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Background: This study examined the validity of muscle thickness (MT)-based prediction equation for the muscle volume of the quadriceps femoris (QFMV) by evaluating the applicability of a prediction equation previously derived from young men and by developing a new prediction equation in middle-aged and older individuals., Methods: The MT at the midpoint of the thigh anterior and QFMV were determined using ultrasonography and magnetic resonance imaging in 30 men and 30 women aged 51 to 77 years. First, we examined the validity of the MT-based prediction equation previously developed for young men to estimate the QFMV of middle-aged and older individuals. Second, we allocated the subjects to validation or cross-validation group and developed a prediction equation for estimating the QFMV using a stepwise multiple regression analysis., Results: The published equation generated a small but a significant difference between the measured and estimated QFMV, with a systematic error depending on the size of QFMV. A multiple regression analysis for the validation group produced the following equation: QFMV (cm 3 ) = (sex × 267.7) + (MT × 249.3) + (thigh length × 41.1) - 1663.7 (sex: man = 1, woman = 0). R 2 and SEE of the regression equation were 0.888 and 124.4 cm 3 (12.0 %), respectively. The developed equation was validated and cross-validated., Conclusion: For middle-aged and older individuals, the prediction equation previously derived from young men is not applicable, and the newly developed prediction equation with sex, MT, and thigh length as independent variables is applicable for estimating QFMV.

Purpose: Despite the fact that everyday movements are hardly ever performed with muscles contracting maximally, our understanding of the force-length relationship is mostly based on in vitro studies using maximal activation. In this study, the in vivo submaximal and maximal force-length relationships of vastus-lateralis were investigated. Force-length relationships were obtained based on maximal and submaximal levels of force and, also, on EMG activation., Methods: Nine subjects performed isometric knee extensor contractions at ten knee angles (80°-170°). Knee extensor torque, and vastus-lateralis EMG and fascicle lengths were acquired simultaneously. Fascicle lengths and knee angles at peak force occurrence were compared across maximal and submaximal conditions., Results: The submaximal force-fascicle length relationships depend crucially on the approach used: in the force-based approach, peak forces are constrained to occur at the same MTU length and, because of series elasticity, occur at longer fascicle lengths for decreasing force levels. In contrast, in the activation-based approach, peak force occurrence is not constrained to a given muscle length for submaximal contractions and occurs at similar fascicle lengths but shorter MTU lengths (more extended knee angles) as force decreases., Conclusions: Our results support the hypothesis that vastus-lateralis fascicle length for maximal force production is about constant for maximal and submaximal levels of activation, presumably taking advantage of optimal myofilament overlap at that fascicle length. This result implies that optimal vastus-lateralis lengths occur at different knee angles for different levels of activation, which is in stark contrast to findings in the literature in which submaximal force-fascicle length relationships were based on force rather than activation.

Purpose: Skeletal muscles of older individuals have a larger amount of intramuscular adipose tissue (IntraMAT) than those of younger individuals. It is not understood how aging affects the IntraMAT content of individual muscles of the thigh. We assessed the relationship between IntraMAT content and skeletal muscle cross-sectional area (CSA), subcutaneous adipose tissue CSA, biochemical blood profiles, and physical activity., Methods: Fifteen older (70.7 ± 3.8 years) and 15 younger (20.9 ± 0.3 years) men and women participated in this study. Magnetic resonance imaging of the right thigh was taken to measure IntraMAT content and skeletal muscle CSA for the quadriceps femoris (QF), hamstrings (HM), adductor (AD) muscle groups and subcutaneous adipose tissue CSA of the thigh. Fasting blood samples were collected to measure plasma lipids, adiponectin, and HbA1c levels., Results: IntraMAT content in QF, HM, and AD for the Older group was significantly higher than in the Younger group. However, skeletal muscle CSA normalized by body weight (skeletal muscle CSA/bw) in the QF (P < 0.001) and total thigh (P < 0.01) were significantly lower in the Older group compared with the Younger group.There were no significant differences in HM and AD. Stepwise regression analysis with IntraMAT content as a dependent variable revealed that skeletal muscle CSA/bw of the thigh was the only predictive variable for IntraMAT content in Older and Younger groups., Conclusion: These results suggest that skeletal muscle size could be a major determinant of IntraMAT content regardless of age.

