Muscle strength and body composition in severe obesity

Clinics (Sao Paulo). 2017 May;72(5):272-275. doi: 10.6061/clinics/2017(05)03.

Abstract

Objective:: The aim of our study was to evaluate associations between maximum voluntary contraction torques of the lower limbs and body composition for subjects with severe obesity.

Methods:: Body composition was evaluated by bioelectrical impedance analysis, and maximum voluntary contraction torques of the lower limbs were measured using an isokinetic dynamometer. One hundred thirty-two patients were enrolled (100 females and 32 males). Eighty-seven patients had a body mass index between 40 and 49.9 kg/m2 (the A group), and 45 patients had a body mass index between 50 and 59.9 kg/m2 (the B group).

Results:: Absolute extension and flexion torques had weak associations with fat-free mass but a moderate association with absolute extension torque and fat-free mass of the lower limbs. There were no significant differences between the A and B groups with respect to absolute extension and flexion torques. For the A group, absolute extension and flexion torques were moderately associated with fat-free mass and with fat-free mass of the lower limbs. For the B group, there were only moderate associations between absolute extension and flexion torques with fat-free mass of the lower limbs.

Conclusions:: Our findings demonstrate that both groups exhibited similar absolute torque values. There were weak to moderate associations between absolute extension and flexion torques and fat-free mass but a moderate association with fat-free mass of the lower limbs. Individuals with severe obesity should strive for greater absolute torques, fat-free mass and especially fat-free mass of the lower limbs to prevent functional limitations and physical incapacity.

MeSH terms

  • Adult
  • Anthropometry
  • Body Composition / physiology*
  • Electric Impedance
  • Female
  • Humans
  • Lower Extremity / physiopathology
  • Male
  • Middle Aged
  • Muscle Contraction / physiology*
  • Muscle Strength / physiology*
  • Muscle Strength Dynamometer
  • Muscle, Skeletal / physiopathology
  • Obesity, Morbid / physiopathology*
  • Reference Values
  • Severity of Illness Index
  • Statistics, Nonparametric
  • Torque