buffy said:
And more than you could ever want to know, with linked references, her:
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3429036/
It’s a review of the research on muscle loss with age. And it’s a long read.
> The physical challenges of rising from a chair, dressing and walking, bringing food to the open mouth …
Yes, having trouble with all four of those. Troubles with the fourth are unrelated – due to arthritis.
> approximately a quarter of those over 90 years of age …
I’m less than 60, aging too quickly.
> loss of skeletal muscle with old age
It’s not a loss of skeletal muscle, rather, an unpleasant weakness of skeletal muscles that ought to be stronger. Not losing muscle mass, losing muscle strength after any sort of short rest.
> with aging the decline in strength exceeds that of muscle size … Strength decreases with advancing age. Average rates of loss are 2–4% per year. This is 2–5 times faster than muscle mass is lost
Yes. I was wondering whether decline in strength could be correlated to low blood pressure or low blood glucose, given that blood pressure declines during resting and that muscles need glucose to function.
> … Baumgartner …
Him again? :-)
> As most muscles act across joints via tendons, changes in other connective tissue elements will indirectly affect the muscle’s mechanical behavior (its length–force relation)
This is my doctor’s favourite idea – problems with tendons and other connective tissue elements.
> The use of simple hand grip strength near-isometric dynamometers has been established for more than seven decades
Hand grip is a hopeless measure of muscle strength. Hopeless for me because of arthritis in hands, nothing to do with muscle strength. Also, for me it’s foot and leg muscles that hinder standing up, walking and dressing without falling over.
> Lower limb strength is lost more rapidly than upper limb strength … the loss in strength greatly exceeds the loss of muscle mass
OK, that fits. But no explanation is given in the article as to why.
> with aging, the maximum shortening velocity of type I and IIA fibers decreases by c. 20–46 and 10–30%, respectively, and these changes are seen in both males and females … decrease in the actin sliding velocity on purified myosin isoforms prepared from aged muscle determined by in vitro motility assays … Within fibers, myosin concentration falls with age. Within each fiber type, the specific tension generated is almost proportional to the myosin concentration.
Ah, now the article is starting to get more scientific. Perhaps I need more myosin.
> It has long been recognized that the pattern of histological changes seen in muscle, described above, suggested that denervation significantly contributed … The total number of limb motoneurons in the human lumbosacral region of the human spinal cord was found to average at 57–60,000 before 60 years dropping to 45,000 in octogenarians
So older people become less nervous ;-)
> Compromised vascularization … due to fibers being smaller and the resulting capillary density is unchanged.
ie. partial blockages of blood vessels.
> mitochondrial dysfunction
OK
In summary, the article gives that appearance of listing all the hypotheses for Sarcopenia that the authors can dream up, with no more than a token attempt to apply the scientific method to determine which hypotheses are the correct explanations. The authors finally conclude by suggesting more exercise – which is the modern doctor’s self-palliative.