title: The relationship between body composition and physical performance in older women.
abstract: BACKGROUND
  The relationship between age-associated change in body composition and physical disability is still unknown. Skeletal muscle mass declines with age in both sexes; however, since women have less muscle mass per unit of weight than men, these changes may be more debilitating in women.
  
  
  OBJECTIVE
  To evaluate the relationship between body composition and physical performance.
  
  
  METHODS
  A cross-sectional study.
  
  
  METHODS
  144 women aged 68 to 75 were selected randomly from the general population of Verona.
  
  
  METHODS
  Body composition was evaluated using dual energy X-ray absorptiometry and bioimpedance. Physical performance was evaluated using a modified version of the Activities of Daily Living scale. Distance walked in 6 minutes was calculated, and isometric knee strength was tested.
  
  
  RESULTS
  Normal women had a significantly lower body mass index (BMI) and percent body fat. These women also had a higher ratio of body cell mass (BCM) and total fat free mass (FFM) than women with physical impairments. After adjusting for BMI, women in the lowest tertile of muscle strength had significantly lower BCM than those in the highest tertile.
  
  
  CONCLUSIONS
  These cross-sectional data show that although muscle strength is related to fat-free mass, disability in older women is associated with heavier BMI and with a higher percentage of body fat.
authors.affiliation: Cattedra di Geriatria, Università di Verona, Italy.
authors.forename: M
authors.initials: M
authors.lastname: Zamboni
authors.forename: E
authors.initials: E
authors.lastname: Turcato
authors.forename: H
authors.initials: H
authors.lastname: Santana
authors.forename: S
authors.initials: S
authors.lastname: Maggi
authors.forename: T B
authors.initials: TB
authors.lastname: Harris
authors.forename: A
authors.initials: A
authors.lastname: Pietrobelli
authors.forename: S B
authors.initials: SB
authors.lastname: Heymsfield
authors.forename: R
authors.initials: R
authors.lastname: Micciolo
authors.forename: O
authors.initials: O
authors.lastname: Bosello
mesh_terms: D015502:Absorptiometry, Photon; D000203:Activities of Daily Living; D000368:Aged; D000375:Aging / Q000502:physiology*; D001823:Body Composition; D015992:Body Mass Index; D003430:Cross-Sectional Studies; D003627:Data Interpretation, Statistical; D004185:Disability Evaluation; D017097:Electric Impedance; D005260:Female; D006304:Health Status; D006801:Humans; D007719:Knee Joint / Q000502:physiology; D016138:Walking / Q000502:physiology