Obesity

Musculoskeletal characteristics in older adults with overweight or obesity: Incorporating Nutrition, Vests, Education, and Strength Training (INVEST) in Bone Health trial baseline analysis

Obesity (Silver Spring)Published Cross-sectional baseline analysis of the INVEST in Bone Health randomised trial

Authors' conclusion

Machine learning-derived CT metrics correlated strongly with DXA and muscle strength, with higher BMI linked to greater IMAT and poorer muscle quality.

Study context

Population
Older adults living with overweight or obesity; mean age 66 (SD 5) years, 75% female, mean BMI 33.6 (SD 3.3) kg/m²
Participants
150 adults
Methodological detailslinear regression and mixed-effects models, factor analysis of radiomics data
  • Linear regression and mixed-effects models
  • Factor analysis of radiomics data

Primary result

As reported in the abstract

baseline
DXA and computed tomography (CT)-derived muscle and IMAT measures higher in males than females
all p < 0.01
Midthigh muscle size significantly related to grip and knee extensor strength
both p < 0.01

Original publication

Musculoskeletal characteristics in older adults with overweight or obesity: INVEST in Bone Health trial baseline analysis. Obesity (Silver Spring). Published 6 March 2025. doi:10.1002/oby.24243

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