brazil
| | - Martim Bottaro
- Faculty of Physical Education, University of Brasília, Brasília, Distrito Federal, Brazil
| | | | - Ricardo M Lima
- Faculty of Physical Education, University of Brasília, Brasília, Distrito Federal, Brazil
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Gadelha AB, Neri SGR, Vainshelboim B, Ferreira AP, Lima RM. Dynapenic abdominal obesity and the incidence of falls in older women: a prospective study. Aging Clin Exp Res 2020; 32:1263-1270. [PMID: 31489597 DOI: 10.1007/s40520-019-01318-z] [Citation(s) in RCA: 18] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2019] [Accepted: 08/10/2019] [Indexed: 12/25/2022]
Abstract
BACKGROUND Dynapenic abdominal obesity (D/AO) has been associated with negative outcomes in older people, including trait of falls. AIMS To assess the association between D/AO and the incidence of falls over 18 months in older community-dwelling women. METHODS A total of 201 older women (67.97 ± 6.02 years; 27.70 kg/m2) underwent waist circumference measurement, and had handgrip strength assessed using a hydraulic dynamometer. Dynapenia was classified using the lower tertile of handgrip strength, while abdominal obesity was considered as a waist circumference > 88 cm. D/AO was the combination of both aforementioned criteria. Volunteers were classified into four groups: normal, abdominal obesity, dynapenic, and D/AO. Participants were then tracked by phone calls for ascertainment of falls during a follow-up period of 18 months. Chi-square and multivariable Cox proportional regressions were conducted. RESULTS The overall incidence of falls over the follow-up was 27.5%; and for normal, dynapenic, abdominal obesity, and D/AO were 14.7%, 17.2%, 27.5%, and 40.4% (X2 = 8.341; P = 0.039), respectively. D/AO was associated with a higher risk of falls (hazard ratio: 3.595 [95% CI: 1.317-9.815], even after adjustments for age, body mass index, physical activity level, regular use of medications, peripheral sensation, chronic diseases, and history of lower-limbs pain. CONCLUSIONS D/AO is more closely related to falls than either dynapenia or abdominal obesity alone, and is independently associated with an increased incidence of falls in older women. These results provide support for the concept that the combined evaluation of muscle strength and central obesity may be clinically relevant in this population.
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Affiliation(s)
- André Bonadias Gadelha
- Department of Physical Education and Sports, Federal Institute of Education, Science and Technology Goiano, Rod. Geraldo Silva Nascimento, Km-2,5, Zona Rural, Urutaí, Goiás, 75790-000, Brazil.
| | - Silvia G R Neri
- Faculdade de Educação Física, University of Brasília, Campus Darcy Ribeiro, Asa Norte, Brasília, 70910-900, Distrito Federal, Brazil
| | - Baruch Vainshelboim
- Master of Cancer Care Program, School of Health Sciences, Saint Francis University, Loretto, PA, USA
| | | | - Ricardo M Lima
- Faculdade de Educação Física, University of Brasília, Campus Darcy Ribeiro, Asa Norte, Brasília, 70910-900, Distrito Federal, Brazil
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25
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Rodacki ALF, Boneti Moreira N, Pitta A, Wolf R, Melo Filho J, Rodacki CDLN, Pereira G. Is Handgrip Strength a Useful Measure to Evaluate Lower Limb Strength and Functional Performance in Older Women? Clin Interv Aging 2020; 15:1045-1056. [PMID: 32636619 PMCID: PMC7335282 DOI: 10.2147/cia.s253262] [Citation(s) in RCA: 23] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/10/2020] [Accepted: 04/29/2020] [Indexed: 01/15/2023] Open
Abstract
Aim This study aimed to determine the association of handgrip strength with isometric and isokinetic strength (hip, knee and ankle extensor/flexor muscles), and functional capacity in older women. Methods The handgrip strength and lower limb strength of 199 older women (60–86 years) were measured using JAMAR and BIODEX dynamometers, respectively. Time Up and Go, Five-times-sit-to-stand and 6m-walk functional tests were evaluated. Pearson correlations were used to determine the relationship between variables. Regression analysis was applied to identify if HS was able to predict TUG performance. The effect of age was analyzed by splitting the participants in a group of older women (OLD; from 60 to 70 years old) and very old women (from 71 to 86 years old). Results The HS and isometric/isokinetic strength correlations were negligible/low and, in most cases, were non-significant. The correlation between handgrip strength and functional tests also ranged predominantly from negligible (r=0.0 to 0.3) to low (r=0.3 to 0.5), irrespective of the group age. The handgrip strength was not able to explain the variance of the TUG performance. Conclusion Generalizing handgrip strength as a practical and straightforward measure to determine lower limbs and overall strength, and functional capacity in older women must be viewed with caution. Handgrip strength and standard strength measures of the lower limbs and functional tests present a negligible/low correlation.
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Affiliation(s)
| | - Natália Boneti Moreira
- Department of Physiotherapy Prevention and Rehabilitation, Federal University of Parana, Curitiba, Brazil
| | - Arthur Pitta
- Department of Physical Education, Federal University of Parana, Curitiba, Brazil
| | - Renata Wolf
- Department of Physical Education, Federal University of Parana, Curitiba, Brazil
| | - Jarbas Melo Filho
- Department of Physical Education, Federal University of Parana, Curitiba, Brazil
| | - Cintia de Lourdes Nahhas Rodacki
- Department of Physical Education, Federal University of Parana, Curitiba, Brazil.,Department of Physical Education, Paraná Technological Federal University, Paraná, Curitiba, Brazil
| | - Gleber Pereira
- Department of Physical Education, Federal University of Parana, Curitiba, Brazil
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Effects of slow- v. fast-digested protein supplementation combined with mixed power training on muscle function and functional capacities in older men. Br J Nutr 2020; 125:1017-1033. [PMID: 32498755 DOI: 10.1017/s0007114520001932] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
Ageing leads to a progressive loss of muscle function (MF) and quality (MQ: muscle strength (MS)/lean muscle mass (LM)). Power training and protein (PROT) supplementation have been proposed as efficient interventions to improve MF and MQ. Discrepancies between results appear to be mainly related to the type and/or dose of proteins used. The present study aimed at determining whether or not mixed power training (MPT) combined with fast-digested PROT (F-PROT) leads to greater improvements in MF and MQ in elderly men than MPT combined with slow-digested PROT (S-PROT) or MPT alone. Sixty elderly men (age 69 (sd 7) years; BMI 18-30 kg/m2) were randomised into three groups: (1) placebo + MPT (PLA; n 19); (2) F-PROT + MPT (n 21) and (3) S-PROT + MPT (n 20) completed the intervention. LM, handgrip and knee extensor MS and MQ, functional capacity, serum metabolic markers, skeletal muscle characteristics, dietary intake and total energy expenditure were measured. The interventions consisted in 12 weeks of MPT (3 times/week; 1 h/session) combined with a supplement (30 g:10 g per meal) of F-PROT (whey) or S-PROT (casein) or a placebo. No difference was observed among groups for age, BMI, number of steps and dietary intake pre- and post-intervention. All groups improved significantly their LM, lower limb MS/MQ, functional capacity, muscle characteristics and serum parameters following the MPT. Importantly, no difference between groups was observed following the MPT. Altogether, adding 30 g PROT/d to MPT, regardless of the type, does not provide additional benefits to MPT alone in older men ingesting an adequate (i.e. above RDA) amount of protein per d.
