Biomedical subjects

D H Paterson

Publications and source records attributed to D H Paterson.

At least 19 recordsLinked to original sources

PubMed1992

Influence of ageing on aerobic parameters determined from a ramp test.

The purpose of this study was to examine the four parameters of aerobic function, the maximum oxygen uptake (VO2max), ventilation threshold (ThVE), efficiency, and the effective time constant for oxygen consumption (tau'VO2), across age. In particular, the study was designed to observe whether there may be accelerated declines in aerobic function beyond 60 years of age. Seventy-nine sedentary men aged 30-84 years were studied. Each subject performed two maximal cycle ramp function tests, and data were collected on a breath-by-breath basis. The VO2max, from a plateau in VO2, was achieved in 87% of the subjects using the ramp test. The VO2max showed a significant decrease with increasing age (from linear regression, r = -0.81) at a rate averaging 0.037 l.min-1.year-1. The ThVE also declined with increasing age, but at a slower rate (0.013 l.min-1.year-1). The tau'VO2 was significantly increased across the age groups from 69 s for those aged 30-40 years to 98 s for those aged 60 years or more. There was no evidence of accelerated decline in these aerobic parameters beyond age 60 years, and there were no differences in efficiency (27.5-29.9%) across age. Although other forcing functions should be used to confirm this characterization of the oxygen kinetics, this slowed response with age would result in greater oxygen deficit and possibly earlier fatigue in response to even light exercise in older individuals.

Adult↗

PubMed1992

Cardiorespiratory adaptation with short term training in older men.

The purpose of this study was to assess the rate of training-induced cardiorespiratory adaptations in older men [mean (SD), 66.5 (1.2) years]. The eight subjects trained an average of 4.3 (0.3) times each week. The walk/jog training was in two phases with 4 weeks (phase 1) at a speed to elicit 70% of pre-training maximal oxygen consumption (VO2max), and 5 weeks (phase 2) at 80%. Maximal exercise treadmill tests and a standardized submaximal protocol were performed prior to training, at weekly intervals during the training programme, and after training. VO2max (ml.kg-1.min-1) increased significantly over both phases: 6.6% after the first 4 weeks, and an additional 5.2% after the final 5 weeks. The weekly changes in VO2max over phase 1 were well fitted by an exponential association curve (r = 0.75). The half-time for the rate of adaptation was 13.8 days, or 8.3 training sessions. Over phase 2, the change in VO2max did not plateau and a time course could not be determined. Submaximal exercise heart rate (fc) was reduced a significant 10 beats.min-1 after the first 4 weeks, and further 6 beats.min-1 over the final 5 weeks. The fc reductions showed half-times of 9.1 days (phase 1) and 9.8 days (phase 2) (or 5-6 training sessions). The anaerobic ventilation threshold was increased 13.9% over the 9 weeks of training and the respiratory exchange ratio during constant load heavy exercise was significantly reduced; however, these changes could not be described by an exponential time course. Thus, short-term exercise training of older men resulted in significant and rapid cardiorespiratory improvements.

Adaptation, Physiological↗

PubMed1992

Physiological responses of young and elderly men to prolonged exercise at critical power.

The critical power (CP) of a muscle group or individual may represent the highest rate of work which can be performed for an extended period. We investigated this concept in young (n = 13, 24.5 years) and elderly (n = 12, 70.7 years) active men by first determining CP and then comparing responses elicited by 24 min of cycle exercise at power outputs (omega) corresponding to CP. Values from the final 2 min of the 24-min ride were expressed relative to maximal values established in a ramp test. CP for the elderly was only 65% that for the young, but on a relative basis, it was significantly higher both in terms of omega (67 vs 62% of omega max) and oxygen consumption (VO2) (91.5 vs 85.2% of maximum oxygen consumption). There were no group differences in relative values for ventilation (VE), heart rate or respiratory exchange ratio (R). During the 24-min ride, VO2 and R achieved a plateau in both groups, while VE, blood lactate and arterial PCO2 continued to change in the young. It was concluded that CP can be determined in active elderly men, but that CP may not represent a true non-fatiguing work rate in either young or elderly men.

Adult↗

PubMed1992

Age and sex effects on mobility of the human ankle.

