Imrani Loubna, Boudaoud Sofiane, Lahaye Clément, Moreau Caroline, Ghezal Myriam, Ben Manaa Safa, Doulazmi Mohamed, Laforêt Jérémy, Marin Frédéric, Kinugawa Kiyoka
Université de Technologie de Compiègne (UTC), CNRS UMR 7338 Biomechanics and Bioengineering, Centre de Recherche de Royallieu- Alliance Sorbonne Université, Compiegne, France.
Université Clermont Auvergne, INRAE UMR 1019 Human Nutrition Research Unit, CRNH Auvergne, CHU Clermont-Ferrand, Geriatrics Department, Clermont-Ferrand, France.
J Gerontol A Biol Sci Med Sci. 2023 Jan 26;78(1):25-33. doi: 10.1093/gerona/glac143.
Sarcopenia is a muscle disease with adverse changes that increase throughout the lifetime but with different chronological scales between individuals. Addressing "early muscle aging" is becoming a critical issue for prevention. Through the CHRONOS study, we demonstrated the ability of the high-density surface electromyography (HD-sEMG), a noninvasive, wireless, portable technology, to detect both healthy muscle aging and accelerated muscle aging related to a sedentary lifestyle, one of the risk factors of sarcopenia. The HD-sEMG signals were analyzed in 91 healthy young, middle-aged, and old subjects (25-75 years) distributed according to their physical activity status (82 active and 9 sedentary; International Physical Activity Questionnaire) and compared with current methods for muscle evaluation, including muscle mass (dual-energy X-ray absorptiometry [DXA], ultrasonography), handgrip strength, and physical performance. The HD-sEMG signals were recorded from the rectus femoris during sit-to-stand trials, and 2 indexes were analyzed: muscular contraction intensity and muscle contraction dynamics. The clinical parameters did not differ significantly across the aging and physical activity levels. Inversely, the HD-sEMG indexes were correlated to age and were different significantly through the age categories of the 82 active subjects. They were significantly different between sedentary subjects aged 45-54 years and active ones at the same age. The HD-sEMG indexes of sedentary subjects were not significantly different from those of older active subjects (≥55 years). The muscle thicknesses evaluated using ultrasonography were significantly different between the 5 age decades but did not show a significant difference with physical activity. The HD-sEMG technique can assess muscle aging and physical inactivity-related "early aging," outperforming clinical and DXA parameters.
肌肉减少症是一种肌肉疾病,其不良变化会随着年龄增长而加剧,但个体之间的时间尺度有所不同。解决“早期肌肉衰老”问题正成为预防的关键。通过CHRONOS研究,我们证明了高密度表面肌电图(HD-sEMG)这种非侵入性、无线、便携式技术能够检测健康的肌肉衰老以及与久坐生活方式相关的加速肌肉衰老,而久坐生活方式是肌肉减少症的风险因素之一。对91名健康的年轻人、中年人和老年人(25 - 75岁)的HD-sEMG信号进行了分析,这些受试者根据其身体活动状况(国际身体活动问卷;82名活跃者和9名久坐者)进行了分类,并与当前的肌肉评估方法进行了比较,包括肌肉质量(双能X线吸收法[DXA]、超声检查)、握力和身体表现。在从坐到站的试验过程中,从股直肌记录HD-sEMG信号,并分析了2个指标:肌肉收缩强度和肌肉收缩动态。临床参数在不同年龄和身体活动水平之间没有显著差异。相反,HD-sEMG指标与年龄相关,并且在82名活跃受试者的不同年龄组中存在显著差异。45 - 54岁久坐受试者与同年龄活跃受试者之间的HD-sEMG指标存在显著差异。久坐受试者的HD-sEMG指标与年龄较大的活跃受试者(≥55岁)没有显著差异。使用超声检查评估的肌肉厚度在5个年龄十年之间存在显著差异,但与身体活动没有显著差异。HD-sEMG技术能够评估肌肉衰老以及与身体不活动相关的“早期衰老”,优于临床和DXA参数。
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