lecture 6

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Questions and Answers

Which process is associated with sarcopenia?

  • Improved muscle contractile speed
  • Increased muscle mass
  • Loss of skeletal muscle mass (correct)
  • Enhanced muscle strength

What leads to larger motor units in older individuals?

  • Motor unit jitter
  • Increased physical activity
  • Collateral reinnervation (correct)
  • Motor unit death

Which factor can attenuate ageing-related motor unit remodeling?

  • Sarcopenia
  • Decreased physical activity
  • Increased muscle contractile speed
  • Physical activity (correct)

In ageing-related motor unit decline, what is a potential limit on physical activity's capacity?

<p>Slower motor units (B)</p> Signup and view all the answers

What is a characteristic of motor unit jitter in some diseases?

<p>Significantly increased timing variability (C)</p> Signup and view all the answers

Which age group is likely to have a higher number of motor units in the tibialis anterior muscle?

<p>Young controls (~25y) (C)</p> Signup and view all the answers

What is one of the functional consequences of aging in relation to muscle fibers?

<p>Slowed muscle contractile speed (C)</p> Signup and view all the answers

Which type of fiber area increases as a result of decades of aging?

<p>Type I (ST) fibers (A)</p> Signup and view all the answers

What is a contributing factor to sarcopenia and whole muscle strength loss in aging individuals?

<p>Fewer motor units &amp; larger % of Type I fiber area (A)</p> Signup and view all the answers

Which type of muscle fibers are typically associated with slowed contractile response in older adults?

<p>FT/Type II fibers (A)</p> Signup and view all the answers

In terms of fatiguability, which age group generally experiences less fatigue in isometric tasks according to the text?

<p>Older adults (A)</p> Signup and view all the answers

What is one of the factors influencing fatiguability according to the text?

<p>Sex (A)</p> Signup and view all the answers

What is a possible factor contributing to sarcopenia?

<p>Reduced ability to activate knee extensors (C)</p> Signup and view all the answers

What is a characteristic of muscle weakness in old age?

<p>Decreased ability to activate muscle with increasing force requirements (C)</p> Signup and view all the answers

How do old adults differ from young controls in terms of muscle activation?

<p>'Not weak' old adults show no difference in muscle activation compared to young controls (A)</p> Signup and view all the answers

Which neurotransmitter level is NOT decreased in individuals experiencing sarcopenia?

<p>testosterone (D)</p> Signup and view all the answers

What is a consequence of cortical hypo-excitability in the context of muscle function?

<p>'Not weak' old adults exhibit significant reduction in muscle activation (A)</p> Signup and view all the answers

What factors does not cause sarcopenia?

<p>increased testosterone (B)</p> Signup and view all the answers

Flashcards

Sarcopenia process

Loss of skeletal muscle mass associated with aging.

Motor unit size in older adults

Larger motor units due to collateral reinnervation.

Attenuating aging's impact on motor units

Physical activity can reduce changes in motor unit structure.

Physical activity's limit

Slower motor units can limit the effectiveness of physical activity in older adults.

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Motor unit jitter

Increased timing variability in some diseases (not just aging).

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Tibialis anterior muscle units (age)

Young adults (~25 years old) likely have more motor units in this muscle.

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Aging's effect on muscle contraction

Aging slows muscle contractile speed.

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Type I fiber area change

Type I (slow twitch) fiber area increases with age.

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Sarcopenia and muscle fiber relationship

Fewer motor units and a larger percentage of Type I fibers contribute to sarcopenia and strength loss.

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Aging's effect on muscle fiber type

Type II muscle fibers (fast-twitch) typically display slowed contraction with age.

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Fatigue and age

Older adults may experience less fatigue during isometric tasks.

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Fatiguability factor

Age & sex influence how easily muscles fatigue.

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Potential sarcopenia factor

A reduced ability to activate knee extensors could be a factor in sarcopenia.

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Muscle weakness in old age

Muscle weakness in old age is marked by a reduced ability to activate muscles progressively more strongly.

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Muscle activation in older adults

Older adults who are not considered to be weak (sometimes referred to as "not weak" old adults) do not show any difference in muscle activation compared to younger controls.

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Hormone NOT decreasing with sarcopenia

Testosterone levels are not typically decreased in individuals experiencing sarcopenia.

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Cortical hypo-excitability impact

Cortical hypo-excitability can result in decreased muscle activation in older adults.

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Factors not causing sarcopenia

Increased testosterone levels are not a cause of sarcopenia.

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Study Notes

Aging and Motor Unit Remodeling

  • A motor unit (MU) consists of a motoneuron and the muscle fibers it innervates
  • Aging leads to a decline in the number of MUs and an increase in the percentage of Type I (slow-twitch) fibers
  • Collateral reinnervation: an intact MU can reinnervate fibers orphaned by the death of another MU

Functional Consequences of Aging

  • Sarcopenia: age-related loss of skeletal muscle mass, strength, and power
  • Slowed contractile response in older adults
  • Decreased muscle strength and speed with aging
  • Number of MUs declines with advancing age, with an accelerated decline after 60 years
  • Case study: a 92-year-old with a single MU, demonstrating denervation 5 weeks later

Motor Unit Discharge Rate

  • Motor unit discharge rate (Hz) decreases with age
  • Average motor unit discharge rates for different muscles (e.g., First Dorsal Interosseous, Biceps Brachii, Triceps Brachii, etc.)

Motor Unit Jitter

  • Motor unit jitter is increased in some diseases and with aging compared to healthy young adults
  • Assessing motor unit jitter by overlaying many action potentials and aligning based on the 1st muscle fiber

Estimates of Motor Unit Numbers

  • Estimates of motor unit numbers in male tibialis anterior of young, older, and masters runners
  • Number of motor units decreases with age, with some attenuation in masters athletes

Take-Home Points

  • Sarcopenia is an age-related loss of skeletal muscle mass, strength, and power with central and peripheral components
  • Motor unit death and collateral reinnervation lead to larger and perhaps slower motor units
  • Physical activity can attenuate age-related motor unit remodeling, but may have limitations in very old age

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