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Magnetic resonance imaging (MRI) is the current gold standard for measuring changes in muscle size (cross‐sectional area [CSA] and volume) but can be cost‐prohibitive and resource‐intensive. We evaluated the validity of B‐mode ultrasonography (US) as a low‐cost alternative to MRI for measuring muscle hypertrophy and atrophy in response to resistance training and immobilization, respectively. Fourteen young men performed 10wk of unilateral resistance training (RT) to induce muscle hypertrophy. In the final two weeks of the 10wk, the subjects’ contralateral leg was immobilized (IMB). The cross‐sectional area of the vastus lateralis (VLCSA) was measured at the mid‐thigh before and after each intervention using MRI (VLCSAMRI) and US (VLCSAUS). The relationship and agreement between methods were assessed. Reliability of US measurements ranged from good to excellent in all comparisons (ICC >0.67). VLCSA significantly increased after 10 weeks of RT (VLCSAUS: 7.9 ± 3.8%; VLCSAMRI: 7.8 ± 4.5%) and decreased after 2 weeks of IMB (VLCSAUS: −8.2%±5.8%; VLCSAMRI: −8.7 ± 6.1%). Significant correlations were identified between MRI and US at each time point measured (all r > 0.85) and, importantly, between MRI‐ and US‐derived changes in VLCSA. Bland‐Altman analysis revealed minimal bias in US measurements relative to the MRI (−0.5 ± 3.0%) and all measurements were within the upper and lower limits of agreement. Our data suggest that B‐mode ultrasonography can be a suitable alternative to MRI for measuring changes in muscle size in response to increased and decreased muscle loading in young men., We demonstrate that ultrasound‐derived measurements of vastus lateralis hypertrophy and atrophy induced by resistance training and immobilization are significantly correlated with MRI‐derived measurements. The reliability of our ultrasound technique was also in the range of good‐excellent. Together, these data suggest that B‐mode ultrasonography is a suitable alternative for the assessment of muscle hypertrophy and atrophy under conditions of dynamic loading in young men.

Glucocorticoids promote muscle atrophy by inducing a class of proteins called atrogenes, resulting in reductions in muscle size and strength. In this work, we evaluated whether a mouse model with pre-existing diet-induced obesity had altered glucocorticoid responsiveness. We observed that all animals treated with the synthetic glucocorticoid dexamethasone had reduced strength, but that obesity exacerbated this effect. These changes were concordant with more pronounced reductions in muscle size, particularly in Type II muscle fibers, and potentiated induction of atrogene expression in the obese mice relative to lean mice. Furthermore, we show that the reductions in lean mass do not fully account for the dexamethasone-induced insulin resistance observed in these mice. Together these data suggest that obesity potentiates glucocorticoid-induced muscle atrophy.

Fermented rice bran (FRB), a prospective supplement, has been proven to ameliorate certain medical conditions. However, its nutraceutical effect on muscle atrophy has never been investigated. The present study aimed to evaluate the effect of FRB on muscle atrophy in a streptozotocin (STZ)-induced diabetic rat model. Three groups of Sprague-Dawley rats, namely the control, STZ, and FRB groups, were treated as follows. The diabetic groups (STZ and FRB) were injected intraperitoneally with STZ (40 mg/kg BW), whereas the control group was injected with the vehicle. The STZ and control groups were fed the AIN93M diet, and the FRB group was fed 10% of FRB based on the AIN93M diet. The diabetic groups had reduced muscle size compared to the control group, however, these changes were alleviated in the FRB group. Moreover, the FRB group had a significantly lower expression of FBXO32/Atrogin-1 and TRIM63/MuRF1 (p &lt, 0.05) due to blocked NF-&kappa, B activation. In conclusion, the anti-inflammatory effect of FRB may be beneficial for ameliorating muscle atrophy in diabetic conditions.

