Exploring the Role of Muscle Mass, Obesity, and Age in the Relationship Between Muscle Quality and Physical Function

2014 ◽  
Vol 15 (4) ◽  
pp. 303.e13-303.e20 ◽  
Author(s):  
Sébastien Barbat-Artigas ◽  
Charlotte H. Pion ◽  
Jean-Philippe Leduc-Gaudet ◽  
Yves Rolland ◽  
Mylène Aubertin-Leheudre
Keyword(s):  
Physical Function ◽  
Muscle Mass ◽  
Muscle Quality ◽  
The Relationship

MO612THE ROLE OF MECHANICAL MUSCLE POWER IN PHYSICAL DYSFUNCTION: A MODEL FOR TAILORING RESISTANCE-BASED REHABILITATION IN CHRONIC KIDNEY DISEASE

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Thomas Wilkinson ◽  
Eleanor Gore ◽  
Jared Palmer ◽  
Luke Baker ◽  
Emma Watson ◽  
...  
Keyword(s):  
Activities Of Daily Living ◽  
Strength Training ◽  
Physical Function ◽  
Muscle Mass ◽  
Gait Speed ◽  
Daily Living ◽  
Muscle Power ◽  
Mechanical Power ◽  
Relative Power

Abstract Background and Aims Individuals living with CKD are characterised by adverse changes in physical function. Knowledge of the factors that mediate impairments in physical functioning is crucial for developing effective interventions that preserve mobility and future independence. Mechanical muscle power describes the rate of performing work and is the product of muscular force and velocity of contraction. Muscle power has been shown to have stronger associations with functional limitations and mortality than sarcopenia in older adults. In CKD, the role of mechanical muscle power is poorly understood and is overlooked as a target in many rehabilitation programmes, often at the expense of muscle mass or strength. The aims of this study were to 1) explore the prevalence of low absolute mechanical power, low relative mechanical power, and low specific mechanical power in CKD; and 2) investigate the association of mechanical power with the ability to complete activities of daily living and physical performance. Method Mechanical muscle power (relative, allometric, specific) was calculated using the sit-to-stand-5 (STS5) test as per previously validated equations. Legs lean mass was derived from regional analyses conducted using bioelectrical impedance analysis (BIA). Physical performance was assessed using two objective tests: usual gait speed and the ‘time-up-and-go’ (TUAG) test. Self-reported activities of daily living (ADLs) were assessed via the Duke Activity Status Index (DASI). Balance and postural stability (postural sway and velocity) was assessed using a FysioMeter. Sex-specific tertiles were used to determine low, medium and high levels of relative STS power and its main components. Results 102 participants with non-dialysis CKD were included (mean age: 62.0 (±14.1) years, n=49 males (48%), mean eGFR: 38.0 (±21.5) ml.min.1.73m2). The mean estimated relative power was 3.1 (±1.5) W.kg in females and 3.3 (±1.3) W.kg in males. Low relative power was found in 35/102 (34%) patients. Relative power was a significant independent predictor of self-reported ADLs (via the DASI) (B=.413, P=.004), and performance on the TUAG (B=-.719, P<.001) and gait speed (B=.404, P=.003) tests. Skeletal muscle mass was not associated with the DASI or any of the objective function tests Conclusion Patients presenting with low muscle power would benefit from participation in appropriate interventions designed to improve the physiological components accounting for low relative muscle power. Assessment of power can be used to tailor renal rehabilitation programmes as shown in Figure 1. Incorporation of power-based training, a novel type of strength training, designed by manipulating traditional strength training variables and primarily movement velocity and training intensity may present the best strategy for improving physical function in CKD.

CNTF genotype is associated with muscular strength and quality in humans across the adult age span

2001 ◽  
Vol 90 (4) ◽  
pp. 1205-1210 ◽  
Author(s):  
Stephen M. Roth ◽  
Matthew A. Schrager ◽  
Robert E. Ferrell ◽  
Steven E. Riechman ◽  
E. Jeffrey Metter ◽  
...  
Keyword(s):  
Muscle Mass ◽  
Body Mass ◽  
Muscular Strength ◽  
Peak Torque ◽  
Fat Free Mass ◽  
Muscle Quality ◽  
Knee Extensors ◽  
Muscular Power ◽  
Adult Age ◽  
The Relationship