The present study was performed to investigate the effects of long-term heat stress on mass, strength and gene expression profile of human skeletal muscles without exercise training. Eight healthy men were subjected to 10-week application of heat stress, which was performed for the quadriceps muscles for 8 h/day and 4 days/week by using a heat- and steam-generating sheet. Maximum isometric force during knee extension of the heated leg significantly increased after heat stress (~5.8%, P < 0.05). Mean cross-sectional areas (CSAs) of vastus lateralis (VL, ~2.7%) and rectus femoris (~6.1%) muscles, as well as fiber CSA (8.3%) in VL, in the heated leg were also significantly increased (P < 0.05). Statistical analysis of microarrays (SAM) revealed that 10 weeks of heat stress increased the transcript level of 925 genes and decreased that of 1,300 genes, and gene function clustering analysis (Database for Annotation, Visualization and Integrated Discovery: DAVID) showed that these regulated transcripts stemmed from diverse functional categories. Transcript level of ubiquinol-cytochrome c reductase binding protein (UQCRB) was significantly increased by 10 weeks of heat stress (~3.0 folds). UQCRB is classified as one of the oxidative phosphorylation-associated genes, suggesting that heat stress can stimulate ATP synthesis. These results suggested that long-term application of heat stress could be effective in increasing the muscle strength associated with hypertrophy without exercise training.

The purpose of this study was to investigate the mechanical properties of muscle and tendon in long distance runners and their relations to running performance. Fifteen long distance runners (LDR) and 21 untrained subjects (CON) participated in this study. Muscle strength and activation level of knee extensors and plantar flexors were measured. Tendon elongation was determined using ultrasonography, while subjects performed ramp isometric knee extension and plantar flexion up to the voluntary maximum. Relative MVC (to body mass) of LDR was significantly lower than that of CON for knee extensors, but not for plantar flexors. No significant difference in the neural activation levels was found between LDR and CON for both sites. Maximal tendon elongation of LDR was significantly lower than that of CON for knee extensors, but not for plantar flexors. Furthermore, faster running time in a 5,000 m race (best official record of LDR) was associated with lower tendon stiffness for both sites. In conclusion, the tendon of long distance runners is less extensible than those of untrained subjects for knee extensors, but not for plantar flexors. For both sites, however, the lower tendon stiffness may be in favor of the running performance in long distance runners.

Quantitative data on muscle volume (MV) are important for estimating maximal muscle power. The objective of this study was to determine the correlation between anatomical cross-sectional areas (ACSAs) and the MV in thigh muscles (extensors, flexors, adductors, and sartorius) in perimenopausal women, and to identify at which proximal-to-distal level a single-slice ACSA measurement with magnetic resonance imaging (MRI) displays the highest correlation in each of these. Axial MRIs of the thigh were acquired in 41 perimenopausal women aged 50.8 +/- 3.2 years. Segmentation of the extensors, flexors, adductors, and the sartorius was performed between the femoral neck (0%) and the distal end of the intermediate vastus (100%). MVs were determined by numerical integration, and the ACSA was calculated from three-dimensional reconstructions at 10% intervals from proximal to distal. The extensors contributed 50%, the flexors 19%, the adductors 28%, and the sartorius 3% of the total thigh MV. Maximal correlations between ACSA and MV were observed at the 20-40% proximal-to-distal level in the extensors (R (2) = 0.73), at 30% in the adductors (R (2) = 0.82), and at 70% in the flexors (R (2) = 0.72) and sartorius (R (2) = 0.85), respectively. ACSA at 50% displayed the highest overall correlations (R (2) >or= 0.69) with MV for all muscle groups. Single-slice ACSAs from MRI displayed high correlations with MVs. Although the (proximal to distal) measurement locations with the highest correlation varied between the muscle groups, a single slice at the 50% location achieved the best compromise in terms of correlation between ACSA and MV across extensors, flexors, adductors and the sartorius.

To examine the effects of 9 weeks of strength training (ST) and 31 weeks of detraining on regional muscle area in young and older men and women, three regions of the quadriceps muscle area (proximal, middle, and distal) were measured via MRI in 11 men ages 20-30, 11 men ages 65-75, 10 women ages 20-30, and 11 women ages 65-75. These effects were assessed by determining the difference between the control limb and the trained limb (T-UT) at all three time points. This design provided control for possible influences of biological, methodological, seasonal variations, as well as influences due to attention or genetic differences that commonly occur between experimental and control groups. There were no significant differences in any of the three regions at any of the three time points, when comparing subjects by age. However, men had significantly greater T-UT CSA at the after ST time point [6.9 (3.7) cm(2)] when compared with women [2.8 (3.7) cm(2), P < 0.05]. Baseline T-UT CSA was higher than after detraining T-UT CSA for young men in the proximal and middle regions [0.1 (3.6), 0.4 (3.6) cm(2) vs. 2.8 (4.0), 2.4 (3.6) cm(2), P < 0.05], but there were no significant differences within the other three groups. These data indicate that sex may influence changes in regional CSA after ST, whereas age does not influence regional muscle gain or loss due to ST or detraining.