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Moura TGD, Nagata CDA, Garcia PA. The influence of isokinetic peak torque and muscular power on the functional performance of active and inactive community-dwelling elderly: a cross-sectional study. Braz J Phys Ther 2020; 24:256-263. [PMID: 31000175 PMCID: PMC7253910 DOI: 10.1016/j.bjpt.2019.03.003] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2018] [Revised: 02/27/2019] [Accepted: 03/11/2019] [Indexed: 01/31/2023] Open
Abstract
OBJECTIVE To verify the importance of the isokinetic muscular torque and power of knee extensors and flexors on the functional performance of active and inactive elderly women. METHODS A cross-sectional observational study was conducted with 116 community-dwelling women (≥60 years old) without severe cognitive and/or motor dysfunction. Isokinetic muscle function was measured by peak torque and muscle power at 60°/s (5 repetitions) and 180°/s (15 repetitions), respectively. Mobility was evaluated by means of the Timed Up and Go test (TUG) and the Habitual Gait Speed (HGS) test. Balance was evaluated via the alternate step and semitandem tests. Lower limb strength was assessed using the Sit-to-stand test. Univariate and multivariate logistic regression analysis was used to determine association between independent and dependent variables (α=0.05). RESULT Active elderly women had better muscle function and functional performance than inactive elderly women for almost all variables. Peak torque and muscular power of knee extensor muscles explained the dynamic balance, mobility, and lower limb strength among inactive elderly women (OR: 0.89-0.95; p<0.05). Muscular power of knee flexors influenced tasks that required mobility and lower limb strength among active elderly (OR: 0.82-0.87; p<0.05). CONCLUSIONS The muscular power of knee flexors was shown to be more important for the functional performance of active elderly women. The muscular power of knee extensors had a stronger influence on the performance of the inactive elderly women.
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Affiliation(s)
- Tayla Gomes de Moura
- Graduation in Physical Therapy, Universidade de Brasília (UnB), Brasília, DF, Brazil
| | - Cristiane de Almeida Nagata
- Postgraduate Program in Rehabilitation Sciences, Universidade de Brasília (UnB) - Campus Ceilândia, Brasília, DF, Brazil
| | - Patrícia Azevedo Garcia
- Postgraduate Program in Rehabilitation Sciences, Universidade de Brasília (UnB) - Campus Ceilândia, Brasília, DF, Brazil.
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de Almeida AC, Aily JB, Pedroso MG, Gonçalves GH, de Carvalho Felinto J, Ferrari RJ, Pastre CM, Mattiello SM. A periodized training attenuates thigh intermuscular fat and improves muscle quality in patients with knee osteoarthritis: results from a randomized controlled trial. Clin Rheumatol 2019; 39:1265-1275. [PMID: 31865505 DOI: 10.1007/s10067-019-04892-9] [Citation(s) in RCA: 22] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/15/2019] [Revised: 12/03/2019] [Accepted: 12/11/2019] [Indexed: 10/25/2022]
Abstract
OBJECTIVE To analyze the influence of a 14-week periodized circuit training (CT) protocol on thigh intermuscular fat and muscle quality (force per unit area of lean tissue) in patients with knee osteoarthritis (KOA). DESIGN Randomized controlled trial METHODS: Sixty-one selected participants with KOA grades 2 and 3, 40-65 years old, and BMI < 30 kg/m2 were randomized into three groups: CT, conventional strength training (ST), and educational protocol (EP). The CT and ST protocols consisted of 14-week training protocols conducted 3 times a week. The CT group performed exercises stratified as light, moderate, and intense, arranged progressively in a circuit model. The ST group performed conventional strength exercises, and the EP group participated in lectures twice a month about healthy lifestyles. Baseline and follow-up (week 0 and week 14) evaluations were conducted for thigh intermuscular fat (computed tomography), knee extension maximal isometric voluntary contraction (MIVC), and muscle quality (knee extension MIVC/muscle mass cross-sectional area). RESULTS Only the CT group presented significant reductions in thigh intermuscular fat (p = 0.003) and significantly lower values in week 14 compared with the EP (p = 0.032). Both trained groups presented significant increases in muscle mass area (p=0.002 for CT and p=0.008 for ST) and increments in knee extension MIVC (p=0,033 for CT nd p=0.019 for ST) in week 14 compared with the EP and increases in muscle quality (p = 0.004 and 0.042). CONCLUSION It can be concluded that a 14-week periodized CT protocol attenuates thigh intermuscular fat and improves muscle quality in patients with KOA. TRIAL REGISTRATION ClinicalTrials.gov, NCT02761590; https://clinicaltrials.gov/ct2/show/NCT02761590Key Points•Fourteen weeks of periodized circuit training attenuates thigh intermuscular fat in patients with knee osteoarthritis.•Circuit training is as effective as strength training for improving muscle mass, strength, and quality.
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Affiliation(s)
- Aline Castilho de Almeida
- Department of Physical Therapy, Federal University of São Carlos (UFSCar), Washington Luís Rd, 235 km - SP-310, São Carlos, SP, 13565-905, Brazil.
| | - Jessica Bianca Aily
- Department of Physical Therapy, Federal University of São Carlos (UFSCar), Washington Luís Rd, 235 km - SP-310, São Carlos, SP, 13565-905, Brazil
| | - Maria Gabriela Pedroso
- Department of Physical Therapy, Federal University of São Carlos (UFSCar), Washington Luís Rd, 235 km - SP-310, São Carlos, SP, 13565-905, Brazil
| | - Glaucia Helena Gonçalves
- Integrated Health Institute, Federal University of Mato Grosso do Sul (UFMS), Costa e Silva Av., Campo Grande, MS, 79070-900, Brazil
| | - Jonas de Carvalho Felinto
- Department of Computer Science, Federal University of São Carlos (UFSCar), Washington Luís Rd, 235 km - SP-310, São Carlos, SP, 13565-905, Brazil
| | - Ricardo José Ferrari
- Department of Computer Science, Federal University of São Carlos (UFSCar), Washington Luís Rd, 235 km - SP-310, São Carlos, SP, 13565-905, Brazil
| | - Carlos Marcelo Pastre
- Department of Physical Therapy, São Paulo State University (UNESP), 305 Roberto Simonsen St., Presidente Prudente, SP, 19060-900, Brazil
| | - Stela Marcia Mattiello
- Department of Physical Therapy, Federal University of São Carlos (UFSCar), Washington Luís Rd, 235 km - SP-310, São Carlos, SP, 13565-905, Brazil
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Cao X, Gu Y, Fu J, Vu TQC, Zhang Q, Liu L, Meng G, Yao Z, Wu H, Bao X, Zhang S, Wang X, Sun S, Zhou M, Jia Q, Song K, Wu Y, Niu K. Excessive daytime sleepiness with snoring or witnessed apnea is associated with handgrip strength: a population-based study. QJM 2019; 112:847-853. [PMID: 31297519 DOI: 10.1093/qjmed/hcz178] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/26/2019] [Revised: 07/01/2019] [Indexed: 12/25/2022] Open
Abstract
BACKGROUND Sarcopenia is emerging as an important public health problem, and evidences have determined that poor sleep is associated with muscle strength, but the potential effects of excessive daytime sleepiness (EDS), snoring and witnessed apnea on handgrip strength have not been evaluated. AIM We aimed to examine the association between EDS, snoring, witnessed apnea and muscle strength in an adult population. DESIGN Cross-sectional study. METHODS This cross-sectional study comprised 19 434 adults. Handgrip strength was measured using a handheld digital dynamometer. EDS was assessed by Epworth Sleepiness Scale, snoring and witnessed apnea during sleep were reported through simple yes/no questions. Analysis of covariance was carried out to determine the association between EDS with snoring or witnessed apnea and muscle strength. RESULTS The means (95% confidence interval) for average handgrip strength/body weight (kg/kg) across symptoms categories were 0.396 (0.333-0.472), 0.393 (0.330-0.467), 0.396 (0.333-0.471) and 0.386 (0.325-0.460) (P < 0.0001), respectively. Similar results were observed with maximal handgrip strength/body weight (kg/kg). CONCLUSIONS Self-reported EDS accompanied with snoring or apnea is associated with lowest handgrip strength, independently of confounding factors. Whether improvement of EDS, snoring and apnea, can ameliorate age-associated decline in muscle strength warrants further studies.
