与小腿和骨盆肌肉相比,大腿肌肉更容易受到与年龄相关的肌肉流失的影响。

Thigh muscles are more susceptible to age-related muscle loss when compared to lower leg and pelvic muscles.

机构信息

Department of Human Biology, Maastricht University Medical Centre(+), Maastricht, the Netherlands; School of Nutrition and Translational Research in Metabolism (NUTRIM), Maastricht University Medical Centre(+), Maastricht, the Netherlands.

Department of Human Biology, Maastricht University Medical Centre(+), Maastricht, the Netherlands.

出版信息

Exp Gerontol. 2023 May;175:112159. doi: 10.1016/j.exger.2023.112159. Epub 2023 Mar 31.

Abstract

BACKGROUND

A key hallmark of aging is the progressive loss of skeletal muscle mass. Due to limitations of the various methods typically applied to assess muscle mass, only limited information is available on age-related differences between various muscle groups. This study assessed differences in individual lower body muscle group volumes between healthy young and older males.

METHODS

Lower body muscle mass assessments were performed in 10 young (age: 27 ± 4 y) and 10 older (age: 71 ± 6 y) healthy, male adults using Dual-energy X-ray Absorptiometry (DXA), single slice (thigh) Computed Tomography (CT), as well as Magnetic Resonance Imaging (MRI). Muscle volumes of all individual muscle groups in the lower body were assessed by MRI.

RESULTS

Leg lean mass, as assessed with DXA, was not significantly different between older (9.2 ± 1.0 kg) and young (10.5 ± 2.0 kg) men (P = 0.075). Thigh muscle cross-sectional area, as assessed with CT, was significantly lower (by 13 %) in the older (137 ± 17 cm) compared to young (157 ± 24 cm) participants (P = 0.044). MRI-derived lower body muscle volume was also significantly lower (by 20 %) in older (6.7 ± 0.9 L) compared to young (8.3 ± 1.3 L) men (P = 0.005). This was primarily attributed to substantial differences in thigh (24 %), rather than lower leg (12 %) and pelvis (15 %) muscle volume in the older vs the young. Thigh muscle volume averaged 3.4 ± 0.5 L in older and 4.5 ± 0.7 L in young men (P = 0.001). Of all thigh muscle groups, the quadriceps femoris showed the most profound difference (30 %) between young (2.3 ± 0.4 L) and older (1.6 ± 0.2 L) men (P < 0.001).

CONCLUSIONS

The most profound differences in lower body muscle volume between young and older men are observed in the thigh. Within the thigh muscle groups, the quadriceps femoris shows the largest difference in muscle volume between young and older men. Finally, DXA appears less sensitive when compared to CT and MRI to assess age-related differences in muscle mass.

摘要

背景

衰老的一个关键标志是骨骼肌质量的逐渐丧失。由于通常用于评估肌肉质量的各种方法存在局限性,因此仅可获得有关各肌肉群与年龄相关差异的有限信息。本研究评估了健康年轻男性和老年男性之间个体下肢肌肉群体积的差异。

方法

使用双能 X 射线吸收法(DXA)、单切片(大腿)计算机断层扫描(CT)和磁共振成像(MRI)对 10 名年轻(年龄:27±4 岁)和 10 名老年(年龄:71±6 岁)健康男性成年人的下肢肌肉质量进行评估。通过 MRI 评估所有下肢个体肌肉群的肌肉体积。

结果

DXA 评估的腿部瘦体重在老年男性(9.2±1.0kg)和年轻男性(10.5±2.0kg)之间无显著差异(P=0.075)。CT 评估的大腿肌肉横截面积在老年(137±17cm)参与者中明显低于年轻(157±24cm)参与者(P=0.044)。通过 MRI 获得的下肢肌肉体积也明显较低(20%)在老年(6.7±0.9L)与年轻(8.3±1.3L)男性(P=0.005)。这主要归因于大腿(24%)而非小腿(12%)和骨盆(15%)肌肉体积在老年与年轻之间存在显著差异。大腿肌肉体积平均为 3.4±0.5L,老年男性为 4.5±0.7L,年轻男性为 4.5±0.7L(P=0.001)。在所有大腿肌肉群中,股四头肌在年轻(2.3±0.4L)和老年(1.6±0.2L)男性之间的差异最为明显(30%)(P<0.001)。

结论

年轻男性和老年男性下肢肌肉体积的最大差异发生在大腿。在大腿肌肉群中,股四头肌在年轻男性和老年男性之间的肌肉体积差异最大。最后,与 CT 和 MRI 相比,DXA 评估肌肉质量与年龄相关的差异的敏感性较低。

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