Fifteen healthy men performed a 5-week training program comprising four sets of seven unilateral, coupled concentric-eccentric knee extensions 2-3 times weekly. While eight men were assigned to training using a weight stack (WS) machine, seven men trained using a flywheel (FW) device, which inherently provides variable resistance and allows for eccentric overload. The design of these apparatuses ensured similar knee extensor muscle use and range of motion. Before and after training, maximal isometric force (MVC) was measured in tasks non-specific to the training modes. Volume of all individual quadriceps muscles was determined by magnetic resonance imaging. Performance across the 12 exercise sessions was measured using the inherent features of the devices. Whereas MVC increased (P < 0.05) at all angles measured in FW, such a change was less consistent in WS. There was a marked increase (P < 0.05) in task-specific performance (i.e., load lifted) in WS. Average work showed a non-significant 8.7% increase in FW. Quadriceps muscle volume increased (P < 0.025) in both groups after training. Although the more than twofold greater hypertrophy evident in FW (6.2%) was not statistically greater than that shown in WS (3.0%), all four individual quadriceps muscles of FW showed increased (P < 0.025) volume whereas in WS only m. rectus femoris was increased (P < 0.025). Collectively the results of this study suggest more robust muscular adaptations following flywheel than weight stack resistance exercise supporting the idea that eccentric overload offers a potent stimuli essential to optimize the benefits of resistance exercise.

Muscle size is often reported as a single anatomical cross-sectional area (ACSA), rather than volume measured with contiguous MRI scans. However, a single ACSA may provide an inadequate estimate of muscle mass. Therefore, we investigated whether quadriceps muscle volume can be adequately estimated from a single ACSA. In 18 adult males we derived regression equations from which estimates of volume were made. These equations were based on the direct assessment of volume using 11 transverse-plane MRI scans along the entire length of the femur (the gold standard). We estimated volume based on single scans at 40, 50 and 60% of femur length (from the distal end). All estimates of quadriceps volumes were highly correlated to the measured volume and demonstrated a low level of error. R (2) = 0.84, 0.93, 0.90 (all P < 0.01), standard error of estimate (SEE) = 26.8 +/- 5.2, 12.5 +/- 5.4 and 9.9 +/- 5.7%, for single scans taken at 40, 50 and 60% of femur length respectively. In comparison, when volume was estimated using multiple MRI scans corresponding to the maximum ACSA of each muscle the estimate was even better [R (2) = 0.95 (P < 0.01) and SEE = 4.5 +/- 2.7%]. Substituting ACSA from a single MRI scan at 60% of femur length into a previously determined regression equation allows for an estimation of muscle volume with a 10% error of estimate.

Changes in the quadriceps femoris muscle with respect to anatomical cross sectional area (CSA), neural activation level and muscle strength were determined in 18 healthy men subjected to 8 weeks of horizontal bed rest (BR) with (n = 9) and without (n = 9) resistive vibration exercise (RVE). CSA of the knee extensor muscle group was measured with magnetic resonance imaging every 2 weeks during bed rest. In the control subjects (Ctrl), quadriceps femoris CSA decreased linearly over the 8 weeks of bed rest to -14.1 +/- 5.2% (P < 0.05). This reduction was significantly (P < 0.001) mitigated by the exercise paradigm (-3.5 +/- 4.2%; P < 0.05). Prior to and seven times during bed rest, maximal unilateral voluntary torque (MVT) values of the right leg were measured together with neural activation levels by means of a superimposed stimulation technique. For Ctrl, MVT decreased also linearly over time to -16.8 +/- 7.4% after 8 weeks of bed rest (P < 0.01), whereas the exercise paradigm fully maintained MVT during bed rest. In contrast to previous reports, the maximal voluntary activation remained unaltered for both groups throughout the study. For Ctrl, the absence of deterioration of the activation level might have been related to the repeated testing of muscle function during the bed rest. This notion was supported by the observation that for a subset of Ctrl subjects (n = 5) the MVT of the left leg, which was not tested during BR, was reduced by 20.5 +/- 10.1%, (P < 0.01) which was for those five subjects significantly (P < 0.05) more than the 11.1 +/- 9.2% (P < 0.01) reduction for the right, regularly tested leg.

