Robert A. Wiswell

Rate and mechanism of maximal oxygen consumption decline with aging: implications for exercise training.

Because of the influence of cardiorespiratory fitness on functional independence, quality of life, and cardiovascular disease and all-cause mortality, tremendous interest has been directed towards describing the age-related change in maximal oxygen consumption (V̇O2max). Current evidence supports a 10% per decade decline in V̇O2max in men and women regardless of activity level. High-intensity exercise may reduce this loss by up to 50% in young and middle-aged men, but not older men, if maintained long term. Middle-aged and older women do not appear to be able to reduce loss rates in V̇O2max to less than 10% per decade, which may be related to estrogen status. However, maintaining high-intensity training seems limited to approximately one decade at best and to a select few individuals. While the factors limiting the ability to maintain high-intensity training are not completely known, aging most likely plays a role as studies have demonstrated that training maintenance becomes more difficult with advancing age. Age-related loss of V̇O2max seems to occur in a non-linear fashion in association with declines in physical activity. In sedentary individuals, this non-linear decline generally occurs during the twenties and thirties whereas athletic individuals demonstrate a non-linear decline upon decreasing or ceasing training. Non-linear loss rates are also demonstrated in individuals over the age of 70 years. The decline in V̇O2max seems to be due to both central and peripheral adaptations, primarily reductions in maximal heart rate (HRmax) and lean body mass (LBM). Exercise training does not influence declines in HRmax, while LBM can be maintained to some degree by exercise. Recommendations for exercise training should include aerobic activities utilising guidelines established by the American College of Sports Medicine for improving CV fitness and health, as well as strength training activities for enhancing LBM.

Satellite cell numbers in young and older men 24 hours after eccentric exercise

We tested the hypothesis that the expansion of satellite cell numbers, 24 h after maximal eccentric knee extensor exercise, is blunted in older men. Muscle biopsies were obtained from the vastus lateralis of 10 young (23–35 years) and 9 older (60–75 years) men. Satellite cells were identified immunohistochemically using an antibody to neural cell adhesion molecule. After 92 maximal eccentric contractions, the mean number of satellite cells per muscle fiber increased to a greater extent among the young men (141%; P < 0.001) than older men (51%; P = 0.002) from preexercise levels. Similar results were obtained when satellite cells were expressed as a proportion of all sublaminar nuclei. We conclude that a single bout of maximal eccentric exercise increases satellite cell numbers in both age groups, with a significantly greater response among the young men. These data suggest that age‐related changes in satellite cell recruitment may contribute to muscle regeneration deficits among the elderly. Muscle Nerve 2006

Pulmonary responses to exercise in pregnancy

The pulmonary responses of 88 pregnant women were compared to those of 39 nonpregnant control subjects during different exercise intensities. At rest the pregnant women had higher tidal volumes, oxygen consumption, carbon dioxide production, and respiratory exchange ratio. With increased work loads the pregnant volunteers have consistently lagged behind the nonpregnant control subjects for every parameter, which indicates a decrease in pulmonary reserve and inability to exercise anaerobically.

A longitudinal assessment of change in VO2max and maximal heart rate in master athletes.

