The shape of the gluteus maximus muscle in the buttocks changes in different ways with aging, lifestyle, frailty, osteoporosis and type 2 diabetes, and these changes differ between women and men, according to new research being presented next week at the annual meeting of the Radiological Society of North America (RSNA).
The researchers used MRI 3D mapping, a technique that processes a series of MRI images to create a detailed 3D anatomical model, allowing for improved visualization. The 3D mapping revealed distinct, sex-specific patterns in the gluteus maximus that were associated with type 2 diabetes, suggesting that the shape-not the size-of the muscle may reflect underlying metabolic differences.
Unlike past studies that mainly looked at muscle size or fat, we used 3D shape mapping to pinpoint exactly where the muscle changes, giving a much more detailed picture."
Marjola Thanaj, Ph.D., study coauthor, senior research fellow, University of Westminster's Research Centre for Optimal Health
The gluteus maximus is one of the largest muscles in the human body, and it plays a key role in metabolic health, explained study lead author E. Louise Thomas, Ph.D., professor of metabolic imaging at the University of Westminster's School of Life Sciences.
Using data from 61,290 MRI exams housed in the UK Biobank database, the research team explored how MRI analysis can characterize the muscle's structural features and composition.
In addition to medical images, UK Biobank data includes volunteers' physical measurements, demographics, disease biomarkers, medical history and answers to lifestyle questionnaires. The researchers used these data to analyze 86 different variables and map how they're associated with changes in muscle shape over time.
"People with higher fitness, as measured by vigorous physical activity and hand grip strength, had a greater gluteus maximus shape, while aging, frailty and long sitting times were linked to muscle thinning," Dr. Thanaj said.
In participants with type 2 diabetes, men showed muscle shrinkage, while women showed enlarged muscle that was likely due to infiltration of fat within the muscle, the researchers found. Men categorized as "frail" had more general shrinkage across the gluteus maximus, whereas the effect of frailty was limited to smaller areas in women.
Dr. Thanaj said the results suggest that men and women have very different biological responses to the same disease.
Shape changes in the gluteus maximus may indicate early functional decline and metabolic compromise in people with type 2 diabetes-reflecting sex-specific differences in response to insulin tolerance that require further study, the team noted.
Other co-authors are Brandon Whitcher, Ph.D., Camilo Bell-Bradford, Hamzah Raza, Dimitri Amiras, M.B.B.S., B.Sc., Marili Niglas, Ph.D., and Professor Jimmy Bell.
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