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Erschienen in: European Journal of Applied Physiology 3/2006

01.02.2006 | Original Article

Power output, isometric strength and steadiness in the leg muscles of pre- and postmenopausal women; the effects of hormone replacement therapy

verfasst von: Serena F. Carville, Olga M. Rutherford, Di J. Newham

Erschienen in: European Journal of Applied Physiology | Ausgabe 3/2006

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Abstract

There are conflicting reports of the effects of hormone replacement therapy (HRT) on strength preservation in postmenopausal women, while any effect on power output has received little attention. Decreased steadiness of force generation has been reported in older muscles and may be related to the hormonal changes associated with the menopause, but the effect of HRT has not been investigated. We have studied the effect of HRT on strength, power output and isometric force steadiness in healthy women. Sixteen young (aged 27.4±1.4 years, mean ± SEM) and 29 postmenopausal women were studied. Fifteen of the latter were taking HRT (68.1±1.4 years, HRT+) and 14 (70.5±1.5 years, HRT−) had never done so. During isometric quadriceps contractions the force steadiness (coefficient of variation of force) was measured at 10, 25, 50 and 100% maximum voluntary contraction (MVC). The average power generated by an explosive leg extension was recorded. The HRT− group generated less power (110.2±7.2 W) than both the HRT+ (136.5±10.9 W, P=0.027) and young (136.2±5.8 W, P=0.027) subjects. Power output was similar in the HRT+ and younger subjects. The HRT− subjects were weaker than the younger ones (241.3±14.0 N vs. 297.6±13 N, P=0.006). The strength of the HRT+ group (255.5±14 N) was not significantly different to the other two groups. There was no difference in steadiness between the three groups at any of the force levels. HRT appears to maintain power output to a greater extent than isometric strength in postmenopausal women. There was no evidence for an effect of either age or HRT on isometric steadiness in the quadriceps.
Literatur
Zurück zum Zitat Armstrong AL, Oborne J, Coupland CAC, MacPherson MB, Bassey EJ, Wallace WA (1996) Effects of hormone replacement therapy on muscle performance and balance in post-menopausal women. Clin Sci 91:685–690PubMed Armstrong AL, Oborne J, Coupland CAC, MacPherson MB, Bassey EJ, Wallace WA (1996) Effects of hormone replacement therapy on muscle performance and balance in post-menopausal women. Clin Sci 91:685–690PubMed
Zurück zum Zitat Bassey EJ, Fiatarone MA, O’Neill EF, Kelly M, Evans WJ, Lipsitz LA (1992) Leg extensor power and functional performance in very old men and women. Clin Sci 82:321–327PubMed Bassey EJ, Fiatarone MA, O’Neill EF, Kelly M, Evans WJ, Lipsitz LA (1992) Leg extensor power and functional performance in very old men and women. Clin Sci 82:321–327PubMed
Zurück zum Zitat Bassey EJ, Short AH (1990) A new method for measuring power output in a single leg extension: feasibility, reliability and validity. Eur J Appl Physiol 60:385–390CrossRef Bassey EJ, Short AH (1990) A new method for measuring power output in a single leg extension: feasibility, reliability and validity. Eur J Appl Physiol 60:385–390CrossRef
Zurück zum Zitat Brown M, Birge SJ, Kohrt WM (1997) Hormone replacement therapy does not augment gains in muscle strength or fat-free mass in response to weight-bearing exercise. J Gerontol 52A:B166–B170 Brown M, Birge SJ, Kohrt WM (1997) Hormone replacement therapy does not augment gains in muscle strength or fat-free mass in response to weight-bearing exercise. J Gerontol 52A:B166–B170
