Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals

Background The use of ultrasonographic echo intensity (EI) to evaluate skeletal muscle quality and its effects on strength, explosive power, and physical function (PF) in older individuals remains unclear. This meta-analysis evaluated the associations among EI, muscle strength (MS), and PF in older...

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Main Authors: Han Yuan, Maengkyu Kim
Format: Article
Language:English
Published: Korea Geriatrics Society 2023-12-01
Series:Annals of Geriatric Medicine and Research
Subjects:
Online Access:http://www.e-agmr.org/upload/pdf/agmr-23-0101.pdf
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author Han Yuan
Maengkyu Kim
author_facet Han Yuan
Maengkyu Kim
author_sort Han Yuan
collection DOAJ
description Background The use of ultrasonographic echo intensity (EI) to evaluate skeletal muscle quality and its effects on strength, explosive power, and physical function (PF) in older individuals remains unclear. This meta-analysis evaluated the associations among EI, muscle strength (MS), and PF in older individuals. Methods We conducted a systematic search of the PubMed, Embase, Web of Science, SPORT Discus, and CINAHL databases through October 2022 to identify primary studies examining the association between EI and MS/PF. Effect sizes were computed using a random-effects model and presented using forest plots. Pearson correlation coefficient (r) and I2 statistics were used to measure heterogeneity. Results This meta-analysis included 24 patients. EI demonstrated a negative association with maximal strength (r=-0.351; 95% confidence interval [CI], -0.411 to -0.288; p<0.001) and explosive power (r=-0.342; 95% CI, -0.517 to -0.139; p=0.001) in older individuals. Handgrip strength also showed a significant negative correlation with EI (r=-0.361; 95% CI, -0.463 to -0.249; p<0.001). However, we observed only a small and non-significant negative association between EI and gait speed (r=-0.003; 95% CI, -0.083 to -0.077; p=0.943), and a weak non-significant correlation with the chair stand test (r=0.072; 95% CI, -0.045 to 0.187; p=0.227). Conclusion Increased EI was associated with lower strength and power but not with gait speed or chair test performance in older individuals. Further large-sample studies with long-term follow-up are needed to improve frailty prediction and risk assessment in this population.
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spelling doaj.art-bacd05533db34ee6a2886b2d7efbd4c72024-01-03T07:47:21ZengKorea Geriatrics SocietyAnnals of Geriatric Medicine and Research2508-47982508-49092023-12-0127432933710.4235/agmr.23.01011091Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older IndividualsHan Yuan0Maengkyu Kim1 Sports Medicine Lab., Department of Physical Education, Graduate School, Kyungpook National University, Daegu, Korea Sports Medicine Lab., Department of Physical Education, Graduate School, Kyungpook National University, Daegu, KoreaBackground The use of ultrasonographic echo intensity (EI) to evaluate skeletal muscle quality and its effects on strength, explosive power, and physical function (PF) in older individuals remains unclear. This meta-analysis evaluated the associations among EI, muscle strength (MS), and PF in older individuals. Methods We conducted a systematic search of the PubMed, Embase, Web of Science, SPORT Discus, and CINAHL databases through October 2022 to identify primary studies examining the association between EI and MS/PF. Effect sizes were computed using a random-effects model and presented using forest plots. Pearson correlation coefficient (r) and I2 statistics were used to measure heterogeneity. Results This meta-analysis included 24 patients. EI demonstrated a negative association with maximal strength (r=-0.351; 95% confidence interval [CI], -0.411 to -0.288; p<0.001) and explosive power (r=-0.342; 95% CI, -0.517 to -0.139; p=0.001) in older individuals. Handgrip strength also showed a significant negative correlation with EI (r=-0.361; 95% CI, -0.463 to -0.249; p<0.001). However, we observed only a small and non-significant negative association between EI and gait speed (r=-0.003; 95% CI, -0.083 to -0.077; p=0.943), and a weak non-significant correlation with the chair stand test (r=0.072; 95% CI, -0.045 to 0.187; p=0.227). Conclusion Increased EI was associated with lower strength and power but not with gait speed or chair test performance in older individuals. Further large-sample studies with long-term follow-up are needed to improve frailty prediction and risk assessment in this population.http://www.e-agmr.org/upload/pdf/agmr-23-0101.pdfultrasonographymuscle strengthphysical functional performanceaging
spellingShingle Han Yuan
Maengkyu Kim
Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals
Annals of Geriatric Medicine and Research
ultrasonography
muscle strength
physical functional performance
aging
title Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals
title_full Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals
title_fullStr Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals
title_full_unstemmed Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals
title_short Meta-Analysis on the Association between Echo Intensity, Muscle Strength, and Physical Function in Older Individuals
title_sort meta analysis on the association between echo intensity muscle strength and physical function in older individuals
topic ultrasonography
muscle strength
physical functional performance
aging
url http://www.e-agmr.org/upload/pdf/agmr-23-0101.pdf
work_keys_str_mv AT hanyuan metaanalysisontheassociationbetweenechointensitymusclestrengthandphysicalfunctioninolderindividuals
AT maengkyukim metaanalysisontheassociationbetweenechointensitymusclestrengthandphysicalfunctioninolderindividuals