Reexamining the Sarcopenia Hypothesis: Muscle Mass versus Muscle Strength
Abstract
A bstract:The association of muscle mass and muscle strength with lower‐extremity performance, as measured by timed repeated chair stands, was investigated using preliminary data from 3,075 Black and White participants (70–79 years old) in the Health, Aging, and Body Composition Study. Leg muscle mass (LM) was measured by dual‐energy X‐ray absorptiometry (Hologic QDR 4500). The maximal isokinetic torque of the leg extensors (LS) was measured at 60°/s using a Kin‐Com isokinetic dynamometer. Men were stronger, had greater LM, and better performance than women. As expected, low LS was associated with poorer performance after adjusting for race, study site, and body fat. Low LM was associated with poorer performance in men and women, with a potential threshold effect in women only. When LS and LM were modeled simultaneously, only LS remained independently associated with performance. In conclusion, muscle strength, but not muscle mass, is independently associated with lower‐extremity performance.
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Loss of muscle size cannot explain most, or even a major portion, of the impaired muscle performance and physical function observed in old age.
“data emerged suggesting that loss of muscle size could not explain most, or even a major portion, of the impaired muscle performance (force, power, etc.) and physical function observed in old age [4, 18–20]”
From Targeting Intramyocellular Lipids to Improve Aging Muscle Function (2025) · cites this paper as [18]
Loss of muscle performance has a greater negative impact on older adults than loss of muscle mass.
“the preponderance of evidence from years indicates that loss of muscle performance has a greater negative impact on older adults than loss of mass [18, 20–25, 37–39].”
From Targeting Intramyocellular Lipids to Improve Aging Muscle Function (2025) · cites this paper as [18]
Cites
Epidemiology of Sarcopenia among the Elderly in New Mexico
Baumgartner, R. N., Koehler, K. M., Gallagher, D., Romero, L., Heymsfield, S. B., Ross, R. R., Garry, P. J., & Lindeman, R. D. (1998) · American Journal of Epidemiology · doi:10.1093/oxfordjournals.aje.a009520 · Cited by 4,004 · see citing works
Sarcopenia: origins and clinical relevance
Rosenberg, I. H. (1997) · The Journal of Nutrition · doi:10.1093/jn/127.5.990s · Cited by 2,399 · see citing works
Appendicular skeletal muscle mass: effects of age, gender, and ethnicity
Gallagher, D., Visser, M., De Meersman, R. E., Sepúlveda, D., Baumgartner, R. N., Pierson, R. N., Harris, T., & Heymsfield, S. B. (1997) · Journal of Applied Physiology · doi:10.1152/jappl.1997.83.1.229 · Cited by 966 · see citing works
Self-citationAppendicular skeletal muscle mass: measurement by dual-photon absorptiometry
Heymsfield, S. B., Smith, R. C., Aulet, M., Bensen, B., Lichtman, S. W., Wang, J., & Pierson, R. (1990) · American Journal of Clinical Nutrition · doi:10.1093/ajcn/52.2.214 · Cited by 819 · see citing works
Physical Performance Measures in Aging Research
Guralnik, J. M., Branch, L. G., Cummings, S. R., & Curb, J. D. (1989) · Journal of Gerontology · doi:10.1093/geronj/44.5.m141 · Cited by 564 · see citing works
Skelton, D. A., Young, A., Greig, C. A., & Malbut, K. E. (1995) · Journal of the American Geriatrics Society · doi:10.1111/j.1532-5415.1995.tb07004.x · Cited by 451 · see citing works
Visser, M., Fuerst, T. P., Lang, T., Salamone, L. M., Harris, T. B., Health, F. T., Study, B. C., & Body Composition Working Group (1999) · Journal of Applied Physiology · doi:10.1152/jappl.1999.87.4.1513 · Cited by 422 · see citing works
Self-citationFunctional and Metabolic Consequences of Sarcopenia
Vandervoort, A. A., & Symons, T. B. (2001) · Canadian Journal of Applied Physiology · doi:10.1139/h01-007 · Cited by 324 · see citing works
Visser, M., Harris, T. B., Langlois, J. A., Hannan, M. T., Roubenoff, R., Felson, D. T., Wilson, P. W. F., & Kiel, D. P. (1998) · The Journals of Gerontology Series A · doi:10.1093/gerona/53a.3.m214 · Cited by 259 · see citing works