We investigated whether values for passive resistive torque, dorsiflexion strength, and active mobility of the ankle joint varied with age in a randomly selected sample of middle-aged and elderly males and females. The main effects of sex and age group were significant, without an interaction effect, on values for passive resistive torque and voluntary strength. The trends indicated that females had lower values for both variables and that passive torque increased and strength decreased with respect to age. Dorsiflexion range of motion also showed a highly significant trend to decrease across age groups, and more so for females than males. Mean values for middle-aged men vs old men went from 20.0 to 13.5 degrees, while corresponding values for women decreased from 20.7 degrees of dorsiflexion to 10.1. Functional ankle movement thus becomes limited with age, but could be improved by strengthening weak dorsiflexor muscles.

Aged↗

PubMed1992

Response rates in a survey of physical capacity among older persons.

A representative sample of 420 subjects aged 55 to 84 was sought for participation in a study of the relationship between physical activity and health. A stratified random sample with 35 subjects in each of 12 age-gender categories was designed, using lists generated consecutively until the target number for each category was reached. Although the protocol required walking and treadmill tests, 60.3 percent of those eligible participated, a figure comparable to that of NHANES II and superior to that of the Canada Fitness Survey. Participants were younger, more likely to be male, less likely to be currently married, and more likely to have had a white-collar job and some postsecondary education than were nonparticipants. Difficulties of obtaining subjects and methods for avoiding these difficulties include offering many opportunities to attend and determining accurately the reason for nonparticipation.

Age Factors↗

PubMed1992

Knee extensor and knee flexor strength: cross-sectional area ratios in young and elderly men.

The relationships between isometric and isokinetic-concentric knee extensor and knee flexor strength, and quadriceps and hamstring cross-sectional area (CSA) were determined in young (n = 13, M = 24.5y) and elderly (n = 12, M = 70.7y) men. Quadriceps and hamstring CSA was determined by computed tomography. Knee extensor and flexor strength at 0 degree/s and 120 degree/s was determined on a Kin-Com isokinetic dynamometer. Compared to the young men, elderly men had significantly smaller quadriceps muscles and were weaker (22-32%) in knee flexion and knee extension at both angular velocities. Strength:CSA ratios were similar at 0 degree/s, but elderly men had decreased ratios for both extensors and flexors at 120 degree/s. Correlations of knee extensor and flexor strength with muscle CSA were significant at both velocities in elderly men, but not at either velocity for the knee flexors in young men. The decrease in isometric strength in elderly men can be accounted for by their decrease in muscle CSA, but their decrease in isokinetic-concentric strength was greater than their loss of CSA. Further study is required to determine the reason for this nonproportional loss of isokinetic-concentric strength.

Adult↗

PubMed1992

Thigh composition in young and elderly men determined by computed tomography.

Computed tomography (CT) was used to quantify components of the thigh in young (n = 13) and elderly (n = 11) men. Cross-sectional areas (CSA) of the total limb, total muscle plus bone, quadriceps compartment, hamstring compartment and bone were measured at each of five scan sites along the length of the thigh. Non-muscle tissue (NMT) areas within the muscle compartments were measured using changes in density based on Hounsfield units. Skin plus subcutaneous fat areas and quadriceps and hamstring lean muscle areas were calculated by subtraction. Geometric formulae were used to calculate related volumes for each thigh component. Volumes were also predicted from regression equations employing thigh length and component CSA from single mid-limb CT scans. The results showed that while total thigh CSA was not different in elderly men, they had significantly smaller total muscle plus bone (13.0%), and quadriceps (26.4%), and hamstring (17.9%) muscle areas. The elderly men also had significantly greater CSA for skin plus subcutaneous fat (37.6%), and for NMT in the quadriceps (59.4%) and hamstring (127.3%) muscle compartments. These results suggest that comparisons of relative leg muscle strength between young and elderly men may be misleading due to the decrease in actual muscle tissue associated with ageing. Appropriate quantification of muscle size and CSA must be carried out before such comparisons can be meaningful.

Aging↗

PubMed1992

Endurance training of older men: responses to submaximal exercise.