The relationship between ciliary neurotrophic factor (CNTF) genotype and muscle strength was examined in 494 healthy men and women across the entire adult age span (20–90 yr). Concentric (Con) and eccentric (Ecc) peak torque were assessed using a Kin-Com isokinetic dynamometer for the knee extensors (KE) and knee flexors (KF) at slow (0.52 rad/s) and faster (3.14 rad/s) velocities. The results were covaried for age, gender, and body mass or fat-free mass (FFM). Individuals heterozygous for the CNTF null (A allele) mutation (G/A) exhibited significantly higher Con peak torque of the KE and KF at 3.14 rad/s than G/G homozygotes when age, gender, and body mass were covaried ( P < 0.05). When the dominant leg FFM (estimated muscle mass) was used in place of body mass as a covariate, Con peak torque of the KE at 3.14 rad/s was also significantly greater in the G/A individuals ( P < 0.05). In addition, muscle quality of the KE (peak torque at 3.14 rad · s−1 · leg muscle mass−1) was significantly greater in the G/A heterozygotes ( P < 0.05). Similar results were seen in a subanalysis of subjects 60 yr and older, as well as in Caucasian subjects. In contrast, A/A homozygotes demonstrated significantly lower Ecc peak torque at 0.52 rad/s for both KE and KF compared with G/G and G/A groups ( P < 0.05). No significant relationships were observed at 0.52 rad/s between genotype and Con peak torque. These data indicate that individuals exhibiting the G/A genotype possess significantly greater muscular strength and muscle quality at relatively fast contraction speeds than do G/G individuals. Because of high positive correlations between fast-velocity peak torque and muscular power, these findings suggest that further investigations should address the relationship between CNTF genotype and muscular power.

scholarly journals Role of Muscle Mass and Muscle Quality in the Association Between Diabetes and Gait Speed

Diabetes Care ◽  
2012 ◽  
Vol 35 (8) ◽  
pp. 1672-1679 ◽  
Author(s):  
S. Volpato ◽  
L. Bianchi ◽  
F. Lauretani ◽  
F. Lauretani ◽  
S. Bandinelli ◽  
...  
Keyword(s):  
Muscle Mass ◽  
Gait Speed ◽  
Muscle Quality

scholarly journals The Impact of Sports Magazine Consumption on Mesomorphic Body Standards and Self-sexualizing Behaviors: A Panel Study of Preadolescent Boys

2018 ◽  
Vol 23 (2) ◽  
pp. 368-394 ◽  
Author(s):  
Ann Rousseau ◽  
Jennifer Stevens Aubrey ◽  
Steven Eggermont
Keyword(s):  
Social Cognitive Theory ◽  
Muscle Mass ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Panel Study ◽  
Reward Sensitivity ◽  
The Impact ◽  
The Relationship ◽  
Moderating Role

The present three-wave panel study of 496 preadolescent boys ( Mage = 11.36, SD = 1.07) examined the impact of sports magazine consumption on mesomorphic body standards and self-sexualizing behaviors (e.g., drinking shakes in order to gain muscle mass, choosing clothing to show off muscles). Grounded in social cognitive theory, we also examined the moderating role of reward sensitivity. Results revealed that boys who consumed more sports magazines at wave 1 (W1) were more likely to report personal mesomorphic standards and perceived mesomorphic standards for men and boys in general at wave 2 (W2). Additionally, W2 personal mesomorphic standards mediated the relationship between sports magazine consumption at W1 and self-sexualizing behaviors at wave 3. Reward sensitivity moderated the relationship between personal mesomorphic standards and self-sexualizing behaviors.

scholarly journals Impact of Meeting Different Guidelines for Protein Intake on Muscle Mass and Physical Function in Physically Active Older Women

Nutrients ◽  
2018 ◽  
Vol 10 (9) ◽  
pp. 1156 ◽  
Author(s):  
Andreas Nilsson ◽  
Diego Montiel Rojas ◽  
Fawzi Kadi
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Physical Function ◽  
Older Women ◽  
Muscle Mass ◽  
Dietary Protein ◽  
Protein Intake ◽  
Dietary Protein Intake ◽  
Physical Limitations

The role of dietary protein intake on muscle mass and physical function in older adults is important for the prevention of age-related physical limitations. The aim of the present study was to elucidate links between dietary protein intake and muscle mass and physical function in older women meeting current guidelines of objectively assessed physical activity. In 106 women (65 to 70 years old), protein intake was assessed using a 6-day food record and participants were classified into high and low protein intake groups using two Recommended Dietary Allowance (RDA) thresholds (0.8 g·kg−1 bodyweight (BW) and 1.1 g·kg−1 BW). Body composition, aerobic fitness, and quadriceps strength were determined using standardized procedures, and self-reported physical function was assessed using the SF-12 Health Survey. Physical activity was assessed by accelerometry and self-report. Women below the 0.8 g·kg−1 BW threshold had a lower muscle mass (p < 0.05) with no differences in physical function variables. When based on the higher RDA threshold (1.1 g·kg−1 BW), in addition to significant differences in muscle mass, women below the higher threshold had a significantly (p < 0.05) higher likelihood of having physical limitations. In conclusion, the present study supports the RDA threshold of 0.8 g·kg−1 BW of proteins to prevent the loss of muscle mass and emphasizes the importance of the higher RDA threshold of at least 1.1 g·kg−1 BW to infer additional benefits on constructs of physical function. Our study also supports the role of protein intake for healthy ageing, even in older adults meeting guidelines for physical activity.

