Influence of stimulation frequency on early and late phase rate of torque and velocity development.

The early (≤50 ms) rate of torque development (RTD) is dependent upon the rate of neuromuscular activation; however, few studies have evaluated the determinants of rate of velocity development (RVD), which may be load-dependent. The purpose here was to explore the relationship between stimulation frequency with the early and late (≥100 ms) phase isometric RTD and isotonic RVD. The knee extensors of 16 (5 female) young recreationally active participants were stimulated using 14 frequencies from 1-100 Hz during isometric and isotonic ('unloaded' and 7.5% of the isometric maximal voluntary contraction [MVC]) contractions. Isometric RTD and isotonic RVD were evaluated for the early (0-50 ms) and late (0-100 ms) phases from torque and velocity onset, respectively. Sigmoid functions were fit and bi-linear regressions were used to examine the slopes of the steep portion and the plateau frequency. RTD- and RVD-frequency relationships were well described by a sigmoid function (all r2>0.96). Compared with the late phase, early isometric RTD and unloaded RVD displayed lower slopes (all p≤0.001) and higher plateau frequencies (all p<0.001). In contrast, early and late RVD of a moderately loaded isotonic contraction did not display different slopes (p=0.055) or plateau frequencies (p=0.690). Early isometric RTD and unloaded isotonic RVD are more dependent on changes in stimulation frequency compared with late phases. However, RVD for a moderately loaded isotonic contraction displayed similar responses for the early and late phase. Therefore, high frequency of activation is critical for early torque and velocity generation but dependent upon the load for isotonic contractions.

Differential effects of stimulation frequency on isometric and concentric isotonic contractile function in human quadriceps.

Electrically evoked contractions are used to assess the relationship between frequency input and contractile output to characterize inherent muscle function, and these have been done mostly with isometric contractions (i.e., no joint rotation). The purpose was to compare the electrically stimulated frequency and contractile function relationship during isometric (i.e., torque) with isotonic (i.e., concentric torque, angular velocity, and mechanical power) contractions. The knee extensors of 16 (5 female) young recreationally active participants were stimulated (~1-2.5s) at 14 frequencies from 1-100 Hz. This was done during four conditions, repeated on separate days, which were: isometric; and isotonic at loads of 0, 7.5 and 15% isometric maximal voluntary contraction (MVC). Comparisons across contractile parameters were made as a % of 100 Hz. Independent of the load, the mechanical power-frequency relationship was rightward shifted compared with isometric torque-, concentric torque- and velocity-frequency relationships (all p≤0.04). With increasing load (0-15% MVC) the isotonic concentric torque-frequency relationship was shifted leftward systematically from 15-30 Hz (all p≤0.04). Conversely, the same changes in load caused a rightward shift in the velocity-frequency relationship from 1-40 Hz (all p≤0.03). Velocity was leftward shifted of concentric torque in the unloaded isotonic condition from 10-25 Hz (all p≤0.03), but concentric torque was leftward shifted of velocity at 15% MVC isotonic condition from 10-50 Hz (all p≤0.03). Therefore, isometric torque is not a surrogate to evaluate dynamic contractile function. Interpretations of evoked contractile function differ depending on contraction type, load, and frequency which should be considered relative to the specific task.

Voluntary activation of human knee extensors during isotonic shortening contractions.

PURPOSE: The interpolated twitch technique (ITT) is often used to assess voluntary activation during isometric contractions; however, this may have limited relevance to dynamic contractions. Although the ITT has been applied to relatively slow isokinetic contractions (< 150°/s), it has received limited consideration during unconstrained velocity (i.e., isotonic) contractions, despite their relevance to natural movements. Here, we explored the ITT during isotonic knee extension contractions using a modified dynamometer. METHODS: Young males (n = 6) and females (n = 4) performed isometric and isotonic knee extension contractions of sub-maximal and maximal intensities with doublet (150 Hz) muscle belly stimulations to assess voluntary activation. Following each voluntary isotonic contraction (velocity range ~ 35°/s to ~ 275°/s), resting potentiated doublets were evaluated during passive joint rotation at the same angular velocity achieved during voluntary efforts, to account for force-velocity characteristics. Correlations between voluntary activation and the proportion of maximal torque or power were evaluated for isometric and isotonic contractions, respectively. RESULTS: Isometric voluntary activation was strongly correlated with increasing torque output (r = 0.96, p < 0.001). Doublet torque during passive joint rotation displayed a hyperbolic relationship with increasing angular velocity (r = 0.98, p < 0.001). Isotonic voluntary activation was strongly correlated with increasing power output (r = 0.89, p < 0.001). During maximal effort contractions, no differences were observed in voluntary activation between isometric and isotonic conditions (89.4% vs. 89.2%, p = 0.904). CONCLUSIONS: The ITT is a valid approach to evaluate voluntary activation during an isotonic contraction using a modified dynamometer. Participants were able to achieve a similar high level of voluntary activation during isometric and isotonic contractions.