The purpose of this study was to quantify the exercise response of older subjects on a time-to-fatigue (TTF) submaximal performance test before and after a training program. Eight older men (67.4 +/- 4.8 yr) performed two maximal treadmill tests to determine maximum oxygen uptake (VO2max) and ventilation threshold (TVE) and a constant-load submaximal exercise treadmill test that required an oxygen uptake (VO2) between TVE and VO2max. The submaximal test, performed at the same absolute work rate before and after the training program, was performed to volitional fatigue to measure endurance time. The men trained under supervision at an individualized pace representing approximately 70% of VO2max (80% maximum heart rate) for 1 h, four times per week for 9 wk. Significant increases were demonstrated for VO2max (ml.kg-1.min-1; 10.6%); maximal ventilation (VE, l/min; 11.6%), and TVE (l/min; 9.8%). Weight decreased 2.1%. Performance time on the TTF test increased by 180% (7.3 +/- 3.0 to 20.4 +/- 13.5 min). The similar end points for VO2, VE, and heart rate during the TTF and maximal treadmill tests established that the TTF test was stopped because of physiological limitations. The increase in performance time among the subjects was significantly correlated with improvements in VO2max and TVE, with the submaximal work rate representing a VO2 above TVE by 88% of the difference between TVE and VO2max pretraining and 73% of this difference on posttraining values.

Aged↗

PubMed1992

Eccentric and concentric torques of knee and elbow extension in young and older men.

The purpose of this study was to compare the strength of knee extensors and elbow extensors in young and older men under conditions of eccentric loading and concentric contractions. Twelve men ages 23 to 32 years and 12 ages 60 to 75 years were tested at two angular velocities of movement, 90 and 180 degrees.s-1, on a KinCom isokinetic dynamometer. Compared to young men, older men had lower concentric peak torque values for elbow (31%) and knee (32%) extensors (p less than 0.05). The older group showed lower eccentric peak torques on all elbow comparisons (21% lower), and for knee extension at the slower velocity (20%). At the faster velocity, knee extension eccentric peak torque did not differ from that of younger men. Differences between the age groups were significantly less for the eccentric muscle action than for the concentric one. The observation of maintained eccentric strength in older men, particularly at fast velocity, warrants research in defining the mechanism.

Adult↗

PubMed1992

The effect of interval and continuous training on the aerobic parameters.

The purpose of this study was to investigate changes in the parameters of aerobic function resulting from continuous training (CT) and interval training of both low power (LPO-IT) and high power output (HPO-IT). Untrained males (n = 17, 25.1 yrs) trained 10 weeks on cycle ergometers (four 40-min sessions a week) at 80% VO2max. Cycle ramp function tests at 0 and 10 weeks were used to determine the four aerobic parameters:VO2max, ventilation threshold (VeT), effective time constant for O2 uptake kinetics (MRT), and work efficiency (eta): VO2max increased significantly (3.30 to 3.66 l.min-1). Absolute VeT increased significantly (2.17 to 2.45 l.min-1) but there was no change in the relative threshold (VeT/VO2max). MRT decreased significantly from 38.8 to 33.1 seconds and there was no change in eta. There were no between-group differences; thus neither low power output nor high power output interval training offers an advantage over continuous training of the same average power output in altering the aerobic parameters.

Adult↗

PubMed1992

Effects of ageing on the cardiorespiratory system.

Ageing is characterized by a loss of functional capacity. A linear loss from age 30 to 65 years has been described for various measures. After age 65 years, evidence also suggests an accelerated decline in some measures, particularly those of muscle size and function. Nevertheless, up to 85 years, the rate of decline of VO2max across ages appears to remain rather constant. As well, the central cardiovascular capacity, despite some suggested age effects, would appear to be adequate to support the smaller muscle mass. Thus, despite the losses in absolute exercise capacity with age, the ability to sustain a relatively high intensity of aerobic exercise appears preserved. It has also been shown that cardiorespiratory training of older men and women is effective in increasing VO2max and results in the usual changes during submaximal exercise. These benefits of cardiorespiratory training are substantial in that the increases observed compensate for the losses with ageing described over the period of a decade or more.

Adaptation, Physiological↗

PubMed1991

Asymmetries of oxygen uptake transients at the on- and offset of heavy exercise in humans.

