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The Relationship between Sarcopenia and Respiratory Muscle Weakness in Community-Dwelling Older Adults

Author

Listed:
  • Tomoyuki Morisawa

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Yota Kunieda

    (Department of Rehabilitation Medicine, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo 136-0075, Japan)

  • Shingo Koyama

    (Department of Rehabilitation Medicine, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo 136-0075, Japan)

  • Mizue Suzuki

    (Department of Rehabilitation Medicine, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo 136-0075, Japan)

  • Yuma Takahashi

    (Department of Rehabilitation Medicine, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo 136-0075, Japan)

  • Tomokazu Takakura

    (Department of Rehabilitation Medicine, Juntendo Tokyo Koto Geriatric Medical Center, 3-3-20 Shinsuna, Koto-ku, Tokyo 136-0075, Japan)

  • Yuta Kikuchi

    (Department of Rehabilitation Medicine, Juntendo University Hospital, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan)

  • Tadamitsu Matsuda

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Yuji Fujino

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Ryuichi Sawa

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Akihiro Sakuyama

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Masakazu Saitoh

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Tetsuya Takahashi

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan)

  • Toshiyuki Fujiwara

    (Department of Physical Therapy, Juntendo University, 3-2-12 Hongo, Bunkyo-ku, Ochanomizu Center Building 5F, Tokyo 113-0033, Japan
    Department of Rehabilitation Medicine, Juntendo University Hospital, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-0033, Japan
    Department of Rehabilitation Medicine, Juntendo University Graduate School of Medicine, 2-1-1 Hongo, Bunkyo-ku, Tokyo 113-8421, Japan)

Abstract

An association between respiratory muscle weakness and sarcopenia may provide a clue to the mechanism of sarcopenia development. We aimed to clarify this relationship among community-dwelling older adults. In total, 117 community-dwelling older adults were assessed and classified into 4 groups: robust, respiratory muscle weakness, sarcopenia, and respiratory sarcopenia. The respiratory sarcopenia group (12%) had a significantly higher percentage of males and had lower BMI, skeletal muscle index, skeletal muscle mass, phase angle, and oral function than the robust group (32.5%). All physical functions were significantly lower. The respiratory muscle weakness group (54.7%) had a significantly lower BMI and slower walking speed, compared with the robust group. The sarcopenia group (0.8%) was excluded from the analysis. The percent maximum inspiratory pressure was significantly lower in both the respiratory muscle weakness and respiratory sarcopenia groups, compared with the robust group. Almost all participants with sarcopenia showed respiratory muscle weakness. In addition, approximately 50% had respiratory muscle weakness, even in the absence of systemic sarcopenia, suggesting that respiratory muscle weakness may be the precursor of sarcopenia. The values indicating physical function and skeletal muscle mass in the respiratory muscle weakness group were between those in the robust and the respiratory sarcopenia groups.

Suggested Citation

  • Tomoyuki Morisawa & Yota Kunieda & Shingo Koyama & Mizue Suzuki & Yuma Takahashi & Tomokazu Takakura & Yuta Kikuchi & Tadamitsu Matsuda & Yuji Fujino & Ryuichi Sawa & Akihiro Sakuyama & Masakazu Saito, 2021. "The Relationship between Sarcopenia and Respiratory Muscle Weakness in Community-Dwelling Older Adults," IJERPH, MDPI, vol. 18(24), pages 1-9, December.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:24:p:13257-:d:703713
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    References listed on IDEAS

    as
    1. Charlotte Beaudart & Myriam Zaaria & Françoise Pasleau & Jean-Yves Reginster & Olivier Bruyère, 2017. "Health Outcomes of Sarcopenia: A Systematic Review and Meta-Analysis," PLOS ONE, Public Library of Science, vol. 12(1), pages 1-16, January.
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    Cited by:

    1. Yohei Sawaya & Tamaki Hirose & Masahiro Ishizaka & Takahiro Shiba & Ryo Sato & Akira Kubo & Tomohiko Urano, 2022. "Patterns of Changes in Respiratory Muscle Strength over 1 Year in Non-Sarcopenia, Sarcopenia, and Severe Sarcopenia," IJERPH, MDPI, vol. 19(24), pages 1-9, December.
    2. Takeshi Kera & Hisashi Kawai & Manami Ejiri & Kumiko Ito & Hirohiko Hirano & Yoshinori Fujiwara & Kazushige Ihara & Shuichi Obuchi, 2022. "Comparison of Characteristics of Definition Criteria for Respiratory Sarcopenia—The Otassya Study," IJERPH, MDPI, vol. 19(14), pages 1-9, July.

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