Micro- and nanostructured layered-kagome zinc orthovanadate BaZn3(VO4)2(OH)2.

Pure micro- and nanocrystalline powders of the layered-kagome zinc orthovanadate BaZn3(VO4)2(OH)2 have been successfully prepared and thoroughly characterised. Microstructured samples (BaZn3-MPs) have been produced by hydrothermal reaction using synthetic martyite Zn3V2O7(OH)2·2H2O as the starting reagent. Nanoparticles (NPs) with an average size of ≈ 60 nm (BaZn3-NPs-7h) or ≈ 50 nm (BaZn3-NPs-25min) have been obtained by using a coprecipitation method at ambient pressure, and by varying the stirring time. Rietveld refinements of X-ray diffraction data indicate that micro- and nanostructured BaZn3(VO4)2(OH)2 both crystallize in a R3̄m structure very similar to that of the known layered-kagome compound BaCo3(VO4)2(OH)2. Transmission electron microscopy observation of BaZn3-NPs-7h and BaZn3-NPs-25min reveals crystallized NPs with homogenous distributions of Ba, Zn, and V elements. FT-IR and Raman spectra show subtle differences between micro- and nanostructured samples which cannot be linked to any differences in the average crystal structures. The high resolution 51V MAS NMR spectrum of BaZn3-MPs shows a single isotropic line attributed to VO43- groups with C3v point group. The spectra of the nanostructured samples reveal the presence of a weak additional signal which decreases in intensity with increasing the NPs size, and which has been tentatively assigned to the presence at the surface of the NPs of a small amount of V5+ ions in a different chemical environment. Nanostructuring also impacts the optical properties of BaZn3(VO4)2(OH)2. The UV-vis absorption spectra of NPs exhibit an additional weak transition in the visible domain which is not observed for the microstructured sample.

Electrically Evoked Isotonic Plantar Flexion Contractions Are Impaired Less than Voluntary After a Dynamic Fatiguing Task.

PURPOSE: Evaluating central and peripheral processes responsible for reduced power after dynamic fatiguing tasks are often limited to isometric torque, which may not accurately reflect dynamic contractile performance. Here, we compare voluntary and electrically evoked peak power (and its determinants: dynamic torque and velocity) and rate of velocity development (RVD) before and after a dynamic fatiguing task using concentric Plantar flexion contractions. METHODS: Young (18-32 yr) males ( n = 11) and females ( n = 2) performed maximal-effort isotonic Plantar flexion contractions using a load of 20% isometric torque until an approximately 75% reduction in peak power. Voluntary and electrically evoked (300 Hz tibial nerve stimulation) contractions loaded to 20% and 40% isometric torque through 25° ankle joint range of motion were compared before and 0, 2.5, 5, and 10 min after task termination. RESULTS: At task termination, peak power and RVD of voluntary contractions at both loads were reduced more (~40% to 50% reduction) than electrically evoked (~25% to 35% reduction) contractions ( P < 0.001 and P = 0.003). Throughout the recovery period, electrically evoked peak power and RVD returned to baseline sooner (<5 min) than voluntary contractions, which were still depressed at 10 min. Reductions in peak power for the 20% load were equally due to impaired dynamic torque and velocity, whereas velocity was impaired more than dynamic torque ( P < 0.001) for the 40% load. CONCLUSIONS: The relative preservation of electrically evoked power and RVD compared with voluntary contractions at task termination and quicker recovery to baseline indicates that the reductions in dynamic contractile performance after task termination are due to both central and peripheral processes; however, the relative contribution of dynamic torque and velocity is load dependent.

