Impact of aging and body mass index on upper extremity motor unit number index and size

The focus of this study was to evaluate motor unit number and size across the upper extremity in older adults (aged 60+ years) versus young healthy adults (aged 20–30 years). We hypothesized that older adults would have: fewer motor units and increased motor unit size as compared to young healthy ad...

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Main Authors: Lauren I. Gulley Cox, Nicholas Dias, Chuan Zhang, Yingchun Zhang, Stacey L. Gorniak
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-07-01
Series:Experimental Biology and Medicine
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Online Access:https://www.ebm-journal.org/articles/10.3389/ebm.2025.10491/full
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author Lauren I. Gulley Cox
Nicholas Dias
Chuan Zhang
Yingchun Zhang
Stacey L. Gorniak
author_facet Lauren I. Gulley Cox
Nicholas Dias
Chuan Zhang
Yingchun Zhang
Stacey L. Gorniak
author_sort Lauren I. Gulley Cox
collection DOAJ
description The focus of this study was to evaluate motor unit number and size across the upper extremity in older adults (aged 60+ years) versus young healthy adults (aged 20–30 years). We hypothesized that older adults would have: fewer motor units and increased motor unit size as compared to young healthy adults (H1), that motor unit size would differ across the upper extremity muscles as compared to young healthy adults (H2), and higher body mass index (BMI) would be associated with lower motor unit numbers (H3). Compound muscle action potential (CMAP), motor unit number index (MUNIX), and motor unit size index (MUSIX) were evaluated in five muscles of the upper extremity. Group differences in CMAP due to aging were accounted for by increased body mass index (BMI); group differences in MUSIX were not impacted by BMI. No difference in MUNIX was found; however, an influence of BMI was found across groups. While this data provides supporting evidence of age-related motor unit changes, body composition changes with age may confound these conclusions when surface electromyography is utilized as the measurement modality. Adiposity estimation should be considered in future EMG studies, particularly in populations with higher BMI values.
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publisher Frontiers Media S.A.
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spelling doaj-art-01f01e579a354e1c9c2193c2f4ede6e22025-08-20T03:32:20ZengFrontiers Media S.A.Experimental Biology and Medicine1535-36992025-07-0125010.3389/ebm.2025.1049110491Impact of aging and body mass index on upper extremity motor unit number index and sizeLauren I. Gulley Cox0Nicholas Dias1Chuan Zhang2Yingchun Zhang3Stacey L. Gorniak4Department of Health and Human Performance, University of Houston, Houston, TX, United StatesDepartment of Biomedical Engineering, University of Houston, Houston, TX, United StatesDepartment of Biomedical Engineering, University of Houston, Houston, TX, United StatesDepartment of Biomedical Engineering, University of Houston, Houston, TX, United StatesDepartment of Health and Human Performance, University of Houston, Houston, TX, United StatesThe focus of this study was to evaluate motor unit number and size across the upper extremity in older adults (aged 60+ years) versus young healthy adults (aged 20–30 years). We hypothesized that older adults would have: fewer motor units and increased motor unit size as compared to young healthy adults (H1), that motor unit size would differ across the upper extremity muscles as compared to young healthy adults (H2), and higher body mass index (BMI) would be associated with lower motor unit numbers (H3). Compound muscle action potential (CMAP), motor unit number index (MUNIX), and motor unit size index (MUSIX) were evaluated in five muscles of the upper extremity. Group differences in CMAP due to aging were accounted for by increased body mass index (BMI); group differences in MUSIX were not impacted by BMI. No difference in MUNIX was found; however, an influence of BMI was found across groups. While this data provides supporting evidence of age-related motor unit changes, body composition changes with age may confound these conclusions when surface electromyography is utilized as the measurement modality. Adiposity estimation should be considered in future EMG studies, particularly in populations with higher BMI values.https://www.ebm-journal.org/articles/10.3389/ebm.2025.10491/fullmotor unit lossadiposityneuromuscularMUNIXMUSIX
spellingShingle Lauren I. Gulley Cox
Nicholas Dias
Chuan Zhang
Yingchun Zhang
Stacey L. Gorniak
Impact of aging and body mass index on upper extremity motor unit number index and size
Experimental Biology and Medicine
motor unit loss
adiposity
neuromuscular
MUNIX
MUSIX
title Impact of aging and body mass index on upper extremity motor unit number index and size
title_full Impact of aging and body mass index on upper extremity motor unit number index and size
title_fullStr Impact of aging and body mass index on upper extremity motor unit number index and size
title_full_unstemmed Impact of aging and body mass index on upper extremity motor unit number index and size
title_short Impact of aging and body mass index on upper extremity motor unit number index and size
title_sort impact of aging and body mass index on upper extremity motor unit number index and size
topic motor unit loss
adiposity
neuromuscular
MUNIX
MUSIX
url https://www.ebm-journal.org/articles/10.3389/ebm.2025.10491/full
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