School oeef Nursing, Seirei Christopher University, Hamamatsu, Japan.
PLoS One. 2024 Sep 11;19(9):e0297720. doi: 10.1371/journal.pone.0297720. eCollection 2024.
This study examined the effects of birth weight on body composition, physical fitness, and sarcopenia in adulthood among young Japanese women. Seventy young adult women (birth weight <2500 g classified as low-birth-weight group [L-BW, n = 13] and ≥2500 g classified as not low-birth-weight group [NL-BW, n = 57]) were evaluated for body composition, physical fitness, and sarcopenia. Skeletal muscle mass was significantly greater (p<0.05) in the NL-BW group than in the L-BW group for all body sites. Effect sizes for the differences in skeletal muscle mass between the two groups were all larger in the NL-BW group than in the L-BW group (0.86-1.44). Knee extension muscle strength was higher in the NL-BW group than in the L-BW group (p = 0.04), but there were no differences between groups with respect to other physical fitness indicators (p>0.05). Except for SMI (p<0.05), other sarcopenia diagnostic evaluations did not differ between the two groups (p>0.05). In conclusion, L-BW female infants were shorter in standing height and smaller in skeletal muscle mass in terms of morphology at the time of young adulthood compared to NL-BW female infants. In addition, in terms of physical fitness, those with L-BW also had a lower-limb power score and a higher proportion of low skeletal muscle mass. Thus, it was suggested that low birth weight infants may be at risk of needing nursing care in old age (i.e., a high predicted incidence of sarcopenia) as well as thinness problems in the fertile generation.
本研究旨在探讨出生体重对年轻日本女性成年后身体成分、体质和肌肉减少症的影响。本研究共纳入 70 名年轻成年女性(出生体重 <2500g 为低出生体重组[L-BW,n=13],≥2500g 为非低出生体重组[NL-BW,n=57]),评估其身体成分、体质和肌肉减少症。所有身体部位的骨骼肌质量均显著高于 NL-BW 组(p<0.05)。两组间骨骼肌质量的差异效应大小均为 NL-BW 组大于 L-BW 组(0.86-1.44)。NL-BW 组的膝关节伸肌肌力高于 L-BW 组(p=0.04),但两组在其他体质指标方面无差异(p>0.05)。除了骨骼肌质量指数(SMI,p<0.05)外,两组间其他肌肉减少症诊断评估无差异(p>0.05)。综上所述,与 NL-BW 组相比,L-BW 组女性在成年早期的身高和骨骼肌质量方面存在形态学上的差异。此外,在体质方面,L-BW 组的下肢力量评分较低,骨骼肌质量较低的比例较高。因此,低出生体重儿可能存在老年需要护理(即肌肉减少症发病率较高)和生育期消瘦问题的风险。