This study aimed to investigate the influence of aging on muscle thickness in lower limbs, with specific emphasis on the site- and gender-related differences. Subjects were a total of 191 healthy young and elderly persons of both genders : 51 young men (24.2±3.6 yrs), 45 young women (23.1±3.2yrs), 51 elderly males, and 44 elderly females. Lower leg anterior, and lower leg posterior muscle thickness was determined using a brightness mode ultrasonographic apparatus. At all sites except for the thigh posterior, the muscle thickness values were significantly greater in the young than in the elderly groups of both genders, even in terms of the ratio of muscle thickness to body mass^1/3 (Mt/Wt^1/3 ratio), calculated to normalize the morphological differences. The relative difference in muscle thickness between the two age groups was the greatest at the thigh anterior and the least at the thigh posterior in both genders. Between young men and women, the men showed significantly greater muscle thickness and Mt/Wt^1/3 ratio at every site than the women. Between the elderly groups, however, Mt/Wt^1/3 ratios at all sites, except for the thigh anterior, did not show significant gender-related differences. Relative differences in both muscle thickness and Mt/Wt^1/3 ratio between the young men and women were similar among the sites, but between the elderly groups the corresponding values at the thigh anterior were greater than at the other sites. These results indicate that 1) the influence of aging on muscle thickness differs between the muscle groups located in the anterior and posterior sited within the same segment, 2) for women, the age-related loss of muscle thickness at the thigh anterior is relatively greater as compared to those at the other sites of the lower limb.

The influences of age on muscle architectural characteristics, i. e., muscle thickness, pennation angle, fascicle length, were studied in 121 men and 229 women aged 17 to 85 yrs. The subjects were divided into three age groups (younger : 17-39 yrs, middle-aged : 40-59 yrs, elderly : 60-85 yrs) for both genders. Muscle thickness and pennation angle of the vastus lateralis (VL), medial gastrocnemius (MG), and long head of triceps brachii (TB) muscles were measured using B-mode ultraso-nography, and fascicle length was estimated. In all age groups, men had significantly greater relative muscle thickness (to limb length) in VI, and TB than women, but not in MG. Relative muscle thickness of VL was significantly lower in elderly than in younger and middle-aged subjects. Ilowever, the corresponding differences in MG and TB were insignificant. The pennation angle of VL was significantly lower in elderly than in younger and middle-aged subjects, although there were no significant differences in pennation angles of MG and TB among the three groups. These results suggest that the decrease in thickness of vastus lateralis muscle with aging is significant, but not significant for medial gastrocnemius and triceps hrachii muscles.

Walking is the most basic movement in daily life, and is a popular exercise for eloerly individuals to keep their health. However, it is not clear how walking is effective in keeping or increasing the muscle mass and bone intensity of the lower limbs. This study aimed to investigate the relationships between walking steps per day during daily life and either the muscle thickness values of lower leg anterior and posterior or the bone intensity of calcaneus. The subjects were 116 healthy men (n=31) and women (n=85) aged from 60 to 78 yrs, Walking steps per day were deter-mined using a pedometer. Muscle thickness values at the lower leg anterior and posterior sites and the osteo sono assessment index (OSI) of calcaneus were determined using ultrasonographic apparatuses. In women, OSI correlated significantly with walking steps (r=0.265, p<0.05) and the product of walking steps and weight (r=0.369, p<0.05) . In both genders, however, no significant correlations were found between walking steps and muscle thickness values at the two sites. The findings here suggest that increasing the number of walking steps during daily life will improve the intensity of calcaneus for elderly women, but is not effective for inducing hypertrophic change in the muscles located in the lower limbs for elderly individuals of both genders.

In this study, we investigated a surface electrode stimulation method to support laryngeal elevation in patients with pharyngeal dysphagia, from the viewpoint of functional electric stimulation (FES). Informed consent was obtained from 15 healthy men and 4 patients with pharyngeal dysphagia. Digastric and stylohyoid muscles were stimulated by silver-textile surface electrodes covering the muscle belly. Laryngeal elevation by the electrical stimulation (ES) during liquid (water, 3ml) swallowing movement was measured by digital video camera. The laryngeal elevation trajectory demonstrated a hysteresis loop. The elevation distance of the larynx increased with a rise of stimulus strength. Laryngeal elevation by ES was 76.0% in the normal subjects and 86.6% in patients when measured during liquid swallowing. Applying FES for laryngeal elevation may assist in improving the swallowing reflex.

This study was aimed to investigate the influences of age and gender on isometric muscle torque and explosive muscle power output with reference to muscle volume. A total of 177 healthy subjects of both genders were divided into four groups according to their age and gender : 46 young men (22.0±3.2yrs), 43 young women (22.7±3.3yrs), 46 elderly men (71.2±4.3yrs) and 42 elderly women (72.7±4.5 yrs) . The maximal voluntary isometric knee extension torque of the right leg (hip and knee angle at 90 degrees) and the power of bilateral leg extension in sitting position were mea sured. The ratios of both torque and power to muscle volume, estimated using ultrasonograph measurement, was calculated (torque/MV and power/MV respectively) . Torque was significantly less among the elderly than among the young for both genders, and among women than among the men for both age groups. Significant age-related differences were evident even in terms of torque/ MV, but the corresponding differences between men and women disappeared. On the other hand, power MV showed significant age- and gender-related differences, and the age-related difference was larger than that for torque MV. These results suggest that age- and gender-related differences in power are more noticeable than differences in torque and that these differences are not simply explained by differences in muscle volume.