Zurück zum Zitat Burnett RA, Laidlaw DH, Enoka RM (2000) Coactivation of the antagonist muscle does not covary with steadiness in old adults. J Appl Physiol 89:61–71PubMed Burnett RA, Laidlaw DH, Enoka RM (2000) Coactivation of the antagonist muscle does not covary with steadiness in old adults. J Appl Physiol 89:61–71PubMed
Zurück zum Zitat Edwards RHT, Young A, Hosking GP, Jones DA (1977) Human skeletal muscle function; description of tests and normal values. Clin Sci Mol Med 52:283–290PubMed Edwards RHT, Young A, Hosking GP, Jones DA (1977) Human skeletal muscle function; description of tests and normal values. Clin Sci Mol Med 52:283–290PubMed
Zurück zum Zitat Enoka RM, Burnett RA, Graves AE, Kornatz KW, Laidlaw DH (1999) Task- and age-dependent variations in steadiness. Prog Brain Res 123:389–395PubMed Enoka RM, Burnett RA, Graves AE, Kornatz KW, Laidlaw DH (1999) Task- and age-dependent variations in steadiness. Prog Brain Res 123:389–395PubMed
Zurück zum Zitat Enoka RM, Christou EA, Hunter SK, Kornatz J, Semmler JG, Taylor AM et al (2003) Mechanisms that contribute to differences in motor performance between young and old adults. J Electromyogr Kines 13:1–12CrossRef Enoka RM, Christou EA, Hunter SK, Kornatz J, Semmler JG, Taylor AM et al (2003) Mechanisms that contribute to differences in motor performance between young and old adults. J Electromyogr Kines 13:1–12CrossRef
Zurück zum Zitat Erim Z, Beg MF, Burke DT, DeLuca CJ (1999) Effects of ageing on motor-unit control properties. J Neurophysiol 82:2081–2091PubMed Erim Z, Beg MF, Burke DT, DeLuca CJ (1999) Effects of ageing on motor-unit control properties. J Neurophysiol 82:2081–2091PubMed
Zurück zum Zitat Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Roubenoff R (2000) Ageing of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol 88:1321–1326PubMed Frontera WR, Hughes VA, Fielding RA, Fiatarone MA, Evans WJ, Roubenoff R (2000) Ageing of skeletal muscle: a 12-yr longitudinal study. J Appl Physiol 88:1321–1326PubMed
Zurück zum Zitat Galganski ME, Fuglevand AJ, Enoka RM (1993) Reduced control of motor output in a human hand muscle of elderly subjects during submaximal contractions. J Neurophysiol 69:2108–2115PubMed Galganski ME, Fuglevand AJ, Enoka RM (1993) Reduced control of motor output in a human hand muscle of elderly subjects during submaximal contractions. J Neurophysiol 69:2108–2115PubMed
Zurück zum Zitat Graves AE, Kornatz KW, Enoka RM (2000) Older adults use a unique strategy to lift inertial loads with the elbow flexor muscles. J Neurophysiol 83:2030–2039PubMed Graves AE, Kornatz KW, Enoka RM (2000) Older adults use a unique strategy to lift inertial loads with the elbow flexor muscles. J Neurophysiol 83:2030–2039PubMed
Zurück zum Zitat Greeves JP, Cable NT, Reilly T, Kingsland C (1999) Changes in muscle strength in women following the menopause: a longitudinal assessment of the efficacy of hormone replacement therapy. Clin Sci 97:79–84PubMedCrossRef Greeves JP, Cable NT, Reilly T, Kingsland C (1999) Changes in muscle strength in women following the menopause: a longitudinal assessment of the efficacy of hormone replacement therapy. Clin Sci 97:79–84PubMedCrossRef
Zurück zum Zitat Hampson E (1990) Estrogen-related variations in human spatial and articulatory motor skills. Psychoneuroendocrinology 15(2):97–111PubMedCrossRef Hampson E (1990) Estrogen-related variations in human spatial and articulatory motor skills. Psychoneuroendocrinology 15(2):97–111PubMedCrossRef