Background: The present study aimed to compare changes in muscle size when measured by ultrasound (MT, muscle thickness) and arm circumference (AC) using data from young men. Methods: The investigation involved data from 3 previous studies involving a total 67 young men who performed resistance training (RT) for 10-12 weeks. Before and after the training period, elbow flexor MT was evaluated by ultrasound and AC was measured. We conducted two-stage individual patient data random effects meta-analyses using both Frequentist and Bayesian hypothesis testing. One-sample analyses examined the absence or presence of change in both MT and AC, and paired analyses examined whether these differed from one another or equivalent. Results: One-sample analysis supported that both AC (+4.9%; t p = 0.0002; BF10 = 6,255,759,515) and MT (+3.9%; p < 0.0001; BF10 = 7,958,241,773) suggested that change in muscle size had occurred. Frequentist paired comparisons suggested that the estimates of change between both AC and MT measures did not significantly differ (p = 0.1092) but where not statistically equivalent. Bayesian paired comparisons however suggested that MT estimates where greater in magnitude than AC estimates for change in muscle size (BF10 = 16.39174). Conclusion: Both MT and AC are able to detect RT induced changes in muscle size of the upper arm, but that the magnitude of changes may differ. Thus, care should be taken when comparing or combining estimates using either approach. Relevance for patients: The use of AC might be considered as a practical and low-cost alternative to detect changes in muscle size.

Objective The torque-producing capacity can be assessed as maximal isometric torque per muscle size. Nevertheless, the factors contributing to this capacity remain poorly understood. In general, the magnitude of joint torque production is determined not only by muscle size but also by joint moment arm (MA). Based on this background, we hypothesized that longer MA would be related to higher torque-producing capacity despite a given muscle size. To test this hypothesis, we examined the relationship between MA and toque-producing capacity in the knee extensors. The quadriceps femoris muscle volume (MV) and knee extensor MA in 30 healthy young men were measured using magnetic resonance imaging. The knee extensor isometric torque was measured using a dynamometer. The knee extensor torque-producing capacity was calculated as the knee extensor isometric torque per quadriceps femoris MV. Results The quadriceps femoris MV and knee extensor MA correlated significantly with the knee extensor isometric torque (r = 0.785 and 0.790, respectively, both Ps

Loss of muscle mass and strength with aging, also termed sarcopenia, results in a loss of mobility and independence. Exercise, particularly resistance training, has proven to be beneficial in counteracting the aging-associated loss of skeletal muscle mass and function. However, the anabolic response to exercise in old age is not as robust, with blunted improvements in muscle size, strength, and function in comparison to younger individuals. This review provides an overview of several physiological changes which may contribute to age-related loss of muscle mass and decreased anabolism in response to resistance training in the elderly. Additionally, the following supplemental therapies with potential to synergize with resistance training to increase muscle mass are discussed: nutrition, creatine, anti-inflammatory drugs, testosterone, and growth hormone (GH). Although these interventions hold some promise, further research is necessary to optimize the response to exercise in elderly patients.

This study examined whether the association between hamstring (H) and quadriceps (Q) strength with size depends on the region and the muscle used to examined cross-sectional area (CSA). Maximum isometric contraction knee extension and flexion torque was obtained from 20 young participants while Q and H CSA was recorded using extended field of view ultrasonography at four sections along the thigh. Stepwise linear regression models using the maximum CSA of individual muscles showed a significant association of quadriceps (R

Age-related sarcopenia is a progressive and generalized skeletal muscle disorder associated with adverse outcomes. Herein, we evaluate the effects of a combination of electrical muscle stimulation (EMS) and a whey-based nutritional supplement (with or without polyphenols and fish oil-derived omega-3 fatty acids) on muscle function and size. Free-living elderly participants with mobility limitations were included in this study. They received 2 sessions of EMS per week and were randomly assigned to ingest an isocaloric beverage and capsules for 12 weeks: (1) carbohydrate + placebo capsules (CHO, n = 12), (2) whey protein isolate + placebo capsules (WPI, n = 15) and (3) whey protein isolate + bioactives (BIO) capsules containing omega-3 fatty acids, rutin, and curcumin (WPI + BIO, n = 10). The change in knee extension strength was significantly improved by 13% in the WPI + BIO group versus CHO on top of EMS, while WPI alone did not provide a significant benefit over CHO. On top of this, there was the largest improvement in gait speed (8%). The combination of EMS and this specific nutritional intervention could be considered as a new approach for the prevention of sarcopenia but more work is needed before this approach should be recommended. This trial was registered at the Japanese University Hospital Medical Information Network (UMIN) clinical trial registry (UMIN000008382).