Self-citationFunctional and Metabolic Consequences of Sarcopenia
Evans, W. J. (1997) · Journal of Nutrition · doi:10.1093/jn/127.5.998s · Cited by 220 · see citing works
Avlund, K., Schroll, M., Davidsen, M., Løvborg, B., & Rantanen, T. (1994) · Scandinavian Journal of Medicine and Science in Sports · doi:10.1111/j.1600-0838.1994.tb00403.x · Cited by 136 · see citing works
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Lauretani, F., Russo, C. R., Bandinelli, S., Bartali, B., Cavazzini, C., Di Iorio, A., Corsi, A. M., Rantanen, T., Guralnik, J. M., & Ferrucci, L. (2003) · Journal of Applied Physiology · doi:10.1152/japplphysiol.00246.2003 · Cited by 1,946 · see citing works
Sarcopenia: its assessment, etiology, pathogenesis, consequences and future perspectives
Rolland, Y., Czerwinski, S., van Kan, G. A., Morley, J. E., Cesari, M., Onder, G., Woo, J., Baumgartner, R., Pillard, F., Boirie, Y., et al. (2008) · The Journal of nutrition, health and aging · doi:10.1007/bf02982704 · Cited by 1,071 · see citing works
Sarcopenic obesity: definition, cause and consequences
Stenholm, S., Harris, T. B., Rantanen, T., Visser, M., Kritchevsky, S. B., & Ferrucci, L. (2008) · Current Opinion in Clinical Nutrition and Metabolic Care · doi:10.1097/mco.0b013e328312c37d · Cited by 1,070 · see citing works
Self-citationDynapenia and aging: an update
Manini, T. M., & Clark, B. C. (2012) · The Journals of Gerontology: Series A · doi:10.1093/gerona/glr010 · Cited by 875 · see citing works
Visser, M., Kritchevsky, S. B., Goodpaster, B. H., Newman, A. B., Nevitt, M., Stamm, E., & Harris, T. B. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50217.x · Cited by 845 · see citing works
Self-citationDecreased Muscle Strength and Quality in Older Adults With Type 2 Diabetes
Park, S. W., Goodpaster, B. H., Strotmeyer, E. S., de Rekeneire, N., Harris, T. B., Schwartz, A. V., Tylavsky, F. A., & Newman, A. B. (2006) · Diabetes · doi:10.2337/db05-1183 · Cited by 751 · see citing works
Self-citationAdiposity, Muscle Mass, and Muscle Strength in Relation to Functional Decline in Older Persons
Schaap, L. A., Koster, A., & Visser, M. (2013) · Epidemiologic Reviews · doi:10.1093/epirev/mxs006 · Cited by 423 · see citing works
Self-citationReich, D., Nalls, M. A., Kao, W. H. L., Akylbekova, E. L., Tandon, A., Patterson, N., Mullikin, J., Hsueh, W.-C., Cheng, C.-Y., Coresh, J., et al. (2009) · PLoS Genetics · doi:10.1371/journal.pgen.1000360 · Cited by 423 · see citing works
Self-citationFunctional consequences of sarcopenia and dynapenia in the elderly
Clark, B. C., & Manini, T. M. (2010) · Current Opinion in Clinical Nutrition and Metabolic Care · doi:10.1097/mco.0b013e328337819e · Cited by 359 · see citing works
Sarcopenic-obesity and cardiovascular disease risk in the elderly
Stephen, W. C., & Janssen, I. (2009) · The Journal of nutrition, health and aging · doi:10.1007/s12603-009-0084-z · Cited by 301 · see citing works
Tian, S., & Xu, Y. (2016) · Geriatrics & Gerontology International · doi:10.1111/ggi.12579 · Cited by 274 · see citing works
Stenholm, S., Alley, D., Bandinelli, S., Griswold, M. E., Koskinen, S., Rantanen, T., Guralnik, J. M., & Ferrucci, L. (2009) · International Journal of Obesity · doi:10.1038/ijo.2009.62 · Cited by 248 · see citing works
Hicks, G. E., Shardell, M., Alley, D. E., Miller, R. R., Bandinelli, S., Guralnik, J., Lauretani, F., Simonsick, E. M., & Ferrucci, L. (2012) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/glr055 · Cited by 229 · see citing works
Hicks, G. E., Simonsick, E. M., Harris, T. B., Newman, A. B., Weiner, D. K., Nevitt, M. A., & Tylavsky, F. A. (2005) · The Journals of Gerontology Series A: Biological Sciences and Medical Sciences · doi:10.1093/gerona/60.7.882 · Cited by 208 · see citing works
Self-citationWaters, D. L., & Baumgartner, R. N. (2011) · Clinics in Geriatric Medicine · doi:10.1016/j.cger.2011.03.007 · Cited by 185 · see citing works
