当前位置： SCI文献检索 > MEDICINE AND SCIENCE IN SPORTS AND EXERCISE期刊下所有文献 > Associations of Muscle Mass and Strength with All-Cause Mortality among US Older Adults.

Associations of Muscle Mass and Strength with All-Cause Mortality among US Older Adults.

Abstract：

INTRODUCTION:Recent studies suggested that muscle mass and muscle strength may independently or synergistically affect aging-related health outcomes in older adults; however, prospective data on mortality in the general population are sparse. METHODS:We aimed to prospectively examine individual and joint associations of low muscle mass and low muscle strength with all-cause mortality in a nationally representative sample. This study included 4449 participants age 50 yr and older from the National Health and Nutrition Examination Survey 1999 to 2002 with public use 2011 linked mortality files. Weighted multivariable logistic regression models were adjusted for age, sex, race, body mass index (BMI), smoking, alcohol use, education, leisure time physical activity, sedentary time, and comorbid diseases. RESULTS:Overall, the prevalence of low muscle mass was 23.1% defined by appendicular lean mass (ALM) and 17.0% defined by ALM/BMI, and the prevalence of low muscle strength was 19.4%. In the joint analyses, all-cause mortality was significantly higher among individuals with low muscle strength, whether they had low muscle mass (odds ratio [OR], 2.03; 95% confidence interval [CI], 1.27-3.24 for ALM; OR, 2.53; 95% CI, 1.64-3.88 for ALM/BMI) or not (OR, 2.66; 95% CI, 1.53-4.62 for ALM; OR, 2.17; 95% CI, 1.29-3.64 for ALM/BMI). In addition, the significant associations between low muscle strength and all-cause mortality persisted across different levels of metabolic syndrome, sedentary time, and LTPA. CONCLUSIONS:Low muscle strength was independently associated with elevated risk of all-cause mortality, regardless of muscle mass, metabolic syndrome, sedentary time, or LTPA among US older adults, indicating the importance of muscle strength in predicting aging-related health outcomes in older adults.

journal_name

Med Sci Sports Exerc

journal_title

Medicine and science in sports and exercise

authors

Li R,Xia J,Zhang XI,Gathirua-Mwangi WG,Guo J,Li Y,McKenzie S,Song Y

doi

10.1249/MSS.0000000000001448

subject

Has Abstract

pub_date

2018-03-01 00:00:00

pages

458-467

issue

eissn

0195-9131

issn

1530-0315

journal_volume

pub_type

杂志文章

在线工具

Associations of Muscle Mass and Strength with All-Cause Mortality among US Older Adults.