Muscle strength and aging refers to the decline in the maximum force that a muscle can generate, a physiological reduction known as dynapenia, which often occurs at a faster rate than the loss of muscle mass (sarcopenia). This decline is a critical metric of functional decline and is influenced by both neuromuscular changes and the age-related reduction in key anabolic hormones. Preserving strength is paramount for maintaining mobility and preventing falls. The rate of strength loss is a strong predictor of overall health-span.
Origin
The distinction between muscle mass loss (sarcopenia) and muscle strength loss (dynapenia) is a relatively recent refinement in geriatric and exercise science, recognizing that strength is a function of both quantity and quality of muscle. The term directly links physical performance to the temporal process of senescence. Clinical strategies now focus equally on improving muscle quality and neural drive.
Mechanism
Age-related hormonal changes, specifically the decline in testosterone and growth hormone, reduce the neural drive to muscle fibers and impair the efficiency of excitation-contraction coupling. Furthermore, changes in muscle fiber type distribution, with a preferential loss of fast-twitch (Type II) fibers, contribute significantly to reduced power and strength. Intervention strategies aim to restore hormonal signaling to support neuromuscular junction integrity and enhance the specific force production of the remaining muscle tissue.
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