The purpose was to determine whether postactivation performance enhancement is specific to the muscle being conditioned or if it is also observed within the homologous muscles of the contralateral limb (after accounting for the warm-up and random error). We also investigated whether this differed based on training status or muscle size. One hundred seven participants (75 untrained; 32 trained) participated in four sessions. Visit 1 included baseline measurements and familiarization. Visits 2-4 included the completion of one of the three experimental conditions: (a) control, (b) same side and (c) crossover completed in a randomized order. The control condition completed all testing except for the conditioning contraction. The same side condition completed the conditioning contraction on the same side as the strength test. The crossover condition completed the conditioning on the arm opposite to the strength test. The variable of interest was the change from baseline in isokinetic strength. Our analysis indicated that of the hypotheses compared, the posterior probabilities (posterior probability of 0.506) favoured the hypothesis that the effect was local and greatest in those who were resistance trained [mean (SD) of 1.4 (2.2) Nm over the control in those resistance trained]. We found no relationship between muscle size and postactivation performance enhancement. In conclusion, there is an influence of training status pertaining to the postactivation performance enhancement effect but no influence from baseline muscle size. It appears unlikely that the effect is due to a systemic mechanism.

Tyrimo problema. Priešingas fenomenas, kai ištvermės atletams jėgos treniruotės (JT) padeda pagerinti ištvermės rezultatus yra gerai žinomas. Tačiau, nėra iki galo ištirta, kokį poveikį turi ištvermės treniruotės (IT) sportininkams, kurių raumenys yra maksimaliai prisitaikę tik prie JT. Darbo tikslas. Ištirti, kokį poveikį turės papildomos IT, jaunų ir vyresnių kultūristų raumenų aerobinėms ir jėgos savybėms. Uždaviniai: 1) Nustatyti kultūristų šlaunies raumenų plotą, perimetrą ir optinį tankį analizuojant magnetinio rezonanso tomografijos (MRT) nuotraukas. 2) Nustatyti kultūristų šlaunies raumens biopsijos mėginių, skaidulų kompoziciją, kapiliarų tankį ir oksidacinį pajėgumą. 3) Išanalizuoti gautus duomenys naudojant matematinės statistikos metodus. Hipotezė. Manoma, jog jėgos sportų šakų atletams, papildomos IT, gali padidinti aerobinį raumenų pajėgumą, neigiamai nepaveikiant raumenų jėgos ir mases rodiklių. Tyrimo metodai. Tyrimui atrinkta 15 kultūristų, kurie padalinti į dvi grupes: jauni (n = 8) ir vyresni (n = 7). Visi dalyviai 10 sav., 3 kartus per sav., atliko papildomos IT. Prieš ir po tyrimo padarytos šlaunies raumenų MRT nuotraukos; paimti šlaunies raumens biopsijos mėginiai, užregistruoti antropometriniai duomenys, įvertintas MDS ir šlaunies tiesiamųjų raumenų maksimalios valingos izometrinės jėgos (MVC) reikšmės. Rezultatai. Histologinė šoninio plačiojo raumens biopsijos analizė parodė, jog nepriklausmai nuo amžiaus, po papildomų IT, statistiškai reikšmingai padidėjo sukcinato dehidrogenazės (SDH) fermento aktyvumas (p ≤ 0,043) bei atsirado daugiau kapiliarų aplink I tipo raumenines skaidulas (p = 0,017). Be to, papildomos ištvermės pratybos, neturėjo statistiškai reikšmingo poveikio šlaunies raumenų anatominiam skerspjūvio plotui, skaidulų skerspjūvio plotui ar MVC. Išvados. Prie jėgos pratybų derinamos papildomos IT gali būti taikomos siekiant padidinti raumenų oksidacinį pajėgumą. Taip pat, IT treniruotės neigiamai neveikė nei jaunų nei vyresnių kultūristų raumenų jėgos ar masės rodiklių., Research problem. There are well known, that strength training can increase endurance athlete’s performance. However, there are a lot of studies, which suggest, that in strength biased athlete’s, endurance training can interfere and negatively affect muscle size and mass. Research goal. To find out, if additional endurance training effects bodybuilders muscle mass, strength and aerobic properties. Research tasks: 1) Estimate participants tight muscles area, perimeter and optical density by analysing magnetic resonance imaging (MRI) pictures. 2) Estimate participants biopsy of m. vastus lateralis, muscle fibres composition, capillaries density and oxidation capacity. 3) Analyse all collected data, by using SPPS mathematical statistics methods. Hypothesis. Superimposed endurance training in strength trained man, should not reduce muscle mass and strength, but induce increase in muscle oxidative capacity and VO2MAX. Methods. For this study were selected 15 bodybuilders, who were divided in two groups: young (n = 8) and old (n = 7), they had to perform additional 10–week endurance training program superimposed on their regular strength training program. Before and after endurance training were taken tight muscles MRI pictures, collected vastus lateralis muscle biopsy, measured quadriceps muscles maximal voluntary concentric–isometric contraction strength (MVC) and measured VO2MAX. Main results. There was statistically significant effect in the succinate dehydrogenase activity (p≤0,043). Moreover, there was statistically significant increase in number of capillaries around I type muscle fibres (p=0,017). Finally, superimposed training did not had statistically significant side effects on thigh muscle anatomical cross–section area, m. vastus lateralis fibres cross–section area and quadriceps muscle group MVC. Conclusion. Young and old bodybuilders can combine strength and endurance in one training cycle, in order to achieve aerobic adaptations, without negative consequences on muscle mass and strength. In addition, 10 weeks, 3 times per week of 40–50 min. endurance cycling session are not enough to contribute concurrent training effect occurrence in strength trained athletes.

