PURPOSE This study investigated the impact of underweight and hand grip strength (HGS) levels on the risk of all-cause mortality in older adults. METHODS Data from the 2006 baseline and 2020 follow-up assessments of the Korean Longitudinal Study of Aging (KLoSA), involving 3,009 older Koreans (≥65 years) were used in the study. Participants were categorized based on body mass index (BMI) as underweight, normal, overweight, or obese and grouped according to the Asian Working Group Sarcopenia criteria into high or low HGS. Cox proportional hazard models were used to estimate the hazard ratio (HR) and 95% confidence interval (CI) of all-cause mortality according to BMI and HGS categories. RESULTS During the 11.3±4.0 years follow-up period, 1,334 deaths from all causes occurred. The risk of death by BMI and HGS level was analyzed. The results showed that the risk of death in the overweight and high HGS group (HR=0.773, p=.016) was significantly lower than that in the normal weight & high HGS group (HR=1). In comparison, the risk of death in the underweight & low HGS group (HR=1.930, p<.001) and the normal weight & high HGS group (HR=1.225, p=.014) were significantly higher than normal weight & high HGS. However, the risk of death in the underweight and high HGS group showed no significant difference compared to the normal weight and high HGS group. CONCLUSIONS The current findings suggest that improving muscle strength through regular exercise may be important in preventing the risk of all-cause mortality due to being underweight.
The purpose of this study was to explore and confirm Kumi-kata related factors of muscle strength by performance level in Korea elite female judoists. In order to achieve this purpose, 14 elite female judoists participated to this study. The subjects were divided to two groups (World Class Group and Non-World Class Group) according to their world ranking level(by ranked 30th). The analysis factors were repeated grip strength, Kumi-kata specific pulling strength and isokinetic strength of trunk joint. The results were as follows: Firstly, World Class Group had significantly higher repeated grip strength as compared to non-world class group (p<.001). Secondly, World Class Group had significantly higher specific Kumi-kata pulling strength as compare to non-world class group (p<.05). Finally, The differences between the two groups for isokinetic strength of trunk joint were non-significant. The results of this study indicates that a strong relationship exist between Kumi-kata related specific muscle strength and performance level in korea elite female judoists.
PURPOSE This study aimed to investigate the effects of an 8-week unstable surface Pilates training on physical fitness, abdominal muscle thickness, lumbar isokinetic muscle function, and pain in women aged 30–40 who are living a sedentary lifestyle and experiencing nonspecific low back pain. METHODS The training group (TR, n = 15) performed Pilates using small apparatuses on an unstable surface for 50 min/session, three sessions per week for 8 weeks, whereas the control group (n = 13) maintained their usual living pattern during the same intervention period. RESULTS 1) The body weight, body mass index, percent body fat, and fat mass decreased significantly in the TR, 2) whereas the hand grip strength, trunk extension, sit-andreach, and modified Schober test scores improved significantly. 3) The thickness of the external oblique, internal oblique, and transversus abdominis increased significantly in the TR. 4) Lumbar isokinetic flexor strength per body weight increased significantly in the TR. The endurance and endurance per body weight of the lumbar isokinetic extensor and lumbar isokinetic flexor also significantly increased in the TR. 5) The Korean Oswestry disability index (KODI) and the visual analog scale (VAS) score decreased significantly in the TR. 6) Significant negative correlations were found between the change rates in the KODI and nondominant hand grip strength, external oblique thickness, transversus abdominis thickness, and lumbar isokinetic extensor endurance. A significant negative correlation was found between the change rates in the VAS score and external oblique thickness. CONCLUSIONS The results revealed that the 8-week unstable surface Pilates training was beneficial in improving physical fitness, abdominal muscle thickness, lumbar isokinetic muscle function, disabilityindex, and pain levels in women aged 30–40 years who were having a sedentary lifestyle and experiencing nonspecific low back pain.
Purpose Evaluating the aging of senior and providing optimal sevices are important things for successful aging. This study identified functional fitness related with heath of aged 65 years or older and developed an age scale (longevity fitness age) for assessing their aging. Methods Participants were 458 older people (166 male, 292 female). They were divided into healthy group and disease group. Healthy group was used for the development of the longevity age equation and disease group was for investigating the validity of the equation. Participants completed 13 function fitness variables. The first principal component obtained from a principal component analysis was used to compute the equation. All variables except for grip strength and carrying beans were correlated with chronological aged. Grip strength and variables related lower functional fitness had differences between healthy group and disease group. Finally, 4 variables were selected for the equation. Results It was the following: longevity fitness age=0.942*X1+2, 185*X2+0.673*X3+0.051*X4+0.588*chronological age+58.401, where X1=standing up from a supine position, sec (s), X2=maximum walking (s), X3=standing up and sitting down a chair (s), X4=one leg balance with eyes open (s). The longevity fitness age of healthy group do not have a difference compared to their chronological age but disease group had a difference significantly. Age difference (chronological age-longevity fitness age) of sedentary group in disease group was significantly bigger than its active group. Longevity fitness age could assess an aging of senior. Conclusion We suggest that it can use as the tool for early detecting senior who need the health care service.
