Changes in lower extremity muscle mass and muscle strength after weight loss in obese men: A prospective study
Abstract
Background Obesity is not only associated with internal diseases but also with surgical problems. Surgical diseases related to obesity frequently occur in the load bearing joints of the lower limbs. To decrease the occurrence of surgical diseases related to obesity, weight loss has been recommended. It is important for obese men to maintain muscle mass and muscle strength after weight loss because low muscle mass and muscle strength are also related to the occurrence of surgical diseases. To date, the importance of muscle mass and muscle strength after weight loss in obese men has been underappreciated.Objective The purpose of this study was to investigate changes in lower extremity muscle mass and muscle strength resulting from a weight loss programme consisting of caloric restriction and exercise.Methods All participants concurrently attended a 12-week diet class 1day/week and a 12-week exercise class 3days/week. Body weight and body composition by dual-energy X-ray absorptiometry and knee extensor strength by dynamometry were assessed.Results The weight loss programme led to a 14.1% weight loss accompanied by significant loss of leg muscle mass, static maximal muscle strength, dynamic maximal muscle strength and dynamic muscle endurance but not with significant loss of dynamic muscle power. Decline of muscle strength was related to a decrease in muscle mass, but not completely dependent on a decrease in muscle mass. Body weight-normalised muscle strength increased significantly.Conclusion We recommend utilising resistance exercise to restore muscle mass and muscle strength in the legs after substantial weight loss.
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CR intervention in elderly humans results in a reduction or maintenance of muscle strength.
“CR intervention in elderly humans results in a reduction [18,19] or maintenance [15,16,20,24] of muscle strength.”
From Resistance Training Prevents Muscle Loss Induced by Caloric Restriction in Obese Elderly Individuals: A Systematic Review and Meta-Analysis (2018) · cites this paper as [18]
Cites
Goodpaster, B. H., Park, S. W., Harris, T. B., Kritchevsky, S. B., Nevitt, M., Schwartz, A. V., Simonsick, E. M., Tylavsky, F. A., Visser, M., Newman, A. B., et al. (2006) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/61.10.1059 · Cited by 3,083 · see citing works
Invited Review: Aging and sarcopenia
Doherty, T. J. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00347.2003 · Cited by 1,764 · see citing works
New Criteria for `Obesity Disease' in Japan
The Examination Committee of Criter (2002) · Circulation Journal · doi:10.1253/circj.66.987 · Cited by 1,650 · see citing works
HUGHES, V. A., Frontera, W. R., Wood, M., Evans, W. J., Dallal, G. E., Roubenoff, R., & Singh, M. A. F. (2001) · The Journals of Gerontology Series A · doi:10.1093/gerona/56.5.b209 · Cited by 924 · see citing works
McLeod, T. C. V., Shultz, S. J., Gansneder, B. M., Perrin, D. H., & Drouin, J. M. (2004) · European Journal of Applied Physiology · doi:10.1007/s00421-003-0933-0 · Cited by 843 · see citing works
New Criteria for `Obesity Disease' in Japan
Oda, E. (2006) · Circulation Journal · doi:10.1253/circj.70.150 · Cited by 783 · see citing works
Weight loss reduces knee‐joint loads in overweight and obese older adults with knee osteoarthritis
Messier, S. P., Gutekunst, D. J., Davis, C., & DeVita, P. (2005) · Arthritis & Rheumatism · doi:10.1002/art.21139 · Cited by 576 · see citing works
Hunter, D. J., & Felson, D. T. (2006) · BMJ · doi:10.1136/bmj.332.7542.639 · Cited by 507 · see citing works
Weight loss: the treatment of choice for knee osteoarthritis? A randomized trial
Christensen, R., Astrup, A. V., & Bliddal, H. (2004) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2004.10.008 · Cited by 340 · see citing works
How to assess functional status: A new muscle quality index
Barbat‐Artigas, S., Rolland, Y., Zamboni, M. M., & Aubertin‐Leheudre, M. (2012) · The journal of nutrition health & aging · doi:10.1007/s12603-012-0004-5 · Cited by 307 · see citing works
The influence of aging and sex on skeletal muscle mass and strength
Doherty, T. J. (2001) · Current Opinion in Clinical Nutrition & Metabolic Care · doi:10.1097/00075197-200111000-00007 · Cited by 290 · see citing works
Chen, L., Nelson, D. R., Zhao, Y., Cui, Z. L., & Johnston, J. A. (2013) · BMC Geriatrics · doi:10.1186/1471-2318-13-74 · Cited by 238 · see citing works
Influence of exercise training on physiological and performance changes with weight loss in men
Kraemer, W. J., Volek, J. S., Clark, K. L., Gordon, S. E., Puhl, S. M., Koziris, L. P., McBride, J. M., Triplett-McBride, N. T., Putukian, M., Newton, R. U., et al. (1999) · Medicine & Science in Sports & Exercise · doi:10.1097/00005768-199909000-00014 · Cited by 223 · see citing works
Weiss, E. P., Racette, S. B., Villareal, D. T., Fontana, L., Steger-May, K., Schechtman, K. B., Klein, S., Ehsani, A. A., Holloszy, J. O., & Washington University School of Medicine CALERIE Group (2007) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00853.2006 · Cited by 218 · see citing works
Relationship between Body Weight Gain and Significant Knee, Hip, and Back Pain in Older Americans
Andersen, R. E., Crespo, C. J., Bartlett, S. J., Bathon, J. M., & Fontaine, K. R. (2003) · Obesity Research · doi:10.1038/oby.2003.159 · Cited by 179 · see citing works
