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原始生物电阻抗分析变量(相位角和阻抗比)是青少年和年轻成人握力的重要预测指标。

Raw bioelectrical impedance analysis variables (phase angle and impedance ratio) are significant predictors of hand grip strength in adolescents and young adults.

机构信息

Department of Public Health, Federico II University of Naples, Naples, Italy.

Department of Movement Sciences and Wellbeing, University of Naples "Parthenope", Naples, Italy.

出版信息

Nutrition. 2021 Nov-Dec;91-92:111445. doi: 10.1016/j.nut.2021.111445. Epub 2021 Aug 10.

DOI:10.1016/j.nut.2021.111445
PMID:34628279
Abstract

OBJECTIVES

Musculoskeletal fitness and body composition are major components of health-related physical fitness that are expected to be linked to each other. The aim of this study was to explore the association of musculoskeletal fitness (expressed as hand grip strength [HGS]) and raw bioelectrical impedance analysis (BIA) variables and other predictors in the second and third decades of life.

METHODS

Four groups of healthy normal-weight and overweight participants were studied: 130 male adolescents (age 16.0 ± 1.1 y), 143 female adolescents (16.0 ± 0.9 y), 141 young men (25.5 ± 2.0 y), and 141 young women (25.2 ± 1.9 y). Raw BIA variables (impedance [Z] and phase angle [PhA]) for the whole body were measured at four frequencies (5, 50, 100, and 250 kHz), and HGS was measured in both upper limbs.

RESULTS

HGS was higher in males than females and higher in young men than male adolescents. A fairly strong correlation emerged in both genders between HGS and raw BIA variables-that is, bioimpedance index (height/Z), PhA, and impedance ratios (Z at high frequency/Z at low frequency). In multiple regression analysis, bioimpedance index, PhA, and impedance ratio were more effective predictors of HGS than BIA-derived estimates of body composition or anthropometric variables such as height, weight, and body mass index. In both genders, HGS was significantly higher in young adults than in adolescents for the same PhA or impedance ratio.

CONCLUSIONS

This study provides some insight into the use of raw BIA variables and HGS in the first decades of life, suggesting a new approach for a reliable assessment of muscle quality in terms of both muscle structure and strength.

摘要

目的

肌肉骨骼健康和身体成分是健康相关身体成分的主要组成部分,预计它们之间存在相互关联。本研究旨在探讨 20 至 30 岁年龄段肌肉骨骼健康(表现为握力[HGS])与原始生物电阻抗分析(BIA)变量和其他预测因素之间的关联。

方法

研究了四组健康的正常体重和超重参与者:130 名男性青少年(年龄 16.0 ± 1.1 岁)、143 名女性青少年(16.0 ± 0.9 岁)、141 名年轻男性(25.5 ± 2.0 岁)和 141 名年轻女性(25.2 ± 1.9 岁)。全身的原始 BIA 变量(阻抗[Z]和相位角[PhA])在四个频率(5、50、100 和 250 kHz)下进行测量,并且双手的 HGS 都进行了测量。

结果

男性的 HGS 高于女性,年轻男性的 HGS 高于男性青少年。在两性中,HGS 与原始 BIA 变量之间都出现了相当强的相关性,即生物阻抗指数(身高/Z)、PhA 和阻抗比(高频阻抗/Z 低频阻抗)。在多元回归分析中,生物阻抗指数、PhA 和阻抗比是 HGS 的更有效预测因子,而 BIA 衍生的身体成分或人体测量学变量(如身高、体重和体重指数)的估计值则不是。在两性中,对于相同的 PhA 或阻抗比,年轻成年人的 HGS 明显高于青少年。

结论

本研究为在生命最初几十年中使用原始 BIA 变量和 HGS 提供了一些见解,为肌肉质量的评估提供了一种新方法,既考虑了肌肉结构又考虑了肌肉力量。

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