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Twelve men and twelve women 78-81 years of age were studied with muscle biopsies from the right vastus lateralis and biceps brachii and with measurements of isometric and isokinetic strength for knee-extention and isometric strength for elbow-flexion. Bicycle ergometry with determination of heart rate and oxygen uptake at submaximal (50 W) and "maximal" work loads was also performed. Body cell mass was estimated from measurements of total body potassium. Muscle fibre composition with respect to slow twitch (ST = type I) and fast twitch (FT = type II) fibres did not differ between the sexes and the younger subjects drawn from population studies. The mean fibre areas averaged in vastus lateralis 4.7 and 3.3 micrometers 2 X 10(3) in men and women, respectively. This is less than 10 up to 30% of values found in sedentary younger subjects. The decline dominated in FT fibres, especially FTb fibres. In contrast biceps brachii did not show any matched fibre size reduction. The number of atrophic fibres was high and so was the frequency of "enclosed" fibres and areas with type grouping (ST fibres), indicating denervation--reinnervation. Such abnormalities are rarely seen in younger ages. Correlation analysis showed that only a minor part of the reduction in body cell mass with age could be explained by a reduction in fibre areas and that a reduction with age of the number of muscle fibres of both fibre types must be assumed. Positive correlations were observed between muscle strength and mean fibre and FT fibre areas. Comparing the present findings of skeletal muscle morphology to those in younger age groups, it is apparent that during the 8th decade of life major changes do occur. The measurements of aerobic and anaerobic enzymatic activities and of muscle capillary supply showed that levels comparable to those of younger age groups are maintained. Thus, quantitative rather than qualitative changes may explain the reduction in work performance with age.

Knee extension strength training of one leg (ST) (120 maximal contractions per day, 5 days per week for 9 weeks) was performed by 9 healthy young men. Before and after ST, biopsies were obtained from the vastus lateralis muscle of each leg and static quadriceps contractions (SQC) lasting 2 min were performed with each leg under control conditions and after combined vagal and beta-adrenergic blockade with atropine and metoprolol. Maximal voluntary contraction strength (MVC) increased more for the trained leg (TL) than for the untrained leg (UTL) but thigh circumferences and muscle fibre diameters gave little evidence for muscle hypertrophy. In pre- vs. post-training comparisons during SQC at the same relative force (40% of MVC) mean blood pressure (MBP), heart rate (HR) and smoothed rectified electromyographic activity were similar for TL and UTL. Similar findings were obtained for MBP after attenuation of the HR response by autonomic blockade, indicating that MBP, per se, was closely linked to the relative force of SQC. Pre- to post-training reductions in MBP and HR during SQC with each leg at an absolute force of 40% of pre-training MVC were likely due to changes in the pattern of motor unit activation. A lower MBP response to SQC and TL than of UTL after training correlated with a greater capillary density and a lower muscle lactate level for TL.

13 male subjects were studied and placed in 3 groups. Each group exercised one leg with sprint (S), or endurance (E) training and the other leg oppositely or not at all (NT). Oxygen uptake (Vo2), heart rate and blood lactate were measured for each leg separately and for both legs together during submaximal and maximal bicycle work before and after 4 weeks of training with 4-5 sessions per week. Muscle samples were obtained from the quadriceps muscle and assayed for succinate dehydrogenase (SDH) activity, and stained for myofibrillar ATPase. In addition, eight of the subjects performed after the training two-legged exercise at 70% Vo2 max for one hour. The measurements included muscle glycogen and lactate concentrations of the two legs as well as the blood flow and the a-v difference for O2, glucose and lactate.