Coordinatively Cross-Linked Binders for Silicon-Based Electrodes for Li-Ion Batteries: Beneficial Impact on Mechanical Properties and Electrochemical Performance.

A simple and versatile preparation of Zn(II)-poly(carboxylates) reticulated binders by the addition of Zn(II) precursors (ZnSO4, ZnO, or Zn(NO3)2) into a preoptimized poly(carboxylic acids) binder solution is proposed. These binders lead systematically to a significantly improved electrochemical performance when used for the formulation of silicon-based negative electrodes. The formation of carboxylate-Zn(II) coordination bonds formation is investigated by rheology and FTIR and NMR spectroscopies. Mechanical characterizations reveal that the coordinated binder offers a better electrode coating cohesion and adhesion to the current collector, as well as higher hardness and elastic modulus, which are even preserved in the presence of a carbonate solvent (i.e., in battery operation conditions). Ultimately, as shown from operando dilatometry experiments, the electrode expansion during lithiation is reduced, mitigating electrode mechanical failure. Such coordinatively reticulated electrodes outperform their uncoordinated counterparts with an improved capacity retention of over 30% after 60 cycles.

Calcaneal tendon stiffness is not associated with dynamic time-dependent contractile output.

The ability to rapidly generate muscular torque and velocity is important in specialized activities and daily tasks of living. Tendon stiffness is one factor in the neuromuscular system that influences musculoskeletal torque transmission. Previous studies have reported weak-to-moderate correlations between tendon stiffness and rate of torque development (RTD). However, these correlations have been reported only for isometric contractions, which may not be relevant to contractions involving joint rotation (i.e., dynamic). The purpose was to investigate the effect of calcaneal tendon stiffness on the dynamic RTD and rate of velocity development (RVD) in plantar flexor muscles. Young adult males (n = 13) and females (n = 2) performed prone isometric- and isotonic-mode maximal voluntary plantar flexion contractions (MVC). Ultrasound imaging was used to quantify tendon morphological characteristics to estimate Young's elastic modulus (YM). Maximal voluntary and electrically evoked (300 Hz) isometric- and isotonic-mode (at 10% and 40% MVC loads) contractions were evaluated for RTD and RVD through a 25° ankle joint range of motion. YM was correlated with isometric RTD, but only for evoked contractions (RTD0-50 ms: r = 0.54, p = 0.02, RTD0-200 ms: r = 0.62, p = 0.01). Conversely, YM was not correlated with dynamic RTD (voluntary: r = -0.07-0.41, p = 0.06-0.40, evoked: r = -0.2-0.3, p = 0.14-0.24) nor RVD (voluntary: r = -0.08-0.24, p = 0.27-0.40, evoked: r = 0.12-0.3, p = 0.14-0.34). These correlations would indicate that calcaneal tendon stiffness is an important factor for rapid isometric torque development, but less so for isotonic contractions. The determinants of dynamic contractile rates are more complex and warrant further study.

Assessing the Surface Chemistry of 2D Transition Metal Carbides (MXenes): A Combined Experimental/Theoretical 13C Solid State NMR Approach.

The surface functionalization of 2D transition metal carbides or nitrides, so-called MXenes, is one of the fundamental levers allowing to deeply modify their physicochemical properties. Beyond new approaches to control this pivotal parameter, the ability to unambiguously assess their surface chemistry is thus key to expand the application fields of this large class of 2D materials. Using a combination of experiments and state of the art density functional theory calculations, we show that the NMR signal of the carbon─the element common to all MXene carbides and corresponding MAX phase precursors─is extremely sensitive to the MXene functionalization, although carbon atoms are not directly bonded to the surface groups. The simulations include the orbital part to the NMR shielding and the contribution from the Knight shift, which is crucial to achieve good correlation with the experimental data, as demonstrated on a set of reference MXene precursors. Starting with the Ti3C2Tx MXene benchmark system, we confirm the high sensitivity of the 13C NMR shift to the exfoliation process. Developing a theoretical protocol to straightforwardly simulate different surface chemistries, we show that the 13C NMR shift variations can be quantitatively related to different surface compositions and number of surface chemistry variants induced by the different etching agents. In addition, we propose that the etching agent affects not only the nature of the surface groups but also their spatial distribution. The direct correlation between surface chemistry and 13C NMR shift is further confirmed on the V2CTx, Mo2CTx, and Nb2CTx MXenes.

