Abstract
Aim
This study aimed to compare motor function between sarcopenia stages with respect to sex in community-dwelling older adults.
Methods
The participants, comprising 2107 community-dwelling older adults (738 men and 1369 women), were classified into 4 groups and the groups were operationally defined—normal, low muscle mass, low physical function, and sarcopenia groups. Lower limb muscle strength and balance ability were assessed for evaluating motor function. To compare motor function between sarcopenia stages, an analysis of covariance adjusted for age and body mass index was performed.
Results
Lower limb muscle strengths were significantly lower not only in the sarcopenia group but also in the low muscle mass and low physical function groups than that in the normal group in both men and women. Low hip abductor muscle strength was observed in the low physical function group compared to the low muscle mass group in women, but not in men. Timed Up and Go test results in the sarcopenia and low function groups was lower than in the normal and low muscle mass groups for men and women. One-leg standing in the low physical function group was lower than that in the normal group, only for women.
Conclusions
Reduced motor function was observed not only in older people with sarcopenia but also in older people with only low muscle mass or low physical function, and the decline in lower limb muscle strength and balance ability in the low function group were greater in older women than in older men.
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References
Cruz-Jentoft AJ et al (2010) Sarcopenia: European consensus on definition and diagnosis: report of the European Working Group on sarcopenia in older people. Age Ageing 39:412–423
Chen LK et al (2014) Sarcopenia in Asia: consensus report of the Asian Working Group for sarcopenia. J Am Med Dir Assoc 15:95–101
Chen LK et al (2020) Asian working group for sarcopenia: 2019 consensus update on sarcopenia diagnosis and treatment. J Am Med Dir Assoc 21:300–307.e2
Tabara Y et al (2020) Comparison of diagnostic significance of the initial versus revised diagnostic algorithm for sarcopenia from the Asian Working Group for sarcopenia. Arch Gerontol Geriatr 89:104071
Gadelha AB et al (2018) Severity of sarcopenia is associated with postural balance and risk of falls in community-dwelling older women. Exp Aging Res 44:258–269
Pereira FB, Leite AF, de Paula AP (2015) Relationship between pre-sarcopenia, sarcopenia and bone mineral density in elderly men. Arch Endocrinol Metab 59:59–65
Tanimoto Y et al (2014) Sarcopenia and falls in community-dwelling elderly subjects in Japan: defining sarcopenia according to criteria of the European Working Group on Sarcopenia in Older People. Arch Gerontol Geriatr 59:295–299
Isoyama N et al (2014) Comparative associations of muscle mass and muscle strength with mortality in dialysis patients. Clin J Am Soc Nephrol 9:1720–1728
Guideline for the prevention of falls in older persons. American Geriatrics Society, British Geriatrics Society, and American Academy of Orthopaedic Surgeons (2001) Panel on Falls Prevention. J Am Geriatr Soc 49:664–672
Bohannon RW (1997) Comfortable and maximum walking speed of adults aged 20–79 years: reference values and determinants. Age Ageing 26:15–19
Inoue W et al (2017) Are there different factors affecting walking speed and gait cycle variability between men and women in community-dwelling older adults? Aging Clin Exp Res 29:215–221
Han P et al (2016) Prevalence and factors associated with sarcopenia in suburb-dwelling older Chinese using the Asian Working Group for Sarcopenia definition. J Gerontol A Biol Sci Med Sci 71:529–535
Yamada M et al (2017) Differential characteristics of skeletal muscle in community-dwelling older adults. J Am Med Dir Assoc 18:807.e9–807.e16
Sanada K et al (2010) A cross-sectional study of sarcopenia in Japanese men and women: reference values and association with cardiovascular risk factors. Eur J Appl Physiol 110:57–65
Gibson AL et al (2008) Ability of new octapolar bioimpedance spectroscopy analyzers to predict 4-component-model percentage body fat in Hispanic, black, and white adults. Am J Clin Nutr 87:332–338
Benavent-Caballer V et al (2016) Physical factors underlying the timed “Up and Go” test in older adults. Geriatr Nurs 37:122–127
Manini TM, Clark BC (2012) Dynapenia and aging: an update. J Gerontol A Biol Sci Med Sci 67:28–40
Bergquist R et al (2019) Performance-based clinical tests of balance and muscle strength used in young seniors: a systematic literature review. BMC Geriatr 19:9
Alcazar J et al (2018) The sit-to-stand muscle power test: An easy, inexpensive and portable procedure to assess muscle power in older people. Exp Gerontol 112:38–43
Glenn JM, Gray M, Binns A (2017) Relationship of sit-to-stand lower-body power with functional fitness measures among older adults with and without sarcopenia. J Geriatr Phys Ther 40:42–50
Puthoff ML, Nielsen DH (2007) Relationships among impairments in lower-extremity strength and power, functional limitations, and disability in older adults. Phys Ther 87:1334–1347
Kim JW et al (2010) Sex differences in the postural sway characteristics of young and elderly subjects during quiet natural standing. Geriatr Gerontol Int 10:191–198
Arvin M et al (2016) Effects of narrow base gait on mediolateral balance control in young and older adults. J Biomech 49:1264–1267
Hilliard MJ et al (2008) Lateral balance factors predict future falls in community-living older adults. Arch Phys Med Rehabil 89:1708–1713
Porto JM et al (2019) Contribution of hip abductor-adductor muscles on static and dynamic balance of community-dwelling older adults. Aging Clin Exp Res 31:621–627
Funding
This work was supported by a University Grant, The Center of Innovation Program, The Global University Project, and a Grant-in-Aid for Scientific Research from the Ministry of Education, Culture, Sports, Science and Technology in Japan [25293141, 26670313, 17H04123], and the Practical Research Project for Rare/Intractable Diseases [ek0109070, ek0109196, ek0109348]; Comprehensive Research on Aging and Health Science Research Grants for Dementia R&D (dk0207006) from the Japan Agency for Medical Research and Development (AMED).
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TK: conceptualization, methodology, formal analysis, investigation, and writing (original draft). TI: conceptualization, methodology, formal analysis, investigation, and writing (original draft). YT: conceptualization; writing, reviewing, and editing; supervision. FM: supervision. TT: conceptualization, writing, reviewing, and editing. NI: conceptualization; methodology; formal analysis; writing, reviewing, and editing; project administration.
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The study protocol was approved by the ethics committee of the Kyoto University Graduate School of Medicine and by the Nagahama Municipal Review Board.
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The content of the study was explained to the participants, and written informed consent was obtained from them.
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Kato, T., Ikezoe, T., Tabara, Y. et al. Differences in lower limb muscle strength and balance ability between sarcopenia stages depend on sex in community-dwelling older adults. Aging Clin Exp Res 34, 527–534 (2022). https://doi.org/10.1007/s40520-021-01952-6
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DOI: https://doi.org/10.1007/s40520-021-01952-6