Osteoporosis International

, Volume 19, Issue 12, pp 1725–1732

Muscle power is related to tibial bone strength in older women

  • M. C. Ashe
  • T. Y. L. Liu-Ambrose
  • D. M. L. Cooper
  • K. M. Khan
  • H. A. McKay
Original Paper

DOI: 10.1007/s00198-008-0655-6

Cite this article as:
Ashe, M.C., Liu-Ambrose, T.Y.L., Cooper, D.M.L. et al. Osteoporos Int (2008) 19: 1725. doi:10.1007/s00198-008-0655-6

Abstract

Summary

We enrolled 65 to 75 year-old community-dwelling women and measured muscle power, strength, physical activity using accelerometry and tibial bone strength using peripheral quantitative computed tomography (pQCT). Muscle power contributed 6.6% of the variance in the bone strength–strain index and 8.9% in the section modulus after accounting for age, height, weight, and physical activity; moderate to vigorous physical activity was related to muscle power in the lower extremity.

Introduction

Muscle power is associated with DXA measurements of bone mass, but it is not known whether muscle power is associated with bone strength. There are no reports of investigations that have tested the effect of muscle power on bone compartments using advanced imaging.

Methods

We enrolled 74 community-dwelling women aged 65–75 years. We measured muscle power and strength of leg extension using Keiser air-pressure resistance equipment. All participants wore a waist-mounted Actigraph accelerometer to record physical activity. We used peripheral quantitative computed tomography (pQCT) to measure tibial mid-shaft (50% of the site) bone strength (strength–strain index, section modulus). We used Pearson correlations and multi-level linear regression to investigate the associations between muscle and bone.

Results

Muscle power contributed 6.6% (p = 0.007) of the variance in the bone strength–strain index and 8.9% (p = 0.001) the variance in the section modulus in older women after accounting for age, height, weight, and physical activity. Moderate to vigorous physical activity was significantly related to muscle power in the lower extremity (r = 0.260; p = 0.041).

Conclusion

Muscle power significantly contributed to the variance in estimated bone strength. Whether power training will prove to be a more effective stimulus for bone strength than conventional strength training will require further studies.

Keywords

Accelerometry Bone strength Muscle power Muscle strength pQCT 

Copyright information

© International Osteoporosis Foundation and National Osteoporosis Foundation 2008

Authors and Affiliations

  • M. C. Ashe
    • 1
    • 2
    • 3
    • 5
  • T. Y. L. Liu-Ambrose
    • 1
    • 2
    • 3
  • D. M. L. Cooper
    • 4
  • K. M. Khan
    • 1
    • 2
    • 5
    • 6
  • H. A. McKay
    • 1
    • 2
    • 5
    • 7
  1. 1.Centre for Hip Health and MobilityVancouverCanada
  2. 2.Vancouver Coastal Health Research InstituteVancouverCanada
  3. 3.Department of Physical TherapyUniversity of British ColumbiaVancouverCanada
  4. 4.Department of Anatomy and Cell BiologyUniversity of SaskatchewanSaskatoonCanada
  5. 5.Department of OrthopaedicsUniversity of British ColumbiaVancouverCanada
  6. 6.School of Human KineticsUniversity of British ColumbiaVancouverCanada
  7. 7.Department of OrthopaedicsUniversity of British ColumbiaVancouverCanada

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