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Birth Weight Linked to Later Muscle Strength


By Alison McCook

Reuters Health, October 7, 2002

 

Babies with relatively high birth weights may be more likely than others to have strong muscles in middle age, new study findings suggest. Although middle-aged adults who had a low birth weight may tend to have relatively weaker muscles, as well, Dr. Diana Kuh of the Royal Free and University College Medical School in London emphasized that those who stay active will not be doomed to a life of frailty. "Everybody brings sources of risk to their health from previous life experiences," Kuh noted. "The effects we have shown are interesting because they provide clues about how environmental factors across the life course influence muscle strength. But they may have no discernible effect on the quality of life, especially if physical activity is maintained." Kuh and her colleagues base their findings on examinations of 1,371 men and 1,404 women aged 53. The researchers asked them their weight at birth and used a device to measure grip strength in both hands, noting only the highest value. Reporting in the recent issue of the American Journal of Epidemiology, the investigators found that as birth weight increased, so did grip strength among the middle-aged adults. This relationship existed independently of the effects of adult height and weight, Kuh and her colleagues note. In an interview with Reuters Health, Kuh said that these findings demonstrate that early influences on development can have very long-lasting effects. Kuh explained that if a fetus does not receive enough nutrition in the womb, he or she may be born with both low birth weight and a deficit in the number of muscle fibers, since these are determined at or soon after birth. A decrease in muscle fibers is an important consequence of this early, inadequate environment, the researcher added. People need grip strength and other muscle power for more than arm wresting, she said--for example, to carry out their day-to-day activities like getting up from a chair, picking up a kettle and walking around. "Muscle strength is lost with age, and once a certain threshold is reached, an individual's ability to carry out these tasks may be impaired," she said. "This could have serious consequences--for example, by increasing the risk of osteoporotic fractures." However, Kuh added, if all people, regardless of birth weight, keep up good levels of physical activity, they can maintain muscle strength into old age. "The main determinant of muscle strength is physical activity," Kuh said. "These results emphasize the importance of encouraging weight bearing activity in men and women, whatever their age or birth weight."

 

 

 

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