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Affiliation(s)
- X Cao
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - Y Gu
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - J Fu
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - T Q C Vu
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - Q Zhang
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
| | - L Liu
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
| | - G Meng
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
- Department of Toxicology and Sanitary Chemistry, School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - Z Yao
- Tianjin Institute of Health and Environmental Medicine, 1 Dali Road, Heping District, Tianjin 300050, China
| | - H Wu
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - X Bao
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - S Zhang
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - X Wang
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - S Sun
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
| | - M Zhou
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
| | - Q Jia
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
| | - K Song
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
| | - Y Wu
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
| | - K Niu
- From the Nutritional Epidemiology Institute and School of Public Health, Tianjin Medical University, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
- Health Management Centre, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin 300052, China
- Tianjin Key Laboratory of Environment, Nutrition and Public Health, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
- Center for International Collaborative Research on Environment, Nutrition and Public Health, 22 Qixiangtai Road, Heping District, Tianjin 300070, China
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Pereira JC, Neri SGR, Vainshelboim B, Gadelha AB, Bottaro M, Lima RM. A reference equation for normal standards for knee extensor isokinetic strength in Brazilian older women. Aging Clin Exp Res 2019; 31:1531-1537. [PMID: 30515723 DOI: 10.1007/s40520-018-1084-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Accepted: 11/21/2018] [Indexed: 01/22/2023]
Abstract
BACKGROUND Knee extensor strength assessment has been especially emphasized in older people, but lack of reference values limits its usefulness in geriatric evaluation. AIMS The aim of this study was to develop a reference equation for knee extensor isokinetic strength standards in older women. METHODS Knee extensor isokinetic tests at 60°/s were performed in 390 Brazilian older women aged 60-84 years (67.38 ± 5.56 years) and in a separate validation sample of 110 women (67.94 ± 6.13 years). A regression equation for peak torque (PT) was derived and compared to commonly used formulas: the equations of Neder and Gross. Age, weight and height were the only significant predictors (multiple R = 0.55; R2 = 0.30; p < 0.001). The proposed equation was examined in the independent sample. Percent from predicted values was calculated and Bland-Altman plots were constructed. RESULTS Both the Neder and Gross equations significantly underestimated predicted PT values (both p < 0.001); mean bias were 6.79 and 6.75, respectively. The proposed equation [PT = 39.72 - (1.24 × age) + (0.44 × weight) + (69.70 × height)] was matched with the independent sample, with a percent predicted isokinetic strength of approximately 95%, a mean bias approximately 40% lower 4.23 than the other equations, and stable across all age groups. CONCLUSIONS Available equations for knee extensor isokinetic strength are not adequate for older women. The equation developed in the present study provided considerably lower average error and thus with more suitable reference values.
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Affiliation(s)
- Juscélia Cristina Pereira
- Faculdade de Educação Física, Universidade de Brasília (UnB), Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, Distrito Federal, CEP 70910-970, Brazil.
- Federal Institute of Triângulo Mineiro, Campus Paracatu, Paracatu, MG, Brazil.
| | - Silvia Gonçalves Ricci Neri
- Faculdade de Educação Física, Universidade de Brasília (UnB), Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, Distrito Federal, CEP 70910-970, Brazil
| | - Baruch Vainshelboim
- Master of Cancer Care Program, School of Health Sciences, Saint Francis University, Loretto, PA, USA
| | - André Bonadias Gadelha
- Faculdade de Educação Física, Universidade de Brasília (UnB), Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, Distrito Federal, CEP 70910-970, Brazil
| | - Martim Bottaro
- Faculdade de Educação Física, Universidade de Brasília (UnB), Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, Distrito Federal, CEP 70910-970, Brazil
| | - Ricardo M Lima
- Faculdade de Educação Física, Universidade de Brasília (UnB), Campus Universitário Darcy Ribeiro, Asa Norte, Brasília, Distrito Federal, CEP 70910-970, Brazil
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Relationship between Muscle Mass/Strength and Hepatic Fat Content in Post-Menopausal Women. ACTA ACUST UNITED AC 2019; 55:medicina55100629. [PMID: 31554294 PMCID: PMC6843176 DOI: 10.3390/medicina55100629] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2019] [Revised: 09/19/2019] [Accepted: 09/20/2019] [Indexed: 12/25/2022]
Abstract
Background and Objectives: Recent studies have shown that low skeletal muscle mass can contribute to non-alcoholic fatty liver disease through insulin resistance. However, the association between muscle mass/strength and hepatic fat content remains unclear in postmenopausal women. Methods: In this study, we assessed the associations between muscle mass/strength and various severities of non-alcoholic fatty liver disease. Using single-voxel proton magnetic resonance spectroscopy, 96 postmenopausal women between the ages of 50 and 65 were divided into four groups (G0–G3) by hepatic fat content: G0 (hepatic fat content <5%, n = 20), G1 (5% ≤ hepatic fat content < 10%, n = 27), G2 (10% ≤ hepatic fat content < 25%, n = 31), and G3 (hepatic fat content ≥25%, n = 18). Muscle mass indexes were estimated as skeletal muscle index (SMI)% (total lean mass/weight × 100) and appendicular skeletal muscular mass index (ASM)% (appendicular lean mass/weight × 100) by dual energy X-ray absorptiometry. Maximal isometric voluntary contraction of the handgrip, elbow flexors, and knee extensors was measured using an adjustable dynamometer chair. Fasting plasma glucose, insulin, and follicle-stimulating hormones were assessed in venous blood samples. Results: The results showed negative correlations between hepatic fat content and SMI% (r = −0.42, p < 0.001), ASM% (r = −0.29, p = 0.005), maximal voluntary force of grip (r = −0.22, p = 0.037), and knee extensors (r = −0.22, p = 0.032). Conclusions: These significant correlations almost remained unchanged even after controlling for insulin resistance. In conclusion, negative correlations exist between muscle mass/strength and the progressed severity of non-alcoholic fatty liver disease among post-menopausal women, and the correlations are independent of insulin resistance.
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Buckinx F, Aubertin-Leheudre M. Relevance to assess and preserve muscle strength in aging field. Prog Neuropsychopharmacol Biol Psychiatry 2019; 94:109663. [PMID: 31176745 DOI: 10.1016/j.pnpbp.2019.109663] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/31/2018] [Revised: 03/05/2019] [Accepted: 05/30/2019] [Indexed: 01/06/2023]
Abstract
According to the revised European consensus on sarcopenia, muscle strength is the primary parameter of sarcopenia and is associated with adverse outcomes or physical limitation. This literature review aims to clarify how and why to measure and preserve muscle strength in older population. Overall, the relationship between muscle strength and physical function is impacted by level of muscle mass, the degree of obesity (BMI), age and physical activity. Therefore, these factors are to be considered in the evaluation of muscle strength. It is necessary to have objective, reliable and sensitive tools to assess muscle strength, in different populations to detect and quantify weakness, to adapt physical exercises to patients' capacity and to evaluate the effects of treatment. Handgrip strength measurement might be reasonable for clinical practice while the measurement of knee flexors/extensors strength with both 1RM and dynamometers is increasingly important yet restricted by the requirement of special equipment. Physical activity and nutrition are two important behavioral factors to maintain muscle strength. Combined exercise and nutrition interventions improved muscle strength to a more prominent degree than exercise or nutrition alone.
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Affiliation(s)
- F Buckinx
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada
| | - M Aubertin-Leheudre
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, Canada; Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada.
