Institute of Sports Medicine, Bispebjerg Hospital and Center of Healthy Aging, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark.
J Appl Physiol (1985). 2010 Dec;109(6):1628-34. doi: 10.1152/japplphysiol.00637.2010. Epub 2010 Sep 23.
Very little attention has been given to the combined effects of aging and disuse as separate factors causing deterioration in muscle mechanical function. Thus the purpose of this study was to investigate the effects of 2 wk of immobilization followed by 4 wk of retraining on knee extensor muscle mechanical function (e.g., maximal strength and rapid force capacity) and muscle fiber morphology in 9 old (OM: 67.3 ± 1.3 yr) and 11 young healthy men (YM: 24.4 ± 0.5 yr) with comparable levels of physical activity. Following immobilization, OM demonstrated markedly larger decreases in rapid force capacity (i.e., rate of force development, impulse) than YM (∼ 20-37 vs. ∼ 13-16%; P < 0.05). In contrast, muscle fiber area decreased in YM for type I, IIA, and IIx fibers (∼ 15-30%; P < 0.05), whereas only type IIa area decreased in OM (13.2%; P < 0.05). Subsequent retraining fully restored muscle mechanical function and muscle fiber area in YM, whereas OM showed an attenuated recovery in muscle fiber area and rapid force capacity (tendency). Changes in maximal isometric and dynamic muscle strength were similar between OM and YM. In conclusion, the present data reveal that OM may be more susceptible to the deleterious effects of short-term muscle disuse on muscle fiber size and rapid force capacity than YM. Furthermore, OM seems to require longer time to recover and regain rapid muscle force capacity, which may lead to a larger risk of falling in aged individuals after periods of short-term disuse.
人们很少关注衰老和失用这两个因素分别对肌肉机械功能产生的综合影响。因此,本研究的目的是探究 2 周制动后再进行 4 周康复训练对 9 名老年(OM:67.3 ± 1.3 岁)和 11 名年轻健康男性(YM:24.4 ± 0.5 岁)膝关节伸肌机械功能(最大力量和快速力量能力)及肌纤维形态的影响,这些人具有相似的身体活动水平。制动后,OM 的快速力量能力(即力量发展速度、冲量)下降幅度明显大于 YM(约 20%-37%比约 13%-16%;P < 0.05)。相反,YM 的 I 型、IIA 型和 IIx 型肌纤维面积均减小(约 15%-30%;P < 0.05),而 OM 只有 IIa 型肌纤维面积减小(13.2%;P < 0.05)。随后的康复训练使 YM 的肌肉机械功能和肌纤维面积完全恢复,但 OM 的肌纤维面积和快速力量能力仅呈恢复趋势(P < 0.05)。OM 和 YM 的最大等长和动态肌肉力量的变化相似。总之,与 YM 相比,OM 可能更容易受到短期肌肉失用对肌纤维大小和快速力量能力的有害影响。此外,OM 似乎需要更长的时间来恢复和重新获得快速肌肉力量能力,这可能会导致在短期失用后,老年人跌倒的风险更大。