PURPOSE The purpose of this study was to determine the longitudinal change in VO2max and HRmax in male and female master endurance runners and to compare these changes based upon gender, age, and change in training volume. METHODS Eighty-six male (53.9 +/- 1.1 yr) and 49 female (49.1 +/- 1.2 yr) master endurance runners were tested an average of 8.5 yr apart. Subjects were grouped by age at first visit, change in VO2max, and change in training volume. Measurements included body composition by hydrostatic weighing, maximal exercise testing on a treadmill, and training history by questionnaire. Data were analyzed by ANOVA and multiple regression. RESULTS VO2max and HRmax declined significantly regardless of gender or age group (P < 0.05). The rate of change in VO2max by age group ranged from -1% to -4.6% per year for men and -0.5% to 2.4% per year for women. Men with the greatest loss in VO2max had the greatest loss in LBM (-2.8 +/- 0.7 kg), whereas women with the greatest loss in VO2max demonstrated the greatest change in training volume (-24.1 +/- 3.0 km.wk-1). Additionally, women with the greatest loss in VO2max (-9.6 +/- 2.6 mL.kg-1.min-1) did not replace estrogen after menopause independent of age. HRmax change did not differ by VO2max change or training volume change in either gender. CONCLUSIONS In conclusion, these data suggest that VO2max declines in male and female master athletes at a rate similar to or greater than that expected in sedentary older adults. Additionally, these data suggest that maintenance of LBM and VO2max were associated in men, whereas in women, estrogen replacement and maintenance of training volume were associated with maintained VO2max.

Prolonged exercise in pregnancy: Glucose homeostasis, ventilatory and cardiovascular responses

This study was designed to assess glucose homeostasis in pregnant women in their third trimester of gestation in response to exercise. Specifically, this study was designed to (1) compare the extend and rate at which blood glucose levels decrease in pregnant (22 to 33 weeks of gestation) versus that which occurs in nonpregnant women; and (2) determine the pattern of changes of the substrates (glucose, lactate, beta-hydroxybutyrate, and free fatty acids, and hormones (insulin), that contribute to the glucose homeostasis of pregnant (N = 10), and nonpregnant (N = 10) women in response to 1-hour prolonged moderate intensity exercise (at 55% of their VO2max). Each subject was tested for the determination of their maximal oxygen consumption (VO2max) and, based on their VO2max, they performed 60 minutes of prolonged moderate intensity exercise. Blood was collected before, during, and after the exercise bout. The results indicated that blood glucose levels of pregnant women decrease at a faster rate and to a significantly lower level post exercise (P < .05). Insulin levels of pregnant women also decreased to a significantly lower level post exercise, and lactate levels were maintained at a lower level 15 minutes after exercise. beta-hydroxybutyrate level was not different between the two groups, but demonstrated a different pattern of changes during exercise (P < .05). Furthermore, the results suggest that blood glucose levels of the late pregnant women decrease lower than those of nonpregnant women; also, there are differences in the rate and kinetics of blood glucose between pregnant and nonpregnant women. The results also indicate significant differences in the level of circulating substrates and hormones between pregnant and nonpregnant women in response to exercise.

Eccentric muscle action increases site-specific osteogenic response.

PURPOSE Strain magnitude is known to be a primary determinant of the osteogenic response to loading. However, whether bone adaptation to muscle loading is determined primarily by load magnitude is unclear. The purpose of this study was to determine the contribution of load magnitude from muscle action on the site-specific osteogenic response. METHODS Twenty young women (12 exercise, 8 control) served as subjects. Bone mineral density (BMD) of the whole body and mid-femur segment and body composition were determined by dual-energy x-ray absorptiometry. Knee extension and flexion strengths were determined on a KinCom dynamometer, with surface electromyography of the vastus lateralis muscle. Exercise subjects trained three times weekly for 18 wk on a KinCom. One leg trained using eccentric knee extension and flexion, and the opposite leg trained using concentric knee extension and flexion. RESULTS Eccentric exercise demonstrated greater force production with lower integrated electromyographic signal (IEMG) compared with concentric exercise. Significant increases in muscle strength occurred in both exercised legs (P < 0.05), which were of similar relative change. However, only the eccentric trained leg significantly increased mid-femur segment BMD (+3.9%, P < 0.05) and mid-thigh segment lean mass (+5.2%, P < 0.05). CONCLUSIONS These results suggest that eccentric muscle training is more osteogenic than concentric muscle training and that eccentric training is more efficient by attaining higher force production with lower IEMG.