Methodological and Clinimetric Evaluation of Inspiratory Respiratory Muscle Ultrasound in the Critical Care Setting: A Systematic Review and Meta-Analysis.

OBJECTIVE: Significant variations exist in the use of respiratory muscle ultrasound in intensive care with no society-level consensus on the optimal methodology. This systematic review aims to evaluate, synthesize, and compare the clinimetric properties of different image acquisition and analysis methodologies. DATA SOURCES: Systematic search of five databases up to November 24, 2021. STUDY SELECTION: Studies were included if they enrolled at least 50 adult ICU patients, reported respiratory muscle (diaphragm or intercostal) ultrasound measuring either echotexture, muscle thickness, thickening fraction, or excursion, and evaluated at least one clinimetric property. Two independent reviewers assessed titles, abstracts, and full text against eligibility. DATA EXTRACTION: Study demographics, ultrasound methodologies, and clinimetric data. DATA SYNTHESIS: Sixty studies, including 5,025 patients, were included with 39 studies contributing to meta-analyses. Most commonly measured was diaphragm thickness (DT) or diaphragm thickening fraction (DTF) using a linear transducer in B-mode, or diaphragm excursion (DE) using a curvilinear transducer in M-mode. There are significant variations in imaging methodology and acquisition across all studies. Inter- and intrarater measurement reliabilities were generally excellent, with the highest reliability reported for DT (ICC, 0.98; 95% CI, 0.94-0.99). Pooled data demonstrated acceptable to excellent accuracy for DT, DTF, and DE to predicting weaning outcome after 48 to 72 hours postextubation (DTF AUC, 0.79; 95% CI, 0.73-0.85). DT imaging was responsive to change over time. Only three eligible studies were available for intercostal muscles. Intercostal thickening fraction was shown to have excellent accuracy of predicting weaning outcome after 48-hour postextubation (AUC, 0.84; 95% CI, 0.78-0.91). CONCLUSIONS: Diaphragm muscle ultrasound is reliable, valid, and responsive in ICU patients, but significant variation exists in the imaging acquisition and analysis methodologies. Future work should focus on developing standardized protocols for ultrasound imaging and consider further research into the role of intercostal muscle imaging.

Test-retest repeatability of electrically evoked isotonic power and isometric torque in the plantar flexors.

Electrically evoked isometric torque has good to excellent repeatability, but the degree of repeatability for electrically evoked isotonic power is unknown. We evaluated the test-retest repeatability of plantar flexion isometric torque and isotonic power evoked using brief tetanic trains at 10 and 50 Hz. Both torque and power had excellent (intraclass correlation coefficient >0.9) repeatability at low and high frequencies. Similar to isometric torque, electrically evoked isotonic power is a stable measure for studying dynamic muscle function.

Associations between Pretreatment Body Composition Features and Clinical Outcomes among Patients with Metastatic Clear Cell Renal Cell Carcinoma Treated with Immune Checkpoint Blockade.