1. At work rates which do not result in a sustained increase in blood lactate ([L-]), oxygen uptake (VO2) approaches the steady state with first-order kinetics. However, when [L-] is increased, at least two kinetic components are required to characterize the VO2 response dynamics. The purpose of the present investigation was to determine whether these more-complex kinetics are best represented as: (a) two components which operate throughout the exercise or (b) a delayed slow component which is consequent to the lactic acidaemia and which does not influence the early development of the O2 deficit. 2. Six healthy subjects underwent an incremental ramp test on a cycle ergometer, to the limit of tolerance, for determination of the maximum VO2 (micro VO2) and and estimation [symbol: see text] of the threshold for lactic acidaemia (theta L) non-invasively. Subjects then performed, on different days, two to four repetitions of square-wave exercise from a baseline of unloaded pedalling ('O' Watts (W)) to work rates (WR) less than theta L (90% theta L) and greater than theta L (half-way between theta L and micro VO2). Ventilatory and pulmonary gas exchange variables were determined breath-by-breath. For each subject, the VO2 transitions were averaged prior to fitting a least-squares algorithm to the on- and off-transient responses. 3. The less than theta L test resulted in a mono-exponential VO2 response, with a time constant of 31.3 and 31.5 s for the on- and off-transients, respectively. 4. The VO2 responses to the greater than theta L test were fitted to three competing models: (a) a single exponential for the entire period; (b) a double exponential for the entire period; and (c) an initial single exponential with a subsequent phase of delayed onset. Model (c) yielded a significantly lower residual mean-squares error than methods (a) and (b), with a time constant for the initial component of 40.2 s for the on-transient and 32.9 s for the off-transient and a subsequent phase of VO2 increase for the on-transient which averaged 230 ml min-1. The delta VO2/delta WR for the early kinetics of the greater than theta L test were not different from the less than theta L test (9.6 and 9.5 ml min-1 W-1, respectively). 5. These data suggest that the slow phase of the greater than theta L VO2 kinetics is a delayed-onset process. This being the case, the O2 deficit during heavy exercise, as conventionally estimated, would be overestimated.

Exercise↗

PubMed1991

Coincident thresholds in intracellular phosphorylation potential and pH during progressive exercise.

Dynamic changes in intracellular phosphocreatine (PCr), inorganic phosphate (Pi), and pH in human forearm muscle were studied from rest through heavy exercise by means of a ramp exercise protocol and 31P nuclear magnetic resonance spectroscopy. Eighteen healthy volunteers performed an isotonic wrist flexion exercise of repeated contractions at a frequency of 0.5 Hz. Work rate was increased continuously (ramped) at approximately 0.13 W each minute from 0.34 to 1.5 W or until fatigue. Pi/PCr was used as an estimate of the cellular phosphorylation potential of the muscle. Exercise caused a progressive increase in Pi/PCr with an initial slow and later fast component. The transition between these components was distinct and corresponded to the onset of pH decline in all subjects. These changes in Pi/PCr and pH were best fit (P less than 0.05) by a piecewise linear regression model with a break point or threshold. Repeated ramp testing of six subjects showed that the threshold was reproducible (r = 0.98). The results of this study demonstrate the existence of an intracellular metabolic threshold and suggest that indirect threshold measures (lactate and ventilatory thresholds) may reflect events at the cellular level.

Adult↗

PubMed1990

A comparison of anthropometry with computed tomography in limbs of young and aged men.

Arm and leg composition determined by anthropometry (AP, girths, and skinfolds) were compared with computed tomography (CT) in 7 young (mean age 31.4y) and 13 old (74.8y) males. Five transverse CT scans, girths, and skinfold measurements were made. In each CT image, total cross-sectional area (CSA), bone CSA, muscle compartment CSA, and "pure" muscle CSA within the compartment were measured. Corresponding volumes were also calculated. Total limb and muscle plus bone CSA and volumes were estimated from AP measures. The two methods were compared, and multiple regression analyses were used to predict component CSA and volumes from AP measures. In both groups, AP component measures in the leg provided more accurate values than in the arm. Skin plus subcutaneous tissue in the old was not well estimated by AP. The greater preponderance of nonmuscle tissue in the muscle compartments of the old, as determined from CT images, was not related to any AP estimates. Prediction equations for various component areas and volumes were derived. Some equations derived for the young could not be obtained for the old due to the reduced ability of AP to accurately assess limb composition of aged men.

Adult↗

PubMed1989

Comparison of twitch potentiation in the gastrocnemius of young and elderly men.