Purpose The purpose of this study is to compare the maximal strength, isokinetic muscle function and anaerobic capacity according to the position of college and professional rugby players. Methods Subjects for this study were 54 athletes and randomly divided into 4 groups: the forwards group in college rugby players (FCRP, n = 10), backs group in college rugby players (BCRP, n = 16), forwards group in professional rugby players (FPRP, n = 16), and backs group in professional rugby players (BPRP, n = 12). Physical fitness was consisted of squat, bench press, bilateral grip strength. Isokinetic knee and trunk muscle functions were measured by Humac Norm device, and anaerobic pedaling power was analyzed by Wingate test. Significant differences between groups were determined with one-way repeated ANOVA. Results As the result of this study, there was no statistically significant difference between the absolute and relative values of the squat and bilateral grip strengths, but bench press was significantly higher in FPRP and BPRP compared to other groups. Isokinetic knee and trunk extensor and flexor muscle strength showed stronger in FPRP and BPRP than those in FCRP and BCRP. In addition, the anaerobic pedaling power was also the highest in FPRP and BPRP. Conclusions Our findings suggest important information that the college rugby players and forwards in professional rugby team should be given scientific training to improve their maximum strength, isokinetic strength and anaerobic power.
Purpose This study examines the regional differences in fall-related physical fitness and fall experience characteristics between Korean and Japanese elderly people. Methods The study includes 176 elderly residents of Gifu(35 male, 73.5yrs; 141 female, 72.4yrs) and 147 residents of Ulsan(46 male, 75.6yrs; 101 female, 75.6yrs). One-legged stance, hand grip strength, knee extension strength, 10 m gait, timed up and go test, 30-s chair stand, sit and reach, and reaction time were measured to examine the fall-related physical fitness. A questionnaire survey was also conducted to investigate the characteristics of the fall experiences. Results The elderly in Ulsan experienced a lot of falls compared to those in Gifu. Many of the fallers in Ulsan have fallen forward due to tripping, and they have often fallen backwards by losing balance. In addition, 14% of them suffered a bone fractured. The one-legged stance, hand grip strength, 10m gait, timed up and go, 30-s chair stand, and reaction time of the elderly in Gifu were superior to those in Ulsan. Conclusion In order to reduce the fall rate through improvements to fall related physical fitness and the awareness of fall prevention, various professional fall prevention programs and policies should be proposed, and they should be implemented systematically for community living elderly people.
Frailty in older adults is related to an increased risk for poor health outcomes including falls, disability, hospitalization and mortality. The purpose of this study was to determine the thresholds of a functional fitness associated with frailty for community-dwelling woman aged 65 or older. In this study, the National Fitness Award(NFA) items for elderly were utilized as the physical function and fitness testing for korean elderly women. The total of 444 community-dwelling woman completed the testings. Frailty status was classified by the Japan LTCI system ‘Kihon Checklist’ in the study. The prevalence of the frailty was 19.1% in the study. The frail elderly were older and showed higher obesity index such as weight, body mass index (BMI), percent body fat and waist circumference than the normal elderly. After adjusting for age and BMI which was related to frailty, fitness testing items were compared depending on frailty. As the result, the frail elderly showed significantly lower fitness levels in grip strength, 30-second chair stand test, timed up and go, figure-of-8 walk around two cones, and 2-minute step test than the normal elderly. When the fitness cut-off values were analyzed using the ROC curve, also, grip strength: 34.13%, 30-second chair stand test: 14 reps, timed up and go: 7.09 seconds, figure-of-8 walk around two cones: 30.88 seconds, and 2-minute step test: 93 reps. In addition, based on the cut-off values of each fitness item, the group with a low fitness level showed a 1.86 to 3.09 higher odds ratio of frailty than the group with a high fitness level, even after age and BMI were adjusted. In conclusion, these findings indicate that the fitness cut-off values in this study are fitness levels for preventing frailty of Korean elderly women and there will be a need for a large-scale study including subdivided fitness cut-off values for each age group and targets elderly men as well.