PURPOSE: High body mass index (BMI) may lead to improved immune-checkpoint blockade (ICB) outcomes in metastatic clear cell renal cell carcinoma (mccRCC). However, BMI is a crude body size measure. We investigated BMI and radiographically assessed body composition (BC) parameters association with mccRCC ICB outcomes. EXPERIMENTAL DESIGN: Retrospective study of ICB-treated patients with mccRCC. BMI and BC variables [skeletal muscle index (SMI) and multiple adiposity indexes] were determined using pretreatment CT scans. We examined the associations between BMI and BC variables with ICB outcomes. Therapeutic responses per RECIST v1.1 were determined. We compared whole-transcriptomic patterns with BC variables in a separate cohort of 62 primary tumor samples. RESULTS: 205 patients with mccRCC were included in the cohort (74% were male, 71% were overweight/obese, and 53% were classified as low SMI). High-BMI patients experienced longer overall survival (OS) than normal-weight patients [unadjusted HR, 0.66; 95% confidence interval (CI), 0.45-0.97; P = 0.035]. The only BC variable associated with OS was SMI [unadjusted HR comparing low vs. high SMI 1.65 (95% CI: 1.13-2.43); P = 0.009]. However, this OS association became nonsignificant after adjusting for International Metastatic Renal Cell Carcinoma Database Consortium score and line of therapy. No OS association was seen for adiposity and no BC variable was associated with progression-free survival or radiological responses. Tumors from patients with low SMI displayed increased angiogenic, inflammatory, and myeloid signals. CONCLUSIONS: Our findings highlight the relevance of skeletal muscle in the BMI paradox. Future studies should investigate if addressing low skeletal muscle in metastatic patients treated with ICB can improve survival.

Comparison of prolonged low-frequency force depression assessed using isometric torque and isotonic power following a dynamic fatiguing task.

PURPOSE: Prolonged low-frequency force depression (PLFFD) occurs following both dynamic and static fatiguing tasks, but it has been assessed predominately using measures of isometric torque. However, it is unknown whether PLFFD induced during dynamic tasks is adequately characterized by isometric torque, which excludes velocity and power. The purpose of this study was to compare PLFFD assessed using isometric torque and isotonic power following a concentric fatiguing task. METHODS: Young (18-31 years) males (n = 9) and females (n = 4) performed isotonic plantar flexion contractions until a ~ 75% reduction in peak power. Isotonic and isometric contractions were electrically evoked at 10 Hz and 50 Hz via tibial nerve stimulation. Isotonic and isometric PLFFD was assessed as the ratio of 10 to 50 Hz for power and torque, respectively. Recovery was assessed immediately, and at 2.5, 5, 10, 20, and 30 min after task termination. RESULTS: Relative to baseline, 10:50 Hz ratio assessed using isotonic power was reduced more than isometric torque (30 min 41 ± 17 vs. 25 ± 12% reduction, p = 0.001); however, both contraction modes displayed similar trajectories throughout recovery (p = 0.906). The larger reduction in isotonic 10:50 Hz ratio was due to greater impairments in 10 Hz power compared to 10 Hz isometric torque (30 min 38 ± 20 vs. 21 ± 11% reduction, p < 0.001). CONCLUSION: The similar trajectories of 10:50 Hz ratios throughout recovery indicate that PLFFD can be adequately characterized using either isometric torque or isotonic power.

Age-related performance fatigability: a comprehensive review of dynamic tasks.

Adult aging is associated with a myriad of changes within the neuromuscular system, leading to reductions in contractile function of old adults. One of the consequences of these age-related neuromuscular adaptations is altered performance fatigability, which can limit the ability of old adults to perform activities of daily living. Whereas age-related fatigability during isometric tasks has been well characterized, considerably less is known about fatigability of old adults during dynamic tasks involving movement about a joint, which provides a more functionally relevant task compared with static contractions. This review provides a comprehensive summary of age-related fatigability during dynamic contractions, where the importance of task specificity is highlighted with a brief discussion of the potential mechanisms responsible for differences in fatigability between young and old adults. The angular velocity of the task is critical for evaluating age-related fatigability, as tasks that constrain angular velocity (i.e., isokinetic) produce equivocal age-related differences in fatigability, whereas tasks involving unconstrained velocity (i.e., isotonic-like) consistently induce greater fatigability for old compared with young adults. These unconstrained velocity tasks, which are more closely associated with natural movements, offer an excellent model to uncover the underlying age-related mechanisms of increased fatigability. Future work evaluating the mechanisms of increased age-related fatigability during dynamic tasks should be evaluated using contraction modes that are specific to the task (i.e., dynamic), rather than isometric, particularly for the assessment of spinal and supra spinal components. Advancing our understanding of age-related fatigability is likely to yield novel insights and approaches for improving mobility limitations in old adults.

