[PDF][PDF] Comparison of laboratory-and field-based estimates of muscle quality for predicting physical function in older women

C Straight, A Brady, M Schmidt, E Evans - J Aging Res Clin Pract, 2013 - researchgate.net
C Straight, A Brady, M Schmidt, E Evans
J Aging Res Clin Pract, 2013researchgate.net
Background: Muscle quality is related to physical function in older adults, however no study
has investigated the utility of a field-based estimate for use in clinical settings. Objectives:
This study investigated laboratory-and field-based measurements of muscle quality for
predicting physical function in community-dwelling older women. Design: Cross-sectional.
Setting: University research laboratory. Participants: Community-dwelling older women (n=
97, 73.9±5.6 y). Measurements: Leg extension power using the Nottingham power rig …
Abstract
Background: Muscle quality is related to physical function in older adults, however no study has investigated the utility of a field-based estimate for use in clinical settings. Objectives: This study investigated laboratory-and field-based measurements of muscle quality for predicting physical function in community-dwelling older women. Design: Cross-sectional. Setting: University research laboratory. Participants: Community-dwelling older women (n= 97, 73.9±5.6 y). Measurements: Leg extension power using the Nottingham power rig, handgrip strength, body composition via dual-energy X-ray absorptiometry, and physical function (6-minute walk, 8-foot up-and-go, 30-second chair stand). Laboratory-based muscle quality (MQ-LAB) was defined as leg power (watts) normalized for lower-body mineral-free lean mass (kg) and field-based muscle quality (MQ-FIELD) was measured as handgrip strength normalized for body mass index. Results: MQ-LAB (r range= 0.42 to-0.63, all p< 0.01) and MQ-FIELD (r range= 0.37 to-0.50, all p< 0.01) had similar associations with measures of physical function. Using linear regression analysis, the percent improvement in physical function that could be expected from a 10% increase in muscle quality was similar for laboratory-and field-based estimates (2.7-4.4% vs. 2.6-3.8%, respectively). Conclusions: A field-based estimate of muscle quality provides a similar prediction of physical function to a laboratory-based approach in community-dwelling older women, and may be feasible for use in a clinical setting by practitioners.
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