Styrkeförlust hos äldre män

[King Grub]

Det här är egentligen en studie på prostatacancer, men är intressant eftersom den även visar trenderna för friska äldre.

Vid 70 går det kraftigt utför med styrkan. Speciellt i underkroppen. På sju år förlorar en frisk man två tredjedelar av styrkan i sina lårmuskler. En stor anledning att träna som gammal.

OBJECTIVES:

To examine and compare changes in strength and physical function from pre- to post-diagnosis among men with prostate cancer (PC, [cases]) and matched non-cancer controls identified from the Health, Aging and Body Composition (Health ABC) study.

MATERIALS AND METHODS:

We conducted a longitudinal analysis of 2 strength and 3 physical function-based measures among both cases and controls, identified from a large cohort of community living older adults enrolled in the Health ABC study. We plotted trajectories for each measure and compared cases vs. controls from the point of diagnosis onwards using mixed-effects regression models. For cases only, we examined predictors of poor strength or physical function.

RESULTS:

We identified 117 PC cases and 453 matched non-cancer controls (50% African Americans). At baseline, there were no differences between cases and controls in demographic factors, comorbidities or self-reported physical function; however, cases had slightly better grip strength (44.6 kg vs. 41.0 kg, p<0.01), quadriceps strength (360.5 Nm vs. 338.7 Nm, p = 0.02) and Health ABC physical performance battery scores (2.4 vs. 2.3, p = 0.01). All men experienced similar declines in strength and physical function over an equivalent amount of time. The loss of quad strength was most notable, with losses of nearly two-thirds of baseline strength over approximately 7 years of follow up.

CONCLUSIONS:

Among both cases and controls, strength and physical function decline with increasing age. The largest declines were seen in lower body strength. Regular assessments should guide lifestyle interventions that can offset age- and treatment-related declines among men with PC.

PLoS One. 2020 Feb 13;15(2):e0228773. Trajectories in muscular strength and physical function among men with and without prostate cancer in the health aging and body composition study.

https://journals.plos.org/plosone/ar...l.pone.0228773

[Diomedea exulans]

Farsan är 72. Kommer aldrig få honom att gymma, men det är dags att tjata på honom att börja bygga det där garaget.