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身体活动水平对老年人全身及肌肉细胞功能的影响

Impact of Physical Activity Level on Whole-Body and Muscle-Cell Function in Older Adults.

作者信息

Yeo Hyo-Seong, Lim Jae-Young

机构信息

Department of Rehabilitation Medicine, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea.

Institute on Aging, Seoul National University, Seoul, Korea.

出版信息

Ann Geriatr Med Res. 2025 Jun;29(2):254-264. doi: 10.4235/agmr.24.0141. Epub 2025 Jan 9.

Abstract

BACKGROUND

The aim of this study was to examine the effects of different levels of physical activity on functional capacity, muscle strength, and the contractile properties of single muscle fibers in older adults.

METHODS

Twenty-ones older adults (71.1±3.7 years) were divided into the high physical activity (HPA, n=10) and low physical activity (LPA, n=11) groups. Physical activity was assessed using a short form of the International Physical Activity Questionnaire (IPAQ). Physical function and muscle strength tests were performed. The fiber cross-sectional area (CSA), maximal force (Po), maximal force normalized to CSA (specific force, SF), maximal shortening velocity (Vo), and myosin heavy chain isoform expression were determined in single muscle fibers.

RESULTS

IPAQ walking and total scores were higher in the HPA than in the LPA. The differences in body composition of the LPA and HPA were not significant. The 4-m walking velocity and isometric and isokinetic knee extensor strength were higher in the HPA than in the LPA. There was a significant difference between the two groups in Vo, but not fiber CSA, peak force, and SF. In addition, the Vo was significantly higher in the HPA than in the LPA for type I but not type II fibers. The correlation between total physical activity level and Vo was positive.

CONCLUSION

In older adults, higher levels of physical activity may have a greater impact on muscle function than on body composition. Moreover, increased physical activity is associated with higher Vo at the muscle cell level. Thus, we propose that enhancing overall physical activity levels should be considered an effective strategy for improving muscle function in older adults.

摘要

背景

本研究旨在探讨不同水平的身体活动对老年人功能能力、肌肉力量及单根肌纤维收缩特性的影响。

方法

21名老年人(71.1±3.7岁)被分为高身体活动组(HPA,n = 10)和低身体活动组(LPA,n = 11)。使用国际身体活动问卷简表(IPAQ)评估身体活动情况。进行身体功能和肌肉力量测试。测定单根肌纤维的横截面积(CSA)、最大力量(Po)、基于CSA的最大力量标准化值(比肌力,SF)、最大缩短速度(Vo)以及肌球蛋白重链同工型表达。

结果

HPA组的IPAQ步行得分和总分高于LPA组。LPA组和HPA组的身体成分差异不显著。HPA组的4米步行速度、等长和等速膝关节伸肌力量高于LPA组。两组在Vo上存在显著差异,但在纤维CSA、峰值力量和SF上无显著差异。此外,I型纤维的Vo在HPA组显著高于LPA组,II型纤维则不然。总体身体活动水平与Vo之间呈正相关。

结论

在老年人中,较高水平的身体活动对肌肉功能的影响可能大于对身体成分的影响。此外,身体活动增加与肌肉细胞水平上更高的Vo相关。因此,我们建议提高总体身体活动水平应被视为改善老年人肌肉功能的有效策略。

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