The Association of ApoE ε4 Status with Lower Limb Function and Handgrip Strength in Older Adults

J Frailty Aging. 2019;8(2):62-66. doi: 10.14283/jfa.2019.7.

Abstract

Background/objectives: Apolipoprotein (ApoE ε4) status has been associated with various cardiovascular diseases and Alzheimer's Disease. Some studies have found a possible relationship between the presence of an ApoE ε4 allele and the decrease of motor function in healthy older adults. The objective of this study was to measure the cross-sectional and prospective associations of ApoE ε4 status with lower limb function and handgrip strength in older adults.

Design: Longitudinal observational study using data from a randomized controlled trial.

Setting: Community-dwelling older adults.

Participants: 1300 older adults (≥70 years old) with ApoE ε4 status from the Multidomain Alzheimer's Preventive Trial (MAPT) were followed for three years.

Measurements: Lower-limb function was measured with the Short Physical Performance Battery (SPPB) and muscle strength was measured with a handgrip strength dynamometer. ApoE ε4 status was assessed with a blood draw. Mixed-effect linear regressions were used to examine cross-sectional as well as prospective associations between ApoE ε4 status and the outcomes.

Results: No significant cross-sectional or prospective associations were found between ApoE ε4 status, lower-limb function and handgrip strength in our study.

Conclusions: ApoE ε4 status was not associated with motor function in older adults.

Keywords: Apolipoprotein; handgrip strength; lower limb function.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Apolipoprotein E4 / metabolism*
  • Cross-Sectional Studies
  • Hand Strength / physiology*
  • Humans
  • Lower Extremity / physiology*
  • Prospective Studies

Substances

  • Apolipoprotein E4