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衰老会损害肌肉在4天废用后机械功能的恢复。

Aging impairs the recovery in mechanical muscle function following 4 days of disuse.

作者信息

Hvid L G, Suetta C, Nielsen J H, Jensen M M, Frandsen U, Ørtenblad N, Kjaer M, Aagaard P

机构信息

Institute of Sports Science and Clinical Biomechanics, SDU Muscle Research Cluster (SMRC), University of Southern Denmark, Odense, Denmark.

Institute of Sports Medicine, Bispebjerg Hospital and Center of Healthy Aging, Faculty of Health Science, University of Copenhagen, Copenhagen, Denmark; Department of Diagnostics, Glostrup Hospital, University of Copenhagen, Denmark.

出版信息

Exp Gerontol. 2014 Apr;52:1-8. doi: 10.1016/j.exger.2014.01.012. Epub 2014 Jan 18.

Abstract

As aged individuals are frequently exposed to short-term disuse caused by disease or musculoskeletal injury, it is important to understand how short-term disuse and subsequent retraining affect lower limb mechanical muscle function. The purpose of the present study was, therefore, to investigate the effect of 4 days of lower limb disuse followed by 7 days of active recovery on mechanical muscle function of the knee extensors in young (24.3±0.9 years, n=11) and old (67.2±1.0 years, n=11) recreationally active healthy males. Slow and moderate dynamic muscle strength were assessed using isokinetic dynamometry (60 and 180° s(-1), respectively) along with isometric muscle strength and rapid muscle force capacity examined as contractile rate of force development (RFD), Impulse, and relative RFD (rRFD) during the initial phase of contraction (100 ms time interval relative to onset of contraction). Prior to disuse, marked age-related differences (p<0.05) were observed in isometric and dynamic muscle strength (35%) as well as in RFD and Impulse (39%). Following disuse, young and old individuals experienced comparable decrements (p<0.05) in isometric strength (9%), slow dynamic strength (13%), and RFD and Impulse (19%), whereas old individuals only experienced decrements (p<0.05) in moderate dynamic strength (12%) and rRFD (17%). Following recovery, all measures of mechanical muscle function were restored in young individuals compared to pre-disuse values, while isometric, slow and moderate dynamic muscle strength remained suppressed (p<0.05) in old individuals (~8%) along with a tendency to suppressed RFD100 (p=0.068). In conclusion, 4 days of lower limb disuse led to marked decrements in knee extensor mechanical muscle function in both young and old individuals, yet with greater decrements observed in moderate dynamic strength and rapid muscle force capacity in old individuals. While 7 days of recovery - including free ambulation, one test session and a single session of strength training - was sufficient to restore mechanical muscle function in young individuals, old individuals appeared to have an impaired ability to fully recover as evidenced by suppressed values of isometric and dynamic muscle strength and rapid muscle force capacity.

摘要

由于老年人经常因疾病或肌肉骨骼损伤而经历短期肢体废用,因此了解短期废用及随后的再训练如何影响下肢肌肉力学功能非常重要。因此,本研究的目的是调查年轻(24.3±0.9岁,n = 11)和老年(67.2±1.0岁,n = 11)健康男性在经历4天下肢废用后再进行7天主动恢复对膝关节伸肌肌肉力学功能的影响。使用等速测力法(分别为60和180° s(-1))评估慢速和中速动态肌肉力量,同时在收缩初始阶段(相对于收缩开始的100 ms时间间隔)通过力量发展收缩率(RFD)、冲量和相对RFD(rRFD)来检查等长肌肉力量和快速肌肉力量能力。在废用前,等长和动态肌肉力量(约35%)以及RFD和冲量(约39%)方面观察到明显的年龄相关差异(p<0.05)。废用后,年轻人和老年人在等长力量(约9%)、慢速动态力量(约13%)以及RFD和冲量(约19%)方面经历了相当程度的下降(p<0.05),而老年人仅在中速动态力量(12%)和rRFD(约17%)方面出现下降(p<0.05)。恢复后,与废用前相比,年轻人的所有肌肉力学功能指标均恢复,而老年人的等长、慢速和中速动态肌肉力量仍受到抑制(p<0.05)(约8%),同时RFD100有受到抑制的趋势(p = 0.068)。总之,4天的下肢废用导致年轻人和老年人的膝关节伸肌肌肉力学功能显著下降,但老年人的中速动态力量和快速肌肉力量能力下降幅度更大。虽然7天的恢复——包括自由行走、一次测试和一次力量训练——足以使年轻人恢复肌肉力学功能,但老年人的等长和动态肌肉力量以及快速肌肉力量能力值受到抑制,表明其完全恢复的能力受损。

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