The factors influencing ankle range of motion were investigated for 185 middle-aged and elderly subjects (116 women and 69 men, aged 48-86 years) . Each subject was seated with the right knee extended, and the ankle joint was passively dorsiflexed by a dynamometer with torque just tolerable for each subject, to measure the maximal dorsiflexion angle. During passive loading, elongation of muscle fibers in the gastrocnemius and Achilles tendon was determined in vivo by ultrasonography. There was a difference between women and men for the passive dorsiflexion angle (men smaller than women), which negatively correlated with muscle thickness of the posterior portion of the leg determined by ultrasonography. Both in women and men, the passive dorsiflexion angle negatively correlated with age, even after normalizing for maximal voluntary plantar flexion torque. Both elongation of muscle fibers and tendon was related to the passive dorsiflexion angle, and the ratio of tendon elongation to muscle fiber elongation positively correlated with the passive dorsiflexion angle. The active dorsiflexion angle, measured separately with the subject maximally dorsiflexing the ankle with no load, correlated with the passive dorsiflexion angle but not with age, and there was no gender difference. From the results it was suggested 1) that the mobility of the ankle joint is affected by elongation of both muscle fibers and tendon, but with the effect of the tendon being greater than that of muscle fibers, and 2) that muscle mass negatively affects passively-induced joint range of motion. Actively performed joint range of motion would be affected by elongation of the muscle-tendon corn plex and force-generating capability of the ankle. Gender difference in joint range of motion and the aging effect are related to these factors.

The purpose of the present study was to investigate the effects of long-term exercise training on immune function in elderly individuals. This study was conducted on 27 sedentary subjects including 7 males and 20 females aged 66.1±4.2 yrs. (range of 60 to 77 yrs.) who participated in a 12-month exercise program. The subjects attended the exercise program 4.4 ± 1.7 times per month. Peripheral blood samples were taken prior to, and at 5 and 12 months during the exercise training program. Each lymphocyte subset (natural killer: NE, T, cytotoxic T: Tc, helper T: Th, memory-Th and NKT) count in the samples was measured using flow cytometry. Results indicated that NE and Tc cell counts were not significantly altered. Whereas, T and Th cell counts were significantly elevated after 12 months, and memory-Th and NET cell counts were significantly elevated after 5 and 12 months of exercise training. These results suggest that long-term exercise training may be a stimu lus to increase and or maintain immune function in elderly individuals.

According to cross-sectional studies, decreased postural stability, assessed by center of pressure (COP) sway, has been remarkable over the past 60 years, and has become one of the impairment factors for quality of life in the elderly. In the present study, in order to determine whether exercise training, consisting of bicycle ergometer and strength training inhibits decreased postural stability for elderly individuals (60 years of age or more), we investigated changes in COP sway and plantar flexors muscle volume. Healthy male (n=9) and female (n=8) subjects aged 62 to 76 yrs participated in the present study. Subjects were requested to maintain a quiet standing barefoot position on a force platform (type 9281B, Kistler) with their eyes opened or closed. Mean velocity of COP (COP sway length/time) was calculated from anterior-posterior COP sway from force platform data. From the spectral analysis of COP sway, low (0-1 Hz) and high (1 -10 Hz) frequency components of COP series were extracted. The muscle volume of the plantar flexors muscle group was estimated from multi-regression analysis based on measured muscle thickness at the lower leg posterior site using an ultrasonographic apparatus (SSD-500, Aloka) . Mean velocity of COP significantly (P< 0.05) decreased due to training, and this was accompanied by a decrease in COP sway high frequency components. On the other hand, COP sway low frequency components and muscle volume did not change. These findings suggest that an inhibition of decreased postural stability in the elderly is not mainly related to muscle volume, but to improvement of a feedback system from somatosensory function. With respect to the elderly, who have a larger mean velocity of COP, however, postural stability could be related to muscle volume.

Double product (DP, heart rate × systolic blood pressure) during an incremental exercise test has been known to start to increase steeply at a workload, i. e. double product break point (DPBP), which corresponds to the blood lactate threshold. The study was to investigate the relationship between DP transition and ST segment depression in electrocardiogram during exercise. Thirty-one patients of angina pectoris of effort and 140 elderly persons performed a continuous incremental exercise test using a stationary bicycle ergometer. During the entire test, HR and blood pressure were measured every 15 seconds and an electrocardiogram was recorded continuously. DPBP was then calculated. In ten of the 31 patients, ST level depression above -0.1 mV with a typical ischemic form in lead V 5 was observed during the test. However, workload at the DPBP was significantly lower than that of the ischemic threshold on the electrocardiogram (i. e. -0.1mV of ST depression) in relation to work load (46+/-16 vs. 78+/-20 watts), HR (96+/-13 vs. 117+/-13 bpm), SBP (160+ /-20 vs. 199+/-31 mmHg) and DP (15400+/-3400 vs. 23400+/-4900 bpm × mmHg) . In elderly persons, DPBP could be determined without the ischemic ST depression in 96% of 327 tests. This study indicated that the DPBP would be an objective index of exercise intensity with lower risk for exercise prescription in cardiac patients and elderly persons.