Effect of Body Mass on Quadriceps Muscle Strength among Postmenopausal Women

  • Ketaki Yogesh Kulkarni Department of Physiotherapy, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
  • Trupti Yadav Department of Physiotherapy, Krishna Institute of Medical Sciences, Karad, Maharashtra, India.
Keywords: Obesity, Body mass index, Postmenopausal women, Quadriceps muscle strength

Abstract

Introduction: Obesity is a major public health problem, which can lead to a reduction in functional capacity and an increase in the risk of mortality. Along with this, there are detrimental effects of menopause which can cause a decrease in functional capacity. The aim of this study was to understand the effect of obesity or increased weight on quadriceps muscle strength as age-related morphological changes are more pronounced in quadriceps.

Methods: Sixty postmenopausal women aged between 50 and 70 years were divided into two groups according to body mass index (BMI): obese (n = 35) and not obese (n = 25). To assess quadriceps muscle strength, a modified sphygmomanometer was used. The procedure was done 3 times and the mean score was recorded. The same procedure was done for both legs.

Results: The results obtained by comparing the left and right quadriceps muscle with normal and increased body mass index show extreme significance with p value < 0.0001. Mean and standard deviation were used as measurements.

Conclusion: Our results show obesity or increased weight causes a decrease in quadriceps muscle strength as observed in postmenopausal women with increased body mass index.

How to cite this article:
Kulkarni KY, Yadav T. Effect of Body Mass on Quadriceps Muscle Strength among Postmenopausal Women. Chettinad Health City Med J. 2023;12(2):41-45.

DOI: https://doi.org/10.24321/2278.2044.202326

References

Paolillo FR, Milan JC, Bueno PG, Paolillo AR, Borghi-Silva A, Parizotto NA, Arena R, Kurachi C, Bagnato VS. Effects of excess body mass on strength and fatigability of quadriceps in postmenopausal women. Menopause. 2012 May;19(5):556-61. [PubMed] [Google Scholar]

World Health Organization [Internet]. Obesity and overweight; 2021 Jun [cited 2022 Dec 10]. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight

Messier V, Rabasa-Lhoret R, Barbat-Artigas S, Elisha B, Karelis AD, Aubertin-Leheudre M. Menopause and sarcopenia: a potential role for sex hormones. Maturitas. 2011 Apr 1;68(4):331-6. [PubMed] [Google Scholar]

Kaunitz AM, Manson JE. Management of menopausal symptoms. Obstet Gynecol. 2015 Oct;126(4):859. [PubMed] [Google Scholar]

Oldenhave A, Jaszmann LJ, Haspels AA, Everaerd WT. Impact of climacteric on well-being. A survey based on 5213 women 39 to 60 years old. Am J Obstet Gynecol. 1993 Mar;168(3):772-80. [PubMed] [Google Scholar]

Hunter MS. Psychological and somatic experience of the menopause: a prospective study [corrected]. Psychosom Med. 1990;52(3):357-67. [PubMed] [Google Scholar]

Maltais ML, Desroches J, Dionne IJ. Changes in muscle mass and strength after menopause. J Musculoskelet Neuronal Interact. 2009;9(4):186-97. [PubMed] [Google Scholar]

Wiik A, Ekman M, Johansson O, Jansson E, Esbjörnsson M. Expression of both oestrogen receptor alpha and beta in human skeletal muscle tissue. Histochem Cell Biol. 2009 Feb;131(2):181-9. [PubMed] [Google Scholar]

Sitnick M, Foley AM, Brown M, Spangenburg EE. Ovariectomy prevents the recovery of atrophied gastrocnemius skeletal muscle mass. J Appl Physiol (1985). 2006 Jan;100(1):286-93. [PubMed] [Google Scholar]

Brown M. Skeletal muscle and bone: effect of sex steroids and aging. Adv Physiol Education. 2008 Jun;32(2):120-6. [PubMed] [Google Scholar]