scholarly journals Metabolic Syndrome and Sarcopenia

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3519
Author(s):  
Hiroki Nishikawa ◽  
Akira Asai ◽  
Shinya Fukunishi ◽  
Shuhei Nishiguchi ◽  
Kazuhide Higuchi
Keyword(s):  
Skeletal Muscle ◽  
Metabolic Syndrome ◽  
Muscle Mass ◽  
The Elderly ◽  
Muscle Quality ◽  
Health Events ◽  
Persistent Inflammation ◽  
Major Organ ◽  
Skeletal Muscle Loss ◽  
The Relationship

Skeletal muscle is a major organ of insulin-induced glucose metabolism. In addition, loss of muscle mass is closely linked to insulin resistance (IR) and metabolic syndrome (Met-S). Skeletal muscle loss and accumulation of intramuscular fat are associated with a variety of pathologies through a combination of factors, including oxidative stress, inflammatory cytokines, mitochondrial dysfunction, IR, and inactivity. Sarcopenia, defined by a loss of muscle mass and a decline in muscle quality and muscle function, is common in the elderly and is also often seen in patients with acute or chronic muscle-wasting diseases. The relationship between Met-S and sarcopenia has been attracting a great deal of attention these days. Persistent inflammation, fat deposition, and IR are thought to play a complex role in the association between Met-S and sarcopenia. Met-S and sarcopenia adversely affect QOL and contribute to increased frailty, weakness, dependence, and morbidity and mortality. Patients with Met-S and sarcopenia at the same time have a higher risk of several adverse health events than those with either Met-S or sarcopenia. Met-S can also be associated with sarcopenic obesity. In this review, the relationship between Met-S and sarcopenia will be outlined from the viewpoints of molecular mechanism and clinical impact.

scholarly journals The Role of Water Homeostasis in Muscle Function and Frailty: A Review

Nutrients ◽  
2019 ◽  
Vol 11 (8) ◽  
pp. 1857 ◽  
Author(s):  
Lorenzo ◽  
Serra-Prat ◽  
Yébenes
Keyword(s):  
Muscle Strength ◽  
Muscle Mass ◽  
Functional Capacity ◽  
Muscle Function ◽  
The Body ◽  
Hyperosmotic Stress ◽  
Muscle Quality ◽  
Cell Swelling ◽  
Cell Dehydration

Water, the main component of the body, is distributed in the extracellular and intracellular compartments. Water exchange between these compartments is mainly governed by osmotic pressure. Extracellular water osmolarity must remain within very narrow limits to be compatible with life. Older adults lose the thirst sensation and the ability to concentrate urine, and this favours increased extracellular osmolarity (hyperosmotic stress). This situation, in turn, leads to cell dehydration, which has severe consequences for the intracellular protein structure and function and, ultimately, results in cell damage. Moreover, the fact that water determines cell volume may act as a metabolic signal, with cell swelling acting as an anabolic signal and cell shrinkage acting as a catabolic signal. Ageing also leads to a progressive loss in muscle mass and strength. Muscle strength is the main determinant of functional capacity, and, in elderly people, depends more on muscle quality than on muscle quantity (or muscle mass). Intracellular water content in lean mass has been related to muscle strength, functional capacity, and frailty risk, and has been proposed as an indicator of muscle quality and cell hydration. This review aims to assess the role of hyperosmotic stress and cell dehydration on muscle function and frailty.

scholarly journals Association between protoporphyrin IX and sarcopenia: a cross sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Chia-Chun Kao ◽  
Zhe-Yu Yang ◽  
Wei-Liang Chen
Keyword(s):  
Protoporphyrin Ix ◽  
Cross Sectional Study ◽  
Muscle Quality ◽  
Multivariable Logistic Regression Model ◽  
Cross Sectional ◽  
Health And Nutrition ◽  
European Working ◽  
Adjusted Model ◽  
The Relationship

Abstract Background According to the European Working Group on Sarcopenia in Older People (EWGSOP), the diagnosis of sarcopenia primarily focused on low muscle strength with the detection of low muscle quality and quantity as confirming index. Many studies had identified mitochondrial dysfunction as one of the multifactorial etiologies of sarcopenia. Yet, no study had investigated the role of biosynthetic pathway intermediate, which was found in mitochondria, in the development of sarcopenia. This study aimed to examine the association between protoporphyrin IX (PPIX) and components of sarcopenia. Method The present study enrolled 1172 participants without anemia between 1999 to 2002 from the National Health and Nutrition Examination Survey (NHANES) database. We employed the multivariable-logistic regression model to examine the relationship between PPIX and sarcopenia. Covariate adjustments were designated to each of the three models for further analysis of the relationship. Results In the unadjusted model, PPIX was significantly associated with sarcopenia (OR = 3.910, 95% CI = 2.375, 6.439, P value < 0.001). The significance persisted after covariate adjustments as observed in the fully adjusted model (OR = 2.537, 95% CI = 1.419, 4.537, P value = 0.002). Conclusions The findings of this study suggested statistically significant association between PPIX and sarcopenia. Our study disclosed the potential of PPIX as a valuable indicator of sarcopenia.

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