Insulin resistance is associated with decreased quadriceps muscle strength in nondiabetic adults aged ≥70 years

Joshua I. Barzilay, George A. Cotsonis, Jeremy Walston, Ann V. Schwartz, Suzanne Satterfield, Iva Miljkovic, Tamara B. Harris

Research output: Contribution to journalArticlepeer-review

80 Scopus citations


OBJECTIVE - Lower-limb muscle strength is reduced in many people with diabetes. In this study, we examined whether quadriceps muscle strength is reduced in relation to insulin resistance in well-functioning ambulatory nondiabetic individuals. RESEARCH DESIGN AND METHODS - Participants (age ≥70 years) underwent dual-energy X-ray absorptiometry (DEXA) scanning to ascertain muscle and fat mass, tests of quadriceps strength, computed tomography scanning of the quadriceps to gauge muscle lipid content, and fasting insulin and glucose level measurements from which homeostasis model assessment of insulin resistance (HOMA-IR) was derived. RESULTS - In regression analysis, quadriceps strength per kilogram of muscle mass was negatively associated (P < 0.0001) with HOMA-IR independent of other factors negatively associated with strength such as increased age, female sex, low-physical activity, impaired fasting glucose, and increased total body fat. Muscle lipid content was not associated with strength. CONCLUSIONS - A small decrease in quadriceps muscle force is associated with increased HOMA-IR in well-functioning nondiabetic adults, suggesting that diminished quadriceps muscle strength begins before diabetes.

Original languageEnglish (US)
Pages (from-to)736-738
Number of pages3
JournalDiabetes care
Issue number4
StatePublished - Apr 2009

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism
  • Advanced and Specialized Nursing


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