Inflammatory myopathies

Premature ageing in myositis: Impairments in physical function, muscle power and body composition

Semin Arthritis RheumPublished Cross-sectional study

Authors' conclusion

Both myositis cohorts exhibited significant impairments in physical function, maximal muscle power and muscle mass compared to an age-matched healthy cohort, reflecting substantial deterioration and muscle deficit.

Study context

Population
Individuals with myositis (inclusion body myositis (IBM) or non-IBM idiopathic inflammatory myopathies (IIM)) and age- and sex-matched healthy controls
Participants
22 / 32 / 1,305
Exposure
IBM and non-IBM IIM cohorts vs age- and sex-matched healthy cohort
  • IBMn = 22
  • Non-IBM IIMn = 32
  • Healthyn = 1,305reference
Outcome
Physical function (30-s sit-to-stand), maximal leg extensor power and body composition (DEXA)
Methodological detailsage- and sex-matched healthy comparison cohort
  • Age- and sex-matched healthy comparison cohort

Main finding

As reported in the abstract

Corresponding to values in healthy individuals ∼15-30 years older

Difference

∼ −50 to −70%

P < 0.05

IBM

Difference

∼ −17 to −36%

P < 0.05

Non-IBM IIM

Observational data: associations, not effects.

Further findings

OutcomeDifferenceP value
Arm-specific muscle index, males (subgroup)IBM vs Healthy∼ −17%P < 0.05
Leg-specific muscle index, males (subgroup)IBM vs Healthy∼ −12%P < 0.05
Arm-specific muscle and fat indices, females (subgroup)Non-IBM IIM vs Healthy∼ −11%P < 0.05
  • Arm-specific muscle index, males (subgroup): corresponding to levels in ∼15-20 years older healthy individuals
  • Leg-specific muscle index, males (subgroup): corresponding to levels in ∼15-20 years older healthy individuals
  • Arm-specific muscle and fat indices, females (subgroup): corresponding to values in healthy individuals ∼45 years older

Original publication

Premature ageing in myositis: Impairments in physical function, muscle power and body composition. Semin Arthritis Rheum. Published 13 September 2026. doi:10.1016/j.semarthrit.2026.153073

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