Valentina Muollo1, Andrea Zignoli2, Laura Ghiotto3, Chiara Milanese3, Mauro Zamboni4, Federico Schena3,5, Andrea Petronio Rossi4. 1. Department of Medicine, University of Verona, Via Felice Casorati 43, 37131, Verona, Italy. valentina.muollo@univr.it. 2. Department of Industrial Engineering, University of Trento, Trento, Italy. 3. Department of Neuroscience, Biomedicine and Movement, University of Verona, Verona, Italy. 4. Department of Medicine, Section of Geriatrics, Healthy Aging Center Verona, Verona, Italy. 5. CeRiSM, Sport, Mountain and Health Research Center, University of Verona, Rovereto, Italy.
Abstract
BACKGROUND: With aging and obesity lower limb torque deteriorates. Importantly, the ratio between knee flexor (KF) and extensor (KE) torque is an indicator of joint stability. AIMS: We compared KF torque and KF/KE ratio in older subjects of both sexes with obesity (OB) or without (NOB) obesity. METHODS: The maximal torque during KE and KF isokinetic contractions were evaluated at: 60, 90, 150, 180 and 210 deg/s in 89 elderly (68 ± 5 years) subjects with NOB (BMI < 30 kg/m2) and OB (BMI ≥ 30 kg/m2). Values were normalised for body weight (BW) and leg lean mass (i.e., muscle quality). RESULTS: At all speeds men had higher absolute KF values (P < 0.001). When values were normalised for BW, sex differences remain in favour of men (P < 0.001) with lower values in both groups with OB than NOB (P < 0.001). Muscle quality and KF/KE ratio were lower in OB than NOB (P < 0.001). CONCLUSIONS: The KF torque and KF/KE ratio decline with aging and with OB. In all groups, the KF/KE ratio was below the joint stability threshold. Thus, exercise physiologists should include exercises designed to train both KE and KF in older subjects with OB.
BACKGROUND: With aging and obesity lower limb torque deteriorates. Importantly, the ratio between knee flexor (KF) and extensor (KE) torque is an indicator of joint stability. AIMS: We compared KF torque and KF/KE ratio in older subjects of both sexes with obesity (OB) or without (NOB) obesity. METHODS: The maximal torque during KE and KF isokinetic contractions were evaluated at: 60, 90, 150, 180 and 210 deg/s in 89 elderly (68 ± 5 years) subjects with NOB (BMI < 30 kg/m2) and OB (BMI ≥ 30 kg/m2). Values were normalised for body weight (BW) and leg lean mass (i.e., muscle quality). RESULTS: At all speeds men had higher absolute KF values (P < 0.001). When values were normalised for BW, sex differences remain in favour of men (P < 0.001) with lower values in both groups with OB than NOB (P < 0.001). Muscle quality and KF/KE ratio were lower in OB than NOB (P < 0.001). CONCLUSIONS: The KF torque and KF/KE ratio decline with aging and with OB. In all groups, the KF/KE ratio was below the joint stability threshold. Thus, exercise physiologists should include exercises designed to train both KE and KF in older subjects with OB.
Authors: Ugo Carraro; Andrea Marcante; Barbara Ravara; Giovanna Albertin; Maria Chiara Maccarone; Francesco Piccione; Helmut Kern; Stefano Masiero Journal: Aging Clin Exp Res Date: 2021-05-28 Impact factor: 3.636