Bonnefoy M, Jauffret M, Jusot J F
M. Bonnefoy, Service Universitaire de Medecine Geriatrique, Centre Hospitalier Lyon Sud, Pierre-Benite Cedex.
J Nutr Health Aging. 2007 May-Jun;11(3):223-8.
The purpose of this study was to explore the relationship between leg power and functional and nutritional status in very elderly people. A cross sectional analysis was conducted. Participants were men and women (n = 30, age: 82 +/- 5,3 years). Leg extension maximal power was measured. Physical performance measures included chair rise time, time to walk 6 meters, and steps number (SN) necessary to cover a 6 meters walk at habitual gait speed. Nutritional status measurement included Mini Nutritional Assessment (MNA), Body Mass Index (BMI), calf circumference, and thigh volume. Leg extension power was significantly correlated with all the performance measures: chair rise time (r= - 0.57, p < 0.01), time to walk six meters (r = - 0.56, p < 0.01), number of steps to cover a six meters walk (r = - 0.46, p < 0.01). A curvilinear association was found between SN and maximal power (r2 = 0.43, p < 0.001). Maximal power and thigh volume explained significantly time to walk 6 meters in a non-linear regression analysis (r2 = 0.82, p < 0.001). In conclusion, a low level of muscle power is associated with poor functional performances. Both weak muscle power and thigh volume are predictive of poor functional status. Because a decline in functional performances is highly predictive of subsequent disability and adverse events as falls, future studies should evaluate the effects of specific training designed to improve muscle power on disability and falls prevention.
本研究的目的是探讨高龄老人腿部力量与功能及营养状况之间的关系。进行了一项横断面分析。参与者为男性和女性(n = 30,年龄:82±5.3岁)。测量了腿部伸展最大功率。身体机能指标包括从椅子上起身的时间、步行6米的时间以及以习惯步态速度走完6米所需的步数(SN)。营养状况测量指标包括简易营养评估(MNA)、体重指数(BMI)、小腿围和大腿体积。腿部伸展力量与所有机能指标均显著相关:从椅子上起身的时间(r = -0.57,p < 0.01)、步行6米的时间(r = -0.56,p < 0.01)、走完6米的步数(r = -0.46,p < 0.01)。发现SN与最大功率之间存在曲线关联(r2 = 0.43,p < 0.001)。在非线性回归分析中,最大功率和大腿体积对步行6米的时间有显著解释作用(r2 = 0.82,p < 0.001)。总之,低水平的肌肉力量与不良的机能表现相关。肌肉力量薄弱和大腿体积均预示着不良的功能状态。由于机能表现下降高度预示着随后的残疾和跌倒等不良事件,未来的研究应评估旨在提高肌肉力量的特定训练对预防残疾和跌倒的效果。