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Initial Dietary Protein Intake Influence Muscle Function Adaptations in Older Men and Women Following High-Intensity Interval Training Combined with Citrulline. Nutrients 2019; 11:nu11071685. [PMID: 31336654 PMCID: PMC6683270 DOI: 10.3390/nu11071685] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2019] [Revised: 07/11/2019] [Accepted: 07/15/2019] [Indexed: 12/21/2022] Open
Abstract
Background: This study evaluates whether the initial amount of dietary protein intake could influence the combined effect of high-intensity interval training (HIIT) and citrulline (CIT), or HIIT alone, on body composition, muscle strength, and functional capacities in obese older adults. Methods: Seventy-three sedentary obese older men and women who completed a 12-week elliptical HIIT program with double-blinded randomized supplementation of CIT or placebo (PLA) were divided into four groups according to their initial protein intake (CIT–PROT+: n = 21; CIT–PROT−: n = 19; PLA–PROT+: n = 19; PLA–PROT−: n = 14). Body composition (fat and fat-free masses), handgrip (HSr) strength, knee extensor (KESr) strength, muscle power, and functional capacities were measured pre-intervention and post-intervention. Results: Following the intervention, the four groups improved significantly regarding all the parameters measured. For the same initial amount of protein intake, the CIT–PROT− group decreased more gynoid fat mass (p = 0.04) than the PLA–PROT− group. The CIT–PROT+ group increased more KESr (p = 0.04) than the PLA–PROT+ group. In addition, the CIT–PROT− group decreased more gynoid FM (p = 0.02) and improved more leg FFM (p = 0.02) and HSr (p = 0.02) than the CIT–PROT+ group. Conclusion: HIIT combined with CIT induced greater positive changes than in the PLA groups. The combination seems more beneficial in participants consuming less than 1 g/kg/d of protein, since greater improvements on body composition and muscle strength were observed.
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Buckinx F, Gaudreau P, Marcangeli V, Boutros GEH, Dulac MC, Morais JA, Aubertin-Leheudre M. Muscle adaptation in response to a high-intensity interval training in obese older adults: effect of daily protein intake distribution. Aging Clin Exp Res 2019; 31:863-874. [PMID: 30806907 DOI: 10.1007/s40520-019-01149-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2018] [Accepted: 02/11/2019] [Indexed: 12/15/2022]
Abstract
BACKGROUND Aging is associated with declines in muscle mass, strength and quality, leading to physical impairments. An even protein distribution in daily meals has recently been proposed along with adequate total protein intake as important modulators of muscle mass. In addition, due to its short duration, high-intensity interval training (HIIT) has been highlighted as a promising intervention to prevent physical deterioration. However, the interaction between daily protein intake distribution and HIIT intervention in elderlies remain unknown. OBJECTIVE To investigate muscle adaptation following HIIT in older adults according to daily protein intake distribution. METHODS Thirty sedentary obese subjects who completed a 12-week elliptical HIIT program were matched [criteria: age (± 2 years), sex, BMI (± 2 kg/m2)] and divided a posteriori into 2 groups according to the amount of protein ingested at each meal: < 20 g in at least one meal (P20-, n = 15, 66.8 ± 3.7 years) and ≥ 20 g in each meal (P20+, n = 15, 68.1 ± 4.1 years). Body composition, functional capacity, muscle strength, muscle power, physical activity level, and nutritional intakes were measured pre- and post-intervention. A two way repeated ANOVA was used to determine the effect of the intervention (HIIT) and protein distribution (P20- vs P20+, p < 0.05). RESULTS No difference was observed at baseline between groups. Following the HIIT intervention, we observed a significant decrease in waist and hip circumferences and improvements in functional capacities in both P20- and P20 + group (p < 0.05). However, no protein distribution effect was observed. CONCLUSION A 12-week HIIT program is achievable and efficient to improve functional capacities as well as body composition in obese older adults. However, consuming at least 20 g of proteins in every meal does not further enhance muscle performance in response to a 12-week HIIT intervention.
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Affiliation(s)
- F Buckinx
- Département des Sciences de l'activité physique, Faculté des Sciences, UQAM, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada
- WHO Collaborating Centre for Public Health Aspects of Musculoskeletal Health and Ageing, Liège, Belgium
| | - P Gaudreau
- Département de médecine de l'Université de Montréal, Centre de recherche du Centre Hospitalier Universitaire de Montréal (CRCHUM), Université de Montréal, Montréal, Canada
| | - V Marcangeli
- Département des Sciences de l'activité physique, Faculté des Sciences, UQAM, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada
| | - G El Hajj Boutros
- Département des Sciences de l'activité physique, Faculté des Sciences, UQAM, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada
| | - M C Dulac
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada
| | - J A Morais
- Division of Geriatric Medicine, McGill University Health Centre (MUHC), McGill University, Montréal, QC, Canada
| | - M Aubertin-Leheudre
- Département des Sciences de l'activité physique, Faculté des Sciences, UQAM, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Pavillon Sciences Biologiques, SB-4615, 141, Avenue du Président Kennedy, Montréal, QC, H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, Canada.
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Tomeleri CM, Cavalcante EF, Antunes M, Nabuco HCG, de Souza MF, Teixeira DC, Gobbo LA, Silva AM, Cyrino ES. Phase Angle Is Moderately Associated With Muscle Quality and Functional Capacity, Independent of Age and Body Composition in Older Women. J Geriatr Phys Ther 2019; 42:281-286. [PMID: 29210931 DOI: 10.1519/jpt.0000000000000161] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/04/2023]
Abstract
BACKGROUND AND PURPOSE There is a growing body of evidence indicating that phase angle (PhA) can be used as an indicator of nutritional status, disease prognosis, and mortality risk; however, it is still unknown whether PhA can be used as an explanator of functional capacity and muscle quality in older women. The main purpose of this cross-sectional study was to explore whether PhA is associated with muscle quality and functional capacity in older women, regardless of total and regional body composition. METHODS A total of 125 older women-66.7 (4.7) years; 65.6 (10.9) kg body mass; 156.1 (5.2) cm height; 26.9 (4.0) kg/m body mass index-participated in this study. Anthropometric, PhA, body composition (whole-body dual-energy x-ray absorptiometry) and muscle quality (defined as total muscular strength per kilogram of appendicular lean soft tissue) were measured. The functional capacity was assessed by 4 tests: 10-m walk test, rising from sitting position, rising from ventral decubitus position, and rising from a chair and walking around the house. The summing z-scores for the 4 tests was used as a continuous functional capacity score. Linear regression analysis was conducted to test whether PhA is related to the dependent variables (muscle quality and functional capacity), after adjusting for potential covariates. RESULTS The PhA presented a small-to-moderate relationship with muscle quality (r = 0.27; P < .01) and functional capacity (r = 0.31; P < .01), respectively. These relationships remained significant after adjustment for age, lower limb lean soft tissue, and total fat mass for muscle quality (β= 0.55; P < .01) and functional capacity (β= 1.38; P < .01). CONCLUSION Our findings suggest that healthy elderly women with higher values of PhA have a better muscle quality and functionality, regardless of age and body composition.
