Knee extension rate of velocity development affects walking performance differently in men and women

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Purpose:Acceleration capacity affects physical function, but whether it differentially affects men versus women or weak versus strong individuals is less known. We investigated whether knee extension rate of velocity development (RVD, a measure of acceleration) is associated with walking performance independent of peak torque and whether the relationships differ in men versus women and in weak versus strong individuals.Methods:Relationships of RVD with walking performance were assessed in 326 women and 365 men aged 26–96years enrolled in the Baltimore Longitudinal Study of Aging. Tests included knee extension peak torque and RVD assessed during a 180°·s1 isokinetic strength test and four walking performance measures (usual-paced and fast-paced 6m walks and 2.5min usual-paced and 400m fast-paced walks). Sex-stratified linear regression models were adjusted for age, race, height, appendicular lean mass, fat mass, peak torque, knee pain, and RVD*peak torque interaction.Results:In men, RVD was not independently associated with any walking performance measure (p>0.05), and, for the 6m-usual walk only, there was a significant RVD*peak torque interaction (p<0.0001). In women, RVD was independently associated with usual-paced walks (p<0.05) and there were significant RVD*peak torque interactions for all measures. Strength-specific analyses indicated that RVD was most associated with performance among weaker individuals.Conclusion:RVD is associated with walking performance in women, but less in men, and is most related to performance when strength is low. Strategies to accomplish motor tasks may be sex-specific. Future studies are needed to understand the mechanisms underlying such sex differences.HIGHLIGHTSOur study investigated the relationship between rate of velocity development and walking performance.The association differs by sex after taking muscle strength into account.Rate of velocity development is associated with walking in women, but less in men.Rate of velocity development is most related to performance when strength is low.

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