This study examined the effects of altering surface neuromuscular electrical stimulation (SNMES) parameters on the specific tension of the quadriceps femoris muscle. Seven able-bodied subjects had magnetic resonance images taken of both thighs prior to and immediately after four SNMES protocols to determine the activated muscle cross-sectional area (CSA). The four protocols were: (1) research (RES, 100 Hz, 450 micros, and amplitude set to evoke 75% of maximal voluntary isometric torque, MVIT); (2) pulse duration (PD, 100 Hz, 150 micros, same current as in RES); (3) frequency (FREQ, 25 Hz, 450 micros, and same current as in RES); (4) amplitude (AMP, 100 Hz, 450 mus, and current set to evoke the average of the initial torques of PD and FREQ, 45 +/- 9% of MVIT). Reducing the amplitude of the current from 75 to 45% of MVIT did not alter specific tension, 25 +/- 8 N/cm2, suggesting that the amplitude probably affects torque and the area of activated muscle proportionally. Shortening the pulse duration from 450 to 150 micros caused specific tension to drop from 25 +/- 6 to 20 +/- 6 N/cm2 (P < 0.05), indicating that pulse duration increased torque and the activated CSA disproportionally. Alternatively, reducing the frequency from 100 to 25 Hz decreased specific tension from 25 +/- 6 to 17 +/- 4 N/cm2 (P < 0.05), suggesting that the frequency increased torque without affecting the activated CSA. Clinicians who administer SNMES should be aware of the magnitude of adaptations to a given amplitude, pulse duration, and frequency.

We investigated the effects of 4 weeks of detraining subsequent to an 8-week electrostimulation (ES) training program on changes in muscle strength, neural and muscular properties of the knee extensor muscles. Nine male subjects followed the training program consisting of 32 sessions of isometric ES training over an 8-week period. All subjects were tested before and after 8 weeks of ES training, and were then retested after 4 weeks of detraining. Quadriceps muscle anatomical cross-sectional area (ACSA) was assessed by ultrasonography imaging. The electromyographic (EMG) activity and muscle activation (i.e., by means of the twitch interpolation technique) obtained during maximal voluntary contractions (MVC) were used to examine neural adaptations. After training, the knee extensor voluntary torque increased significantly by 26%. Torque gains were accompanied by an increase in vastii EMG activity normalized to respective M-wave (+43%), muscle activation (+6%) and quadriceps ACSA (+6%). After detraining, knee extensor MVC, vastii EMG activity, muscle activation and quadriceps ACSA decreased significantly by 9%, 20%, 5% and 3%, respectively. Also, the knee extensor MVC values remained significantly elevated (14%) above baseline levels at the end of the detraining period and this was associated with a larger quadriceps ACSA (+3%) but not with a higher neural activation. We concluded that the voluntary torque losses observed after detraining could be attributed to both neural and muscular alterations. Muscle size preservation could explain the higher knee extensor MVC values observed after the cessation of training compared to those obtained before training, therefore indicating that muscle size changes are slower than neural drive reduction.

The ability to develop adequate quadriceps muscle power may be highly predictive of subsequent disability among older persons. Rate as well as quantitative (sarcopenia) and qualitative (among other slowing of muscles) contributors to that age-related power decline are poorly known. The relationship of quadriceps maximal short-term power (P(max)) and corresponding optimal shortening velocity (upsilon(opt)) with age was assessed in 335 healthy men aged 23-88 years. The P(max) and upsilon(opt) were measured on a friction loaded non-isokinetic cycle ergometer. Anthropometric dimensions were used to estimate lean thigh volume (LTVest) and quadriceps mass. The decline in P(max) across the adult life span (10.7% per decade) was greater than the usually reported decrease in maximal muscle strength. Power decreased already after the fourth decade. Both muscle mass (4.1% decline for LTVest or 3.4% for quadriceps mass per decade) and upsilon(opt) (6.6% decline per decade) contributed to the decrease in power. Age contributed to the variability in P(max) independently to the LTVest/quadriceps mass and upsilon(opt). The age-related decrease pattern of P(max) reflects both stabilization (or even increase) of anthropometric measures (LTVest or quadriceps mass) from youth to middleage and systematic decline of upsilon(opt) already from the thirties. This implicates more focus on velocity-orientated training as a means of enhancing leg power and improving functional status.