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Affiliation(s)
- Crisieli M Tomeleri
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
| | - Edilaine F Cavalcante
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
| | - Melissa Antunes
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
| | - Hellen C G Nabuco
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
| | - Mariana F de Souza
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
- Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, Brazil
| | - Denilson C Teixeira
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
- Department of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Londrina, Brazil
| | - Luis A Gobbo
- Department of Physical Education, São Paulo State University, Presidente Prudente, São Paulo, Brazil
| | - Analiza M Silva
- Exercise and Health Laboratory, CIPER, Faculdade de Motricidade Humana, Universidade de Lisboa, Cruz-Quebrada, Portugal
| | - Edilson S Cyrino
- Metabolism, Nutrition, and Exercise Laboratory, Londrina State University, Londrina, Brazil
- Department of Physical Education, Faculty of Physical Education and Sport, State University of Londrina, Londrina, Brazil
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Buckinx F, Gouspillou G, Carvalho LP, Marcangeli V, El Hajj Boutros G, Dulac M, Noirez P, Morais JA, Gaudreau P, Aubertin-Leheudre M. Effect of High-Intensity Interval Training Combined with L-Citrulline Supplementation on Functional Capacities and Muscle Function in Dynapenic-Obese Older Adults. J Clin Med 2018; 7:jcm7120561. [PMID: 30562948 PMCID: PMC6306942 DOI: 10.3390/jcm7120561] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2018] [Revised: 12/11/2018] [Accepted: 12/12/2018] [Indexed: 12/16/2022] Open
Abstract
Background: To compare the effects of high-intensity interval training (HIIT) alone vs. HIIT combined with L-citrulline (CIT) supplementation on functional capacity and muscle function in dynapenic-obese elderly. Methods: A total of 56 obese (fat mass: men > 25%, women > 35%) and dynapenic (grip strength/body weight: women < 0.44, men < 0.61) subjects were recruited and divided in two groups: HIIT+CIT (n = 26; age: 6 5 ± four years) vs. HIIT+Placebo (PLA, n = 30; age: 68 ± four years). Participants followed a 12-week HIIT using an elliptical trainer. Participants took a single and isocaloric 10 g-dose of CIT or PLA every day. Body composition; functional and aerobic capacities; absolute or relative upper and lower limbs muscle strength, muscle power; and energy balance were measured pre and post intervention. Results: Both groups significantly improved functional capacity and muscle function. However, HIIT+CIT demonstrated greater improvements in fast-paced Timed Up & Go (p = 0.04) and upper limbs muscle strength (absolute and relative) (p = 0.05) than HIIT+Placebo. Conclusion: CIT supplementation when combined with HIIT seems to induce greater improvements in upper limbs muscle strength and walking speed in dynapenic-obese elderly. Further studies are needed to confirm our results, to elucidate the mechanisms underlying the beneficial effects of CIT and to define the long-term impact of CIT/HIIT.
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Affiliation(s)
- Fanny Buckinx
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
| | - Gilles Gouspillou
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
| | - Livia P Carvalho
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
| | - Vincent Marcangeli
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
| | - Guy El Hajj Boutros
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
| | - Maude Dulac
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
| | - Philippe Noirez
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Institut de Recherche bioMédicale et d'Épidémiologie du Sport (IRMES), Université Paris Descartes, Sorbonne Paris Cité, 75012 Paris, France.
| | - José A Morais
- Division of Geriatric Medicine, McGill University Health Centre (MUHC), McGill University, Montréal, QC H3A 1A1, Canada.
| | - Pierette Gaudreau
- Département de Médecine de l'Université de Montréal, Centre de Recherche du Centre Hospitalier Universitaire de Montréal (CRCHUM), Université de Montréal, Montréal, QC H2X 3E4, Canada.
| | - Mylène Aubertin-Leheudre
- Département des Sciences de l'activité physique, Groupe de Recherche en Activité Physique Adaptée (GRAPA), Université du Québec à Montréal, Montréal, QC H2X 1Y4, Canada.
- Centre de Recherche de l'Institut Universitaire de Gériatrie de Montréal (CRIUGM), Montréal, QC H3W 1W6, Canada.
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Kang SY, Lim J, Park HS. Relationship between low handgrip strength and quality of life in Korean men and women. Qual Life Res 2018; 27:2571-2580. [PMID: 29922911 DOI: 10.1007/s11136-018-1920-6] [Citation(s) in RCA: 35] [Impact Index Per Article: 5.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/12/2018] [Indexed: 01/18/2023]
Abstract
PURPOSE Handgrip strength is strongly related to muscle power in the extremities and is an important index for diagnosing sarcopenia. We evaluated the relationship between handgrip strength and quality of life (QoL) in Korean men and women. METHODS We analyzed 4620 participants (2070 men and 2550 women) using data from the Korea National Health and Nutrition Examination Survey VI-3 (2015). Low handgrip strength was defined as the lower quartile of handgrip strength in the study population. QoL was evaluated according to the European Quality of Life Scale-Five Dimensions (EQ-5D). The relationship between handgrip strength and QoL was evaluated by multivariate logistic regression analyses. RESULTS The odds ratios (ORs) for low handgrip strength significantly increased as age increased for both men and women. The ORs for low handgrip strength increased as body mass index decreased in men. In men with low handgrip strength, the OR for having problems in mobility (OR 1.93, 95% confidence interval (CI) 1.25-2.98) and having pain or discomfort (1.53, 1.04-2.24) significantly increased. In women with low handgrip strength, the OR for having problems in mobility (2.12, 1.02-2.87), problems in usual activities (2.04, 1.46-2.85), and having pain or discomfort (1.48, 1.15-1.90) significantly increased. CONCLUSION Men with low handgrip strength had poor QoL on the mobility and pain/discomfort dimensions of EQ-5D, whereas women with low handgrip strength had poor QoL on mobility, usual activities, and pain/discomfort dimensions. Management to improve handgrip strength is necessary for achieving better QoL.
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Affiliation(s)
- Seo Young Kang
- Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro-43-gil, Songpa-gu, Seoul, 05505, South Korea
| | - Jisun Lim
- Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro-43-gil, Songpa-gu, Seoul, 05505, South Korea
| | - Hye Soon Park
- Department of Family Medicine, Asan Medical Center, University of Ulsan College of Medicine, 88, Olympic-ro-43-gil, Songpa-gu, Seoul, 05505, South Korea.
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Calvo Aguirrey JJ, Alustiza Navarro J, Uranga Zaldúa J, Sarasqueta Eizaguirre C, Bueno Yáñez O. [Alusti test: New scale for assessment of physical performance in the geriatric population]. Rev Esp Geriatr Gerontol 2018; 53:255-261. [PMID: 29903666 DOI: 10.1016/j.regg.2018.03.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2017] [Revised: 03/08/2018] [Accepted: 03/19/2018] [Indexed: 11/18/2022]
Abstract
INTRODUCTION Physical and psychological functional conditions are key factors in the elderly population. Many evaluation tools are available, but they cannot be applied to the whole geriatric population. The use Alusti Test is presented. This test consists of 2versions, which enable it to encompass this wide and complex population spectrum. MATERIALS AND METHODS A prospective study with the institutionalised, hospitalised, and community population, was conducted between September and December 2016. A comparative analysis was conducted using the Barthel Index (BI), Gait Speed Test (GST), Timed «Up & Go» Test (TUG), Short Physical Performance Battery (SPPB), and Tinetti Test. RESULTS A total of 363 subjects were enrolled (mean age: 83.25 years), with varying levels of functional and cognitive conditions. The test was simple and quick to apply (3-6min), 100% applicable and usable with broad floor and ceiling effects (0-100 points) with an intraclass correlation coefficient (ICC) that shows a high inter-observer reliability (ICC = 0.99), and a good correlation in its full version with BI (ICC = 0.86) (95% CI: 0.82-0.88), and the Tinetti test (ICC = 0.76; 95% CI: 0.71-0.81), as well as in the abbreviated version BI (ICC = 0.71; 95% CI: 0.65-0.75) and Tinetti Test (ICC = 0.90; 95% CI: 0.88-0.92). This allows the variation of the functional condition to be measured, which in our sample showed an increase of 10.9%, after a period of hospital admission. CONCLUSIONS It is considered that Alusti test meets the requirements for physical performance assessment in the whole the geriatric population. The highest level of accuracy is given by the Tinetti test, which has greater applicability.
