Module 5 Flashcards

1
Q

What is anabolic resistance?

A

A diminished capacity of muscles to respond to growth stimuli like protein intake and exercise

This leads to smaller muscle mass and atrophy in older adults.

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2
Q

What type of muscle fibers are preferentially lost with age?

A

Type 2 (fast-twitch) muscle fibers

These fibers are crucial for generating force and power.

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3
Q

What happens to muscle composition in older adults?

A

Increased percentage of type 1 (slow-twitch) fibers

This results from the loss of type 2 fibers.

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4
Q

What is the effect of increased fibrotic tissue and fat infiltration in older muscle?

A

Decreased overall muscle quality and less force production for a given muscle size

The extracellular matrix becomes less effective at transmitting force.

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5
Q

What happens to the number of motor units as individuals age?

A

Decline in the number of motor units

The largest motor units, which innervate type 2 fibers, are particularly susceptible to death.

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6
Q

What occurs to the size of remaining motor units with aging?

A

The size of remaining motor units tends to be larger

Surviving motor neurons reinnervate orphaned muscle fibers.

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7
Q

How do neuromuscular junctions change with age?

A

They become less stable

This can lead to denervation of muscle fibers.

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8
Q

What is the trend in total fiber number and size with aging?

A

Decreased total fiber number and size

The average size of remaining fibers also decreases.

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9
Q

What is a key problem with muscle activation in older adults?

A

Worsened ability to activate motor units

This includes difficulty in turning on specific motor units and achieving a high enough firing rate.

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10
Q

What is impaired in muscle fibers of older adults?

A

Calcium handling

This leads to less calcium release and decreased sensitivity, resulting in less force production.

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11
Q

What is the trend in the rate of force development with aging?

A

Slower rate of force development and impaired relaxation

Older individuals take longer to turn muscles on and develop force.

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12
Q

True or False: Older adults are more fatigue-resistant during dynamic contractions.

A

False

They tend to be more fatiguable during dynamic contractions, especially high-velocity ones.

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13
Q

What is observed regarding force steadiness in older adults?

A

Decreased force steadiness

Force output tends to fluctuate more compared to younger individuals.

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14
Q

What happens to maximum velocity contractions with age?

A

Decline in maximum velocity contractions

This indicates a reduced ability to perform high-speed movements.

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15
Q

What is the trend in muscle quality as individuals age?

A

Lower muscle quality (force per area)

This indicates a decline in the amount of force produced per unit area of muscle.

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16
Q

What is the effect of aging on muscle hypertrophy?

A

Resistance to hypertrophy

Older adults can still increase strength but have a blunted capacity for muscle size increase.

17
Q

What happens to muscle power as individuals age?

A

Loss of power

The ability to generate muscle power declines with age.

18
Q

What is mitochondrial dysfunction associated with aging?

A

Fewer mitochondria, impaired turnover, damage to mitochondrial DNA, and reduced ATP production

This directly impacts aerobic exercise capacity.

19
Q

What cardiovascular changes are associated with aging?

A

Age-related cardiovascular changes and altered lung function

These changes contribute to a decline in aerobic fitness.

20
Q

Which mechanisms contribute to sarcopenia?

A
  • anbolic resistance
  • mitochondria dysfunction
  • senescence

in module 4, satellite cells and angiogenesis were also proposed to impact hypertrophy; particularly for older adults

21
Q

What is anabolic resistance?

A

Diminished capacity of skeletal muscle in older adults to respond to anabolic stimuli with increased muscle protein synthesis (MPS)

stimuli include: lifting and protein feeding

22
Q

How does the muscle protein synthesis (MPS) response differ in older adults compared to younger individuals?

A

The increase in MPS following protein ingestion or resistance exercise is smaller in older adults

This blunted response leads to gradual muscle mass loss over time.

23
Q

What role does the mTOR pathway play in muscle protein synthesis?

A

The mTOR pathway is crucial for MPS, and its activation is less in older adults following feeding and exercise

This includes less phosphorylation of mTOR and its downstream targets.

24
Q

What is meant by reduced translational capacity and efficiency in muscle cells?

A

The ability of muscle cells to produce new proteins decreases with age

This occurs even when anabolic signals are present.

25
Q

What is the potential link between branched-chain amino acids (BCAAs) and anabolic resistance?

A

Older adults often have elevated resting levels of BCAAs, particularly leucine, which may be linked to anabolic resistance

This could be due to a down-regulation of mitochondrial enzymes responsible for breaking down BCAAs. BCAAs floating around could mean they’re not doing their jobs

26
Q

How might older adults’ protein intake needs differ from younger individuals due to anabolic resistance?

A

Older adults may require a higher dose of protein to achieve a similar MPS response

However, simply consuming large amounts of protein may not fully overcome anabolic resistance.

27
Q

What role does resistance training play in combating sarcopenia in older adults?

A

Resistance training is crucial for counteracting sarcopenia, helping with strength gains despite anabolic resistance

It likely leads to neural adaptations and improved muscle quality.

28
Q

What compounding factors can exacerbate the effects of anabolic resistance?

A

Inflammation, insulin resistance, and mitochondrial dysfunction

These factors can create a negative feedback loop worsening muscle loss and anabolic resistance.

29
Q

True or False: Adequate protein intake alone is sufficient to overcome anabolic resistance in older adults.

A

False

While important for maintaining muscle mass, adequate protein intake is not a complete solution to anabolic resistance.

30
Q

Fill in the blank: Anabolic resistance contributes to the development of _______.

A

sarcopenia

It represents a significant challenge in maintaining muscle health with aging.

31
Q

What is sarcopenic obesity? What does it do?

A

sarcopenia combined with obesity. This causes additive impairments in fitness

24/7 weight vest + losing muscle…nasty combo

32
Q

How does insulin resistance interact with sarcopenic obesity?

A

the two feed into eachother.
Inactivity -> insulin resistance -> sarcopenic obesity -> inactivity