Purpose The purpose of this study was to investigate the effects of aerobic exercise intensity on body composition, health related fitness, and quality of life in elderly women. Methods 48 elderly women over 65 years of age without physical and mental problems were assigned to four groups: control group, low intensity, moderate intensity, and high intensity aerobic training group. The aerobic exercise group applied a heart rate reserve (HRR) to low-intensity group (HRR 40-55%), moderate intensity group (HRR 55-70%), high intensity group (HRR> 70%) for 12 weeks, 3 times a week for 20 minutes a day. Subjects of the control group were to maintain their usual lifestyles during the same intervention period. Body composition, health related fitness, and quality of life were measured and analyzed using repeated two-way ANOVA. Results The main results obtained in this study are as follows. 1) There was a significant decrease in sitting forward bending in the low intensity group and a significant increase in EQ-VAS. 2) There was a significant decrease in body weight, BMI, and 6 minutes walking in the moderate intensity group, and a significant increase in grip strength and EQ-VAS. 3) The high intensity group showed a significant decrease in weight, BMI, waist circumference, sitting forward bending, and 6 minutes walking, and a significant increase in grip strength, sit and stand, functional reach, and VO2max. On the other hand, there was no significant change in all variables in the control group. Conclusions In conclusion, aerobic training was found to be effective for body composition, health related fitness and quality of life in elderly women. In particular, it can be concluded that high intensity aerobic training is effective for health related fitness, and low and moderate intensity aerobic exercise is effective for improving quality of life.
Purpose The purpose of this study was to find out the physical characteristics of Wushu athletes by comparing the differences on the results of physical fitness between the male athletes of the Wushu national team Taolu and the Sanda group. Methods Measurement of basic and professional fitness based on muscle function, targeting 37 men Wushu national team players (24 taolu, 13 Sanda) in the selection and evaluation contests twice in 2018 and 2019. Body composition, isometric muscle strength, flexibility and equilibrium, anaerobic power, and isokinetic muscle strength. The fitness factors were divided into two groups, Taolu and Sanda. Results First, body fat rate of the Sanda athlete group was significantly lower than that of the taolu athlete group (p<.01). Second, in the isometric muscle strength category(back muscle strength, grip strength), the Sanda athlete group had higher muscle strength than Taolu athlete group, but there was a statistically significant difference only in the left grip strength (p<.01). Third, in terms of flexibility and equilibrium, the taolu players were significantly higher in all items(p<.001). Fourth, in the anaerobic power, the taolu athlete group had higher both the peak power and the mean power, and there were a significant differences(peak power: p<.01, mean power: p<.001). Fifth, isokinetic muscle strength was significantly higher in the right knee flexion of the taolu athlete group (p<.01), and lumbar extensor muscle was significantly higher in the Sanda athlete group (p<.05). Sixth, in the isokinetic strength ratio, the knee flexion ratio of the Sanda athlete group were significantly higher on the left and right knee flexion and extensor ratios (p<.05). In addition, in the lumbar flexor and extensor ratios, the group of Sanda athlete group were significantly higher on the lumbar extensor(p<.05). Seventh, there was no significant difference between two groups in isokinetic muscle power. Conclusions The results of this study can be used as basic data to improve the efficiency of technical and physical training through the analysis of the characteristics of Taolu and Sanda. The effectiveness of this training will help to improve the performance.
Purpose The purpose of the study was to determine difference of body composition, bone mineral density and health-related fitness by physical activity level in young women. Methods A total of 90 women aged 19-29 years participated in this study. The subjects were divided into three groups (low, middle, and high level) according to the physical activity level estimated by bone-specific physical activity questionnaire(BPAQ). Body height and weight were measured. Body composition parameters including four sites of bone mineral density(BMD) were estimated by DXA (Hologic, QDR-4500, USA). Health-related fitness tests was assessed using sit & reach, grip strength, sit-ups, and VO2max. Statistical analysis was performed using SAS version 9.4. All data were presented in terms of means and standard deviations. One-way ANOVA was applied to determine difference of dependent variables by physical activity level. Duncan's multiple range test was used as a post-hoc test. The statistical significance level was set at p < .05. Results There were significant differences on body weight(F = 4.867, p = .01), body mass index(F = 5.053, p = .008) and fat-free mass(F = 8.364, p = .0001) among the three groups. Significant differences were found on whole body BMD(F = 16.730, p = .0001), lumbar BMD(F = 11.480, p = .0001), femur BMD(F = 42.182, p = .0001) and forearm BMD(F = 5.560, p = .005) among the three groups. There were also significant differences on sit and reach(F = 11.433, p = .0001), sit-ups(F = 17.972, p = .0001), VO2max(F = 3.106, p = .05) and duration of GXT(F = 7.479, p = .001). Conclusions There were differences on body composition, bone mineral density and health-related physical fitness by physical activity levels. Nevertheless, the questionnaire used in this study was not able to judge participation in various exercise types including aerobic exercise or resistance exercise. Therefore, in the future study, longitudinal study considering various types of physical activity and dietary intake will be needed.