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Affiliation(s)
| | | | | | | | - Olga Bueno Yáñez
- Hospital Universitario Donostia, San Sebastián (Guipúzcoa), España
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Blamoutier M, Boissy P, Brière S, Faucher G, Lauzé M, Duval C. Is a decrease of grip strength associated with community mobility restriction in dynapenic older women? JCSM CLINICAL REPORTS 2018. [DOI: 10.17987/jcsm-cr.v3i1.42] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
Background: Absolute grip strength (aGS) is used to detect dynapenia, and is also an indicator of functional impairments such as mobility limitations. The objective of this study is to investigate whether dynapenia status assessed by absolute grip strength (aGS) is associated with loss of community mobility.Method: The population studied (n=62) was composed of a dynapenic group of women (aged 66.4 ± 4.8) according to an aGS threshold of ≤ 19.9kg and an age-matched group of nodynapenic women (aged 66.1 ± 5.2). The aGS was measured and body-weigth-related to grip strength (BW/GS) was computed. Fonctionnal laboratory tests were conducted. During 12 days, each participant wore a GPS device to obtain Transit distance in vehicle per day, Transit distance on foot per day and Ellipse area. The Life space (LS) was assessed using the Life Space Assesment questionnaire (LSA). A Wilcoxon test was used to compare the 2 groups for the community mobility measures. Then, data of the 2 groups were pooled to assess the relationship between BW/GS and community mobility measures. A Spearman correlation was used.Results: The dynapenic group performed worse for fonctionnal capacity tests such as the step test and the walking speed. Howerver, no significant difference was found for GPS measures and LS between the two groups. No significant relationship was found for the BW/GS and community mobility measures with the GPS measures and the LS.
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Cunha PM, Tomeleri CM, Nascimento MAD, Nunes JP, Antunes M, Nabuco HCG, Quadros Y, Cavalcante EF, Mayhew JL, Sardinha LB, Cyrino ES. Improvement of cellular health indicators and muscle quality in older women with different resistance training volumes. J Sports Sci 2018; 36:2843-2848. [DOI: 10.1080/02640414.2018.1479103] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- Paolo M. Cunha
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Crisieli M. Tomeleri
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Matheus A. do Nascimento
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
- Physical Education Department, Paraná State University – UNESPAR, Paranavaí, Brazil
| | - João Pedro Nunes
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Melissa Antunes
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Hellen C. G. Nabuco
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Ygor Quadros
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Edilaine F. Cavalcante
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
| | - Jerry L. Mayhew
- Exercise Science, Kirksville, Truman State University, Kirksville, MO, USA
| | - Luís B. Sardinha
- Exercise and Health Laboratory, CIPER, Faculdade de Motrcidade Humana, Universidade de Lisboa, Lisboa, Portugal
| | - Edilson S. Cyrino
- Study and Research Group in Metabolism, Nutrition, and Exercise, Physical Education and Sport Center, Londrina State University, Londrina, Brazil
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Differences in muscle adaptation to a 12-week mixed power training in elderly men, depending on usual protein intake. Exp Gerontol 2018; 104:78-85. [PMID: 29421607 DOI: 10.1016/j.exger.2018.02.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2017] [Revised: 01/27/2018] [Accepted: 02/01/2018] [Indexed: 11/24/2022]
Abstract
INTRODUCTION Normal aging is often associated with a decline of muscle mass (MM), strength (MS) and quality (MQ: MS/MM), leading to functional incapacities. This aging-related deterioration of muscles may involve a decreased protein intake. Mixed power training has been recently shown to induce positive effects on MM, MS and MQ. However, to our knowledge, no study has examined if muscle adaptations following mixed power training could be influenced by the daily amount of protein ingested in elderly men. METHODS Twenty-one men completed the intervention and were divided into 2 groups based on their usual protein intake: PROT 1.1- (<1.1 g·kg-1·d-1 [n = 10; 73 ± 3 years]) and PROT 1.2+ (>1.2 g·kg-1·d-1 [n = 11; 73 ± 3 years]). Body composition (DXA: lean and fat masses), MS (1-maximal repetition on leg-press and handgrip strength), MQ (MS/body mass and MS/lower limb lean mass), functional capacities (Short Physical Performance Battery/Senior Fitness Test), dietary intake (3-day food record) and energy expenditure (accelerometer; 7 days) were measured. Mixed power training intervention consisted in power and functional exercises (12 weeks; 3 times/week; 1 h/session). RESULTS Lower limb MS increase in the PROT 1.2+ group was greater from that of the PROT 1.1- group when normalized to lower limbs lean mass (p = 0.036). In addition, a trend for greater gain in lower limb MS normalized to body mass (p = 0.053) was observed in the PROT 1.2+. CONCLUSION To optimize mixed power training effects on muscle function, healthy older men should ingest daily at least 1.2 g·kg-1·d-1 of protein. These beneficial effects of a higher usual protein intake were observed especially for MQ, which is one of the best predictors of functional capacities in older adults.
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Dulac MC, Carvalho LP, Aubertin-Leheudre M. Functional capacity depends on lower limb muscle strength rather than on abdominal obesity in active postmenopausal women. Menopause 2018; 25:176-181. [DOI: 10.1097/gme.0000000000000970] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Fanelli Kuczmarski M, Pohlig RT, Stave Shupe E, Zonderman AB, Evans MK. Dietary Protein Intake and Overall Diet Quality Are Associated with Handgrip Strength in African American and White Adults. J Nutr Health Aging 2018; 22:700-709. [PMID: 29806859 PMCID: PMC5984956 DOI: 10.1007/s12603-018-1006-8] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/14/2017] [Accepted: 11/08/2017] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To determine the association of handgrip strength (HS) with protein intake, diet quality, and nutritional and cardiovascular biomarkers in African American and White adults. DESIGN Cross-sectional wave 3 (2009-2013) of the cohort Healthy Aging in Neighborhoods of Diversity across the Life Span (HANDLS) study. PARTICIPANTS Socioeconomically diverse urban population of 2,468 persons aged 33 to 71 years. MEASUREMENTS Socio-demographic correlates, dietary intakes and biomarkers, HS, physical performance measures were collected. HS was measured using a dynamometer with the dominant hand. Functional measures included chair, tandem, and single leg stands. Two 24-hour recalls were collected using the US Department of Agriculture Automated Multiple Pass Method. The total protein intake and diet quality, evaluated by adherence to the DASH eating plan and Healthy Eating Index-2010, were calculated. Biomarkers included nutritional anemia, and serum levels of albumin, cholesterol, magnesium, and glucose. RESULTS The mean ±SE age of the sample was 52.3±0.2 years. Approximately 61% were African American and 57% were women. The mean ±SE HS of women was 29.1±0.2kg and for men was 45.9±0.4 kg. Protein, gm, per kg body weight for the women was 0.94±0.02 compared to 1.16 ±0.02 for men. After adjusting for socio-demographic factors, hypertension, and diabetes, HS/BMI ratio was significantly associated with protein intake per kg body weight (p<0.001) and diet quality, assessed by either the DASH adherence (p=0.009) or Health Eating Index-2010 (p=0.031) scores. For both men and women, participants in the upper tertile of HS maintained a single leg and tandem stances longer and completed 5 and 10 chair stands in shorter time compared to individuals in the lower HS tertile. Of the nutritional status indicators, the percent of men in the upper HS tertile with low serum magnesium and albumin, was significantly lower than those in the lower HS tertile [magnesium,7.4% vs 16.1%; albumin, 0.4% vs 4.5%]. The only difference observed for women was a lower percent of diabetes (14.4% for the upper HS tertile compared to 20.5% for the lower HS tertile. CONCLUSIONS The findings confirm the role of protein and a healthful diet in the maintenance of muscle strength. In this community sample, HS was significantly associated with other physical performance measures but did not appear to be strongly associated with indicators of nutritional risk. These findings support the use of HS as a proxy for functional status and indicate the need for research to explore its role as a predictor of nutritional risk.
