1Department of Health and Exercise Science, University of Oklahoma, Norman. 2University of Oklahoma Health Sciences Center, Oklahoma City.
J Geriatr Phys Ther. 2014 Apr-Jun;37(2):76-82. doi: 10.1519/JPT.0b013e3182a51b11.
Jumping mechanography uses maximal countermovement jumps to test obtain such as jump power (JPow). Recently, it has been shown to be a safe method for assessing muscle function in older adults; however, little is known about the relationships between JPow, muscle strength, and sarcopenia status. The purpose of this study was to examine jump performance, muscle strength, and sarcopenia status in older adults.
This was a cross-sectional study that included men (n = 27) and women (n = 33) (55-75 years) recruited from the general community. Participants completed health status and physical activity questionnaires. Body composition, including appendicular skeletal muscle mass (ASM), bone free lean body mass, and relative skeletal muscle mass index, were assessed by total body dual-energy x-ray absorptiometry scans. The criteria for sarcopenia were relative skeletal muscle mass index values less than 7.26 kg/m2 for men and less than 5.45 kg/m2 for women. Three vertical jumps on a jump mat were performed to assess JPow, jump velocity (JVel), and jump height (JHt). Muscle strength was measured by 1RM testing for leg press (LP) and right and left hip abduction isotonic resistance exercises.
Sarcopenia was found in 20% (12/60) of the participants. Jump power was significantly lower (P = .001) in the sarcopenia group than in the normal group, 651.1 (41.7) W versus 851.0 (27.4) W, respectively. Jump power and JHt were significantly (P < .01) positively correlated (r = 0.54-0.77) with ASM and bone free lean body mass. Significant (P < .01) positive correlations (r = 0.43-0.70) were also reported between jump test variables (JPow, JVel, JHt) and muscle strength (LP, right and left hip abduction).
The jump test protocol was conducted safely with no injuries or balance issues. Our finding of lower JPow in sarcopenic individuals adds new information to the existing literature on age-related declines in muscle power.
Community-dwelling individuals classified as sarcopenic had significantly lower JPow but not muscle strength compared with their counterparts with normal amounts of muscle mass. Jump test variables were positively correlated with lean tissue and lower body muscle strength. Based on our findings, JPow may be useful for sarcopenia screening in the middle-aged and older adults; however, more research is needed to determine the utility of this method in clinical populations.
跳跃测功机利用最大反跳跳来测试,例如跳跃力(JPow)。最近,它已被证明是一种安全的方法,用于评估老年人的肌肉功能;然而,关于 JPow、肌肉力量和肌肉减少症状态之间的关系知之甚少。本研究的目的是检查老年人的跳跃表现、肌肉力量和肌肉减少症状态。
这是一项横断面研究,包括从普通社区招募的男性(n = 27)和女性(n = 33)(55-75 岁)。参与者完成了健康状况和身体活动问卷。通过全身双能 X 射线吸收仪扫描评估身体成分,包括四肢骨骼肌质量(ASM)、无骨瘦体重和相对骨骼肌质量指数。肌肉减少症的标准是相对骨骼肌质量指数男性小于 7.26kg/m2,女性小于 5.45kg/m2。在跳垫上进行三次垂直跳跃,以评估 JPow、跳跃速度(JVel)和跳跃高度(JHt)。腿部按压(LP)和右侧和左侧髋关节外展等速阻力运动的 1RM 测试测量肌肉力量。
20%(60 人中有 12 人)的参与者患有肌肉减少症。肌肉减少症组的 JPow 明显低于正常组(P =.001),分别为 651.1(41.7)W 和 851.0(27.4)W。JPow 和 JHt 与 ASM 和无骨瘦体重呈显著正相关(P <.01)(r = 0.54-0.77)。跳跃测试变量(JPow、JVel、JHt)与肌肉力量(LP、右侧和左侧髋关节外展)之间也存在显著正相关(P <.01)(r = 0.43-0.70)。
跳跃测试方案安全进行,无受伤或平衡问题。我们发现肌肉减少症个体的 JPow 较低,这为与年龄相关的肌肉力量下降的现有文献增添了新信息。
与肌肉质量正常的同龄人相比,被归类为肌肉减少症的社区居民的 JPow 明显较低,但肌肉力量没有差异。跳跃测试变量与瘦组织和下肢肌肉力量呈正相关。根据我们的发现,JPow 可能对中年和老年人的肌肉减少症筛查有用;然而,需要更多的研究来确定这种方法在临床人群中的实用性。