Frequency-dependent coexistence of muscle fatigue and potentiation assessed by concentric isotonic contractions in human plantar flexors.

The purpose was to investigate whether postactivation potentiation (PAP) mitigates power (i.e., torque × angular velocity) loss during dynamic fatiguing contractions and subsequent recovery by enhancing either muscle torque or angular velocity in human plantar flexors. In 12 participants, electrically stimulated (1, 10, and 50 Hz) dynamic contractions were done during a voluntary isotonic fatiguing protocol until a 75% loss in voluntary peak power, and throughout 30 min of recovery. At the initial portion of fatigue (20% decrease), power responses of evoked low frequencies (1 and 10 Hz) were enhanced due to PAP (156% and 137%, respectively, P < 0.001), whereas voluntary maximal efforts were depressed due to fatiguing mechanisms. Following the fatiguing task, prolonged low-frequency force depression (PLFFD) was evident by reduced 10:50 Hz peak power ratios (21%-24%) from 3 min onward during the 30-min recovery (P < 0.005). Inducing PAP with maximal voluntary dynamic contractions during PLFFD enhanced the peak power responses of low frequencies (1 and 10 Hz) by 128%-160%, P < 0.01. This PAP response mitigated the effects of PLFFD as the 1:50 (P < 0.05) and 10:50 (P > 0.4) Hz peak power ratios were greater or not different from the prefatigue (baseline) values. In addition, PAP enhanced peak torque more than peak angular velocity during both baseline and fatigue measurements (P < 0.03). These results indicate that PAP can ameliorate PLFFD acutely when evaluated during concentric isotonic contractions and that peak torque is enhanced to a greater degree compared with peak angular velocity at baseline and in a fatigued state.NEW & NOTEWORTHY Postactivation potentiation (PAP) enhanced stimulated low frequencies (1 and 10 Hz) during muscle fatigue development when assessed with power (torque × angular velocity) in a voluntary isotonic fatiguing task. Following the task during 30 min of recovery, prolonged low-frequency force depression (PLFFD) was evident, and inducing PAP with brief maximal contractions during this state ameliorated the effects of PLFFD. PAP enhanced peak torque more than peak angular velocity during both baseline and fatiguing conditions.

Templating effect of trans-2,5-dimethylpiperazine (TDMP) on the structural dimensionality of hybrid metal halides.

Templating effects are commonly investigated by comparing different organic structure-directing agents in a specific inorganic system. Herein, a specific secondary diamine, the trans-2,5-dimethylpiperazine, has been selected for different metal halide anions with the aim to analyze its influence on different inorganic networks. Thus, five new trans-2,5-dimethylpiperazine-1,4-diium based compounds with [CuBr4]2-, [CdBr4]2-, [CuBr2]-, [AgCl2]-, and [AgBr2]- have been synthesized, structurally characterized and compared to eight previously reported compounds containing [ZnCl4]2-, [ZnBr4]2-, [CoCl4]2-, [PbCl4]2-, [PbBr4]2-, [SnBr4]2-, [CuCl4]2-, and [CdCl4]2-. Despite the different crystal structures (space-groups, inorganic frameworks, etc.), the dimensionalities (from 0D to 2D) of the inorganic networks of these 13 hybrid materials could be rationalized according to only two parameters: the oxidation state (+1 or +2) and the coordination sphere (tetrahedron or octahedron) of the metal ions. The luminescence properties of the new hybrid silver bromide have been analyzed and discussed by comparing the luminescence mechanisms of the other previously reported trans-2,5-dimethylpiperazine-1,4-diium metal halides.

Local environment of iodine dissolved as iodate in high-pressure aluminoborosilicate glasses: A I K-edge x-ray absorption spectroscopic study.

