Powered by OpenAIRE graph
Found an issue? Give us feedback
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/ PubliCattarrow_drop_down
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
Experimental Gerontology
Article . 2025 . Peer-reviewed
License: CC BY
Data sources: Crossref
image/svg+xml art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos Open Access logo, converted into svg, designed by PLoS. This version with transparent background. http://commons.wikimedia.org/wiki/File:Open_Access_logo_PLoS_white.svg art designer at PLoS, modified by Wikipedia users Nina, Beao, JakobVoss, and AnonMoos http://www.plos.org/
versions View all 3 versions
addClaim

Predictive value of different muscle power normalization methods for mobility limitations in community-dwelling older adults: A cross-sectional analysis from the longevity check-up 8+ study

Authors: Stefano Cacciatore; Matteo Tosato; Riccardo Calvani; Hélio José Coelho-Júnior; Emanuele Marzetti; Francesco Landi;

Predictive value of different muscle power normalization methods for mobility limitations in community-dwelling older adults: A cross-sectional analysis from the longevity check-up 8+ study

Abstract

Lower limb muscle power is a critical determinant of mobility in older adults. However, its optimal normalization method remains uncertain. The aim of this cross-sectional study is to compare different normalization approaches for muscle power in predicting self-reported 400 m walking difficulty, used as a proxy of mobility limitation, in community-dwelling older adults (≥65 years old) from the Longevity Check-Up 8+ Study.Lower limb muscle power was estimated using five-repetition sit-to-stand equations and expressed as i) absolute (W), ii) relative (W/kg), iii) allometric (W/m2), and iv) specific power (W/kg of appendicular skeletal muscle mass). 400-m walking difficulty was self-reported and dichotomized. Discriminative ability was assessed through receiver operating characteristic curves. Associations were tested using logistic regression models.Among the 4614 participants (mean age 72.8 ± 5.8 years; 53.2 % women), 25.1 % reported difficulty walking 400 m. Individuals reporting difficulty were older, more frequently female, had higher body mass index, and lower physical activity levels (all p < 0.001). Relative muscle power demonstrated the highest discriminative ability [area under the curve 0.70; 95 % confidence interval (CI) 0.68-0.72], outperforming other indices. Optimal cut-offs for relative muscle power identified using the Youden index were 3.1 W/kg in women and 3.8 W/kg in men. Low relative muscle power was significantly associated with greater odds of walking difficulty (odds ratio 2.07; 95 % CI 1.78-2.42; p < 0.001).Relative muscle power showed superior predictive performance for self-reported walking difficulty, as an indicator of mobility limitation, compared to other normalization methods. Future longitudinal studies are needed to confirm these findings and explore their relevance for other clinically meaningful outcomes.

Country
Italy
Keywords

Male, Aged, 80 and over, Aging, Sarcopenia, Sit-to-stand test, Frailty, muscle strength, Longevity, Walking, Community-dwelling, Mobility limitation, Physical performance, Cross-Sectional Studies, Lower Extremity, ROC Curve, Predictive Value of Tests, Humans, Female, Independent Living, Muscle Strength, Mobility Limitation, Muscle, Skeletal, Geriatric Assessment, Aged

  • BIP!
    Impact byBIP!
    selected citations
    These citations are derived from selected sources.
    This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    2
    popularity
    This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
    Top 10%
    influence
    This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
    Average
    impulse
    This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
    Average
Powered by OpenAIRE graph
Found an issue? Give us feedback
selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
2
Top 10%
Average
Average
Green
gold