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Affiliation(s)
- M Fanelli Kuczmarski
- Marie Fanelli Kuczmarskia, University of Delaware, Department of Behavioral Health and Nutrition, 206C McDowell Hall, Newark, DE 19716, United States, , Ph: +1-302-831-8765; Fax: +1-302-831-4261,
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Geisler C, Schweitzer L, Müller MJ. Functional correlates of detailed body composition in healthy elderly subjects. J Appl Physiol (1985) 2018; 124:182-189. [DOI: 10.1152/japplphysiol.00162.2017] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/31/2023] Open
Abstract
Methods of body composition analysis are now widely used to characterize health status, i.e., nutritional status, metabolic rates, and cardiometabolic risk factors. However, the functional correlates of individual body components have not been systematically analyzed. In this study, we have used a two-compartment model, which was assessed by air displacement plethysmography. Detailed body composition was measured by whole body magnetic resonance imaging in a healthy population of 40 Caucasians, aged 65–81 yr (20 men; body mass index range: 18.6–37.2 kg/m2). Physical, metabolic, as well as endocrine functions included pulmonary function, handgrip strength, gait speed, sit-to-stand test, physical activity, blood pressure, body temperature, resting energy expenditure (REE), liver and kidney functions (glomerular filtration rate), insulin sensitivity [homeostasis model assessment (HOMA)], plasma lipids, plasma leptin, testosterone, dehydroepiandrosterone, insulin-like growth factor I levels, thyroid status, vitamins, and inflammation. Individual body compartments were intercorrelated, e.g., skeletal muscle mass (SM) correlated with visceral adipose tissue ( r = 0.53) and kidneys ( r = 0.62). For the functional correlates, SM ( r = 0.58) and liver volume ( r = 0.63) were associated with REE, SM correlated with handgrip strength ( r = 0.57), and kidneys with glomerular filtration rate ( r = 0.57). While visceral adipose tissue correlated with HOMA ( r = 0.59), subcutaneous adipose tissue was related to plasma leptin levels ( r = 0.84). The subcutaneous adipose tissue-to-leptin relationship was moderated by inflammation increasing the explained variance of leptin levels by 4.0%. In linear regression analysis, detailed body composition explained variances in REE (75.0%), HOMA (41.0%), and leptin (78.0%) compared with a body mass index-based model (REE 16.0%, HOMA 31.0%, leptin 45.0%). In addition, detailed body composition explained 39.0% of the variance in kidney function. NEW & NOTEWORTHY BCA should be used to address specific body functions only. In clinical practice, there is need of a clear focus on the specific research question related to physical, metabolic, or endocrine functions.
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Affiliation(s)
- Corinna Geisler
- Institute of Human Nutrition and Food Science, Christian-Albrechts-Universität zu Kiel, Kiel, Germany
| | - Lisa Schweitzer
- Institute of Human Nutrition and Food Science, Christian-Albrechts-Universität zu Kiel, Kiel, Germany
| | - Manfred J. Müller
- Institute of Human Nutrition and Food Science, Christian-Albrechts-Universität zu Kiel, Kiel, Germany
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Lauzé M, Martel DD, Agnoux A, Sirois MJ, Émond M, Daoust R, Aubertin-Leheudre M. Feasibility, Acceptability and Effects of a Home-Based Exercise Program Using a Gerontechnology on Physical Capacities after a Minor Injury in Community-Living Older Adults: A Pilot Study. J Nutr Health Aging 2018; 22:16-25. [PMID: 29300417 DOI: 10.1007/s12603-017-0938-8] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
CONTEXT Several studies have demonstrated that physical activity can help limit decline in functional capacities of older adults. Nevertheless, many adults aged 65 and over are inactive. OBJECTIVE To explore the feasibility, the acceptability and the effects of a home-based exercise program (HEP) using a motion capture gerontechnology in independent community-living older adults at risk of function decline. DESIGN Interventionnal clinical trial. PARTICIPANTS Sixteen previously independent individuals aged 65 and older recruited at the Emergency Department after being treated for a minor injury and discharged home were assigned to a home-based exercise program group (HEP=8) or to a control group (CONTR=8). Twelve participants completed the study, 6 in each group Setting: Canadian Community-dwelling in Montreal area. INTERVENTION The HEP group engaged in a twelve-week physical activity intervention using a gerontechnology while the CONTR group continued with discharge plan from ED. MEASUREMENTS Participants were evaluated for functional status using validated questionnaires and objective physical measures at baseline, three and six months later. Feasibility and acceptability of the HEP was assessed using data reports from the gerontechnology and from self-reported assessments. RESULTS There was no differences between groups at baseline except for the fallrelated self-efficacy: HEP=8.33/28±1.51 vs CONTR=7/28±0 p=0.022. The HEP was found to be feasible and acceptable (adherence rate at 86% and average quality of movements at 87.5%). Significant improvement in walking speed on 4m was observed three months after baseline for HEP vs CONTR group (+0.25 vs +0.05 m/sec, p=0.025). Effects remained at follow-up. Only CONTR group resulted in a significant increase in SF-36 global score. CONCLUSION This twelve-week HEP intervention using the Jintronix® gerontechnology is feasible, acceptable and safe for community-living older adults who sustained a minor injury. This intervention could increase walking speed, the most important predictor of adverse events in the elderly population, and that the improvement could be maintained over time.
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Affiliation(s)
- M Lauzé
- Mylène Aubertin-Leheudre, Département des Sciences de l'activité physique, Université du Québec à Montréal, 141 avenu Président-Kennedy, SB-4615, Montréal (Québec) Canada H3C 3P8,
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47
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Tanaka S, Kamiya K, Matsue Y, Yonezawa R, Saito H, Hamazaki N, Matsuzawa R, Nozaki K, Wakaume K, Endo Y, Maekawa E, Yamaoka-Tojo M, Shiono T, Inomata T, Masuda T, Ako J. Effects of Acute Phase Intensive Electrical Muscle Stimulation in Frail Elderly Patients With Acute Heart Failure (ACTIVE-EMS): Rationale and protocol for a multicenter randomized controlled trial. Clin Cardiol 2017; 40:1189-1196. [PMID: 29247531 DOI: 10.1002/clc.22845] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/19/2017] [Revised: 10/19/2017] [Accepted: 10/20/2017] [Indexed: 01/09/2023] Open
Abstract
In elderly patients with acute heart failure (AHF), clinical outcome is adversely affected by frailty. Although a number of potentially effective interventions for frailty have been reported, little is known about the effects of rehabilitation programs in frail elderly AHF patients. We postulated that addition of electrical muscle stimulation (EMS), which induces muscle contraction without requiring patient volition, to early rehabilitation would be efficacious in frail elderly AHF patients. The ACTIVE-EMS (Effects of Acute Phase Intensive Electrical Muscle Stimulation in Frail Elderly Patients With AHF; UMIN000019551) trial is a multicenter, randomized controlled trial that will enroll 80 patients from 3 hospitals in Japan. AHF patients age ≥ 75 years positive for frailty, defined as Short Physical Performance Battery score 4 to 9, will be randomly assigned to receive early rehabilitation program only or EMS add-on therapy for 2 weeks. The primary endpoint of the trial is the change in quadriceps isometric strength between baseline and 2 weeks, with changes in physical function and cognitive function, and clinical safety and feasibility of EMS therapy as secondary outcomes. ACTIVE-EMS is the first randomized trial to evaluate the clinical effectiveness of adding EMS therapy to early rehabilitation in frail elderly AHF patients. The results of this study will provide insight for the development of appropriate rehabilitation programs for this high-risk population.