Zurück zum Zitat Harridge SD, Kryger A, Stensgaard A (1999) Knee extensor strength, activation, and size in very elderly people following strength training. Muscle Nerve 22:831–839PubMedCrossRef Harridge SD, Kryger A, Stensgaard A (1999) Knee extensor strength, activation, and size in very elderly people following strength training. Muscle Nerve 22:831–839PubMedCrossRef
Zurück zum Zitat Heikkinen J, Kyllonen E, Kurttila-Matero E, Wilen-Rosenqvist G, Lankinen KS, Rita H et al (1997) HRT and exercise: effects on bone density, muscle strength and lipid metabolism. A placebo controlled 2-year prospective trial on two estrogen–progestin regimens in healthy postmenopausal women. Maturitas 26:139–149PubMedCrossRef Heikkinen J, Kyllonen E, Kurttila-Matero E, Wilen-Rosenqvist G, Lankinen KS, Rita H et al (1997) HRT and exercise: effects on bone density, muscle strength and lipid metabolism. A placebo controlled 2-year prospective trial on two estrogen–progestin regimens in healthy postmenopausal women. Maturitas 26:139–149PubMedCrossRef
Zurück zum Zitat Hortobágyi T, Tunnel D, Moody J, Beam S, De Vita P (2001) Low or high intensity strength training partially restores impaired quadriceps force accuracy and steadiness in aged adults. J Gerontol 56A:38–47 Hortobágyi T, Tunnel D, Moody J, Beam S, De Vita P (2001) Low or high intensity strength training partially restores impaired quadriceps force accuracy and steadiness in aged adults. J Gerontol 56A:38–47
Zurück zum Zitat Jakobi JM, Rice CL (2002) Voluntary muscle activation varies with age and muscle group. J Appl Physiol 93:457–462PubMed Jakobi JM, Rice CL (2002) Voluntary muscle activation varies with age and muscle group. J Appl Physiol 93:457–462PubMed
Zurück zum Zitat Janssen I, Heymsfield SB, Wang Z, Ross R (2000) Skeletal muscle mass and distribution in 468 men and women aged 18–88 years. J Appl Physiol 89:81–88PubMed Janssen I, Heymsfield SB, Wang Z, Ross R (2000) Skeletal muscle mass and distribution in 468 men and women aged 18–88 years. J Appl Physiol 89:81–88PubMed
Zurück zum Zitat Jubrias SA, Odderson IR, Esselman PC, Conley KE (1997) Decline in isokinetic force with age: muscle cross-sectional area and specific force. Pflugers Arch Eur J Physiol 434:246–253CrossRef Jubrias SA, Odderson IR, Esselman PC, Conley KE (1997) Decline in isokinetic force with age: muscle cross-sectional area and specific force. Pflugers Arch Eur J Physiol 434:246–253CrossRef
Zurück zum Zitat Kent-Braun JA, Ng AV, Young K (2000) Skeletal muscle contractile and noncontractile components in young and older women and men. J Appl Physiol 88:662–668PubMed Kent-Braun JA, Ng AV, Young K (2000) Skeletal muscle contractile and noncontractile components in young and older women and men. J Appl Physiol 88:662–668PubMed
Zurück zum Zitat Klein CS, Rice CL, Marsh GD (2001) Normalized force, activation, and coactivation in the arm muscles of young and old men. J Appl Physiol 91:1341–1349PubMed Klein CS, Rice CL, Marsh GD (2001) Normalized force, activation, and coactivation in the arm muscles of young and old men. J Appl Physiol 91:1341–1349PubMed
Zurück zum Zitat Laidlaw DH, Bilodeay M, Enoka RM (1999) Steadiness is reduced and motor-unit discharge is more variable in old adults. Muscle Nerve 23:600–612CrossRef Laidlaw DH, Bilodeay M, Enoka RM (1999) Steadiness is reduced and motor-unit discharge is more variable in old adults. Muscle Nerve 23:600–612CrossRef
Zurück zum Zitat Lexell J, Downham D (1992) What is the effect of ageing on type 2 muscle fibres. J Neurol Sci 107:250–251PubMedCrossRef Lexell J, Downham D (1992) What is the effect of ageing on type 2 muscle fibres. J Neurol Sci 107:250–251PubMedCrossRef
