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http://dx.doi.org/10.21598/JKPNFA.2021.19.3.331

Analysis of Body Composition and Functional Physical Performance in Urban-Dwelling Elderly Women with or without Obesity  

Choi, Seung-Jun (Department of Sport and Health Sciences, Kyungsung University)
Publication Information
PNF and Movement / v.19, no.3, 2021 , pp. 331-340 More about this Journal
Abstract
Purpose: The purpose of this study was to investigate the differences in body composition, upper and lower limb muscle strength, and functional physical ability in urban-dwelling elderly women with or without obesity. Methods: All study participants were assigned to the normal weight group (n=8, BMI<25) and the obesity group (n=7, BMI>25) based on their obesity rate. Anthropometric measurement was conducted and body composition was measured. For the upper and lower limb strength, grip strength and maximal isometric knee extension and flexion were evaluated by a dynamometer. The senior fitness test was performed to measure functional ability. Data analysis was conducted by the independent t-test and the alpha level was set at 0.05. Results: The waist, hips, and thighs of obese elderly women were thicker than those of normal-weight elderly women. This physical difference resulted from body fat mass, not muscle mass. Despite a similar level of limb muscle mass between the two groups, the upper limb grip strength was higher (24.00% for left, 19.95% for right) in the normal-weight women than the obese women (p<0.05), but otherwise there was no difference in maximal knee flexion or extension isometric strength. Functional physical ability showed no difference in a 30-second chair sit and stand test and a six-minute walk test, but a 30-second arm-curl (11.00% for left, 14.81% for right), back stretch (8.54cm for left, 8.99cm for right), chair sit and reach (9.22cm for left, 6.24cm for right), and 2.44 meter round trip walk (0.62 sec, 9.39%) were faster in performance for normal-weight elderly women than obese elderly women (p<0.05). Conclusion: Taken together, despite similar levels of upper and lower extremity muscle mass, normal-weight elderly women showed higher performance in upper limb strength, flexibility, and agility than obese elderly women, but there was no difference in lower extremity functional muscle strength and cardiopulmonary endurance.
Keywords
Obesity; Elderly; Strength; Senior fitness test;
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1 Zamboni M, Armellini F, Harris T, et al. Effects of age on body fat distribution and cardiovascular risk factors in women. The American Journal of Clinical Nutrition. 1997;66(1):111-115.   DOI
2 Cruz-Jentoft AJ, Baeyens JP, Bauer JM, et al. Sarcopenia: European consensus on definition and diagnosis Report of the European working group on sarcopenia in older people. Age and Ageing. 2010;39(4):412-423.   DOI
3 Choi SJ, Files DC, Zhang T, et al. Intramyocellular lipid and impaired myofiber contraction in normal weight and obese older adults. Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences. 2016;71(4):557-564.   DOI
4 Ding J, Kritchevsky SB, Newman AB, et al. Effects of birth cohort and age on body composition in a sample of community-based elderly. American Journal of Clinical Nutrition. 2007;85(2):405-410.   DOI
5 Droyvold WB, Nilsen TIL, Kruger O, et al. Change in height, weight and body mass index: longitudinal data from the HUNT study in Norway. International Journal of Obesity. 2006;30(6):935-939.   DOI
6 Goodpaster BH, Carlson CL, Visser M, et al. Attenuation of skeletal muscle and strength in the elderly: the Health ABC Study. Journal of Applied Physiology. 2001;90(6):2157-2165.   DOI
7 Hill K, Schwarz J. Assessment and management of falls in older people. Internal Medicine Journal. 2004;34(9-10): 557-564.   DOI
8 Jang CH, Lee KY, Shim YH. Normal aging: definition and physiologic changes. Journal of the Korean Medical Association. 2017;60(5):358-363.   DOI
9 Jung DM. Statistics for the elderly. Daejeon. Statistics Korea. 2012.
10 Kim HJ. Influence of aging and 10-wk resistance training on anabolic hormonal response and cross- sectional area of quadriceps muscle in men. Korean Journal Physical Education. 2012;51(2):389-397.