The use of high-pressure synthesis conditions to produce I-bearing aluminoborosilicate represents a promising issue for the immobilization of 129I radioisotope. Furthermore, iodine appears to be more solubilized in glasses under its iodate (I5+) form rather than its iodide (I-) form. Currently, the local atomic environment for iodine is poorly constrained for I- and virtually unknown for I5+ or I7+. We used I K-edge x-ray absorption spectroscopy conducted at 20 K for determining the local atomic environment of iodine dissolved as I-, I5+, and I7+ in a series of aluminoborosilicate glasses. We determined that I- is surrounded by either Na+ or Ca2+ in agreement with previous studies. The signal collected from EXAFS reveals that I5+ is surrounded invariably by three oxygen atoms forming an IO3 - cluster charge compensated by Na+ and/or Ca2+. The I-O distance in iodate dissolved in glass is comparable to the I-O distance in crystalline compounds at ∼1.8 Å. The distance to the second nearest neighbor (Na+ or Ca2+) is also constant at ∼3.2 Å. This derived distance is identical to the distance between I- and Na+ or Ca2+ in the case of iodide local environment. For one sample containing iodate and periodate, the distinction between the local environment of I5+ and I7+ could not be made, suggesting that both environments have comparable EXAFS signals.

Association of strength, power, and function with muscle thickness, echo intensity, and lean tissue in older males.

Dual-energy X-ray absorptiometry (DXA) appendicular lean tissue is used to screen older adults for sarcopenia. However, emerging data indicates that ageing-related muscle atrophy largely occurs within specific muscles, which may be masked using appendicular lean tissue. Comparisons between appendicular lean tissue and site-specific measures of muscle in relation to strength and physical function are needed to advance our understanding of these features in the context of poor muscle function in aged adults. Our primary objective was to compare correlations between lean tissue and site-specific muscle characteristics in relation to strength and physical function in older males. Older males (≥65 years) were evaluated for muscle strength, physical function (6-minute walk and 30-second sit-to-stand), and muscle size (appendicular and site-specific) and composition (echo intensity) using DXA and ultrasound. Of the 32 older males (75.4 ± 7.9 years), 12 had low appendicular lean tissue. All DXA and ultrasound muscle characteristics were associated (r = 0.39 to 0.83, p < 0.05) with torque or power producing capabilities. Except for the knee flexors, no differences in correlation coefficients were observed between muscle thickness or regional lean tissue in relation to muscle strength. Neither DXA nor ultrasound muscle characteristics were associated with physical function. In older males, ultrasound-based muscle thickness and DXA lean tissue provided similar associations with strength. Novelty: Lean tissue and muscle thickness provide similar associations with strength. Muscle thickness can distinguish low and normal appendicular lean tissue in older adults.

Altered features of body composition in older adults with type 2 diabetes and prediabetes compared with matched controls.

BACKGROUND: Ageing is accompanied by muscle loss and fat gain, which may elevate the risk of type 2 diabetes (T2D). However, there is a paucity of data on the distribution of regional lean and fat tissue in older adults with T2D or prediabetes compared with healthy controls. The objective of this study was to compare regional body composition [by dual-energy x-ray absorptiometry (DXA)], muscle and subcutaneous adipose tissue (SAT) thicknesses (by ultrasound), and ultrasound-based muscle texture features in older adults with T2D or prediabetes compared with normoglycaemic controls. METHODS: Eighteen adults > 60 years with T2D or prediabetes (T2D group) were individually matched to normoglycaemic participants [healthy matched (HM) group] for age (±5 years), sex, and body fat (±2.5%). In a single study visit, all participants received a whole-body DXA scan and ultrasound assessment of the abdomen and anterior thigh. At these two landmarks, we used ultrasound to measure muscle and SAT thickness, as well as texture features of the rectus femoris and rectus abdominis. We also conducted an exploratory subanalysis on a subset of participants (n = 14/18 in the T2D group and n = 10/18 in the HM group) who underwent additional assessments including strength testing of the knee extensors (using a Biodex dynamometer), and a fasting blood sample for the measurement of circulating markers of glucose metabolism [glucose, insulin, c-peptide, and the homoeostatic model assessment of insulin resistance (HOMA-IR)]. RESULTS: The T2D group was 72 ± 8 years old (mean ± SD), predominantly male (n = 15/18; 83%), and overweight (BMI: 27.8 ± 4.2 kg/m2 , 33.2 ± 5.3% body fat). DXA-derived upper arm lean mass was 0.4 kg greater (P = 0.034), and leg fat mass was 1.4 kg lower (P = 0.048), in the T2D vs. HM group. Ultrasound-based texture features were distinct between the groups [rectus abdominis blob size: 0.07 ± 0.06 vs. 0.30 ± 0.43 cm2 , P = 0.045; rectus femoris local binary pattern (LBP) entropy: 4.65 ± 0.05 vs. 4.59 ± 0.08 A.U., P = 0.007]. When all participants who underwent additional assessments were pooled (n = 24), we observed that certain ultrasound-based muscle texture features correlated significantly with muscle strength (rectus abdominis histogram skew vs. power during an isokinetic contraction at 60°/s: r = 0.601, P = 0.003) and insulin resistance (rectus femoris LBP entropy vs. HOMA-IR: r = 0.419, P = 0.042). CONCLUSIONS: Our findings suggest a novel body composition phenotype specific to older adults with T2D or prediabetes. We are also the first to report that ultrasound-based texture features correspond with functional outcomes. Future larger scale studies are needed to uncover the mechanisms underpinning these regional body composition differences.

