Intramuscular adipose tissue attenuates gains in muscle quality in older adults at high risk for falling. A brief report
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OBJECTIVES: To examine the influence of intramuscular adipose tissue (IMAT) on muscle quality (MQ) changes in older adults after 12 weeks of exercise training. DESIGN: Prospective cohort design. SETTING: Academic health science center clinical exercise facility. PARTICIPANTS: 70 older (mean age 73.4 ± 6.3 years) adults with a history of falls. INTERVENTION: Resistance, endurance and balance exercise three times weekly for 12 weeks. MEASUREMENTS: Quadriceps strength was determined by maximum voluntary isometric contraction. An MRI of the thigh was used to determine cross-sectional area of lean tissue and IMAT. MQ was calculated as the force per unit area of lean tissue. Individuals were stratified into tertiles (Low IMAT, Middle IMAT, High IMAT) based on pre-IMAT levels. Changes in MQ, lean and IMAT were compared across groups. RESULTS: No significant changes in lean or IMAT occurred in any group with training. MQ increased only in the Low IMAT group. The Middle and High IMAT groups did not demonstrate a significant change in MQ following 12 weeks of training. Low IMAT, pre = 2.7 [0.6] post= 3.0 [0.6]; Middle IMAT, pre =2.54 [0.8] post =2.75 [0.7]; High IMAT, pre =2.6 [0.6] to post =2.5 [0.6]. CONCLUSION: High levels of thigh IMAT appear to blunt the adaptive MQ response to training. High levels of thigh IMAT may be a potential reason why some older adults do not change their MQ following training. Future research should confirm these results and determine why IMAT impairs MQ and the adaptive response to training in older adults.
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In older adults, the quality of knee extensor muscle in response to a combined RT, endurance, and balance training intervention only improved in subjects with low thigh IMAT at baseline.
“A recent study in older adults showed that the quality of knee extensor muscle in response to a combined RT, endurance, and balance training intervention only improved in subjects with low thigh IMAT at baseline (21).”
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Hanifah, H., Pratiwi, Y. S., & Panjdi, T. D. (2020) · Althea Medical Journal · doi:10.15850/amj.v6n4.1755 · Cited by 3 · see citing works
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CIR-Myo News: Abstracts of the 2015 Spring Padua Muscle Days
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Towards large-scale MR thigh image analysis via an integrated quantification framework
Tan, C., Li, K., Yan, Z., Yi, J., Wu, P., Yu, H. J., Engelke, K., & Metaxas, D. (2016) · Neurocomputing · doi:10.1016/j.neucom.2016.05.108
CIR-Myo News: Abstracts of the 2015 Spring Padua Muscle Days
Editors, T. L. O. (2015) · European Journal of Translational Myology · doi:10.4081/ejtm.2015.5150
Impaired Muscle Performance in Older Adults
Marcus, R. L., Reidy, P. T., & LaStayo, P. C. (2019) · Elsevier eBooks · doi:10.1016/b978-0-323-60912-8.00016-6
Self-citationComplete Adipose Replacement of Bilateral Medial Gastrocnemius Muscle - A Cadaveric Case Report
Nichols, C., Liu, E., & Liu, H. (2020) · Academia Anatomica International · doi:10.21276/aanat.2020.6.1.14
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Amput, P., & Wongphon, S. (2024) · Current Aging Science · doi:10.2174/0118746098294790240510063241
Intramuscular fat content and the risk of peritonitis in peritoneal dialysis patients
Xu, L., Ng, J. K., Fung, W. W., Chan, G. C., Pang, W., Chow, K., & Szeto, C. C. (2026) · Clinical Kidney Journal · doi:10.1093/ckj/sfag102
- Authors
- Marcus, R. L., Addison, O., & LaStayo, P. C.
- Affiliations
- University of Utah (US)
- Corresponding author
- Marcus, Robin L.
- LaStayo, Paul C.
- Venue
- The Journal of nutrition, health and aging
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 17
- Issue
- 3
- Pages
- 215-218
- ISSN
- 1279-7707 (ISSN-L)
- PMC
- PMC12878942
- OpenAlex
- W2069912984
- Cited by
- 65
- References
- 27
- Citations by year
- 2026: 2 · 2025: 1 · 2024: 4 · 2023: 6 · 2022: 9 · 2021: 6 · 2020: 8 · 2019: 5 · 2018: 3 · 2016: 7 · 2015: 6 · 2014: 6 · 2013: 2
- FWCI
- 3.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- The journal of nutrition health & aging (publishedVersion, cc-by-nc-nd)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- PubMed Central (publishedVersion, cc-by-nc-nd)
- Funders
- National Institute on Aging (R01AG031255)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- intramuscular fat, muscle quality, older adults, fall risk, exercise training, resistance training, balance training, endurance training, quadriceps strength, training effects, sarcopenia
- MeSH terms
- Accidental Falls, Adipose Tissue, Aged, Cross-Sectional Studies, Female, Humans, Isometric Contraction, Male, Prospective Studies, Risk Factors, Exercise, Muscle, Skeletal
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