Abstract
Objectives
The purpose of this study was to examine if there is a relationship between lower-extremity muscle performance (LEMP) and physical activity, especially the physical activity level (PAL) value, in community-dwelling middle-aged and older adults.
Design
Cross-sectional study.
Setting
Community-based.
Participants
Participants were 54 community-dwelling and independent middle-aged and older individuals (aged 54–89 years).
Measurements
Physical activity level was calculated from the total energy expenditure of each participant obtained using the doubly labeled water method (PALDLW) and estimated basal metabolic rate. Daily step count and intensity of physical activity was monitored with a triaxial accelerometer, and LEMP was assessed using the five-repetition sit-to-stand test (STS-5) and vertical jumping (VJ).
Results
The results of STS-5 nearly negatively correlated with those of PALDLW when analysing the middle-aged and older man and woman, separately. VJ positively correlated with PALDLW when analysing the middle-aged and older men and woman, separately. The relationship between LEMP (e.g. STS-5 and VJ) and PAL were maintained, regardless of sex and body composition. PALDLW was significantly positively correlated with LPA, MVPA, and steps, and significantly negatively correlated with sedentary time. The relationship PALDLW and steps was described as following equation: PALDLW = 0.0000392 × steps +1.531.
Conclusions
These findings suggest that PALDLW is a key contributor to increasing LEMP among middle-aged and older adults. Maintaining high PALDLW may be beneficial to independent living, and participation in recreational and social activities in middle-aged and older adults.
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Acknowledgments
The authors thank the participants, the Fukuoka City mayor, and the Port & Airport Bureau staff. The authors also gratefully acknowledge the staff and graduate students who assisted with data collection. We express our sincere gratitude to late Prof Hiroaki Tanaka, Emeritus Professor at Fukuoka University, Faculty of Sports and Health Science, who made great efforts to promote the research, encouraged us, and passed away before seeing the completion of this paper.
Funding
This research was funded by JSPS KAKENHI, grant number 25242065 granted by the Ministry of Education, Culture, Sports, Science, and Technology to the Fukuoka University Institute for Physical Activity; and by AMED, Grant Number JP19ek0210112.
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R.T., Y.H., Y.Y., E.Y., N.E., H.T., and Y.K. designed the study; R.T., Y.H., Y.K., T.K. J.Y., and Y.Y. conducted the study; R.T., Y.H., Y.K., and J.Y. analyzed the data; Y.H., Y.Y., E.Y., N.E., and Y.H. interpreted the results; R.T., Y.H., and Y.H. wrote the manuscript; H.T. and Y.H. were responsible for the design and final content of the article; Y.Y. and Y.H. revised the manuscript; and all authors read and approved the final manuscript.
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This study was conducted according to guidelines laid down in the Declaration of Helsinki and all procedures involving human participants were approved by the Ethics Committee of Fukuoka University in Japan (approval no.: 15-04-02). Written informed consent was obtained from all participants.
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The authors declare that they have no conflict of interest.
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Takae, R., Hatamoto, Y., Yasukata, J. et al. Association of Lower-Extremity Muscle Performance and Physical Activity Level and Intensity in Middle-Aged and Older Adults: A Doubly Labeled Water and Accelerometer Study. J Nutr Health Aging 24, 1023–1030 (2020). https://doi.org/10.1007/s12603-020-1514-1
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DOI: https://doi.org/10.1007/s12603-020-1514-1