Archives of Gerontology and Geriatrics

Activity’s links to muscle decline differed by frailty

An age-related muscle disorder developed in 3.3% of participants with low frailty and 17.9% with high frailty over six years.

Paper by Madeline E. Shivgulam, Carson Halliwell, Olga Theou, Myles William O'Brien · Dalhousie University · Université de Sherbrooke

Our read

Populations
Studied:
Cohort study of 10,871 adults without sarcopenia at baseline, 6-year follow-up
What changed:
Muscle disorder odds were lower with light-to-moderate activity in high frailty (OR: 0.9593) and strenuous activity in low frailty (OR = 0.8860)
The catch:
Effects on existing sarcopenia were not measured because participants started without it
Why it’s aging research:
It bears on staying healthy in midlife and later life.

Editor of record: Boris Djordjevic · AgingResearch.News

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An observational study included 10,871 participants in the Canadian Longitudinal Study on Aging who initially had no sarcopenia, an age-related muscle disorder. Their average age was 61.3 years, and 50.7% were female. Researchers assessed initial activity and used a 111-item index to group participants by frailty.

More light-to-moderate activity was linked to lower odds of developing sarcopenia over six years among participants with high frailty. More strenuous activity had that link among those with low frailty. Light-to-moderate activity was also linked to faster walking in both groups. Among participants with low frailty, more strenuous activity and less sitting were linked to faster walking. Only strengthening activity was linked to a stronger grip in the low-frailty group.

Why it matters

The authors argued that efforts to prevent age-related muscle decline should tailor physical activity intensity to frailty level.

Caveats

The observational design cannot show that activity prevented sarcopenia. Participants had no sarcopenia at the start, so the findings do not address treatment of the existing condition.

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