The Relationships Between Muscle Power and Physical Activity in Older Men With Chronic Obstructive Pulmonary Disease

in Journal of Aging and Physical Activity
Restricted access

Purchase article

USD  $24.95

Student 1 year online subscription

USD  $77.00

1 year online subscription

USD  $103.00

Student 2 year online subscription

USD  $147.00

2 year online subscription

USD  $196.00

The purpose of this study was to determine the potential relationship between muscle power of the lower extremities and the physical activity in older men with chronic obstructive pulmonary disease (COPD). Forty-four men (70.3 ± 6.7 years old) with moderate-to-severe COPD completed the 6-min walk test (6MWT), BODE (body mass index, obstruction, dyspnea, and exercise), a one-repetition maximum strength of the quadriceps femoris (1RMQF), and muscle power at 50% and 70% 1RMQF. Physical activity was measured using an accelerometer. The 6MWT was associated with muscle power at 50% 1RMQF (r = .40; P = .013) but not muscle power at 70% 1RMQF (r = .24; P = .15) or 1RMQF (r = .13; P = .44). Light-intensity activity was positively correlated with muscle power at 50% 1RMQF (r = .52; P = .001). Lower limb muscle power is associated with the 6MWT and light-intensity activities in older men with COPD.

Hernández, Cebollero, Hueto, and Cascante are with the Department of Pulmonary Medicine, Complejo Hospitalario de Navarra, Pamplona, Navarre, Spain. Zambom-Ferraresi and Antón are with the Department of Health Sciences, Public University of Navarre, Tudela, Navarre, Spain.

Address author correspondence to María M. Antón at milagros.anton@unavarra.es.
  • Abizanda Soler, P., López-Torres Hidalgo, J., Romero Rizos, L., López Jiménez, M., Sánchez Jurado, P.M., Atienzar Núñez, P., … Oliver Carbonell, J.L. (2011). Frailty and dependence in Albacete (FRADEA study): reasoning, design and methodology. Revista Española de Geriatría y Gerontología, 46, 8188. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • American Thoracic Society Committee of Proficiency Standards for Clinical Pulmonary Function Laboratories. (2002). ATS statement: guidelines for the six-minute walk test. American Journal of Respiratory and Critical Care Medicine, 166, 111117. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Arne, M., Janson, C., Janson, S., Boman, G., Lindqvist, U., Berne, C., &Emtner, M. (2009). Physical activity and quality of life in subjects with chronic disease: chronic obstructive pulmonary disease compared with rheumatoid arthritis and diabetes mellitus. Scandinavian Journal of Primary Health Care, 27, 141147. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Bassey, E.J., Fiatarone, M.A., O’Neill, E.F., Kelly, M., Evans, W.J., &Lipsitz, L.A. (1992). Leg extensor power and functional performance in very old men and women. Clinical Science (London), 82, 321327. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Buman, M.P., Hekler, E.B., Haskell, W.L., Pruitt, L., Conway, T.L., Cain, K.L., … King, A.C. (2010). Objective light-intensity physical activity associations with rated health in older adults. American Journal of Epidemiology, 172, 11551165. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Cadore, E.L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gómez, M., … Izquierdo, M. (2014). Multicomponent exercises including muscle power training enhance muscle mass, power output, and functional outcomes in institutionalized frail nonagenarians. Age, 36, 773785. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Casas-Herrero, A., Cadore, E.L., Zambom-Ferraresi, F., Idoate, F., Millor, N., Martínez-Ramirez, A., … Izquierdo, M. (2013). Functional capacity, muscle fat infiltration, power output, and cognitive impairment in institutionalized frail oldest old. Rejuvenation Research, 16, 396403. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Celli, B.R., Cote, C.G., Marín, J.M., Casanova, C., Montes de Oca, M., Méndez, R.A., … Cabral, H.J. (2004). The body-mass index, airflow obstruction, dyspnea, and exercise capacity index in chronic obstructive pulmonary disease. New England Journal of Medicine, 350, 10051012. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Decramer, M., Gosselink, R., Troosters, T., Verschueren, M., &Evers, G. (1997). Muscle weakness is related to utilization of health care resources in COPD patients. European Respiratory Journal, 10, 417423. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Demeyer, H., Burtin, C., Van Remoortel, H., Hornikx, M., Langer, D., Decramer, M., … Troosters, T. (2014). Standardizing the analysis of physical activity in patients with COPD following a pulmonary rehabilitation program. Chest, 146, 318327. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Donaire-Gonzalez, D., Gimeno-Santos, E., Balcells, E., de Batlle, J., Ramon, M.A., Rodriguez, E., … Ferrer, A. (2015). Benefits of physical activity on COPD hospitalisation depend on intensity. European Respiratory Journal, 46, 12811289. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Freedson, P.S., Melanson, E., &Sirard, J. (1998). Calibration of the computer science and applications, Inc. accelerometer. Medicine and Science in Sports and Exercise, 30, 777781. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • García-Aymerich, J., Lange, P., Benet, M., Schnohr, P., &Antó, J.M. (2006). Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study. Thorax, 61, 772778. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Garcia-Rio, F., Lores, V., Mediano, O., Rojo, B., Hernanz, A., López-Collazo, E., &Alvarez-Sala, R. (2009). Daily physical activity in patients with chronic obstructive pulmonary disease is mainly associated with dynamic hyperinflation. American Journal of Respiratory and Critical Care Medicine, 180, 506512. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gimeno-Santos, E., Frei, A., Steurer-Stey, C., de Batlle, J., Rabinovich, R.A., Raste, Y., … Kulich, K. (2014). Determinants and outcomes of physical activity in patients with COPD: a systematic review. Thorax, 69, 731739. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gorman, E., Hanson, H.M., Yang, P.H., Khan, K.M., Liu-Ambrose, T., &Ashe, M.C. (2014). Accelerometry analysis of physical activity and sedentary behavior in older adults: a systematic review and data analysis. European Review of Aging and Physical Activity, 11, 3549. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Gosselink, R., Troosters, T., &Decramer, M. (1996). Peripheral muscle weakness contributes to exercise limitation in COPD. American Journal of Respiratory and Critical Care Medicine, 153, 976980. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Izquierdo, M., Ibañez, J., Gorostiaga, E., Garrues, M., Zúñiga, A., Antón, A., … Häkkinen, K. (1999). Maximal strength and power characteristics in isometric and dynamic actions of the upper and lower extremities in middle-aged and older men. Acta Physiologica Scandinavica, 167, 5768. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Izquierdo, M., Ibanez, J., Hakkinen, K., Kraemer, W.J., Larrion, J.L., &Gorostiaga, E.M. (2004). Once weekly combined resistance and cardiovascular training in healthy older men. Medicine and Science in Sports and Exercise, 36, 435443. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Jones, P.W., Harding, G., Berry, P., Wiklund, I., Chen, W.H., &Kline, L.N. (2009). Development and first validation of the COPD assessment test. European Respiratory Journal, 34, 648654. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Mahler, D.A., &Wells, C.K. (1988). Evaluation of clinical methods for rating dyspnea. Chest, 93, 580586. PubMed doi:

