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1Department of Medicine, University of California San Diego, La Jolla, California; 2Nuclear Magnetic Resonance Laboratory, Association Institute de Myologie-Commissariat à l'Energie Atomique, Institute de Myologie, Pitié Salpêtrière University Hospital, Paris, France; and 3Department of Internal Medicine, Division of Geriatrics, University of Utah, 4Department of Exercise and Sport Science, University of Utah, and 5Geriatric Research and Clinical Center, Salt Lake City Veterans Affairs Medical Center, Salt Lake City, Utah
Submitted July 30, 2009 ; accepted in final form September 15, 2009
We sought to examine the potential role of oxidative stress on skeletal muscle function with advancing age. Nuclear magnetic resonance (NMR) was employed to simultaneously assess muscle perfusion (arterial spin labeling) and energetics (31P NMR spectroscopy) in the lower leg of young (26 ± 5 yr, n = 6) and older (70 ± 5 yr, n = 6) healthy volunteers following the consumption of either placebo (PL) or an oral antioxidant (AO) cocktail (vitamins C and E and
-lipoic acid), previously documented to decrease plasma free radical concentration. NMR measurements were made during and after 5 min of moderate intensity (
5 W) plantar flexion exercise. AO administration significantly improved end-exercise perfusion (AO, 50 ± 5, and PL, 43 ± 4 ml·100 g–1·min–1) and postexercise perfusion area under the curve (AO, 1,286 ± 236, and PL, 866 ± 144 ml/100 g) in older subjects, whereas AO administration did not alter hemodynamics in the young group. Concomitantly, muscle oxidative capacity (time constant of phosphocreatine recovery,
) was improved following AO in the older (AO, 43 ± 1, and PL, 51 ± 7 s) but not the young (AO, 54 ± 5, and PL, 48 ± 7 s) group. These findings support the concept that oxidative stress may be partially responsible for the age-related decline in skeletal muscle perfusion during physical activity and reveal a muscle metabolic reserve capacity in the elderly that is accessible under conditions of improved perfusion.
leg blood flow; oxidative capacity; exercise; nuclear magnetic resonance
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