Intermuscular adipose tissue is muscle specific and associated with poor functional performance
Open accessAbstract
Purpose. People with obesity, diabetes, and peripheral neuropathy have high levels of intermuscular adipose tissue (IMAT) volume which has been inversely related to physical function. We determined if IMAT is muscle specific, if calf IMAT is different between a healthy obese group (HO), a group with diabetes mellitus (D), and a group with diabetes mellitus and peripheral neuropathy (DN), and if IMAT volume or the ratio of IMAT/muscle volume is related to physical function in these groups.Methods. 10 healthy obese people, 11 with type 2 diabetes, 24 with diabetes and peripheral neuropathy, had assessments of muscle morphology, physical function and muscle performance.Results. The gastrocnemius muscle had a higher ratio of IMAT/muscle volume than any other muscle or compartment. There were no differences between groups in calf muscle or IMAT volumes. Calf IMAT was inversely related to physical performance on the 6-minute walk test (r=−0.47) and physical performance test (r=−0.36). IMAT/muscle volume was inversely related to physical performance (PPT,r=−0.44; 6 MWr=−0.48; stair power,r=−0.30).Conclusions. IMAT accumulation varies in calf muscles, is highest in the gastrocnemius muscle, and is associated with poor physical performance.
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Fat infiltration of muscle is related to poor lower extremity physical performance.
“Fat infiltration of muscle (both intramuscular and intermuscular) is further related to poor lower extremity physical performance.63”
From Age-related and disease-related muscle loss: The effect of diabetes, obesity, and other diseases (2014) · cites this paper as [63]
Multiple studies have found a similar relationship between increased myosteatosis in the lower extremities and decreased mobility.
“Multiple studies have found a similar relationship between increased myosteatosis in the lower extremities and decreased mobility (Tuttle et al., 2011, 2012; Marcus et al., 2012).”
From Myosteatosis in the Context of Skeletal Muscle Function Deficit: An Interdisciplinary Workshop at the National Institute on Aging (2020) · cites this paper as Tuttle et al., 2012
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- Authors
- Tuttle, L. J., Sinacore, D. R., & Mueller, M. J.
- Affiliations
- University of California San Diego (US)
- Washington University in St. Louis (US)
- Corresponding author
- Tuttle, Lori J.
- Venue
- Journal of Aging Research
- Publisher
- Wiley
- Published
- 2012
- Volume
- 2012
- Pages
- 1-7
- ISSN
- 2090-2204 (ISSN-L)
- 2090-2212
- PMC
- PMC3361226
- OpenAlex
- W2112899340
- Cited by
- 193
- References
- 26
- Citations by year
- 2026: 10 · 2025: 16 · 2024: 11 · 2023: 12 · 2022: 18 · 2021: 19 · 2020: 20 · 2019: 16 · 2018: 12 · 2017: 12 · 2016: 12 · 2015: 18 · 2014: 13 · 2013: 3 · 2012: 1
- FWCI
- 7.51
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Aging Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Digital Commons@Becker (Washington University School of Medicine) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Center for Medical Rehabilitation Research (R21 HD058938, T32 HD007434-14, R24HD650837, UL1 RR024992)
- National Center for Research Resources (R21 HD058938, T32 HD007434-14, R24HD650837, UL1 RR024992)
- Topics
- Health Sciences › Medicine › Physiology › Adipose Tissue and Metabolism
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Disease and Adiposity
- Health Sciences › Medicine › Epidemiology › Adipokines, Inflammation, and Metabolic Diseases
- Keywords
- intermuscular adipose tissue, physical function, type 2 diabetes, peripheral neuropathy, obesity, gastrocnemius, triceps surae, muscle morphology, 6-minute walk test
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