Association between Muscle Mass and Muscle Strength with Physical Performance in Elderly in Surabaya

Titin Kristiana, Novira Widajanti, Rwahita Satyawati

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Background: Sarcopenia is a decrease in muscle mass and strength that mostly happens in the elderly. Sarcopenia is a problem that is often found in the elderly who are at risk of disability, hospitalization and death. This data on muscle mass and strength with physical performance is expected to support the theory of sarcopenia and as a reference in promoting and preventing sarcopenia in elderly.

Aims: To analyze the association between muscle mass and strength (handgrip strength) with physical performance assessed using Short Physical Performance Battery (SPPB) in an elderly community.

Methods: This study was a cross-sectional observational analytic study involving 203 sample of elderly (age >60 years old). The subjects were categorized as the strong and weak muscle mass and muscle strength, also the high, moderate and low physical performance. We used Bioimpedance Analysis (BIA) and hand dynamometer to measure muscle mass and muscle strength (handgrip strength). SPPB was used to assess physical performance.The association between muscle mass and strength with physical performance was displayed in bivariate analysis with chi square.

Result: Of all 203 subjects, 57 were males and 146 were females. Chi square test showed association between muscle strength (handgrip strength) with physical performance (SPPB) (p=0.001), with a weak correlation (r=0.26) and no association between muscle mass and physical performance (SPPB) (p=0.517).

Conclusion: There is a positive association between muscle strength with physical performance, with a weak correlation and no association between muscle mass and physical performance in the elderly community in Surabaya.


Muscle mass, muscle strength, handgrip strength, physical performance, elderly

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Chen LK, Lee WJ, Peng LN, Liu LK, Arai H, Akishita M, for Sarcopenia AW. Recent advances in sarcopenia research in Asia: 2016 update from the Asian Working Group for Sarcopenia. Journal of the American Medical Directors Association. 2016 Aug 1;17(8):767-e1.

Limpawattana P, Kotruchin P, Pongchaiyakul C. Sarcopenia in Asia. Osteoporosis and sarcopenia. 2015 Dec 1;1(2):92-7.

Drey M. Sarcopenia–pathophysiology and clinical relevance. Wiener Medizinische Wochenschrift. 2011 Sep 1;161(17-18):402-8.

Kim KE, Jang SN, Lim S, Park YJ, Paik NJ, Kim KW, et al. Relationship between muscle mass and physical performance: is it the same in older adults with weak muscle strength?. Age and Ageing. 2012 Aug 21;41(6):799-803.

Kim YH, Kim KI, Paik NJ, Kim KW, Jang HC, Lim JY. Muscle strength: A better index of low physical performance than muscle mass in older adults. Geriatrics & gerontology international. 2016 May;16(5):577-85.

Legrand D, Adriaensen W, Vaes B, Matheï C, Wallemacq P, Degryse J. The relationship between grip strength and muscle mass (MM), inflammatory biomarkers and physical performance in community-dwelling very old persons. Archives of gerontology and geriatrics. 2013 Nov 1;57(3):345-51.

Cruz-Jentoft AJ, Baeyens JP, Bauer JM, Boirie Y, Cederholm T, Landi F, et al. Sarcopenia: European consensus on definition and diagnosis Report of the European Working Group on Sarcopenia in Older PeopleA. J. Cruz-Gentoft et al. Age and ageing. 2010 Jul 1;39(4):412-23.

Chen LK, Liu LK, Woo J, Assantachai P, Auyeung TW, Bahyah KS, et al. Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. Journal of the American Medical Directors Association. 2014 Feb 1;15(2):95-101.

Yeh C, Chen YJ, Lai LY, Jang TR, Chiang J, Chen YY, et al. Bioelectrical impedance analysis in a mathematical model for estimating fat-free mass in multiple segments in elderly Taiwanese males. International Journal of Gerontology. 2012 Dec1;6(4):273-7.

