Effect of Squat Exercises on Lung Function in Elderly Women with Sarcopenia

We explored whether a mechanically-assisted squat exercise improved muscle mass, muscle function, and pulmonary function in elderly women with or without sarcopenia. In total, 76 community-dwelling elderly subjects (>60 years of age) were screened. We ultimately included 30 subjects who completed more than 80% of the six-week course of mechanically-assisted squat exercises (three days per week, 30 min per day). We measured body composition, lung function, knee extensor strength, hand grip strength, and the 3-min walk distance (3MWD) before and after the exercise program. Subjects with sarcopenia had poor hand grip strength and knee extensor strength, and a slow walking speed. Their lung function parameters, including forced vital capacity (FVC), was lower than those of the controls. After six weeks of squat exercises, the hand grip strength, knee extensor strength, and 3MWD increased significantly in both groups. Appendicular skeletal muscle mass and leg lean mass were increased in subjects without sarcopenia. The FVC (L) increased significantly only in the sarcopenia group (p = 0.019). The mechanically-assisted squat exercise program increased muscle function and lung function, including FVC, in patients with sarcopenia. Muscle mass increased in subjects without sarcopenia.

[1]  C. Lee,et al.  Association Between Body Composition and Pulmonary Function in Elderly People: The Korean Longitudinal Study on Health and Aging , 2011, Obesity.

[2]  K.,et al.  Effect of Knee Position on Hip and Knee Torques During the Barbell Squat , 2003, Journal of strength and conditioning research.

[3]  J. Baeyens,et al.  Sarcopenia: European consensus on definition and diagnosis , 2010, Age and ageing.

[4]  Y. Shin,et al.  Efficacy of Systemic Postoperative Pulmonary Rehabilitation After Lung Resection Surgery , 2015, Annals of rehabilitation medicine.

[5]  Jae‐Young Lim,et al.  Prevalence Rate and Associated Factors of Sarcopenic Obesity in Korean Elderly Population , 2012, Journal of Korean medical science.

[6]  J. S. Kim,et al.  Association between CT-Measured Abdominal Skeletal Muscle Mass and Pulmonary Function , 2019, Journal of clinical medicine.

[7]  L. Peng,et al.  Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia. , 2014, Journal of the American Medical Directors Association.

[8]  Nancy K Latham,et al.  Progressive resistance strength training for improving physical function in older adults. , 2009, The Cochrane database of systematic reviews.

[9]  Yong-jun Choi,et al.  Prevalence of sarcopenia and sarcopenic obesity in the Korean population based on the Fourth Korean National Health and Nutritional Examination Surveys. , 2012, The journals of gerontology. Series A, Biological sciences and medical sciences.

[10]  C. Jaca,et al.  Comparison of the distances covered during 3 and 6 min walking test. , 2002, Respiratory medicine.

[11]  R. Gardner Standardization of spirometry: a summary of recommendations from the American Thoracic Society. The 1987 update. , 1988, Annals of internal medicine.

[12]  M. Khosravi,et al.  Single and Concurrent Effects of Endurance and Resistance Training on Pulmonary Function , 2013, Iranian journal of basic medical sciences.

[13]  G. Borg Psychophysical bases of perceived exertion. , 1982, Medicine and science in sports and exercise.

[14]  G. Onder,et al.  Sarcopenia and mortality risk in frail older persons aged 80 years and older: results from ilSIRENTE study. , 2013, Age and ageing.

[15]  Avan Aihie Sayer,et al.  A review of the measurement of grip strength in clinical and epidemiological studies: towards a standardised approach. , 2011, Age and ageing.

[16]  S. S. Kim,et al.  Low pulmonary function is related with a high risk of sarcopenia in community-dwelling older adults: the Korea National Health and Nutrition Examination Survey (KNHANES) 2008–2011 , 2015, Osteoporosis International.

[17]  R. Wolfe The role of dietary protein in optimizing muscle mass, function and health outcomes in older individuals , 2012, British Journal of Nutrition.

[18]  A. Smith‐Ryan,et al.  The effects of high intensity interval training on muscle size and quality in overweight and obese adults. , 2018, Journal of science and medicine in sport.

[19]  E. Bleecker,et al.  Weight loss, not aerobic exercise, improves pulmonary function in older obese men. , 2000, The journals of gerontology. Series A, Biological sciences and medical sciences.

[20]  I. Rosenberg,et al.  Sarcopenia: origins and clinical relevance. , 1997, The Journal of nutrition.

[21]  Misuzu Watanabe,et al.  Association between sarcopenia and higher-level functional capacity in daily living in community-dwelling elderly subjects in Japan. , 2012, Archives of gerontology and geriatrics.

[22]  J. Hallén,et al.  Effects of different types of exercise on muscle mass, strength, function and well-being in elderly , 2013 .

[23]  J. Moon,et al.  Implication of Sarcopenia and Sarcopenic Obesity on Lung Function in Healthy Elderly: Using Korean National Health and Nutrition Examination Survey , 2015, Journal of Korean medical science.

[24]  M. Kjaer,et al.  Role of the nervous system in sarcopenia and muscle atrophy with aging: strength training as a countermeasure , 2010, Scandinavian journal of medicine & science in sports.

[25]  B. Schoenfeld,et al.  Squatting kinematics and kinetics and their application to exercise performance. , 2010, Journal of strength and conditioning research.

[26]  Nan-Soo Kim Correlation between grip strength and pulmonary function and respiratory muscle strength in stroke patients over 50 years of age , 2018, Journal of exercise rehabilitation.

[27]  R. Gharakhanlou,et al.  Effects of Aerobic Exercise on Lung Function in Overweight and Obese Students , 2011, Tanaffos.

[28]  Ran Wang,et al.  The effect of training volume and intensity on improvements in muscular strength and size in resistance-trained men , 2015, Physiological reports.

[29]  D. Bunout,et al.  Association between sarcopenia and mortality in healthy older people , 2011, Australasian journal on ageing.

[30]  Romuald Lepers,et al.  Quadriceps femoris torque and EMG activity in seated versus supine position. , 2003, Medicine and science in sports and exercise.

[31]  V. Sabesan,et al.  Economic and social impact of upper extremity fragility fractures in elderly patients , 2015, Aging Clinical and Experimental Research.

[32]  Soo-Yeon Kim,et al.  ICU rehabilitation is associated with reduced long-term mortality from sepsis in patients with low skeletal muscle mass: a case control study. , 2019, Annals of translational medicine.

[33]  Si Hyun Kang,et al.  Reliability and Validity of Isometric Knee Extensor Strength Test With Hand-Held Dynamometer Depending on Its Fixation: A Pilot Study , 2014, Annals of rehabilitation medicine.

[34]  Michael H. Thomas,et al.  Increasing Lean Mass and Strength: A Comparison of High Frequency Strength Training to Lower Frequency Strength Training , 2016, International journal of exercise science.