Zurück zum Zitat Lexell J, Henriksson-Larsen K, Winblad B, Sjostrom M (1983) Distribution of different fibre types in human skeletal muscles: effects of ageing studied in whole muscle cross-sections. Muscle Nerve 6:588–595PubMedCrossRef Lexell J, Henriksson-Larsen K, Winblad B, Sjostrom M (1983) Distribution of different fibre types in human skeletal muscles: effects of ageing studied in whole muscle cross-sections. Muscle Nerve 6:588–595PubMedCrossRef
Zurück zum Zitat Lexell J, Taylor CC, Sjostrom M (1988) What is the cause of ageing atrophy? J Neurol Sci 84:275–294PubMedCrossRef Lexell J, Taylor CC, Sjostrom M (1988) What is the cause of ageing atrophy? J Neurol Sci 84:275–294PubMedCrossRef
Zurück zum Zitat Lindle RS, Metter EJ, Lynch NA, Fleg JL, Fozard JL, Tobin J et al (1997) Age and gender comparisons of muscle strength in 654 women and men aged 20–93 years. J Appl Physiol 83:1581–1587PubMed Lindle RS, Metter EJ, Lynch NA, Fleg JL, Fozard JL, Tobin J et al (1997) Age and gender comparisons of muscle strength in 654 women and men aged 20–93 years. J Appl Physiol 83:1581–1587PubMed
Zurück zum Zitat Macaluso A, Nimmo MA, Foster JE, Cockburn M, McMillan NC, De Vito G (2002) Contractile muscle volume and agonist–antagonist coactivation account for differences in torque between young and older women. Muscle Nerve 25:858–863PubMedCrossRef Macaluso A, Nimmo MA, Foster JE, Cockburn M, McMillan NC, De Vito G (2002) Contractile muscle volume and agonist–antagonist coactivation account for differences in torque between young and older women. Muscle Nerve 25:858–863PubMedCrossRef
Zurück zum Zitat Martin JC, Farrar RP, Wagner BM, Spirduso WW (2000) Maximal power across the lifespan. J Gerontol A Biol Sci Med Sci 55:M311–M316PubMed Martin JC, Farrar RP, Wagner BM, Spirduso WW (2000) Maximal power across the lifespan. J Gerontol A Biol Sci Med Sci 55:M311–M316PubMed
Zurück zum Zitat McEwen BS, Alves SE (1999) Estrogen actions in the central nervous system. Endocrine Rev 20:279–307CrossRef McEwen BS, Alves SE (1999) Estrogen actions in the central nervous system. Endocrine Rev 20:279–307CrossRef
Zurück zum Zitat Onambele NGL, Skelton DA, Bruce SA, Woledge RC (2001) Follow-up study of the benefits of hormone replacement therapy on isometric muscle strength of adductor pollicis in postmenopausal women. Clin Sci 100:421–422PubMedCrossRef Onambele NGL, Skelton DA, Bruce SA, Woledge RC (2001) Follow-up study of the benefits of hormone replacement therapy on isometric muscle strength of adductor pollicis in postmenopausal women. Clin Sci 100:421–422PubMedCrossRef
Zurück zum Zitat Phillips SK, Rook KM, Siddle NC, Bruce SA, Woledge RC (1992) Muscle weakness in women occurs at an earlier age than in men, but strength is preserved by hormone replacement therapy. Clin Sci 83:1–4 Phillips SK, Rook KM, Siddle NC, Bruce SA, Woledge RC (1992) Muscle weakness in women occurs at an earlier age than in men, but strength is preserved by hormone replacement therapy. Clin Sci 83:1–4
Zurück zum Zitat Phillips SK, Woledge RC, Bruce SA, Young A, Levy D, Yeo A et al (1998) A study of force and cross-sectional area of adductor pollicis muscle in female hip fracture patients. J Am Geriatr Soc 46:999–1002PubMed Phillips SK, Woledge RC, Bruce SA, Young A, Levy D, Yeo A et al (1998) A study of force and cross-sectional area of adductor pollicis muscle in female hip fracture patients. J Am Geriatr Soc 46:999–1002PubMed
