Isokinetic leg muscle strength in older americans and its relationship to a standardized walk test: data from the national health and nutrition examination survey 1999-2000

J Am Geriatr Soc. 2004 Jun;52(6):977-82. doi: 10.1111/j.1532-5415.2004.52268.x.


Objectives: To describe isokinetic knee extensor muscle strength in older U.S. men and women by age and race/ethnicity and to ascertain its relationship to a standard, timed walking-speed test.

Setting: The U.S. National Health and Nutrition Examination Survey (NHANES) 1999-2000.

Design: A cross-sectional nationally representative health examination survey.

Participants: All surveyed persons aged 50 and older (N=1,499) who performed muscle strength and timed walk examinations in the NHANES mobile examination center.

Measurements: Concentric peak torque (strength) of the knee extensors at 1.05 rads/ s(-1) velocity and a 6-m walk timed in seconds.

Results: Knee extensor strength was inversely associated with age (P<.01), and women had less knee extensor muscle strength than men (P<.01). After adjustment for standing height, no significant difference in muscle strength was found across the three race/ethnicity groups (Mexican Americans, non-Hispanic blacks, and non-Hispanic whites) for men or women. After adjustment for age, race/ethnicity, weight, and height, increasing knee extensor strength was associated with significant increases in meters walked per second (P<.01).

Conclusion: Knee extensor muscle strength is affected by age and sex but not by race/ethnicity and it is significantly associated with timed walk.

MeSH terms

  • African Americans
  • Aged
  • Female
  • Health Surveys
  • Hispanic or Latino
  • Humans
  • Knee Joint / physiology
  • Leg*
  • Male
  • Middle Aged
  • Muscle, Skeletal / physiology*
  • Walking*
  • Whites