PURPOSE: To describe previously reported locomotor muscle and whole-body composition factors related to mobility in older individuals. METHODS: A narrative review of the literature, including a combination of search terms related to muscle and whole-body composition factors and to mobility in older individuals, was carried out. Statistical measures of association and risk were consolidated to summarize the common effects between studies. RESULTS: Fifty-three studies were reviewed. Muscle and whole-body factors accounted for a substantial amount of the variability in walking speed, with coefficients of determination ranging from 0.30 to 0.47. Muscle power consistently accounted for a greater percentage of the variance in mobility than did strength. Risks associated with high fat mass presented a minimum odds ratio (OR) of 0.70 and a maximum OR of 4.07, while the minimum and maximum ORs associated with low lean mass were 0.87 and 2.30 respectively. Whole-body and regional fat deposits accounted for significant amounts of the variance in mobility. CONCLUSION: Muscle power accounts for a greater amount of the variance in the level of mobility in older individuals than does muscle strength. Whole-body fat accounts for a greater amount of the variance in level of mobility than does whole-body lean tissue. Fat stored within muscle also appears to increase the risk of a mobility limitation in older individuals.
PURPOSE: To describe previously reported locomotor muscle and whole-body composition factors related to mobility in older individuals. METHODS: A narrative review of the literature, including a combination of search terms related to muscle and whole-body composition factors and to mobility in older individuals, was carried out. Statistical measures of association and risk were consolidated to summarize the common effects between studies. RESULTS: Fifty-three studies were reviewed. Muscle and whole-body factors accounted for a substantial amount of the variability in walking speed, with coefficients of determination ranging from 0.30 to 0.47. Muscle power consistently accounted for a greater percentage of the variance in mobility than did strength. Risks associated with high fat mass presented a minimum odds ratio (OR) of 0.70 and a maximum OR of 4.07, while the minimum and maximum ORs associated with low lean mass were 0.87 and 2.30 respectively. Whole-body and regional fat deposits accounted for significant amounts of the variance in mobility. CONCLUSION: Muscle power accounts for a greater amount of the variance in the level of mobility in older individuals than does muscle strength. Whole-body fat accounts for a greater amount of the variance in level of mobility than does whole-body lean tissue. Fat stored within muscle also appears to increase the risk of a mobility limitation in older individuals.
Authors: Bret H Goodpaster; Seok Won Park; Tamara B Harris; Steven B Kritchevsky; Michael Nevitt; Ann V Schwartz; Eleanor M Simonsick; Frances A Tylavsky; Marjolein Visser; Anne B Newman Journal: J Gerontol A Biol Sci Med Sci Date: 2006-10 Impact factor: 6.053
Authors: Catherine M Jankowski; Wendolyn S Gozansky; Rachael E Van Pelt; Margaret L Schenkman; Pamela Wolfe; Robert S Schwartz; Wendy M Kohrt Journal: Obesity (Silver Spring) Date: 2008-02-21 Impact factor: 5.002
Authors: Mark C Perry; Serena F Carville; I Christopher H Smith; Olga M Rutherford; Di J Newham Journal: Eur J Appl Physiol Date: 2006-07-18 Impact factor: 3.346
Authors: O Addison; M J Drummond; P C LaStayo; L E Dibble; A R Wende; D A McClain; R L Marcus Journal: J Nutr Health Aging Date: 2014-05 Impact factor: 4.075