The capacity for twitch potentiation in the gastrocnemius muscle was determined following maximal voluntary contractions (MVC) in 11 elderly (means +/- SD; 66.9 +/- 5.3 years) and 12 young (25.7 +/- 3.8 years) men. Potentiation was observed by applying selective stimulation to the muscle belly, 2 s after a 5 s MVC. With this procedure, both groups showed significant (P less than 0.05) increases in twitch tension in the gastrocnemius (ratios of potentiated twitch to baseline were means = 1.68 +/- 0.40 for young vs means = 1.40 +/- 0.20 for the elderly, P less than 0.001). Time to peak tension of the twitch decreased from means = 101.5 +/- 17.9 ms to means = 88.0 +/- 15.8 ms in the young men following potentiation; the respective values for the older men were 136.7 +/- 17.9 ms and 133.1 +/- 28.6 ms. These changes resulted in a greater rate of tension development in the potentiated state. The elderly gastrocnemius thus showed qualitatively similar changes in the isometric twitch following potentiation, but reduced and prolonged responses in comparison to young adults. Slowed muscle contraction and reduced capacity for potentiation may be physiological correlates of the reported morphological changes in aged skeletal muscle.

Adult↗

PubMed1989

Arm and leg composition determined by computed tomography in young and elderly men.

Five computed tomography (CT) scans were taken at measured intervals of the legs and arms of young (n = 7) and elderly (n = 13) men. Cross-sectional areas (CSA) of the total limb, muscle plus bone and bone were measured in each scan, and skin plus subcutaneous tissue areas were calculated by subtraction. In addition, in the arm scans the CSA of the extensor and flexor compartments were measured, and in the leg the CSA of the plantar flexor compartment. A value for lean muscle within these compartments was calculated by excluding non-muscle tissue using density measurements based on Hounsfield units. Related volumes for the various components were also calculated using geometric formulae. The results showed that elderly limbs were of a similar overall size as the young, but elderly muscles were smaller (28-36%) with greater amounts of non-muscle tissue located within a muscle, particularly in the plantar flexors (81% more than in the young). Elderly arms had a greater amount of skin plus subcutaneous tissue than the young, but there was no difference in the legs. Muscle volumes were similar to in vitro results reported from cadaver studies and can be predicted from single mid-limb CT scans using regression equations. These results illustrate that, due to the substantially reduced amount of 'pure' muscle tissue in the elderly, comparisons of relative strength with other populations may be misleading unless appropriate measurements of muscle size are considered. Methods to estimate in vivo physiological CSA, which is considered the best means of normalizing strength, have been demonstrated in this study.

Adult↗

PubMed1989

Strength in an elderly population.

Strengths of several upper- and lower-limb muscle groups were measured in an elderly population by using a simple, adaptable dynamometer. The bladder of a sphygmomanometer was modified by folding and surrounding it in a sewn cloth bag. It was then attached to a board for improved stability during the tests. Thirty-seven men and 81 women aged 62 to 102 years were tested. Four muscle groups were statistically determined to best represent strength-two for upper limb and two for lower limb. These strength measures were correlated with anthropometric indices, and a step-wise multiple regression was used to determine the degree of association between the variables. Men were significantly stronger than women in absolute strength, but were not different when strength was expressed relative to body weight. Within each sex, however, age was the most important variable related to loss of strength; body weight was secondary or not significant. These results suggest that age is the most important factor for relating differences in strength in an older elderly population (those aged 75 to 90 or more years). This factor must be accounted for just as body weight or cross-sectional muscle area often are, when comparing strengths in a younger population.

Aged↗

PubMed1988

Comparison of the histochemical and contractile properties of human triceps surae.

Contractile and histochemical properties of the triceps surae were compared in 16 males and 4 females aged 20 to 49 years. Surface electrical stimulation was used to determine twitch, tetanic and fatigue parameters. From these tests, twitch tension (Pt), time to peak tension (TPT), half relaxation time (1/2 RT), tetanic tensions at 10, 20 and 50 Hz and an index of fatigue (FI) were calculated. A maximal voluntary contraction (MVC) was also performed. Muscle samples from the belly of the lateral gastrocnemius were obtained using the needle biopsy technique. The samples were treated histochemically for myosin ATPase and NADH-tetrazolium reductase in order to classify the fibres as either Type I, slow twitch (ST) or Type II, fast twitch (FT) and to determine fibre areas. Correlations were performed between the grouped male and female contractile and histochemical variables. The results demonstrated significant positive relationships demonstrated significant positive relationships between percentage of ST fibres (%ST) and TPT (r = 0.49), and %ST and the ratio of tetanic forces at 10 Hz to 50 Hz (Po10/Po50) (r = 0.55). No significant relationships were obtained for Pt, 1/2 RT, MVC or FI with any histochemical parameter. The results suggest that fibre type distribution determined using myosin ATPase is related to electrically stimulated isometric contractile speeds and not to voluntary force generation (MVC) or electrically induced fatigue.

Adult↗