  • Marquis, K., Debigaré, R., Lacasse, Y., LeBlanc, P., Jobin, J., Carrier, G., & Maltais, F. (2002). Midthigh muscle cross-sectional area is a better predictor of mortality than body mass index in patients with chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 166, 809813. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Nelson, M.E., Rejeski, W.J., Blair, S.N., Duncan, P.W., Judge, J.O., King, A.C., … Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults: recommendation from the American college of sports medicine and the American heart association. Circulation, 116, 10941105. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • O’Donnell, D.E. (2006). Hyperinflation, dyspnea, and exercise intolerance in chronic obstructive pulmonary disease. Proceedings of the American Thoracic Society, 3, 180184. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pitta, F., Takaki, M.Y., Oliveira, N.H., Sant’anna, T.J., Fontana, A.D., Kovelis, D., … Brunetto, A.F. (2008). Relationship between pulmonary function and physical activity in daily life in patients with COPD. Respiratory Medicine, 102, 12031207. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Pitta, F., Troosters, T., Spruit, M.A., Probst, V.S., Decramer, M., &Gosselink, R. (2005). Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. American Journal of Respiratory and Critical Care Medicine, 171, 972977. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Qaseem, A., Wilt, T.J., Weinberger, S.E., Hanania, N.A., Criner, G., Van der Molen, T., … MacDonald, R. (2011). Diagnosis and management of stable chronic obstructive pulmonary disease: a clinical practice guideline update from the American college of physicians, American college of chest physicians, American thoracic society, and European respiratory society. Annals of Internal Medicine, 155, 179191. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Rausch-Osthoff, A.K., Kohler, M., Sievi, N.A., Clarenbach, C.F., & van Gestel, A.J. (2014). Association between peripheral muscle strength, exercise performance, and physical activity in daily life in patients with chronic obstructive pulmonary disease. Multidisciplinary Respiratory Medicine, 9, 37. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Reid, K.F., & Fielding, R.A. (2012). Skeletal muscle power: a critical determinant of physical functioning in older adults. Exercise and Sport Sciences Reviews, 40, 412. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Sardinha, L.B., Ekelund, U., dos Santos, L., Cyrino, E.S., Silva, A.M., & Santos, D.A. (2015). Breaking-up sedentary time is associated with impairment in activities of daily living. Experimental Gerontology, 72, 5762. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Seymour, J.M., Spruit, M.A., Hopkinson, N.S., Natanek, S.A., Man, W.D., Jackson, A., … Wouters, E.F. (2010). The prevalence of quadriceps weakness in COPD and the relationship with disease severity. European Respiratory Journal, 36, 8188. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Troosters, T., Sciurba, F., Battaglia, S., Langer, D., Valluri, S.R., Martino, L., … Decramer, M. (2010). Physical inactivity in patients with COPD, a controlled multi-center pilot-study. Respiratory Medicine, 104, 10051111. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Tschopp, M., Sattelmayer, M.K., & Hilfiker, R. (2011). Is power training or conventional resistance training better for function in elderly persons? A meta-analysis. Age and Ageing, 40, 549556. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vestbo, J., Hurd, S.S., Agustí, A.G., Jones, P.W., Vogelmeier, C., Anzueto, A., … Rodriguez-Roisin, R. (2013). Global strategy for the diagnosis, management, and prevention of chronic obstructive pulmonary disease: gold executive summary. American Journal of Respiratory and Critical Care Medicine, 187, 347365. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Vilaro, J., Rabinovich, R., Gonzalez-deSuso, J.M., Troosters, T., Rodríguez, D., Barberà, J.A., & Roca, J. (2009). Clinical assessment of peripheral muscle function in patients with chronic obstructive pulmonary disease. American Journal of Physical Medicine and Rehabilitation, 88, 3946. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Waschki, B., Kirsten, A., Holz, O., Müller, K.C., Meyer, T., Watz, H., & Magnussen, H. (2011). Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. Chest, 140, 331342. PubMed doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • Watz, H., Waschki, B., Meyer, T., & Magnussen, H. (2009). Physical activity in patients with COPD. European Respiratory Journal, 33, 262272. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
All Time Past Year Past 30 Days
Abstract Views 200 178 8
Full Text Views 18 16 0
PDF Downloads 13 13 0