Cited by 605Balance, Gait, and Falls PreventionFrailty in Older AdultsNutrition and Health in Aging

The relationship between leg power and physical performance in mobility-limited older people

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Md, Jonathan F. Bean, Kiely, Dan K., Herman, Seth, Leveille, Suzanne G., Mizer, Kelly, Frontera, Walter R., Fielding, Roger A.·2002·Journal of the American Geriatrics Society

Abstract

OBJECTIVES: The purpose of this study was to assess the influence of leg power and leg strength on the physical performance of community‐dwelling mobility‐limited older people. DESIGN: Cross‐sectional analysis of baseline data from a 12‐week randomized controlled exercise‐intervention study. SETTING: Exercise laboratory within the Department of Health Science of an urban university. PARTICIPANTS: Forty‐five community‐dwelling mobility‐limited people (34 women, 11 men), aged 65 to 83. MEASUREMENTS: Health status, depression, cognition, physical activity, and falls efficacy; physiological measures of lower extremity strength and power; and measures of physical performance. RESULTS: Through bivariate analyses, leg power was significantly associated with physical performance as measured by stair‐climb time, chair‐stand time, tandem gait, habitual gait, maximal gait, and the short physical performance battery describing between 12% and 45% of the variance ( R 2 ). Although leg power and leg strength were greatly correlated ( r = .89) in a comparison of bivariate analyses of strength or power with physical performance, leg power modeled up to 8% more of the variance for five of six physical performance measures. Despite limitations in sample size, it appeared that, through quadratic modeling, the influence of leg power on physical performance was curvilinear. Using separate multivariate analyses, partial R 2 values for leg power and leg strength were compared, demonstrating that leg power accounted for 2% to 8% more of the variance with all measures of physical performance. CONCLUSION: Leg power is an important factor influencing the physical performance of mobility‐limited older people. Although related to strength, it is a separate attribute that may exert a greater influence on physical performance. These findings have important implications for clinicians practicing geriatric rehabilitation. J Am Geriatr Soc 50:461–467, 2002.

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Crossref · 10.1046/j.1532-5415.2002.50111.x

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  • Loss of power production capability is an important determinant of the onset and progression of mobility deficits in older adults.

    “Considerable evidence now indicates that weakness, and specifically loss of power production capability, is an important determinant of the onset and progression of mobility deficits 1–3.”

    From Does quadriceps neuromuscular activation capability explain walking speed in older men and women? (2014) · cites this paper as [1]

    The Discussion (page unavailable) identifies impaired leg power as an important determinant of physical performance in older people who already had mild to moderate mobility limitations. It also calls leg power a proximal determinant on the disablement pathway, but the paper does not establish that loss of power causes the onset or progression of mobility deficits over time. (LLM, conf=0.86)

    Experimental — accuracy not yet measured
  • Adding a functional disability prevention component can reduce mental health symptoms and build leg power, which correlates better than strength with functional activities.

    “The addition of a functional disability prevention component can reduce mental health symptoms (22) and build resistance or leg power, as power correlates better than strength with functional activities (23).”
  • Dynapenia is independently associated with loss of mobility function.

    “While muscle mass seems to have little relationship to mobility impairments (Cruz-Jentoft, Baeyens, Bauer, Boirie, Cederholm, Landi, Martin, Michel, Rolland, Schneider, Topinkova, Vandewoude, and Zamboni 2010;McLean, Shardell, Alley, Cawthon, Fragala, Harris, Kenny, Peters, Ferrucci, Guralnik, Kritchevsky, Kiel, Vassileva, Xue, Perera, Studenski, and Dam 2014), dynapenia has been shown to be”

    From Successful aging: Advancing the science of physical independence in older adults (2015) · cites this paper as Bean, Kiely, Herman, Leveille, Mizer, Frontera, and Fielding 2002

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Authors
Md, J. F. B., Kiely, D. K., Herman, S., Leveille, S. G., Mizer, K., Frontera, W. R., & Fielding, R. A.
Affiliations
  • Boston University (US)
  • Harvard University (US)
Venue
Journal of the American Geriatrics Society
Publisher
Wiley
Published
2002-03
Volume
50
Issue
3
Pages
461-467
ISSN
  • 0002-8614 (ISSN-L)
  • 1532-5415
OpenAlex
W2060651800
Cited by
605
References
26
Citations by year
2026: 16 · 2025: 19 · 2024: 14 · 2023: 19 · 2022: 23 · 2021: 31 · 2020: 27 · 2019: 33 · 2018: 35 · 2017: 32 · 2016: 35 · 2015: 46 · 2014: 35 · 2013: 25 · 2012: 34
FWCI
35.34
Type
journal article
Language
en
Open access
Locations
  • Journal of the American Geriatrics Society (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
  • Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
  • Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
Keywords
leg power, leg strength, physical performance, community-dwelling older adults, gait, Short Physical Performance Battery, curvilinear relationship, geriatric rehabilitation, exercise intervention
MeSH terms
Age Factors, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Leg, Locomotion, Male, Physical Fitness, Multivariate Analysis

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