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Age and sex-related decline of muscle strength across the adult lifespan: a scoping review of aggregated data

Haynes, E.M.K., Neubauer, N.A., Cornett, K.M.D., O’Connor, B.P., Jones, G.R., Jakobi, J.M.·2020·Applied Physiology, Nutrition, and Metabolism
DOI 10.1139/apnm-2020-0081
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Abstract

Muscle strength is sex-related and declines with advancing age; yet, a comprehensive comparative evaluation of age-related strength loss in human females and males has not been undertaken. To do so, segmented piecewise regression analysis was performed on aggregated data from studies published from 1990 to 2018 and are available in CINAHL, EMBASE, MEDLINE, and PsycINFO databases. The search identified 5613 articles that were reviewed for physical assessment results stratified by sex and age. Maximal isometric and isokinetic 60°·s−1 knee extension (KE) and knee flexion (KF) contractions from 57 studies and 15 283 subjects (N = 7918 females) had sufficient data reported on females and males for meaningful statistical evaluation to be undertaken. The analysis revealed that isometric KE and KF strength undergo similar rapid declines in both sexes late in the sixth decade of life. Yet, there is an abrupt age-related decline in KE 60°·s−1 peak torque earlier in females (aged 41.8 years) than males (aged 66.7 years). In the assessment of KF peak torque, an age-related acceleration in strength loss was only identified in males (aged 49.3 years). The results suggest that age-related isometric strength loss is similar between sexes while the characteristics of KE and KF peak torque decline are sex-related, which likely explains the differential rate of age-related functional decline. Novelty Inclusion of muscle strength and torque of KE and KF data from >15 000 subjects. Isometric KE and KF strength loss are similar between sexes. Isokinetic 60°·s−1 KE torque decline accelerates 25 years earlier in females and female age-related KF peak torque decline does not accelerate with age.

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Metadata

Authors
Haynes, E. M. K., Neubauer, N. A., Cornett, K. M. D., O’Connor, B. P., Jones, G. R., & Jakobi, J. M.
Affiliations
  • School of Health and Exercise Sciences, University of British Columbia Okanagan, Kelowna, BC V1V 1V7, Canada.
  • Psychology, School of Arts and Sciences, University of British Columbia Okanagan, Kelowna, BC V1V 1V7, Canada.
Venue
Applied Physiology, Nutrition, and Metabolism
Publisher
Canadian Science Publishing
Published
2020-11
Volume
45
Issue
11
Pages
1185-1196
ISSN
  • 1715-5312
  • 1715-5320
DOI
10.1139/apnm-2020-0081
Cited by
83
References
12
Language
en
Licence
www.nrcresearchpress.com/page/about/CorporateTextAndDataMining (tdm)

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