[논문]Static one-leg standing balance test as a screening tool for low muscle mass in healthy elderly women

Khanal, Praval; He, Lingxiao; Stebbings, Georgina K.; Onambele-Pearson, Gladys L.; Degens, Hans; Williams, Alun G.; Thomis, Martine; Morse, Christopher I.

doi:10.1007/s40520-021-01818-x

Static one-leg standing balance test as a screening tool for low muscle mass in healthy elderly women 원문보기

Aging clinical and experimental research, v.33 no.7, 2021년, pp.1831 - 1839

Khanal, Praval (Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, M15 6BH UK) , He, Lingxiao (Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, M15 6BH UK) , Stebbings, Georgina K. (Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, M15 6BH UK) , Onambele-Pearson, Gladys L. (Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, M15 6BH UK) , Degens, Hans (Division of Health Science, Manchester Metropolitan University, Manchester, UK) , Williams, Alun G. (Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, M15 6BH UK) , Thomis, Martine (Department of Movement Sciences, Physical Activity, Sports and Health Research Group, KU Leuven, Leuven, Belgium) , Morse, Christopher I. (Department of Sport and Exercise Sciences, Manchester Metropolitan University, Manchester, M15 6BH UK)

Abstract ▼ AI-Helper

BackgroundIdentification of simple screening tools for detecting lower skeletal muscle mass may be beneficial for planning effective interventions in the elderly.AimsWe aimed to (1) establish a threshold for one-leg standing balance test (OLST) time for low muscle mass, and (2) test the ability of that threshold to assess muscular impairments in a poor balance group.MethodsEyes-open OLST (maximum duration 30 s) was performed with right and left legs in 291 women (age 71 ± 6 years). OLST time was calculated as the sum of the OLST time of right and left legs. Fat-free mass (FFM), skeletal muscle mass (SMM), fat mass, biceps brachii and vastus lateralis sizes; handgrip strength (HGS), elbow flexion maximum torque (MVCEF) and knee extension maximum torque (MVCKE) were measured. Muscle quality was calculated as MVCKE/FFM and physical activity was assessed by questionnaire. Low muscle mass was defined as SMMrelative of 22.1%, a previously established threshold for pre-sarcopenia.ResultsThe OLST threshold time to detect low muscle mass was 55 s (sensitivity: 0.63; specificity: 0.60). The poor balance group (OLST < 55 s) had higher fat mass (3.0%, p < 0.001), larger VL thickness (5.1%, p = 0.016), and lower HGS (− 10.2%, p < 0.001), MVCEF (− 8.2%, p = 0.003), MVCKE (− 9.5%, p = 0.012), MVCKE/FFM (− 11.0%, p = 0.004) and physical activity (− 8.0%, p = 0.024) compared to the normal balance group. While after adjusting age, the differences exist for HGS, fat mass and VL thickness only.DiscussionAn OLST threshold of 55 s calculated as the summed score from both legs discriminated pre-sarcopenic characteristics among active, community-dwelling older women with limited potential (sensitivity 0.63, specificity 0.60).ConclusionOLST, which can be performed easily in community settings without the need for more complex muscle mass measurement, may help identify women at risk of developing sarcopenia.Supplementary InformationThe online version contains supplementary material available at 10.1007/s40520-021-01818-x.

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Static one-leg standing balance test as a screening tool for low muscle mass in healthy elderly women 원문보기

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