Wu SW, Wu SF, Liang HW, Wu ZT, Huang S. Measuring factors affecting grip strength in a Taiwan Chinese population and a comparison with consolidated norms. Applied ergonomics. 2009 Jul 1;40(4):811-5.

Mijnarends DM, Meijers JM, Halfens RJ, ter Borg S, Luiking YC, Verlaan S, et al. Validity and reliability of tools to measure muscle mass, strength, and physical performance in community-dwelling older people: a systematic review. Journal of the American Medical Directors Association. 2013 Mar 1;14(3):170-8.

Yamada Y, Watanabe Y, Ikenaga M, Yokoyama K, Yoshida T, Morimoto T, et al. Comparison of single-or multifrequency bioelectrical impedance analysis and spectroscopy for assessment of appendicular skeletal muscle in the elderly. Journal of applied physiology. 2013 Jun 27;115(6):812-8.

Liu LK, Lee WJ, Liu CL, Chen LY, Lin MH, Peng LN, et al. Age‐related skeletal muscle mass loss and physical performance in T aiwan: Implications to diagnostic strategy of sarcopenia in A sia. Geriatrics & gerontology international. 2013 Oct;13(4):964-71.

van Lummel RC, Walgaard S, Pijnappels M, Elders PJ, Garcia-Aymerich J, van Dieën JH, et al. Physical performance and physical activity in older adults: associated but separate domains of physical function in old age. PLoS One. 2015 Dec 2;10(12):e0144048.

Moreira VG, Lourenço RA. Prevalence and factors associated with frailty in an older population from the city of Rio de Janeiro, Brazil: the FIBRA-RJ Study. Clinics. 2013 Jul;68(7):979-85.

Roppolo M, Mulasso A, Gobbens RJ, Mosso CO, Rabaglietti E. A comparison between uni-and multidimensional frailty measures: prevalence, functional status, and relationships with disability. Clinical interventions in aging. 2015;10:1669.

Pusat Data Dan Informasi Kementerian Kesehatan R. Gambaran Kesehatan Lanjut Usia di Indonesia. Pusat Data dan Informasi Kementerian Kesehatan RI, Jakarta. 2013.

Kamo T, Nishida Y. Direct and indirect effects of nutritional status, physical function and cognitive function on activities of daily living in Japanese older adults requiring long‐term care. Geriatrics & gerontology international. 2014 Oct;14(4):799-805.

Haider S, Luger E, Kapan A, Titze S, Lackinger C, Schindler KE, et al. Associations between daily physical activity, handgrip strength, muscle mass, physical performance and quality of life in prefrail and frail community-dwelling older adults. Quality of Life Research. 2016 Dec 1;25(12):3129-38.

Morie M, Reid KF, Miciek R, Lajevardi N, Choong K, Krasnoff JB, et al. Habitual physical activity levels are associated with performance in measures of physical function and mobility in older men. Journal of the American Geriatrics Society. 2010 Sep;58(9):1727-33.

Siparsky PN, Kirkendall DT, Garrett Jr WE. Muscle changes in aging: understanding sarcopenia. Sports Health. 2014 Jan;6(1):36-40.

Mendes J, Amaral TF, Borges N, Santos A, Padrão P, Moreira P, et al. Handgrip strength values of Portuguese older adults: a population based study. BMC geriatrics. 2017 Dec;17(1):191.

Ong HL, Abdin E, Chua BY, Zhang Y, Seow E, Vaingankar JA, et al. Hand-grip strength among older adults in Singapore: a comparison with international norms and associative factors. BMC geriatrics. 2017 Dec;17(1):176.

Landi F, Calvani R, Tosato M, Martone AM, Fusco D, Sisto A, et al. Age-related variations of muscle mass, strength, and physical performance in community-dwellers: results from the Milan EXPO survey.Journal of the American Medical Director

da Câmara SM, Alvarado BE, Guralnik JM, Guerra RO, Maciel ÁC. Using the Short Physical Performance Battery to screen for frailty in young‐old adults with distinct socioeconomic conditions. Geriatrics & gerontology international. 2013 Apr;13(2):421-8.


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