11 Kim JH, Choi SH, Lim S, et al. Sarcopenia and obesity: gender-different relationship with functional limitation in older persons. Journal of Korean Medical Science. 2013;28(7):1041-1047.   DOI
12 Baumgartner RN, Koehler K M, Gallagher D, et al. Epidemiology of sarcopenia among the elderly in New Mexico. American Journal of Epidemiology. 1998;147(8):755-763.   DOI
13 Kweon S, Kim Y, Jang MJ, et al. Data resource profile: the Korea national health and nutrition examination survey (KNHANES). International Journal of Epidemiology. 2014;43(1):69-77.   DOI
14 Roig M, Eng JJ, Macintyre DL, et al. Deficits in muscle strength, mass, quality, and mobility in people with chronic obstructive pulmonary disease. Journal of Cardiopulmonary Rehabilitation & Prevention. 2011;31(2):120-127.   DOI
15 Manton, KG, Gu, X. Changes in the prevalence of chronic disability in the United States black and nonblack population above age 65 from 1982 to 1999. Proceedings of the National Academy of Sciences. 2001;98(11):6354-6359.   DOI
16 Nair KS. Aging muscle. The American Journal of Clinical Nutrition. 2005;81(5);953-963.   DOI
17 Rikli RE, Jones CJ. Senior fitness test manual, 2nd ed. Illinois. Champaign. Human kinetics. 2013.
18 Sung SC, Kim HS, Lee MK. Comparative analysis of physical fitness levels between elderly farmers and urban dwellers. Exercise Science. 2011;20(2):159-168.   DOI
19 Addison O, Marcus RL, LaStayo PC, et al. Intermuscular fat: a review of the consequences and causes. International Journal of Endocrinology. 2014.
20 Yim JE, Heshka S, Albu J. et al. Intermuscular adipose tissue rivals visceral adipose tissue in independent associations with cardiovascular risk. International Journal of Obesity. 2007;31(9):1400-1405.   DOI
21 Goodpaster BH, Krishnaswami S, Resnick H. et al. Association between regional adipose tissue distribution and both type 2 diabetes and impaired glucose tolerance in elderly men and women. Diabetes Care. 2003;26(2): 372-379.   DOI
22 Rissanen A, Heliovaara M, Aromaa A. Overweight and anthropometric changes in adulthood: a prospective study of 17,000 Finns. International Journal of Obesity. 1988;12(5):391-401.
23 Gorgey AS, Dudley GA. Skeletal muscle atrophy and increased intramuscular fat after incomplete spinal cord injury. Spinal Cord. 2007;45(4):304-309.   DOI
24 Hong SY. Comparison of senior fitness test scores of Korean older women with SFT normative scores. The Korean Journal of Physical Education. 2008;47(5):405-413.
25 Aiken J, Bua E, Cao Z, et al. Mitochondrial DNA deletion mutations and sarcopenia. Annals of the New York Academy of Sciences. 2002;959(1):412-423.   DOI
26 Aniansson A, Hedberg M, Henning GB, et al. Muscle morphology, enzyme activity, and muscle strength in elderly men: a follow-up study. Muscle Nerve. 1986;9(7):585-591.   DOI
27 Beaufrere B, Morio B. Fat and protein redistribution with aging: metabolic considerations. European Journal of Clinical Nutrition. 2000;54(3):48-53.
28 Bae NR, Park CS. A study on the ecological factors affecting the quality of life among the elderly people. Journal of the Korean Gerontology Society. 2009;29(2): 761-779.
29 Choi SJ, Park SM, Kwak YS. Comparison of the thigh composition and its functional contractility in obese and nonobese elderly patients. Journal of Life Science. 2014;24(10):1125-1131.   DOI
30 Doherty TJ. Invited review: aging and sarcopenia. Journal of Applied Physiology. 2003;95(4):1717-1727.   DOI
31 Kim CG, Lee SK, Kwon YW, et al. Correlation of isokinetic strength and cross-sectional area on psoas major and thigh muscles in elderly women. Korea National Sport University Institute of Sports Science. 2001;20(2): 117-128.
32 Kirkwood TB, Finch CE. Ageing: the old worm turns more slowly. Nature. 2002;419(6909):794-795.   DOI
33 Maly MR, Calder KM, Macintyre NJ, et al. Relationship of intermuscular fat volume in the thigh with knee extensor strength and physical performance in women at risk of or with knee osteoarthritis. Arthritis Care & Research. 2013;65(1):44-52.   DOI
34 Tuttle LJ, Sinacore DR, Mueller MJ. Intermuscular adipose tissue is muscle specific and associated with poor functional performance. Journal of Aging Research. 2012:172957.   DOI