Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults

Assessment of the association of muscle strength and muscle mass with osteoporosis (OP) is of special interest as muscles are a potential target for interventions (i.e., strength training). Methods: A cross-sectional descriptive study encompassing people aged ≥ 60 years (average age: 66.9 ± 6.2 year...

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Main Authors: Yixuan Ma, Liyuan Fu, Liye Jia, Peipei Han, Li Kang, Hairui Yu, XiaoYu Chen, Xing Yu, Lin Hou, Lu Wang, Wen Zhang, Kaijun Niu, Qi Guo
Format: Article
Language:English
Published: Elsevier 2018-02-01
Series:Journal of the Formosan Medical Association
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929664616304028
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author Yixuan Ma
Liyuan Fu
Liye Jia
Peipei Han
Li Kang
Hairui Yu
XiaoYu Chen
Xing Yu
Lin Hou
Lu Wang
Wen Zhang
Kaijun Niu
Qi Guo
author_facet Yixuan Ma
Liyuan Fu
Liye Jia
Peipei Han
Li Kang
Hairui Yu
XiaoYu Chen
Xing Yu
Lin Hou
Lu Wang
Wen Zhang
Kaijun Niu
Qi Guo
author_sort Yixuan Ma
collection DOAJ
description Assessment of the association of muscle strength and muscle mass with osteoporosis (OP) is of special interest as muscles are a potential target for interventions (i.e., strength training). Methods: A cross-sectional descriptive study encompassing people aged ≥ 60 years (average age: 66.9 ± 6.2 years; men, n = 516; women, n = 652) in the Hangu area of Tianjin, China. The study populations were invited to participate in a comprehensive geriatric assessment. OS was identified by measuring the calcaneal using a quantitative ultrasound and a T score of less than –2.5. Muscle characteristics included grip strength and appendicular skeletal muscle mass (ASM). Results: The prevalence of OS in this study was 61.6% (male 52.1%, female 69.1%). Grip strength was negatively related to OS and after adjusting for all other variables, higher grip strength was found to be associated with a lower OS risk (p = 0.023). ASM/height2 was not associated with OS (p = 0.205). Conclusion: Based on our study, muscle strength rather than muscle mass is negatively associated with OS in older people; thus, we should pay more attention to muscle strength training in the early stage of the OS.
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spelling doaj.art-b26c564a4d074a2c812629244682cd312022-12-21T19:36:53ZengElsevierJournal of the Formosan Medical Association0929-66462018-02-01117210110810.1016/j.jfma.2017.03.004Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adultsYixuan Ma0Liyuan Fu1Liye Jia2Peipei Han3Li Kang4Hairui Yu5XiaoYu Chen6Xing Yu7Lin Hou8Lu Wang9Wen Zhang10Kaijun Niu11Qi Guo12Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, ChinaNutritional Epidemiology Institute, Tianjin Medical University, Tianjin, ChinaDepartment of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, ChinaAssessment of the association of muscle strength and muscle mass with osteoporosis (OP) is of special interest as muscles are a potential target for interventions (i.e., strength training). Methods: A cross-sectional descriptive study encompassing people aged ≥ 60 years (average age: 66.9 ± 6.2 years; men, n = 516; women, n = 652) in the Hangu area of Tianjin, China. The study populations were invited to participate in a comprehensive geriatric assessment. OS was identified by measuring the calcaneal using a quantitative ultrasound and a T score of less than –2.5. Muscle characteristics included grip strength and appendicular skeletal muscle mass (ASM). Results: The prevalence of OS in this study was 61.6% (male 52.1%, female 69.1%). Grip strength was negatively related to OS and after adjusting for all other variables, higher grip strength was found to be associated with a lower OS risk (p = 0.023). ASM/height2 was not associated with OS (p = 0.205). Conclusion: Based on our study, muscle strength rather than muscle mass is negatively associated with OS in older people; thus, we should pay more attention to muscle strength training in the early stage of the OS.http://www.sciencedirect.com/science/article/pii/S0929664616304028elderlymuscle massmuscle strengthosteoporosis
spellingShingle Yixuan Ma
Liyuan Fu
Liye Jia
Peipei Han
Li Kang
Hairui Yu
XiaoYu Chen
Xing Yu
Lin Hou
Lu Wang
Wen Zhang
Kaijun Niu
Qi Guo
Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults
Journal of the Formosan Medical Association
elderly
muscle mass
muscle strength
osteoporosis
title Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults
title_full Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults
title_fullStr Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults
title_full_unstemmed Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults
title_short Muscle strength rather than muscle mass is associated with osteoporosis in older Chinese adults
title_sort muscle strength rather than muscle mass is associated with osteoporosis in older chinese adults
topic elderly
muscle mass
muscle strength
osteoporosis
url http://www.sciencedirect.com/science/article/pii/S0929664616304028
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