Sarcopenic Obesity: Epidemiologic Evidence, Pathophysiology, and Therapeutic Perspectives
Koliaki, C., Liatis, S., Dalamaga, M., & Kokkinos, A. (2019) · Current Obesity Reports · doi:10.1007/s13679-019-00359-9 · Cited by 176 · see citing works
Sarcopenia in the elderly: basic and clinical issues
Wang, C., & Bai, L. (2012) · Geriatrics & Gerontology International · doi:10.1111/j.1447-0594.2012.00851.x · Cited by 170 · see citing works
Beavers, K. M., Lyles, M. F., Davis, C. C., Wang, X., Beavers, D. P., & Nicklas, B. J. (2011) · The American Journal of Clinical Nutrition · doi:10.3945/ajcn.110.004895 · Cited by 126 · see citing works
Aggio, D. A., Sartini, C., Papacosta, O., Lennon, L. T., Ash, S., Whincup, P. H., Wannamethee, S. G., & Jefferis, B. J. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.08.040 · Cited by 110 · see citing works
Theodorakopoulos, C., Jones, J., Bannerman, E., & Greig, C. A. (2017) · Nutrition Research · doi:10.1016/j.nutres.2017.05.002 · Cited by 86 · see citing works
Hvid, L. G., Strotmeyer, E. S., Skjødt, M., Magnussen, L. V., Andersen, M., & Caserotti, P. (2016) · Experimental Gerontology · doi:10.1016/j.exger.2016.03.018 · Cited by 73 · see citing works
Triglyceride–Glucose Index as a Potential Indicator of Sarcopenic Obesity in Older People
Kim, B., Kim, G., Lee, Y., Taniguchi, K., Isobe, T., & Oh, S. (2023) · Nutrients · doi:10.3390/nu15030555 · Cited by 65 · see citing works
Muscle strength is a marker of insulin resistance in patients with type 2 diabetes: a pilot study
NOMURA, T., IKEDA, Y., NAKAO, S., ITO, K., ISHIDA, K., SUEHIRO, T., & HASHIMOTO, K. (2007) · Endocrine Journal · doi:10.1507/endocrj.k07-055 · Cited by 61 · see citing works
Russ, D. W., Grandy, J. S., Toma, K., & Ward, C. W. (2011) · Acta Physiologica · doi:10.1111/j.1748-1716.2010.02191.x · Cited by 61 · see citing works
Seimon, R. V., Wild-Taylor, A. L., McClintock, S., Harper, C., Gibson, A. A., Johnson, N. A., Fernando, H. A., Markovic, T. P., Center, J. R., Franklin, J., et al. (2020) · Heliyon · doi:10.1016/j.heliyon.2020.e04007 · Cited by 30 · see citing works
Targeting Intramyocellular Lipids to Improve Aging Muscle Function
Russ, D. W., Manickam, R., & Tipparaju, S. M. (2025) · Lipids in Health and Disease · doi:10.1186/s12944-025-02622-6 · Cited by 15 · see citing works
- Authors
- VISSER, M., NEWMAN, A. B., NEVITT, M. C., KRITCHEVSKY, S. B., STAMM, E. B., GOODPASTER, B. H., HARRIS, T. B., & FOR THE HEALTH, A.
- Affiliations
- National Institutes of Health (US)
- University of Pittsburgh (US)
- University of California, San Francisco (US)
- University of Colorado Denver (US)
- Corresponding author
- VISSER, M.
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 2000-05
- Volume
- 904
- Issue
- 1
- Pages
- 456-461
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W2116022237
- Cited by
- 141
- References
- 11
- Citations by year
- 2025: 2 · 2024: 3 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 7 · 2019: 4 · 2018: 3 · 2017: 5 · 2016: 2 · 2015: 8 · 2014: 6 · 2013: 4 · 2012: 11
- FWCI
- 2.27
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- VU Research Portal (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Funders
- National Institute on Aging (N01‐AG‐6–2101, N01AG62106, N01-AG-62103)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Medicine › Geriatrics and Gerontology › Frailty in Older Adults
- Health Sciences › Medicine › Physiology › Body Composition Measurement Techniques
- Keywords
- sarcopenia, muscle mass, muscle strength, lower extremity performance, older adults, sex differences, racial differences, threshold effects, Health, Aging, and Body Composition Study
- MeSH terms
- Aged, Aging, Black or African American, Body Composition, Female, Humans, Male, Models, Biological, Muscle Contraction, Muscular Atrophy, Pennsylvania, Sex Characteristics, Tennessee, Absorptiometry, Photon, Muscle, Skeletal, Black People, White People
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