Fetal heart rate responses to maternal exercise

The fetal heart rate responses to mild, moderate, and strenuous maternal exercise were studied in 45 healthy subjects. In the majority of cases, the fetal heart rate increased during and after maternal exercise. Fetal bradycardia was recorded in five fetuses; this appears to be a sporadic event. There was no correlation between the individual fetal heart responses, gestational age, exercise intensity, and maternal circulating catecholamines.

Endurance Training Delays Age of decline in Leg Strength and Muscle morphology

PURPOSE It has been reported that maximal strength peaks at approximately 30 yr of age, plateaus, and remains relatively stable for the next 20 yr, with an age-related decline in strength becoming significant after age 50. Much of the research attributes this decrease in peak force to age-associated reductions in muscle mass, with a selective atrophy and reduction in Type II fiber area and number being the primary factors. The influence that chronic endurance training has upon age-associated changes in muscular strength and muscle morphology has been largely undetermined. The purpose of this investigation was to examine the influence of chronic endurance training and age on leg extensor strength, and muscle fiber size and type distribution. METHODS Male master runners (N = 107, age range = 40-88 yr) were tested for maximal strength of the leg extensor muscles. A subgroup of 30 master athletes participated in muscle biopsy testing. The effects of age were addressed by subdividing the sample into five cohorts. RESULTS Peak isokinetic concentric torque did not differ between age groups until after age 70 yr. Regression analysis revealed a significant (P < 0.05, r(2) = 0.1838) age-associated decrease in relative strength (N.m.kg(-1) lean body mass). Type I and Type II fiber area and distribution did not differ between age groups through the eighth decade. CONCLUSIONS These data suggest that chronic endurance training can delay the age of significant decline in peak torque and changes in muscle morphology characteristics of the vastus lateralis.

FETAL BRADYCARDIA INDUCED BY MATERNAL EXERCISE

Fetal bradycardia that occurred during maternal exercise (a symptom-limited VO2 max treadmill test) in the fetuses of three healthy pregnant women is described. The mechanism of this bradycardia is believed to be mediated by catecholamines. The fetal bradycardia seems to be transitory and appears to be compensated for by an increase in fetal heart rate after the cessation of exercise.

Influence of weight training exercise and modification of hormonal response on skeletal muscle growth

To investigate the influence of carbohydrate (CHO) consumption on the acute hormonal response, and chronic adaptation to weight lifting exercise, two studies were conducted. Following a four-hour fast, seven young men (21.3 +/- 3.5 y) performed (on two occasions) a nine-station weight lifting protocol, completing 3 sets of 10 repetitions at 75% of 1RM (series 1). Randomly assigned, one session included the ingestion of a non-caloric placebo, and the other, a 6% CHO solution. For series 2, two groups of young men (21.3 +/- 1.5 y) participated in 12 weeks of progressive resistance weight training. Training for one group included the ingestion of a non-caloric placebo, and the other, a 6% CHO solution. In series 1, weight lifting exercise with CHO ingestion significantly (p < 0.05) elevated blood glucose and plasma insulin levels above baseline, as well as that occurring with the placebo. This resulted in a significant blunting of the cortisol response (7% with CHO compared to 99% with placebo). These findings indicate that CHO consumption during weight lifting exercise can modify the acute hormonal response to exercise. With series 2, CHO consumption continued to blunt the cortisol response to exercise during the twelve weeks of training. This is in contrast to significantly elevated cortisol levels observed for the placebo control group. Corresponding with the modified response patterns were differences in muscle growth. Weight training exercise with CHO ingestion resulted in significantly greater gains in both type I (19.1%) and type II (22.5%) muscle fibre area than weight training exercise alone. The difference in the cortisol response accounted for 74% of the variance (r = 0.8579, p = 0.006) of change in type I muscle fibre area, and 52.3% of the variance (r = 0.7231, p = 0.043) of change in type II muscle fibre area. These findings suggest that the modification of the cortisol response associated with CHO ingestion can positively impact the skeletal muscle hypertrophic adaptation to weigh training.