Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study

Abstract Background Sarcopenia, defined as an age‐associated loss of skeletal muscle mass and function, is a major risk factor for requiring long‐term care. Because physical activity in adolescence and older age enhances peak muscle function in youth and prevents muscle function decline in older age...

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Main Authors: Hiroki Tabata, Hikaru Otsuka, Huicong Shi, Mari Sugimoto, Hideyoshi Kaga, Yuki Someya, Hitoshi Naito, Naoaki Ito, Abulaiti Abudurezake, Futaba Umemura, Mai Kiya, Tsubasa Tajima, Saori Kakehi, Yasuyo Yoshizawa, Ryuzo Kawamori, Hirotaka Watada, Yoshifumi Tamura
Format: Article
Language:English
Published: Wiley 2023-06-01
Series:Journal of Cachexia, Sarcopenia and Muscle
Subjects:
Online Access:https://doi.org/10.1002/jcsm.13218
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author Hiroki Tabata
Hikaru Otsuka
Huicong Shi
Mari Sugimoto
Hideyoshi Kaga
Yuki Someya
Hitoshi Naito
Naoaki Ito
Abulaiti Abudurezake
Futaba Umemura
Mai Kiya
Tsubasa Tajima
Saori Kakehi
Yasuyo Yoshizawa
Ryuzo Kawamori
Hirotaka Watada
Yoshifumi Tamura
author_facet Hiroki Tabata
Hikaru Otsuka
Huicong Shi
Mari Sugimoto
Hideyoshi Kaga
Yuki Someya
Hitoshi Naito
Naoaki Ito
Abulaiti Abudurezake
Futaba Umemura
Mai Kiya
Tsubasa Tajima
Saori Kakehi
Yasuyo Yoshizawa
Ryuzo Kawamori
Hirotaka Watada
Yoshifumi Tamura
author_sort Hiroki Tabata
collection DOAJ
description Abstract Background Sarcopenia, defined as an age‐associated loss of skeletal muscle mass and function, is a major risk factor for requiring long‐term care. Because physical activity in adolescence and older age enhances peak muscle function in youth and prevents muscle function decline in older age, older adults with exercise habits during both periods may be at a lower risk for sarcopenia. We investigated the relationship between exercise habits in adolescence and older age and sarcopenia and its components in community‐dwelling older Japanese adults. Methods This study included 1607 community‐dwelling individuals (aged 65–84, medians 73 years, 679 men and 928 women) with complete health examinations, including measurements of skeletal muscle index, handgrip strength and gait speed, who were enrolled in the Bunkyo Health Study. We divided the participants into four groups according to exercise habits in adolescence and older age: no exercise in either period (none‐none; NN), exercise only in adolescence (active‐none; AN), exercise only in older age (none‐active; NA) and exercise in both periods (active‐active; AA). Multivariate‐adjusted logistic regression models were used to estimate the odds ratios (ORs) and associated 95% confidence intervals (CIs) in each group for the prevalence of sarcopenia, defined as low muscle mass and low muscle performance, as compared with the NN group. Low muscle performance was defined as low muscle strength and/or low gait speed. Results The total prevalence of sarcopenia was 6.6% (45/679) in men and 1.7% (16/928) in women, the total prevalence of low muscle mass was 14.3% (97/679) in men and 5.2% (48/928) in women, and the total prevalence of low muscle performance was 25.6% (174/679) in men and 19.6% (182/928) in women. In men, the ORs (95% CIs) for sarcopenia, low muscle mass and low muscle performance were significantly lower in the AA group (sarcopenia: 0.29 [0.09–0.95], P = 0.041; low muscle mass: 0.21 [0.09–0.52], P = 0.001; and low muscle performance: 0.52 [0.28–0.97], P = 0.038). In women, the OR (95% CI) for low muscle performance was significantly lower in the AA group than in the other groups (0.48 [0.27–0.84], P = 0.010), whereas none of the ORs for sarcopenia and low muscle mass were significant. Conclusions Older men with exercise habits in both adolescence and older age were at a lower risk of sarcopenia, low muscle mass and low muscle performance, whereas older women with exercise habits at both time periods were at a lower risk of low muscle performance.
