Ten-year longitudinal changes in muscle power, force, and velocity in young, middle-aged, and older adults

IF 9.1 1区 医学
Julian Alcazar, Carlos Rodriguez-Lopez, Christophe Delecluse, Martine Thomis, Evelien Van Roie
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引用次数: 6

Abstract

Background

Maximum muscle power (Pmax) is a biomarker of physical performance in all ages. No longitudinal studies have assessed the effects of aging on Pmax obtained from the torque-velocity (T-V) relationship, which should be considered the ‘gold standard’. This study evaluated the longitudinal changes in the T-V relationship and Pmax of the knee-extensor muscles in young, middle-aged, and older adults after 10 years of follow-up.

Methods

Four hundred eighty-nine subjects (311 men and 178 women; aged 19–68 years) were tested at baseline and after a 10-year follow-up. Anthropometric data, daily protein intake, physical activity level (PAL), and knee-extension muscle function (isometric, isokinetic, and isotonic) were evaluated. A novel hybrid equation combining a linear and a hyperbolic (Hill-type) region was used to obtain the T-V relationship and Pmax of the participants, who were grouped by sex and age (young: 20–40 years; middle-aged: 40–60 years; and old: ≥60 years). Linear mixed-effect models were used to assess effects of time, sex, and age on T-V parameters, Pmax, and body mass index (BMI). Additional analyses were performed to adjust for changes in daily protein intake and PAL.

Results

Pmax decreased in young men (−0.6% per year; P < 0.001), middle-aged men and women (−1.1% to −1.4% per year; P < 0.001), and older men and women (−2.2% to −2.4% per year; P ≤ 0.053). These changes were mainly related to decrements in torque at Pmax at early age and to decrements in both torque and velocity at Pmax at older age. BMI increased among young and middle-aged adults (0.2% to 0.5% per year; P < 0.001), which led to greater declines in relative Pmax in those groups. S/T0, that is, the linear slope of the T-V relationship relative to maximal torque, exhibited a significant decline over time (−0.10%T0·rad·s−1 per year; P < 0.001), which was significant among middle-aged men and old men and women (all P < 0.05). Annual changes in PAL index were significantly associated to annual changes in Pmax (P = 0.017), so the overall decline in Pmax was slightly attenuated in the adjusted model (−5.26 vs. −5.05 W per year; both P < 0.001).

Conclusions

Pmax decreased in young, middle-aged, and older adults after a 10-year follow-up. The early declines in Pmax seemed to coincide with declines in force, whereas the progressive decline at later age was associated with declines in both force and velocity. A progressively blunted ability to produce force, especially at moderate to high movement velocities, should be considered a specific hallmark of aging.

年轻人、中年人和老年人肌肉力量、力量和速度的十年纵向变化
最大肌肉力量(Pmax)是所有年龄段身体表现的生物标志物。没有纵向研究评估老化对从扭矩-速度(T-V)关系中获得的Pmax的影响,这应该被认为是“金标准”。本研究在10年的随访后评估了青年、中年和老年人膝伸肌的T-V关系和Pmax的纵向变化。方法489例(男性311例,女性178例);年龄19-68岁)在基线和10年随访后进行测试。评估人体测量数据、每日蛋白质摄入量、身体活动水平(PAL)和膝关节伸展肌功能(等长、等速和等张力)。采用线性区和双曲区(Hill-type)相结合的新型混合方程,得到了按性别和年龄分组(年轻:20-40岁;中年:40-60岁;老年:≥60岁)。采用线性混合效应模型评估时间、性别和年龄对T-V参数、Pmax和体重指数(BMI)的影响。进一步的分析调整了每日蛋白质摄入量和PAL的变化。结果年轻男性的Pmax下降(每年- 0.6%;P & lt;0.001),中年男性和女性(每年- 1.1%至- 1.4%;P & lt;0.001),老年男性和女性(每年- 2.2%至- 2.4%;p≤0.053)。这些变化主要与早期Pmax转矩的减小和老年Pmax转矩和速度的减小有关。青壮年和中年人的身体质量指数增加(每年0.2% - 0.5%;P & lt;0.001),这导致这些组的相对Pmax下降幅度更大。S/T0,即T-V关系相对于最大扭矩的线性斜率,随着时间的推移呈现出显著的下降(- 0.10%T0·rad·S−1 /年;P & lt;0.001),这在中年男性和老年男性和女性中具有显著性(所有P <0.05)。PAL指数的年变化与Pmax的年变化显著相关(P = 0.017),因此在调整后的模型中,Pmax的总体下降略有减弱(- 5.26 vs - 5.05 W /年;P <0.001)。结论:经过10年随访,青年、中年和老年人的Pmax均有所下降。早期Pmax的下降似乎与力的下降一致,而后期的逐渐下降与力和速度的下降有关。产生力量的能力逐渐减弱,特别是在中高运动速度下,应被认为是衰老的一个特殊标志。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Cachexia, Sarcopenia and Muscle
Journal of Cachexia, Sarcopenia and Muscle Medicine-Orthopedics and Sports Medicine
自引率
12.40%
发文量
0
期刊介绍: The Journal of Cachexia, Sarcopenia, and Muscle is a prestigious, peer-reviewed international publication committed to disseminating research and clinical insights pertaining to cachexia, sarcopenia, body composition, and the physiological and pathophysiological alterations occurring throughout the lifespan and in various illnesses across the spectrum of life sciences. This journal serves as a valuable resource for physicians, biochemists, biologists, dieticians, pharmacologists, and students alike.
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