Jørgensen SB, Richter EA, Wojtaszewski JF. Role of AMPK in skeletal muscle metabolic regulation and adaptation in relation to exercise. J Physiol. 2006 Jul 1;574(1):17-31. [PubMed] [Google Scholar]

Ley CJ, Lees B, Stevenson JC. Sex- and menopause-associated changes in body-fat distribution. Am J Clin Nutr. 1992 May;55(5):950-4. [PubMed] [Google Scholar]

Campbell MJ, McComas AJ, Petito F. Physiological changes in ageing muscles. J Neurol Neurosurg Psychiatry. 1973 Apr;36(2):174-82. [PubMed] [Google Scholar]

Morley JE, Baumgartner RN, Roubenoff R, Mayer J, Nair KS. Sarcopenia. J Lab Clin Med. 2001 Apr;137(4):231-43. [PubMed] [Google Scholar]

Phillips SK, Rook KM, Siddle NC, Bruce SA, Woledge RC. Muscle weakness in women occurs at an earlier age than in men, but strength is preserved by hormone replacement therapy. Clin Sci (Lond). 1993 Jan;84(1):95-8. [PubMed] [Google Scholar]

Carville SF, Rutherford OM, Newham DJ. Power output, isometric strength and steadiness in the leg muscles of pre-and postmenopausal women; the effects of hormone replacement therapy. Eur J Appl Physiol. 2006 Feb;96(3):292-8. [PubMed] [Google Scholar]

Greeves JP, Cable NT, Reilly T, Kingsland C. Changes in muscle strength in women following the menopause: a longitudinal assessment of the efficacy of hormone replacement therapy. Clin Sci (Lond). 1999 Jul;97(1):79-84. [PubMed] [Google Scholar]

Kurina LM, Gulati M, Everson-Rose SA, Chung PJ, Karavolos K, Cohen NJ, Kandula N, Lukezic R, Dugan SA, Sowers M, Powell LH, Pickett KE. The effect of menopause on grip and pinch strength: results from the Chicago, Illinois, site of the Study of Women’s Health Across the Nation. Am J Epidemiol. 2004 Sep 1;160(5):484-91. [PubMed] [Google Scholar]

Skelton DA, Phillips SK, Bruce SA, Naylor CH, Woledge RC. Hormone replacement therapy increases isometric muscle strength of adductor pollicis in post-menopausal women. Clin Sci (Lond). 1999 Apr;96(4):357-64. [PubMed] [Google Scholar]

Helewa A, Goldsmith CH, Smythe HA. The modified sphygmomanometer—an instrument to measure muscle strength: a validation study. J Chronic Dis. 1981 Jan 1;34(7):353-61. [PubMed] [Google Scholar]

Souza LA, Martins JC, Moura JB, Teixeira-Salmela LF, De Paula FV, Faria CD. Assessment of muscular strength with the modified sphygmomanometer test: what is the best method and source of outcome values? Braz J Phys Ther. 2014 Mar;18:191-200. [PubMed] [Google Scholar]

Candow DG, Chilibeck PD. Differences in size, strength, and power of upper and lower body muscle groups in young and older men. J Gerontol A Biol Sci Med Sci. 2005 Feb;60(2):148-56. [PubMed] [Google Scholar]

Afriduddin G, Joshi DD. Quadriceps muscle strength in healthy individuals of different age groups: a cross sectional study. Int J Appl Res. 2022;8(6):276-9. [Google Scholar]

Siparsky PN, Kirkendall DT, Garrett Jr WE. Muscle changes in aging: understanding sarcopenia. Sports Health. 2014 Jan;6(1):36-40. [PubMed] [Google Scholar]

Clegg DJ. Minireview: the year in review of estrogen regulation of metabolism. Mol Endocrinol. 2012 Dec;26(12):1957-60. [PubMed] [Google Scholar]

Doherty TJ. Invited review: aging and sarcopenia. J Appl Physiol (1985). 2003 Oct;95(4):1717-27. [PubMed] [Google Scholar]

Published
2023-06-30