Vila-Chã, C., Falla, D., & Farina, D. (2010) · Journal of Applied Physiology · doi:10.1152/japplphysiol.01213.2009 · Cited by 178 · see citing works
Chomentowski, P., Dube, J. J., Amati, F., Stefanovic-Racic, M., Zhu, S., Toledo, F. G. S., & Goodpaster, B. H. (2009) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/glp007 · Cited by 137 · see citing works
Vincent, H., Lamb, K. M., Day, T. I., Tillman, S. M., Vincent, K., & George, S. (2010) · PM & R : the journal of injury, function, and rehabilitation · doi:10.1016/j.pmrj.2010.04.027 · Cited by 73 · see citing works
Toda, Y., Segal, N. A., Toda, T., Kato, A., & Toda, F. (2000) · PubMed · Cited by 63 · see citing works
Nebel, M. B., Sims, E. L., Keefe, F. J., Kraus, V. B., Guilak, F., Caldwell, D. S., Pells, J. J., Queen, R. M., & Schmitt, D. O. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.07.010 · Cited by 61 · see citing works
Yoshimura, E., Kumahara, H., Tobina, T., Matsuda, T., Watabe, K., Matono, S., Ayabe, M., Kiyonaga, A., Anzai, K., Higaki, Y., et al. (2014) · Obesity Facts · doi:10.1159/000358576 · Cited by 48 · see citing works
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Carbone, S., Kirkman, D. L., Garten, R. S., Rodriguez‐Miguelez, P., Artero, E. G., Lee, D.-C., & Lavie, C. J. (2020) · Journal of Cardiopulmonary Rehabilitation and Prevention · doi:10.1097/hcr.0000000000000525 · Cited by 146 · see citing works
Sardeli, A. V., Komatsu, T. R., Mori, M. A., Gáspari, A. F., & Chacon-Mikahil, M. P. T. (2018) · Nutrients · doi:10.3390/nu10040423 · Cited by 138 · see citing works
“CR intervention in elderly humans results in a reduction [18,19] or maintenance [15,16,20,24] of muscle strength.”
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Kim, B., Kim, G., Lee, Y., Taniguchi, K., Isobe, T., & Oh, S. (2023) · Nutrients · doi:10.3390/nu15030555 · Cited by 65 · see citing works
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Self-citationLi, H., Huang, S.-Y., Xiong, R.-G., Wu, S.-X., Zhou, D.-D., Saimaiti, A., Luo, M., Zhu, H.-L., & Li, H. (2022) · Foods · doi:10.3390/foods11193000 · Cited by 23 · see citing works
Kim, B., Kim, G.-M., Kim, E., Park, J., Isobe, T., Mori, Y., & Oh, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19084926 · Cited by 16 · see citing works
Self-citationXu, C., He, L., Tu, Y., Guo, C., Lai, H., Liao, C., Lin, C., & Tu, H. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1472456 · Cited by 15 · see citing works
Kim, B., Tsujimoto, T., So, R., Zhao, X., Suzuki, S., Kim, T.-H., & Tanaka, K. (2015) · Journal of Physical Therapy Science · doi:10.1589/jpts.27.3787 · Cited by 14 · see citing works
Self-citationZemková, E., Kyselovičová, O., Jeleň, M., Kovačíková, Z., Ollé, G., Štefániková, G., Vilman, T., Baláž, M., Kurdiová, T., Ukropec, J., et al. (2017) · Sports · doi:10.3390/sports5020035 · Cited by 14 · see citing works
Kim, B., Kim, G.-M., Huh, U., Lee, J., & Bae, M. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2024.1469196 · Cited by 10 · see citing works
Self-citationVarma, S., Lee, C. J., Brown, T. T., Maruthur, N. M., Schweitzer, M., Magnuson, T., Kamel, I., & Clark, J. M. (2019) · Obesity Surgery · doi:10.1007/s11695-019-03879-4 · Cited by 10 · see citing works
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Self-citationKim, B., Tsujimoto, T., So, R., Zhao, X., Oh, S., & Tanaka, K. (2017) · Physical Activity and Nutrition · doi:10.20463/jenb.2017.0029 · Cited by 8 · see citing works
Self-citationOshida, N., Oh, S., Kim, B., Miura, I., Hasegawa, N., Komine, S., Isobe, T., & Shoda, J. (2024) · Journal of Obesity & Metabolic Syndrome · doi:10.7570/jomes23072 · Cited by 7 · see citing works
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Cesari, M., & Marzetti, E. (2018) · MDPI eBooks · doi:10.3390/books978-3-03897-458-1
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Zeng, S., & Zheng, W. (2026) · International Conference on Biomedical and Intelligent Systems (IC-BIS) · doi:10.1145/3841905.3842004
- Authors
- Kim, B., Tsujimoto, T., So, R., & Tanaka, K.
- Affiliations
- University of Tsukuba (JP)
- Corresponding author
- Kim, Bokun
- Venue
- Obesity Research & Clinical Practice
- Publisher
- Elsevier BV
- Published
- 2015-07
- Volume
- 9
- Issue
- 4
- Pages
- 365-373
- ISSN
- 1871-403X (ISSN-L)
- OpenAlex
- W2123299697
- Cited by
- 18
- References
- 21
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 1 · 2022: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 3 · 2015: 1
- FWCI
- 1.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Obesity Research & Clinical Practice (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Japan Society for the Promotion of Science (14F04009)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Muscle Physiology and Disorders
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- obesity, weight loss, muscle strength, muscular endurance, muscle power, caloric restriction, resistance training, quadriceps strength, body composition, load-bearing joints, surgical diseases
- MeSH terms
- Adaptation, Physiological, Adult, Humans, Japan, Male, Middle Aged, Obesity, Prospective Studies, Weight Loss, Exercise, Body Mass Index, Treatment Outcome, Muscle, Skeletal, Caloric Restriction, Lower Extremity, Muscle Strength, Resistance Training
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