Madoka Ogawa

Relationship between site-specific loss of thigh muscle and gait performance in women: the HIREGASAKI study.

Sarcopenia is observed as a site-specific loss of skeletal muscle mass, however, it is unknown whether the site-specific sarcopenia is associated with development of physical disability. The purpose of this study was to examine the relationship between age-related thigh muscle loss and gait performance. Fifty-three women aged 52-83 years had their thigh muscle thickness (MTH) measured by ultrasound at five sites on the anterior (30%, 50%, and 70% of thigh length) and posterior (50% and 70% of thigh length) aspects of their thigh. Maximum and normal walking speeds, zig-zag walking time, and maximal voluntary isometric knee extension and flexion strength were measured. Age was inversely correlated to the anterior and posterior MTH ratio (e.g., anterior 50%:posterior 70% MTH ratio [r=-0.426, p=0.002]), thus the site-specific muscle loss of the thigh was observed in the present sample. There were no significant correlations between the anterior/posterior MTH ratio and maximum and normal walking speeds. However, the ratios of anterior 50%:posterior 70% MTH (r=-0.430) and anterior 30%:posterior 70% MTH (r=-0.444) were correlated (p=0.001) to zig-zag walking test. After adjusting for age, height and weight, the anterior 30%:posterior 70% MTH (r=-0.292, p=0.040) was inversely correlated to zig-zag walking performance. Isometric knee extension strength was also inversely correlated to zig-zag walking. Our results suggest that an age-related loss of adductor/quadriceps muscles may be associated with a decrease in a relatively difficult task performance such as zig-zag walking.

Lower body site-specific sarcopenia and accelerometer-determined moderate and vigorous physical activity: the HIREGASAKI study.

Background and aims: It is unknown if the site-specific muscle loss of ageing muscle is associated with accelerometer-determined daily step count and/or intensity of physical activity. The purpose of this study was to examine the relationships between accelerometer- determined physical activity and lower body muscle size in women. Methods: Forty-eight women aged 52 to 76 years had their muscle thickness (MTH) measured by B-mode ultrasound at seven sites on the anterior and posterior aspects of their upper- and lower-leg. Daytime physical activity was measured using an accelerometer on 30 consecutive days and the total duration of each level of exercise intensity (light-PA, moderate-PA and vigorous-PA), average step count, and physical activity-related energy expenditure were calculated. Results: Age was inversely correlated with anterior 30% upper-leg MTH (r=−0.296, p<0.05), but not with other measured MTH sites. Light-PA was not significantly (p>0.05) correlated with measured lower body MTH. However, moderate-PA was correlated (p<0.05) with lower-leg MTH, while vigorous-PA was correlated (p<0.05) with lower-leg and anterior 30% upper- leg MTH. Following adjustment for confounding factors, the anterior and posterior lower-leg MTH was positively correlated (p<0.05) with duration of moderate- PA and vigorous-PA, as well as average step count. Conclusions: Thus daily moderate and vigorous physical activity was associated with higher muscle mass in the lower leg, but not in the upper-leg muscle, suggesting that the site-specific upper-leg muscle loss may not be prevented or attenuated by daily physical activity.

Quantification of intermuscular and intramuscular adipose tissue using magnetic resonance imaging after neurodegenerative disorders

Ectopic adiposity has gained considerable attention because of its tight association with metabolic and cardiovascular health in persons with spinal cord injury (SCI). Ectopic adiposity is characterized by the storage of adipose tissue in non-subcutaneous sites. Magnetic resonance imaging (MRI) has proven to be an effective tool in quantifying ectopic adiposity and provides the opportunity to measure different adipose depots including intermuscular adipose tissue (IMAT) and intramuscular adipose tissue (IntraMAT) or intramuscular fat (IMF). It is highly important to distinguish and clearly define these compartments, because controversy still exists on how to accurately quantify these adipose depots. Investigators have relied on separating muscle from fat pixels based on their characteristic signal intensities. A common technique is plotting a threshold histogram that clearly separates between muscle and fat peaks. The cut-offs to separate between muscle and fat peaks are still not clearly defined and different cut-offs have been identified. This review will outline and compare the Midpoint and Otsu techniques, two methods used to determine the threshold between muscle and fat pixels on T1 weighted MRI. The process of water/fat segmentation using the Dixon method will also be outlined. We are hopeful that this review will trigger more research towards accurately quantifying ectopic adiposity due to its high relevance to cardiometabolic health after SCI.