title: Muscle power is related to tibial bone strength in older women.
abstract: We enrolled 65 to 75 year-old community-dwelling women and measured muscle power, strength, physical activity using accelerometry and tibial bone strength using peripheral quantitative computed tomography (pQCT). Muscle power contributed 6.6% of the variance in the bone strength-strain index and 8.9% in the section modulus after accounting for age, height, weight, and physical activity; moderate to vigorous physical activity was related to muscle power in the lower extremity.
  
  
  BACKGROUND
  Muscle power is associated with DXA measurements of bone mass, but it is not known whether muscle power is associated with bone strength. There are no reports of investigations that have tested the effect of muscle power on bone compartments using advanced imaging.
  
  
  METHODS
  We enrolled 74 community-dwelling women aged 65-75 years. We measured muscle power and strength of leg extension using Keiser air-pressure resistance equipment. All participants wore a waist-mounted Actigraph accelerometer to record physical activity. We used peripheral quantitative computed tomography (pQCT) to measure tibial mid-shaft (50% of the site) bone strength (strength-strain index, section modulus). We used Pearson correlations and multi-level linear regression to investigate the associations between muscle and bone.
  
  
  RESULTS
  Muscle power contributed 6.6% (p = 0.007) of the variance in the bone strength-strain index and 8.9% (p = 0.001) the variance in the section modulus in older women after accounting for age, height, weight, and physical activity. Moderate to vigorous physical activity was significantly related to muscle power in the lower extremity (r = 0.260; p = 0.041).
  
  
  CONCLUSIONS
  Muscle power significantly contributed to the variance in estimated bone strength. Whether power training will prove to be a more effective stimulus for bone strength than conventional strength training will require further studies.
authors.affiliation: Centre for Hip Health and Mobility, Vancouver, BC, Canada. Maureen.Ashe@exchange.ubc.ca
authors.forename: M C
authors.initials: MC
authors.lastname: Ashe
authors.forename: T Y L
authors.initials: TY
authors.lastname: Liu-Ambrose
authors.forename: D M L
authors.initials: DM
authors.lastname: Cooper
authors.forename: K M
authors.initials: KM
authors.lastname: Khan
authors.forename: H A
authors.initials: HA
authors.lastname: McKay
mesh_terms: D015502:Absorptiometry, Photon; D000368:Aged; D000886:Anthropometry; D015519:Bone Density / Q000502:physiology*; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D035002:Lower Extremity; D009043:Motor Activity / Q000502:physiology*; D053580:Muscle Strength / Q000502:physiology*; D018482:Muscle, Skeletal / Q000502:physiology*; D010807:Physical Endurance / Q000502:physiology*; D013977:Tibia / Q000503:physiopathology*