RT Journal Article T1 Intensive Teenage Activity Is Associated With Greater Muscle Hyperintensity on T1W Magnetic Resonance Imaging in Adults With Dysferlinopathy. A1 Moore, Ursula A1 Jacobs, Marni A1 Fernandez-Torron, Roberto A1 LLauger Rossello, Jaume A1 Smith, Fiona E A1 James, Meredith A1 Mayhew, Anna A1 Rufibach, Laura A1 Carlier, Pierre G A1 Blamire, Andrew M A1 Day, John W A1 Jones, Kristi J A1 Bharucha-Goebel, Diana X A1 Salort-Campana, Emmanuelle A1 Pestronk, Alan A1 Walter, Maggie C A1 Paradas, Carmen A1 Stojkovic, Tanya A1 Mori-Yoshimura, Madoka A1 Bravver, Elena A1 Pegoraro, Elena A1 Mendell, Jerry R A1 Bushby, Kate A1 Straub, Volker A1 Diaz-Manera, Jordi K1 LGMDR2 K1 Magnetic Resonace Imaging (MRI) K1 Miyoshi myopathy K1 dysferlinopathy K1 exercise K1 limb girdle muscle dystrophy AB Practice of sports during childhood or adolescence correlates with an earlier onset and more rapidly progressing phenotype in dysferlinopathies. To determine if this correlation relates to greater muscle pathology that persists into adulthood, we investigated the effect of exercise on the degree of muscle fatty replacement measured using muscle MRI. We reviewed pelvic, thigh and leg T1W MRI scans from 160 patients with genetically confirmed dysferlinopathy from the Jain Foundation International clinical outcomes study in dysferlinopathy. Two independent assessors used the Lamminen-Mercuri visual scale to score degree of fat replacement in each muscle. Exercise intensity for each individual was defined as no activity, minimal, moderate, or intensive activity by using metabolic equivalents and patient reported frequency of sports undertaken between the ages of 10 and 18. We used ANCOVA and linear modeling to compare the mean Lamminen-Mercuri score for the pelvis, thigh, and leg between exercise groups, controlling for age at assessment and symptom duration. Intensive exercisers showed greater fatty replacement in the muscles of the pelvis than moderate exercisers, but no significant differences of the thigh or leg. Within the pelvis, Psoas was the muscle most strongly associated with this exercise effect. In patients with a short symptom duration of SN 1664-2295 YR 2020 FD 2020-12-16 LK https://hdl.handle.net/10668/27384 UL https://hdl.handle.net/10668/27384 LA en DS RISalud RD Apr 8, 2025