Body size normalization of ultrasound measured anterior upper leg muscle thickness in younger and older males and females.

BACKGROUND: Ultrasound measurements of the anterior upper leg muscle thickness are often used to quantify muscle mass; however, the ideal normalization approach is unclear. Our primary objective was to examine how the anterior upper leg muscle thickness scales with indices of body size in younger and older adults. Our secondary objectives were to examine how normalization with body size alters the identification of low muscle thickness and associations with strength and physical function. METHODS: Younger (<45 years) males (n = 38) and females (n = 24) and older (≥60 years) males (n = 53) and females (n = 24) were evaluated for anthropometrics and anterior upper leg muscle thickness. Allometric models were used to examine how body size metrics scale with anterior upper leg muscle thickness. A subset of older males was evaluated for strength and function. RESULTS: Weight and BMI scaled with anterior upper leg muscle thickness with coefficients less than 1 (0.58 to 0.82, r2 = 0.15 to 0.31, p < 0.05) for both younger and older males and females. Compared to absolute anterior upper leg thickness, normalized indices identified a greater proportion of older adults with low muscle thickness (p < 0.05). Absolute muscle thickness provided stronger associations with strength compared to weight normalized indices. CONCLUSIONS: Scaling exponents less than 1 for weight and BMI for the anterior upper leg muscle thickness indicate that allometric normalization is the ideal approach to develop body size independent metrics. However, allometric normalization of muscle thickness increases the proportion of older adults classified as low muscle mass but decreased the associations with strength.

Rectus Abdominis Muscle Thickness is a Valid Measure of Cross-Sectional Area: Implications for Ultrasound.

RATIONALE AND OBJECTIVES: The rectus abdominis muscle exhibits early and significant muscle atrophy, which has largely been characterized using ultrasound measured muscle thickness. However, the validity of rectus abdominis muscle thickness as a metric of muscle size has not been established, limiting precise interpretation of age-related changes. In a heterogeneous cohort of women and men, our objectives were to: (1) evaluate the association between rectus abdominis muscle thickness and cross-sectional area (CSA), and (2) examine if the visceral adipose tissue (VAT) compartment confounds the validity of rectus abdominis muscle thickness. MATERIALS AND METHODS: Abdominal computed tomography scans of the third lumbar vertebrae from clinical and healthy populations were used to evaluate rectus abdominis thickness and CSA, and VAT CSA. Computed tomography scans were utilized due to the limited field of view of ultrasound imaging to capture the rectus abdominis CSA. RESULTS: A total of 348 individuals (31% women) were included in this analysis, with a mean ± standard deviation age and body mass index of 51.2 ± 15.4 years and 28.0 ± 5.1 kg/m2, respectively. Significant correlations were observed between rectus abdominis thickness and CSA for women (r = 0.758; p < 0.001) and men (r = 0.688; p < 0.001). Independent of age, VAT CSA was negatively associated with rectus abdominis thickness in men (p = 0.011), but not women (p = 0.446). CONCLUSION: These data support the use of rectus abdominis muscle thickness as a measurement of muscle size in both women and men; however, the VAT compartment may confound its validity to a minor extent in men.