Zurück zum Zitat Roos MR, Rice CL, Connelly DM, Vandervoort AA (1999) Quadriceps muscle strength, contractile properties and motor unit firing rates in young and old men. Muscle Nerve 22:1094–1103 PubMedCrossRef Roos MR, Rice CL, Connelly DM, Vandervoort AA (1999) Quadriceps muscle strength, contractile properties and motor unit firing rates in young and old men. Muscle Nerve 22:1094–1103 PubMedCrossRef
Zurück zum Zitat Rutherford OM, Jones DA (1992) The relationship of muscle and bone loss and activity levels with age in women. Age Ageing 21:286–293PubMedCrossRef Rutherford OM, Jones DA (1992) The relationship of muscle and bone loss and activity levels with age in women. Age Ageing 21:286–293PubMedCrossRef
Zurück zum Zitat Samson MM, Meeuwsen IBAE, Crowe A, Dessens JAG, Dursma SA, Verhaar HJJ (2000) Relationships between physical performance measures, age, height and body weight in healthy adults. Age Ageing 29:235–242PubMedCrossRef Samson MM, Meeuwsen IBAE, Crowe A, Dessens JAG, Dursma SA, Verhaar HJJ (2000) Relationships between physical performance measures, age, height and body weight in healthy adults. Age Ageing 29:235–242PubMedCrossRef
Zurück zum Zitat Schiffman JM Luchies CW (2001). The effects of motion on force control abilities. Clin Biomech 16:505–513CrossRef Schiffman JM Luchies CW (2001). The effects of motion on force control abilities. Clin Biomech 16:505–513CrossRef
Zurück zum Zitat Schiffman JM, Luchies CW, Richards LG, Zebas CJ (2002) The effects of age and feedback on isometric knee extensor force control abilities. Clin Biomech 17:486–493CrossRef Schiffman JM, Luchies CW, Richards LG, Zebas CJ (2002) The effects of age and feedback on isometric knee extensor force control abilities. Clin Biomech 17:486–493CrossRef
Zurück zum Zitat Semmler JG, Steege JW, Kornatz KW, Enoka RM (2000) Motor-unit synchronization is not responsible for larger motor-unit forces in old adults. J Neurophysiol 84:358–366PubMed Semmler JG, Steege JW, Kornatz KW, Enoka RM (2000) Motor-unit synchronization is not responsible for larger motor-unit forces in old adults. J Neurophysiol 84:358–366PubMed
Zurück zum Zitat Sipila S, Taaffe DR, Cheng S, Puolakka J, Toivanen J, Suominen H (2001) Effects of hormone replacement therapy and high-impact physical exercise on skeletal muscle in post-menopausal women: a randomized placebo-controlled study. Clin Sci 101:147–157PubMedCrossRef Sipila S, Taaffe DR, Cheng S, Puolakka J, Toivanen J, Suominen H (2001) Effects of hormone replacement therapy and high-impact physical exercise on skeletal muscle in post-menopausal women: a randomized placebo-controlled study. Clin Sci 101:147–157PubMedCrossRef
Zurück zum Zitat Sipila S, Poutamo J (2003) Muscle performance, sex hormones and training in peri-menopausal and post-menopausal women. Scand J Med Sci Sports 13:19–25 PubMedCrossRef Sipila S, Poutamo J (2003) Muscle performance, sex hormones and training in peri-menopausal and post-menopausal women. Scand J Med Sci Sports 13:19–25 PubMedCrossRef
Zurück zum Zitat Skelton DA, Greig CA, Davies JM, Young A (1994) Strength, power and related functional ability of healthy people aged 65–89 years. Age Ageing 23:371–377PubMedCrossRef Skelton DA, Greig CA, Davies JM, Young A (1994) Strength, power and related functional ability of healthy people aged 65–89 years. Age Ageing 23:371–377PubMedCrossRef
Zurück zum Zitat Skelton DA, Kennedy J, Rutherford OM (2002) Explosive power and asymmetry in muscle function amongst community dwelling frequent fallers and non-fallers aged over 65. Age Ageing 31:119–125PubMedCrossRef Skelton DA, Kennedy J, Rutherford OM (2002) Explosive power and asymmetry in muscle function amongst community dwelling frequent fallers and non-fallers aged over 65. Age Ageing 31:119–125PubMedCrossRef
