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. Author manuscript; available in PMC: 2025 Mar 1.
Published in final edited form as: Invest Radiol. 2023 Sep 18;59(3):259–270. doi: 10.1097/RLI.0000000000001012

Table 2:

Empirical reference values for skeletal muscle metrics in female participants of the Framingham Heart Study

T5, N = 1,153 T8, N = 1,811 T10, N = 1,837 L3, N = 1,859
Age (Years) <45 45–54 55–64 65–74 ≥75 <45 45–54 55–64 65–74 ≥75 <45 45–54 55–64 65–74 ≥75 <45 45–54 55–64 65–74 ≥75
N 88 360 355 237 113 265 569 489 319 169 277 583 495 315 167 279 588 500 321 171
CSMA (cm2)
 Mean (SD) 156.7 (22.2) 145.0 (19.8) 134.8 (17.2) 128.6 (15.7) 119.2 (16.7) 83.7 (12.4) 79.3 (12.5) 72.4 (10.9) 68.1 (10.4) 64.2 (10.7) 70.9 (11.3) 67.5 (11.2) 62.4 (9.9) 58.6 (9.7) 54.9 (9.2) 120.9 (18.4) 119.5 (18.5) 110.6 (16.3) 104.5 (15.8) 99.5 (16.0)
 Median (IQR) 155.7 (23.5) 144.4 (24.2) 134.4 (22.7) 128.5 (21.6) 118.2 (17.2) 83.7 (15.0) 78.7 (16.9) 71.7 (14.0) 67.2 (15.4) 62.7 (13.8) 70.0 (14.5) 66.9 (15.6) 61.8 (13.5) 58.6 (13.0) 54.9 (11.1) 118.5 (22.1) 117.6 (24.5) 109.1 (20.2) 103.6 (20.5) 97.4 (18.5)
SMI (cm2/m2)
 Mean (SD) 63.4 (9.3) 58.1 (8.2) 55.8 (7.9) 54.7 (7.3) 52.0 (7.4) 33.5 (5.2) 31.9 (5.2) 30.0 (5.0) 28.9 (4.8) 28.0 (4.6) 28.4 (4.8) 27.2 (4.6) 25.9 (4.4) 24.8 (4.2) 23.9 (4.0) 48.2 (7.1) 48.0 (7.2) 45.8 (6.8) 44.3 (6.5) 43.5 (6.7)
 Median (IQR) 62.2 (11.2) 57.6 (10.1) 55.3 (9.5) 54.3 (10.2) 51.7 (9.4) 33.2 (6.3) 31.4 (6.6) 29.6 (6.3) 28.3 (6.9) 27.7 (6.4) 27.5 (5.5) 26.6 (6.2) 25.5 (6.0) 24.6 (5.5) 23.8 (5.6) 46.9 (8.4) 47.3 (10.1) 45.2 (8.4) 43.6 (8.2) 42.3 (7.5)
SMRA (HU)
 Mean (SD) 42.3 (5.1) 40.3 (5.0) 38.6 (4.9) 37.5 (4.7) 35.2 (4.8) 36.3 (6.2) 31.9 (6.2) 28.0 (5.8) 26.1 (5.4) 24.0 (5.7) 37.0 (5.9) 32.1 (6.6) 28.2 (6.2) 25.8 (5.5) 23.2 (6.1) 42.6 (5.5) 38.1 (7.2) 33.4 (6.8) 29.3 (6.6) 25.2 (6.8)
 Median (IQR) 42.7 (5.8) 40.1 (6.1) 38.5 (5.8) 37.2 (5.3) 34.8 (4.8) 36.6 (7.7) 31.7 (8.9) 27.9 (8.0) 26.2 (6.8) 24.1 (6.9) 36.8 (8.7) 31.7 (8.6) 27.8 (8.0) 25.7 (6.6) 22.9 (7.8) 43.4 (6.6) 38.9 (9.7) 33.6 (9.5) 29.2 (8.9) 25.3 (9.8)
SMG (HUcm2/m2)
 Mean (SD) 2,693.9 (575.1) 2,352.0 (486.3) 2,163.0 (480.4) 2,055.1 (415.8) 1,842.3 (436.3) 1,224.4 (308.8) 1,026.9 (290.0) 851.2 (266.3) 763.7 (243.7) 679.2 (224.9) 1,052.7 (251.1) 877.3 (258.4) 736.5 (230.6) 645.8 (199.8) 561.7 (193.5) 2,047.9 (376.3) 1,824.0 (416.2) 1,524.5 (367.9) 1,297.7 (346.7) 1,111.6 (374.5)
 Median (IQR) 2,643.4 (586.1) 2,365.5 (609.1) 2,107.6 (586.2) 2,010.7 (529.5) 1,817.4 (490.7) 1,233.9 (431.1) 1,021.5 (406.8) 808.2 (349.2) 730.0 (316.5) 664.5 (332.5) 1,031.3 (347.7) 857.3 (313.0) 703.4 (293.4) 613.7 (234.9) 537.1 (260.7) 2,026.2 (495.0) 1,828.6 (494.7) 1,509.5 (485.9) 1,306.3 (499.7) 1,043.6 (489.6)

Reference values for skeletal muscle metrics in female participants of the Framingham Heart Study at the T5, T8, T10, and L3 vertebral levels. The number of participants differs between vertebral levels due to exclusion during quality assurance.

Abbreviations: CSMA – cross-sectional muscle area; IQR – interquartile range; HU – Hounsfield Units; SD – standard deviation; SMG – skeletal muscle gauge; SMI – skeletal muscle index; SMRA – skeletal muscle radio-attenuation.