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Gender specific age-related changes in bone density, muscle strength and functional performance in the elderly: a-10 year prospective population-based study

Daly, Robin M., Rosengren, Bjorn E., Alwis, Gayani, Ahlborg, Henrick G., Sernbo, Ingemar and Karlsson, Magnus K. 2013, Gender specific age-related changes in bone density, muscle strength and functional performance in the elderly: a-10 year prospective population-based study, BMC Geriatrics, vol. 13, no. 71.

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Title Gender specific age-related changes in bone density, muscle strength and functional performance in the elderly: a-10 year prospective population-based study
Author(s) Daly, Robin M.
Rosengren, Bjorn E.
Alwis, Gayani
Ahlborg, Henrick G.
Sernbo, Ingemar
Karlsson, Magnus K.
Journal name BMC Geriatrics
Volume number 13
Issue number 71
Total pages 9
Publisher BioMed Central
Place of publication London, England
Publication date 2013-07
ISSN 1471-2318
Keyword(s) muscle
functional performance
normative aging
balance
bone
gait
Summary Background
Age-related losses in bone mineral density (BMD), muscle strength, balance, and gait have been linked to an increased risk of falls, fractures and disability, but few prospective studies have compared the timing, rate and pattern of changes in each of these measures in middle-aged and older men and women. This is important so that targeted strategies can be developed to optimise specific musculoskeletal and functional performance measures in older adults. Thus, the aim of this 10-year prospective study was to: 1) characterize and compare age- and gender-specific changes in BMD, grip strength, balance and gait in adults aged 50 years and over, and 2) compare the relative rates of changes between each of these musculoskeletal and functional parameters with ageing.

Methods:
Men (n = 152) and women (n = 206) aged 50, 60, 70 and 80 years recruited for a population-based study had forearm BMD, grip strength, balance and gait velocity re-assessed after 10-years.

Results:
The annual loss in BMD was 0.5-0.7% greater in women compared to men aged 60 years and older (p < 0.05- < 0.001), but there were no gender differences in the rate of loss in grip strength, balance or gait. From the age of 50 years there was a consistent pattern of loss in grip strength, while the greatest deterioration in balance and gait occurred from 60 and 70 years onwards, respectively. Comparison of the changes between the different measures revealed that the annual loss in grip strength in men and women aged <70 years was 1-3% greater than the decline in BMD, balance and gait velocity.

Conclusion:
There were no gender differences in the timing (age) and rate (magnitude) of decline in grip strength, balance or gait in Swedish adults aged 50 years and older, but forearm BMD decreased at a greater rate in women than in men. Furthermore, there was heterogeneity in the rate of loss between the different musculoskeletal and function parameters, especially prior to the age of 70 years, with grip strength deteriorating at a greater rate than BMD, balance and gait.
Language eng
Field of Research 110602 Exercise Physiology
Socio Economic Objective 920502 Health Related to Ageing
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2013, BioMed Central
Persistent URL http://hdl.handle.net/10536/DRO/DU:30060418

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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.