scholarly journals Lean mass and lower limb muscle function in relation to hip strength, geometry and fracture risk indices in community-dwelling older women

2018 ◽  
Vol 30 (1) ◽  
pp. 211-220 ◽  
Author(s):  
A. Elhakeem ◽  
A. Hartley ◽  
Y. Luo ◽  
A. L. Goertzen ◽  
K. Hannam ◽  
...  
2021 ◽  
Vol 25 ◽  
pp. 133-139
Author(s):  
Jaqueline Mello Porto ◽  
Renato Campos Freire Júnior ◽  
Luciana Mendes Cangussu-Oliveira ◽  
Erika Leitner ◽  
Lara Gonçalves Freitas ◽  
...  

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 230-230
Author(s):  
Daniela Abreu ◽  
Jaqueline Porto

Abstract The objective of the present study was to evaluate the ability of the five times sit to stand test (5TSST), grip strength (GS) and step test (ST) to detect older women with reduced lower-limb muscle strength (LLMS), and to investigate the clinical usefulness of the combination of such tests. One hundred and nineteen older women were submitted to the 5TSST, GS, ST and lower limb peak torque by an isokinetic dynamometer. The capacity of the clinical tests to detect older women with reduced LLMS was measured using the ROC curve, followed by calculation of posttest probability (PoTP). The results show that a ST score of 0.24 cm per cm of participant’s height shows the best PoTP for a positive test (72%). However, the combination of the ST and 5TSST enhances the accuracy from 48% (prevalence of weakness in the population) to 82.6% if both tests are positive, and decreases the PoTP from 48% to 11.4% if both tests are negative. The inclusion of GS provided additional benefits of small magnitude. In conclusion, the ST performed alone or in combination with 5TSST could be an alternative for clinical screening of LLMS reduction in older women. The early identification of impairment of lower-limb muscle strength in independent older adults may favor early intervention and prevention of negative outcomes such as falls and functional limitations.


2019 ◽  
Vol 8 (4) ◽  
pp. 459 ◽  
Author(s):  
Wai-Yan Liu ◽  
Kenneth Meijer ◽  
Jeannet Delbressine ◽  
Paul Willems ◽  
Emiel Wouters ◽  
...  

Pulmonary rehabilitation (PR) improves lower-limb muscle function in patients with chronic obstructive pulmonary disease (COPD). However, it remains unclear whether patients improve gait characteristics, in particular stride-to-stride fluctuations that are associated with fall risks. This study aims to identify whether, and to what extent, PR affects positively gait characteristics in COPD. In this prospective observational study, 44 COPD patients (aged: 62 ± 7 years; Forced expiratory volume in 1 s 56 ± 20% predicted) performed self-paced, treadmill 6-min-walk tests (Gait Real-time Analysis Interactive Lab) before and after PR, while spatiotemporal parameters and center of mass position were recorded (100 Hz, Vicon Nexus). Standard deviation, coefficient of variation, predictability (sample entropy), and consistency in organization (local divergence exponent) were calculated. Sub-analysis was performed to identify gait differences between good and poor responders (<30 m change in a 6-min-walk distance). Patients demonstrated shorter stride times (p = 0.001) and improved lower-limb muscle function (p < 0.001) following PR. The good responders had a greater increase in stride length (p < 0.001) and a greater decrease in stride time (p < 0.001) compared to the poor responders. Current PR improved stride time in patients, while movement patterns within stride-to-stride fluctuations did not change. Training programs specifically targeting balance issues and gait function may be beneficial in improving gait characteristics in COPD.


2010 ◽  
Vol 28 (6) ◽  
pp. 667-677 ◽  
Author(s):  
Massimiliano Ditroilo ◽  
Roberta Forte ◽  
Piero Benelli ◽  
Danilo Gambarara ◽  
Giuseppe De vito

Author(s):  
Veronica Delogu ◽  
Claire M. Nolan ◽  
Jane L. Canavan ◽  
Sarah E. Jones ◽  
Elizabeth J. Fletcher ◽  
...  

2009 ◽  
Vol 24 (1) ◽  
pp. 45-48 ◽  
Author(s):  
Yoshihiro KAI ◽  
Shin MURATA ◽  
Hiroshi OTAO ◽  
Koichi TOMINAGA ◽  
Takeshi MATSUMOTO ◽  
...  

Author(s):  
Alex Ireland ◽  
Uwe Mittag ◽  
Hans Degens ◽  
Dieter Felsenberg ◽  
Ari Heinonen ◽  
...  

AbstractThe age-related decline in muscle function, particularly muscle power, is associated with increased risk of important clinical outcomes. Physical activity is an important determinant of muscle function, and different types of physical activity e.g. power-based versus endurance-based exercise appear to have differential effects on muscle power. Cross-sectional studies suggest that participation in power-based exercise is associated with greater muscle power across adulthood but this has not been investigated longitudinally. We recruited eighty-nine male and female power and endurance master athletes (sprint and distance runners respectively, baseline age 35–90y). Using jumping mechanography, we measured lower limb muscle function during a vertical jump including at least two testing sessions longitudinally over 4.5 ± 2.4y. We examined effects of time, discipline (power/endurance) and sex in addition to two- and three-way interactions using linear mixed-effects models. Peak relative power, relative force and jump height, but not Esslingen Fitness Index (indicating peak power relative to sex and age-matched reference data) declined with time. Peak power, force, height and EFI were greater in power than endurance athletes. There were no sex, discipline or sex*discipline interactions with time for any variable, suggesting that changes were similar over time for athletes of both sexes and disciplines. Advantages in lower limb muscle function in power athletes were maintained with time, in line with previous cross-sectional studies. These results suggest that improvements in lower limb function in less active older individuals following power-based training persist with continued adherence, although this requires further investigation in interventional studies.


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