Association of Muscle Power With Functional Status in Community-Dwelling Elderly Women
Abstract
BACKGROUND: Identification of the physiologic factors most relevant to functional independence in the elderly population is critical for the design of effective interventions. It has been suggested that muscle power may be more directly related to impaired physical performance than muscle strength in elderly persons. We tested the hypothesis that peak muscle power is closely associated with self-reported functional status in sedentary elderly community-dwelling women. METHODS: We used baseline data that were collected as part of a 1-year randomized controlled clinical trial of a combined program of strength, power, and endurance training in 80 elderly women (mean age 74.8 +/- 5.0 years) with 3.2 +/- 1.9 chronic diseases, selected for baseline functional impairment and/or falls. RESULTS: Functional status at baseline was related in univariate analyses to physiologic capacity, habitual physical activity level, neuropsychological status, and medical diagnoses. Leg power had the strongest univariate correlation to self-reported functional status (r = -.47, p < .0001) of any of the physiologic factors we tested. In a forward stepwise regression model, leg press power and habitual physical activity level were the only two factors that contributed independently to functional status (r = .64, p < .0001), accounting for 40% of the variance in functional status. CONCLUSIONS: Leg power is a strong predictor of self-reported functional status in elderly women.
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Several reports suggest that muscle power is more highly correlated with physical function than strength or muscle mass.
“and several reports suggest that muscle power is more highly correlated with physical function than strength or muscle mass.12,13,14”
From Comparison of Power Training vs Traditional Strength Training on Physical Function in Older Adults: A Systematic Review and Meta-analysis (2022) · cites this paper as [13]
Muscle power declines faster than strength over time.
“Consequently, muscle power (the product of force and velocity) is a critical component of functional performance in older individuals 23,24 that declines faster than strength over time, 25,26 with reductions of up to 6% per year in people aged . 70 years. 27”
From High-velocity power training has similar effects to traditional resistance training for functional performance in older adults: a systematic review (2023) · cites this paper as [26]
Power training improved physical functioning in daily life.
“Power training consequently also improved physical functioning in daily life.”
From Effectiveness of power training compared to strength training in older adults: a systematic review and meta-analysis (2022) · cites this paper as [17]
In daily activities, the ability to move with sufficiently large speed is more often the limiting factor than the ability to produce a sufficiently large moment.
“in daily activities, such as getting up from a chair, the ability to move with a sufficiently large speed (emphasizing muscle power) is more often the limitating factor than the ability to produce a sufficiently large moment [10, 17].”
From Effectiveness of power training compared to strength training in older adults: a systematic review and meta-analysis (2022) · cites this paper as [17]
The effects of power training on physical functioning appeared even larger than after strength training and endurance training.
“The effects appeared even larger than after strength training and endurance training [3, 4, 7, 8, 17–20].”
From Effectiveness of power training compared to strength training in older adults: a systematic review and meta-analysis (2022) · cites this paper as [17]
Training specifically aimed at increasing muscle power can improve the ability to generate high power output even in older adults.
“Several studies have shown that training specifically aimed at increasing muscle power can improve the ability to generate high power output even in older adults [7, 17, 18].”
From Effectiveness of power training compared to strength training in older adults: a systematic review and meta-analysis (2022) · cites this paper as [17]
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Strotmeyer, E. S., Winger, M. E., Cauley, J. A., Boudreau, R. M., Cusick, D., Collins, R. F., Chalhoub, D., Buehring, B., Orwoll, E., Harris, T. B., et al. (2018) · The Journal of nutrition, health and aging · doi:10.1007/s12603-018-1081-x · Cited by 32 · see citing works
Martins, A. D., Fernandes, O., Pereira, A., Oliveira, R., Alderete Goñi, F. D., Leite, N. J. C., & Brito, J. P. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19095390 · Cited by 24 · see citing works
Does quadriceps neuromuscular activation capability explain walking speed in older men and women?
Clark, D. J., Reid, K. F., Patten, C., Phillips, E. M., Ring, S. A., Wu, S. S., & Fielding, R. A. (2014) · Experimental Gerontology · doi:10.1016/j.exger.2014.03.019 · Cited by 27 · see citing works
“: +1 352 2002; Cuoco et al., 2004; Foldvari et al., 2000).”
Self-citationCadore, E. L., Izquierdo, M., Teodoro, J. L., Martínez‐Velilla, N., Zambom‐Ferraresi, F., Moriguchi, E. H., & Sáez de Asteasu, M. L. (2023) · Journal of Cachexia, Sarcopenia and Muscle · doi:10.1002/jcsm.13375 · Cited by 17 · see citing works
Bandeira-Guimarães, M., Blanco-Rambo, E., Vieira, A. F., Sáez de Asteasu, M. L., Pinto, R. S., Izquierdo, M., & Cadore, E. L. (2023) · Sports Medicine - Open · doi:10.1186/s40798-023-00646-9 · Cited by 17 · see citing works
Morrison, R. T., Taylor, S., Buckley, J., Twist, C., & Kite, C. (2023) · Journal of Physiotherapy · doi:10.1016/j.jphys.2023.05.018 · Cited by 11 · see citing works
- Authors
- Foldvari, M., Clark, M., Laviolette, L. C., Bernstein, M. A., Kaliton, D., Castaneda, C., Pu, C. T., Hausdorff, J. M., Fielding, R. A., & Singh, M. A. F.
- Affiliations
- Tufts University (US)
- Beth Israel Deaconess Medical Center (US)
- Boston University (US)
- Venue
- The Journals of Gerontology Series A: Biological Sciences and Medical Sciences
- Publisher
- Oxford University Press (OUP)
- Published
- 2000-04-01
- Volume
- 55
- Issue
- 4
- Pages
- M192-M199
- ISSN
- 1079-5006 (ISSN-L)
- 1758-535X
- OpenAlex
- W2086297719
- Cited by
- 653
- References
- 39
- Citations by year
- 2026: 12 · 2025: 15 · 2024: 21 · 2023: 21 · 2022: 25 · 2021: 32 · 2020: 37 · 2019: 29 · 2018: 32 · 2017: 23 · 2016: 39 · 2015: 37 · 2014: 43 · 2013: 35 · 2012: 31
- FWCI
- 8.86
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- The Journals of Gerontology Series A (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Illinois State University
- National Institutes of Health (5r01ag011812-05)
- National Institute on Aging (AG-11812)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Keywords
- muscle power, functional status, community-dwelling elderly women, physical activity level, functional independence, sedentary older adults, chronic disease, falls, resistance training, endurance training
- MeSH terms
- Activities of Daily Living, Aged, Aged, 80 and over, Female, Health Status, Humans, Muscle Contraction, Neuropsychological Tests, Physical Endurance, Physical Fitness, Exercise, Multivariate Analysis, Randomized Controlled Trials as Topic
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