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spelling doaj.art-470cb4a6ce1b42f58395aec1d2b7853b2024-04-16T19:40:53ZengWileyJournal of Cachexia, Sarcopenia and Muscle2190-59912190-60092023-06-011431299131110.1002/jcsm.13218Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health StudyHiroki Tabata0Hikaru Otsuka1Huicong Shi2Mari Sugimoto3Hideyoshi Kaga4Yuki Someya5Hitoshi Naito6Naoaki Ito7Abulaiti Abudurezake8Futaba Umemura9Mai Kiya10Tsubasa Tajima11Saori Kakehi12Yasuyo Yoshizawa13Ryuzo Kawamori14Hirotaka Watada15Yoshifumi Tamura16Sportology Center Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Sports Medicine & Sportology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Sports Medicine & Sportology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Sports Medicine & Sportology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Metabolism & Endocrinology Juntendo University Graduate School of Medicine Tokyo JapanJuntendo University Graduate School of Health and Sports Science Chiba JapanDepartment of Metabolism & Endocrinology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Metabolism & Endocrinology Juntendo University Graduate School of Medicine Tokyo JapanSportology Center Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Sports Medicine & Sportology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Metabolism & Endocrinology Juntendo University Graduate School of Medicine Tokyo JapanDepartment of Metabolism & Endocrinology Juntendo University Graduate School of Medicine Tokyo JapanSportology Center Juntendo University Graduate School of Medicine Tokyo JapanCenter for Healthy Life Expectancy Juntendo University Graduate School of Medicine Tokyo JapanSportology Center Juntendo University Graduate School of Medicine Tokyo JapanSportology Center Juntendo University Graduate School of Medicine Tokyo JapanSportology Center Juntendo University Graduate School of Medicine Tokyo JapanAbstract Background Sarcopenia, defined as an age‐associated loss of skeletal muscle mass and function, is a major risk factor for requiring long‐term care. Because physical activity in adolescence and older age enhances peak muscle function in youth and prevents muscle function decline in older age, older adults with exercise habits during both periods may be at a lower risk for sarcopenia. We investigated the relationship between exercise habits in adolescence and older age and sarcopenia and its components in community‐dwelling older Japanese adults. Methods This study included 1607 community‐dwelling individuals (aged 65–84, medians 73 years, 679 men and 928 women) with complete health examinations, including measurements of skeletal muscle index, handgrip strength and gait speed, who were enrolled in the Bunkyo Health Study. We divided the participants into four groups according to exercise habits in adolescence and older age: no exercise in either period (none‐none; NN), exercise only in adolescence (active‐none; AN), exercise only in older age (none‐active; NA) and exercise in both periods (active‐active; AA). Multivariate‐adjusted logistic regression models were used to estimate the odds ratios (ORs) and associated 95% confidence intervals (CIs) in each group for the prevalence of sarcopenia, defined as low muscle mass and low muscle performance, as compared with the NN group. Low muscle performance was defined as low muscle strength and/or low gait speed. Results The total prevalence of sarcopenia was 6.6% (45/679) in men and 1.7% (16/928) in women, the total prevalence of low muscle mass was 14.3% (97/679) in men and 5.2% (48/928) in women, and the total prevalence of low muscle performance was 25.6% (174/679) in men and 19.6% (182/928) in women. In men, the ORs (95% CIs) for sarcopenia, low muscle mass and low muscle performance were significantly lower in the AA group (sarcopenia: 0.29 [0.09–0.95], P = 0.041; low muscle mass: 0.21 [0.09–0.52], P = 0.001; and low muscle performance: 0.52 [0.28–0.97], P = 0.038). In women, the OR (95% CI) for low muscle performance was significantly lower in the AA group than in the other groups (0.48 [0.27–0.84], P = 0.010), whereas none of the ORs for sarcopenia and low muscle mass were significant. Conclusions Older men with exercise habits in both adolescence and older age were at a lower risk of sarcopenia, low muscle mass and low muscle performance, whereas older women with exercise habits at both time periods were at a lower risk of low muscle performance.https://doi.org/10.1002/jcsm.13218AdolescenceOlder ageExercise habitsMuscle functionOlder adultsSarcopenia
spellingShingle Hiroki Tabata
Hikaru Otsuka
Huicong Shi
Mari Sugimoto
Hideyoshi Kaga
Yuki Someya
Hitoshi Naito
Naoaki Ito
Abulaiti Abudurezake
Futaba Umemura
Mai Kiya
Tsubasa Tajima
Saori Kakehi
Yasuyo Yoshizawa
Ryuzo Kawamori
Hirotaka Watada
Yoshifumi Tamura
Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study
Journal of Cachexia, Sarcopenia and Muscle
Adolescence
Older age
Exercise habits
Muscle function
Older adults
Sarcopenia
title Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study
title_full Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study
title_fullStr Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study
title_full_unstemmed Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study
title_short Effects of exercise habits in adolescence and older age on sarcopenia risk in older adults: the Bunkyo Health Study
title_sort effects of exercise habits in adolescence and older age on sarcopenia risk in older adults the bunkyo health study
topic Adolescence
Older age
Exercise habits
Muscle function
Older adults
Sarcopenia
url https://doi.org/10.1002/jcsm.13218
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