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Affiliation(s)
- Shinya Tanaka
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan
| | - Kentaro Kamiya
- Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan
| | - Yuya Matsue
- Department of Cardiology, Kameda Medical Center, Chiba, Japan.,Department of Cardiovascular Medicine, Juntendo University School of Medicine, Tokyo, Japan
| | - Ryusuke Yonezawa
- Department of Rehabilitation, Kitasato University Medical Center, Saitama, Japan
| | - Hiroshi Saito
- Department of Rehabilitation, Kameda Medical Center, Chiba, Japan
| | - Nobuaki Hamazaki
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan.,Department of Rehabilitation, Kitasato University Hospital, Kanagawa, Japan
| | - Ryota Matsuzawa
- Department of Rehabilitation, Kitasato University Hospital, Kanagawa, Japan
| | - Kohei Nozaki
- Department of Rehabilitation, Kitasato University Hospital, Kanagawa, Japan
| | - Kazuki Wakaume
- Department of Rehabilitation, Kitasato University Medical Center, Saitama, Japan
| | - Yoshiko Endo
- Department of Rehabilitation, Kameda Medical Center, Chiba, Japan
| | - Emi Maekawa
- Department of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan
| | - Minako Yamaoka-Tojo
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan.,Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan
| | - Takaaki Shiono
- Department of Cardiovascular Medicine, Kitasato University Medical Center, Saitama, Japan
| | - Takayuki Inomata
- Department of Cardiovascular Medicine, Kitasato University Kitasato Institute Hospital, Tokyo, Japan
| | - Takashi Masuda
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan.,Department of Rehabilitation, School of Allied Health Sciences, Kitasato University, Kanagawa, Japan
| | - Junya Ako
- Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kitasato University, Kanagawa, Japan.,Department of Cardiovascular Medicine, Kitasato University School of Medicine, Kanagawa, Japan
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48
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Ushiyama N, Kurobe Y, Momose K. Validity of maximal isometric knee extension strength measurements obtained via belt-stabilized hand-held dynamometry in healthy adults. J Phys Ther Sci 2017; 29:1987-1992. [PMID: 29200641 PMCID: PMC5702831 DOI: 10.1589/jpts.29.1987] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Accepted: 08/23/2017] [Indexed: 11/24/2022] Open
Abstract
[Purpose] To determine the validity of knee extension muscle strength measurements using
belt-stabilized hand-held dynamometry with and without body stabilization compared with
the gold standard isokinetic dynamometry in healthy adults. [Subjects and Methods]
Twenty-nine healthy adults (mean age, 21.3 years) were included. Study parameters involved
right side measurements of maximal isometric knee extension strength obtained using
belt-stabilized hand-held dynamometry with and without body stabilization and the gold
standard. Measurements were performed in all subjects. [Results] A moderate correlation
and fixed bias were found between measurements obtained using belt-stabilized hand-held
dynamometry with body stabilization and the gold standard. No significant correlation and
proportional bias were found between measurements obtained using belt-stabilized hand-held
dynamometry without body stabilization and the gold standard. The strength identified
using belt-stabilized hand-held dynamometry with body stabilization may not be
commensurate with the maximum strength individuals can generate; however, it reflects such
strength. In contrast, the strength identified using belt-stabilized hand-held dynamometry
without body stabilization does not reflect the maximum strength. Therefore, a chair
should be used to stabilize the body when performing measurements of maximal isometric
knee extension strength using belt-stabilized hand-held dynamometry in healthy adults.
[Conclusion] Belt-stabilized hand-held dynamometry with body stabilization is more
convenient than the gold standard in clinical settings.
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Affiliation(s)
- Naoko Ushiyama
- Department of Rehabilitation, Fujimi Kogen Medical Center: 1100 Ochiai, Fujimi town, Nagano 399-0214, Japan.,Department of Health Sciences, Graduate School of Medicine, Shinshu University, Japan
| | - Yasushi Kurobe
- Department of Rehabilitation, Fujimi Kogen Medical Center: 1100 Ochiai, Fujimi town, Nagano 399-0214, Japan.,Department of Health Sciences, Graduate School of Medicine, Shinshu University, Japan
| | - Kimito Momose
- Department of Physical Therapy, School of Health Sciences, Shinshu University, Japan
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49
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Silva NDA, Pedraza DF, de Menezes TN. Physical performance and its association with anthropometric and body composition variables in the elderly. CIENCIA & SAUDE COLETIVA 2017; 20:3723-32. [PMID: 26691797 DOI: 10.1590/1413-812320152012.01822015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2014] [Accepted: 04/15/2015] [Indexed: 01/11/2023] Open
Abstract
The aging process leads to biological changes that affect the physical performance and nutritional status of older adults. The objective this study is to determine the association between physical performance and anthropometric and body composition variables in the elderly. This is a cross-sectional study. Were assessed: sex, age, handgrip strength (HGS), flexibility/mobility, balance, body mass index, waist and calf circumference, triceps skinfold thickness, arm fat area and arm muscle circumference. Multiple logistic regression was used (p<0.05). Overall, 420 elderly were evaluated. Malnourished individuals were more likely to show poor HGS. Elderly aged 70-79 years, 80 years or older and those malnourished were more likely to show poor balance. Older women were less likely to show poor flexibility/mobility. We conclude that lowercalf circumferencewas associatedwithworse performance inHGSand balance.The ageincreased the chanceof the elderlypresentinstability.The flexibility/mobilitydoesn't seem tobe influenced bychanges in body composition. Therefore, these resultsmay beimportantguidingspecific actionsto ensurehealthy aging.
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50
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Baker JF, Giles JT, Weber D, Leonard MB, Zemel BS, Long J, Ibrahim S, Katz PP. Assessment of muscle mass relative to fat mass and associations with physical functioning in rheumatoid arthritis. Rheumatology (Oxford) 2017; 56:981-988. [PMID: 28340012 DOI: 10.1093/rheumatology/kex020] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Indexed: 11/13/2022] Open
Abstract
Objectives To determine whether a novel measure of appendicular lean mass relative to fat mass is associated with physical functioning in RA. Methods In a cross-sectional design, three independent RA cohorts were retrospectively analysed. Whole-body DXA measures of appendicular lean mass index (ALMI, kg/m 2 ) and fat mass index (FMI, kg/m 2 ) were converted to age, sex and race-specific Z-scores using published National Health and Nutrition Examination Survey reference ranges. Adiposity-adjusted ALMI Z-scores (ALMI FMI ) were determined using a published method to adjust for normal associations between ALMI and FMI Z-scores. Associations between ALMI Z-scores, ALMI FMI Z-scores and physical functioning were assessed after adjusting for age, sex and study. Functional outcomes assessed included the HAQ, Valued Life Activities assessment and Short Physical Performance Battery. Low lean for age was defined as a Z-score of -1 or less. Results Our sample consisted of 442 patients with RA. The combined cohort had a mean ALMI Z-score of - 0.51 (1.08) and a mean ALMI FMI Z-score of - 0.58 (1.53), suggesting muscle mass deficits compared with a nationally representative sample. Greater ALMI FMI Z-scores demonstrated stronger associations with better functional outcomes compared with ALMI Z-scores. Associations were not attenuated with adjustment for systemic inflammation or pain. The FMI Z-score was independently associated with physical functioning, with a stronger association seen among patients with greater FMI Z-score. Adiposity-adjusted definitions of low lean mass more clearly identified those with functional impairment. Conclusion Estimates of appendicular lean mass that are adjusted for adiposity demonstrate stronger positive associations with functional outcomes compared with unadjusted estimates.
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Affiliation(s)
- Joshua F Baker
- Division of Rheumatology, Corporal Michael J. Crescenz VA Medical Center.,Division of Rheumatology.,Department of Epidemiology and Biostatistics, University of Pennsylvania, Philadelphia, PA
| | - Jon T Giles
- Division of Rheumatology, Columbia University, New York, NY
| | - David Weber
- Department of Pediatrics, Stanford University, Palo Alto, CA
| | - Mary B Leonard
- Department of Pediatrics, University of Rochester, Rochester, NY
| | - Babette S Zemel
- Division of Gastroenterology, Hepatology, and Nutrition, Children's Hospital of Philadelphia
| | - Jin Long
- Department of Pediatrics, University of Rochester, Rochester, NY
| | - Said Ibrahim
- Center for Health Equity Research and Promotion, Philadelphia VA Medical Center, Philadelphia, PA
| | - Patricia P Katz
- Division of Rheumatology, University of California San Francisco, San Francisco, CA, USA
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