Literature DB >> 22905696

Serum albumin in relation to change in muscle mass, muscle strength, and muscle power in older men.

Caryn K Snyder1, Jodi A Lapidus, Peggy M Cawthon, Thuy-Tien L Dam, Lynn Y Sakai, Lynn M Marshall.   

Abstract

OBJECTIVES: To investigate the relationship between serum albumin and change in muscle mass, grip strength, and leg power.
DESIGN: Prospective cohort.
SETTING: Six U.S. academic medical centers. PARTICIPANTS: Community-dwelling men aged 65 and older participating in the Osteoporotic Fractures in Men (MrOS) Study. MEASUREMENTS: Serum albumin was measured at baseline in 5,534 participants. Baseline serum albumin was examined in relation to change in appendicular skeletal muscle (ASM) mass, grip strength, and leg power after 2 and 4.6 years. Two-year change in serum albumin was examined with respect to simultaneous change in these outcomes in 1,267 participants.
RESULTS: Baseline serum albumin <40 g/L was not associated with 2- or 4.6-year change in ASM mass, grip strength, or leg power before or after adjustment for confounders. There was no association between serum albumin change and change in grip strength. A statistically significant trend was observed between serum albumin change and change in ASM mass, but there was substantial overlap across confidence intervals (CIs). Participants with a marked decrease (>3 g/L) and mild decrease (1-2 g/L) in serum albumin over 2 years exhibited a modest change of -8.9 W (95% CI = -25.6 to -7.8 W) and -6.3 W (95% CI = -21.2 to -8.5 W) of leg power, respectively (P for trend = .02), compared with those with no decrease in albumin concentration.
CONCLUSION: Serum albumin demonstrated modest and inconsistent trends with loss of muscle mass and function. Low serum albumin within the normal range is not a risk factor for this process in elderly men.
© 2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.

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Year:  2012        PMID: 22905696      PMCID: PMC3445747          DOI: 10.1111/j.1532-5415.2012.04115.x

Source DB:  PubMed          Journal:  J Am Geriatr Soc        ISSN: 0002-8614            Impact factor:   5.562


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