Aging and Exercise Flashcards

1
Q

age of highest strength levels

A

20-40 (women and men)

  • muscle cross sectional area is largest
  • concentric strength of most muscle groups declines, slowly at first, then more rapidly after middle age
  • capacity for power generation declines faster than that for maximal strength
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2
Q

declines in strength

A
  • eccentric strength decline begins at a later age and progresses more slowly than concentric strength
  • arm strength deteriorates more slowly than leg strength (less walking around/movement lower extremity)
  • strength loss relates to limited mobility and fitness status, potential for increased incidence of accidents
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3
Q

muscle mass decrease

A
  • begins to decrease at approximately age 30, decreasing by 10% by age 50
  • muscle area usually parallels reduced fiber size, particularly reduced size and number of fast twitch fibers
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4
Q

motor unit remodeling and muscle mass decrease

A

motor unit remodeling involves motor endplate repair and reconstruction gradually deteriorates in old age

  • leads to denervation muscle atrophy which, magnified by reduced physical activity, progressively reduces muscle cross section(strength), mass, and function
  • affects type II muscle fibers the most
  • leads to an increase in number of type 1 muscle fibers
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5
Q

sarcoponeia

A

losing muscle fibers

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6
Q

loss muscle fiber type

A

-lose fastest twitch (type IIB) the fastest, slow twitch maintained with old age

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7
Q

protein synthesis during aging

A

-slowed during aging

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8
Q

neural function

A
  • aging leads to a 40% decline in spinal cord axons number and a 10% decline in nerve conduction velocity
  • these changes likely contribute to the age-related decrement in neuromuscular performance assessed by simple and complex reaction and movement times
  • a physically active lifestyle and specific exercise training affects neuromuscular functions positively at any age to slow the age-related decline in cognitive performance associated with speed of information processing
  • overall reduction of nervous system ability to conduct impulses
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9
Q

endocrine function

A
  • 40% of those ages 65-75 and 50% of >80 have impaired glucose tolerance that leads to type II diabetes
  • pituitary gland decreases release of thyroid stimulating hormone thyrotropin, which affects metabolic function
  • hormonal systems changed due to aging
  • -hypothalamic-pituitary-gonadal axis, leading to menopause and andropause
  • -adrenal cortex leading to a reduced output of DHEA
  • -growth hormone/insulin-like growth factor axis leading to somatopause
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10
Q

age dependent changes in pulmonary function

A
major age related changes in pulmonary function
-decrease elastic recoil of lung tissue
--changes lung volumes
--less surface area for gas exchange
-stiffening of chest wall
-decrease intervertebral space
-weakening of respiratory muscle
TV DOES NOT CHANGE WITH AGE
-ability to take in as much air decreases, reserves impacted
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11
Q

pulmonary response to exercise

A

older adults display an attenuated response to exercise

  • more flow limitation
  • higher ventilatory rates
  • approach maximal inspiratory pressure
  • increased expiratory resistance
  • approach TLC
  • response remains the same, just not to the same extent
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12
Q

pulmonary function summary

A
  • mechanical constraints cause deterioration in static and dynamic lung function
  • pulmonary ventilation and gas exchange kinetics during the transition from rest to submaximal exercise slow substantially
  • in elderly men, aerobic training increases gas exchange kinetics to levels that approach values for fit young adults and older endurance-trained athletes demonstrate greater pulmonary functional capacity than sedentary peers
  • -basically still have improvements with old age
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13
Q

cardiovascular function

A
  • VO2 max declines 1% per year and occurs twice as fast in sedentary compared to physically active
  • decline in aerobic power with aging
  • maximum exercise heart rate declines with age
  • maximum cardiac output decreases in the trained and untrained due to lower max heart rate and stroke volume
  • compliance of large arteries declines from changes in the arterial wall’s structural and nonstructural properties
  • decreased capillary:muscle fiber ratio and arterial cross-sectional area causes lower blood flow to active muscle
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14
Q

cardiac output during exercise

A

EDV-slight increase
ESV-still increases, just not as much
-contractility decreases, dont eject as much blood, CO decreases, HR does not reach same values as YA

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15
Q

cardiovascular function summary

A
  • attenuated response to exercise largely due to changes in cardiac output
  • with aerobic exercise training many of those physiologic changes can be partially reversed
  • -parallels improvements in YA
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16
Q

physiologic loss with aging

A
  • sedentary living produces losses in functional capacity at least as great as effects of aging
  • after 18, men and women progressively gain body weight and fat until 5th or 6th decade when total body mass decrease despite increasing body fat
  • bone mass decreases 30-50% in those >60, but weight-bearing and resistance exercise increases bone mass
  • mm replaced with fat
17
Q

EXERCISE RECOMMENDATIONS FOR AGING ADULTS

A

s

18
Q

trainability and aging

A
  • contrary to old beliefs, older adults who engage in exercise:
  • may slow or even reverse declines in functional capacity
  • show improvements in physiologic function independent of age
19
Q

trainability and aging

A
  • exercise improves physiologic responses at any age
  • -several facts affect the magnitude of the response, including initial fitness status, genetics, and specific type of training
  • exercise in healthy elderly men enhances the heart’s systolic and diastolic properties and increases aerobic power the same relative extent as younger adults
20
Q

physical activity guideline

A
  • adults: 2 1/2 hours/week of moderate intensity aerobic physical activity or 1 1/4 hours of vigorous physical activity performed in episodes of >/=10 minutes; muscle strengthening activities at least 2X/week
  • older adults: follow guidelines for adults when it is within their physical capacity; exercises that maintain or improve balance
  • adults with disabilities: 2 1/2 hours/week of moderate intensity aerobic physical activity or 1 1/4 hours of vigorous aerobic activity/week; muscle-strengthening activities >/= 2x/week
  • people with chronic medical conditions: regular physical activity with the guidance of a health care provider
21
Q

modifications for older adults

A
  • level of exercise intensity takes into account the older adult’s relatively lower level of aerobic fitness
  • focuses on joint flexibility and balance to reduce risk of falls
  • emphasizes moderate-intensity aerobic activity, muscle-strengthening exercises, reduction of sedentary behavior, and lifestyle risk management
22
Q

resistance training for elderly

A
  • moderate resistance training provides a safe way to stimulate protein synthesis and retention while slowing the normal and inevitable loss of mm mass and strength with aging
  • older men who resistance train have greater absolute gains in mm size and strength than women, but the percentage improvement is similar between genders
  • for those ages 70-90 years, a regular program of aerobic, strength, flexibility, and balance training prevented both loss of mm strength and increase in mm fat infiltration associated with advancing age
23
Q

balance training for the elderly and those at risk for falling

A
  • neuromuscular training performed 2-3x/week is effective at reducing and preventing falls
  • general recommendations include:
  • -progressively difficult postures that gradually reduce BOS
  • -dynamic movements that perturb COG
  • -activities that stress postural muscle groups
  • -reduce sensory input
24
Q

exercise recommendations

A

exercise intensity

  • for apparently healthy adults exercise intensity relative to METs
  • for healthy older adults exercise intensity relative to perceived physical exertion using a 10 pt scale
  • -5/6=moderate
  • -7/8=vigorous