Zurück zum Zitat Skelton DA, Phillips SK, Bruce SA, Naylor CH, Woledge RC (1999) Hormone replacement therapy increases isometric muscle strength of adductor pollicis in post-menopausal women. Clin Sci 96:357–364PubMedCrossRef Skelton DA, Phillips SK, Bruce SA, Naylor CH, Woledge RC (1999) Hormone replacement therapy increases isometric muscle strength of adductor pollicis in post-menopausal women. Clin Sci 96:357–364PubMedCrossRef
Zurück zum Zitat Smith SS (1998) Estrous hormones enhance coupled, rhythmic olivary discharge in correlation with facilitated limb stepping. Neuroscience 82:1:83–95 Smith SS (1998) Estrous hormones enhance coupled, rhythmic olivary discharge in correlation with facilitated limb stepping. Neuroscience 82:1:83–95
Zurück zum Zitat Stevens JE, Binder-Macleod S, Snyder-Mackler L (2001) Characterization of the human quadriceps muscle in active elders. Arch Phys Med Rehabil 82:973–978PubMedCrossRef Stevens JE, Binder-Macleod S, Snyder-Mackler L (2001) Characterization of the human quadriceps muscle in active elders. Arch Phys Med Rehabil 82:973–978PubMedCrossRef
Zurück zum Zitat Stevens JE, Stackhouse SK, Binder-Macleod SA, Snyder-Mackler L (2003) Are voluntary activation deficits in older adults meaningful? Muscle Nerve 27:99–101PubMedCrossRef Stevens JE, Stackhouse SK, Binder-Macleod SA, Snyder-Mackler L (2003) Are voluntary activation deficits in older adults meaningful? Muscle Nerve 27:99–101PubMedCrossRef
Zurück zum Zitat Tracy BL, Byrnes WC, Enoka RM (2004) Strength training reduces force fluctuations during anisometric contractions of the quadriceps femoris muscles in old adults. J Appl Physiol 96:1530–1540PubMedCrossRef Tracy BL, Byrnes WC, Enoka RM (2004) Strength training reduces force fluctuations during anisometric contractions of the quadriceps femoris muscles in old adults. J Appl Physiol 96:1530–1540PubMedCrossRef
Zurück zum Zitat Tracy BL, Enoka RM (2002) Older adults are less steady during submaximal isometric contractions with the knee extensor muscles. J Appl Physiol 92:1004–1012PubMed Tracy BL, Enoka RM (2002) Older adults are less steady during submaximal isometric contractions with the knee extensor muscles. J Appl Physiol 92:1004–1012PubMed
Zurück zum Zitat Vandervoort AA, Kramer JF, Wharram ER (1990) Eccentric knee strength of elderly females. J Gerontol 45:125–128 Vandervoort AA, Kramer JF, Wharram ER (1990) Eccentric knee strength of elderly females. J Gerontol 45:125–128
Zurück zum Zitat Whipple RH, Wolfson LI, Amerman PM (1987) The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc 35:13–20PubMed Whipple RH, Wolfson LI, Amerman PM (1987) The relationship of knee and ankle weakness to falls in nursing home residents: an isokinetic study. J Am Geriatr Soc 35:13–20PubMed
Zurück zum Zitat Young A, Stokes M, Crowe M (1984) Size and strength of the quadriceps muscles of old and young women. Eur J Clin Invest 14:282–287PubMedCrossRef Young A, Stokes M, Crowe M (1984) Size and strength of the quadriceps muscles of old and young women. Eur J Clin Invest 14:282–287PubMedCrossRef
Metadaten
Titel
Power output, isometric strength and steadiness in the leg muscles of pre- and postmenopausal women; the effects of hormone replacement therapy
verfasst von
Serena F. Carville
Olga M. Rutherford
Di J. Newham
Publikationsdatum
01.02.2006
Verlag
Springer-Verlag
Erschienen in
European Journal of Applied Physiology / Ausgabe 3/2006
Print ISSN: 1439-6319
Elektronische ISSN: 1439-6327
DOI
https://doi.org/10.1007/s00421-005-0078-4

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