ArticleAging clinical and experimental research2026
Tissue-specific body composition changes and muscle performance decline: a 5-year prospective study.
Article in Aging clinical and experimental research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveThe change of muscle performance plays an important role in sarcopenia. Our objective was to examine longitudinal changes in body composition in older individuals in relation to changes in physical performance.
methods120 individuals were recruited from the neighborhood of the hospital. Computed tomography (CT) scans, handgrip strength (HGS) and the Timed Up and Go test (TUG) were obtained at baseline and follow-up after 5 years. Changes in muscle cross-sectional area and muscle density and adipose area were evaluated. Associations of changes in body composition with changes in HGS and TUG were tested in logistic regression models after adjusting for baseline age, height, weight and type 2 diabetes.
resultsAmong females, each decrease (per cm
conclusionsCT-based body composition changes, atrophy of thigh muscles in particular, are associated with loss of muscle strength and physical performance. ADVANCES IN KNOWLEDGE: Key findings include significant reductions in muscle size and density across multiple compartments (paraspinal, pelvic and thigh muscles), greater adipose tissue increase in females, and sex-specific associations between thigh muscle atrophy and declines in HGS and TUG performance. These results align with prior cross-sectional evidence of age-related sarcopenia but extend them by quantifying longitudinal changes and their functional consequences.
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