Evidence map›Paper›PMID 41327058›Full record

Observational studyBMC geriatrics2025

Age-related changes in quadriceps stiffness and strength: a longitudinal observation in community-dwelling older adults.

Zongpan Li, Xiuping Huang, Raymond Ck Chung, Kam Lun Leung, Siu Ngor Fu

Abstract readObservational Study
In one paragraph

Observational study in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zongpan LiDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Kowloon, Hong Kong, China.
Xiuping HuangDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Kowloon, Hong Kong, China.
Raymond Ck ChungDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Kowloon, Hong Kong, China.
Kam Lun LeungDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Kowloon, Hong Kong, China.
Siu Ngor FuDepartment of Rehabilitation Sciences, The Hong Kong Polytechnic University, 11 Yuk Choi Road, Kowloon, Hong Kong, China. amy.fu@polyu.edu.hk.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn aging muscles, altered elastin and collagen type III and extracellular matrix may be responsible for the age-related increase in muscle stiffness, which may compromise muscle force production. Indeed, cross-sectional studies have compared quadriceps stiffness between older and younger adults, yet their findings are contradictory. We aim to longitudinally observe quadriceps stiffness/strength changes, and to examine how those changes are associated in elders.

methodsThis was a prospective longitudinal observation. Community-dwelling adults were recruited if they were aged 60–80 years and capable of walking 10 m independently. We excluded participants with knee injury/surgery, knee/hip joint replacement, cognitive impairment, or neurological conditions. Quadriceps stiffness and strength were assessed at baseline and the follow-up, using shear-wave ultrasound elastography and a Cybex dynamometer, respectively. Paired t-tests were used to examine changes in quadriceps stiffness and strength from baseline to the follow-up. Linear regression was performed to investigate the association between age-related changes in quadriceps stiffness and strength. Repeated measures ANOVA was used to assess differences in stiffness changes across rectus femoris (RF), vastus lateralis (VL), and vastus medialis (VM).

resultsA total of 172 eligible participants (age: 65.7 ± 4.0 years; 64.0% females) completed the baseline and 18-month follow-up assessments. Quadriceps stiffness increased by 0.76 (95% CI: 0.56, 0.97) kPa, while quadriceps strength decreased by -0.15 (-0.18, -0.12) Nm/kg. Estimated annual changes in quadriceps stiffness and strength were 9.14% (7.02, 11.26) and − 7.95% (-9.78, -6.12), respectively. Greater increase in quadriceps stiffness was significantly associated with larger strength reduction in females (R²adjusted = 0.106; P = 0.021). RF stiffness underwent the most obvious increase, followed by VL and VM (1.41, 0.62, 0.26 kPa, P < 0.001). However, only increased quadriceps stiffness (0.76 > 0.71 kPa), particularly the RF stiffness (1.41 > 1.24 kPa), exceeded minimum detectable changes over this 18-month observation.

conclusionsQuadriceps stiffness is increased with aging, and it is associated with strength decrements in female older adults. Age-related increases in quadriceps stiffness are most prominent in RF, followed by VL and VM. Alongside muscle strengthening, interventions for reducing age-related increases in quadriceps stiffness may be important in geriatric rehabilitation.

Indexed as

AgingMuscle StrengthQuadriceps MuscleAgedAged, 80 and overAging in PlaceElasticity Imaging TechniquesFemaleFollow-Up StudiesHumansLongitudinal StudiesMaleMiddle AgedProspective StudiesLongitudinal studyMuscle agingOlder adultsQuadriceps stiffnessQuadriceps strength

Identifiers

PMID41327058
PMCPMC12772114

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.