There is increasing evidence that muscle volume and mass are poor predictors of muscle strength and physical performance. Other assessments of muscle quality such as skeletal muscle density measured by computed tomography (CT) may be more important. The aim of this study was to explore associations of muscle size and density with handgrip strength (HGS) and the Timed Up and Go test (TUG). We also hypothesized that the strength of these associations would depend on the specific muscle of muscle group, namely trunk, hip, and mid-thigh muscles.Cross-sectional study.University hospital; 316 volunteers aged 59 to 85 years.HGS, TUG, and quantitative CT imaging of the lumber, hip, and mid-thigh were performed in volunteers. From the CT images, cross-sectional area and attenuation were determined for the gluteus muscle, trunk muscle at vertebrae L2 level, and mid-thigh muscle.In men and women, associations of muscle area with TUG were insignificant after adjustment for age, height, and weight. Associations with HGS were only significant in men for the gluteus maximus and the mid-thigh but slopes were rather low (β 0.20). Associations between muscle density and TUG/HGS were more pronounced, in particular for HGS. After adjustment, associations with TUG were significant in women for the gluteus maximus and trunk muscle even (β -0.06, P .001 and β -0.07, P .031, respectively).Muscle density is more strongly associated with muscle strength than muscle size andin women muscle density was also more strongly associated than muscle size with physical performance. Therefore, muscle density may represent a more clinically meaningful surrogate of muscle performance than muscle size. Muscle density measurements of trunk and gluteus muscles can be easily obtained from routine CT scan and, therefore, may become an important measurement to diagnose and screen for sarcopenia.

BACKGROUND It is currently unknown if muscle growth and strength gain are similar in both dominant and non-dominant limbs of the same individual with the same training load. Therefore, the objective of this study was to analyze initial muscle size and strength levels in both upper limbs and compare changes in muscle size and strength between dominant and non-dominant upper limbs with a within-individual experimental design with high-load resistance training. METHODS Ten untrained participants performed six weeks of unilateral resistance training for upper limbs (i.e., elbow flexors) using 80% of 1 repetition maximum (1RM). Muscle thickness and 1RM were assessed before and after the training period. We used a two-way repeated measures ANOVA to compared changes between limbs, effect sizes (ES) were also calculated. RESULTS Muscle thickness and 1RM were not different between limbs at baseline. There was a main time effect for muscle thickness (P

Background and Objectives: Flexor hallucis longus pathology is one of the most common conditions of the ankle and foot in dancers, due to the high demand of dance movements performed in an extreme plantar flexion and dorsiflexion range of motion. The objectives of this study were to determine the bilateral differences between the thickness and cross-sectional area of the flexor hallucis longus muscle in dancers, to establish possible differences between dance modalities, and to analyze whether there is a correlation between ultrasonographic parameters or performance variables and the dance modality. Material and Methods: A sample of 50 (29 classical and 21 contemporary) full-time pre-professional female dancers were included in the study. The thickness and cross-sectional area of the flexor hallucis longus muscle were evaluated for both limbs using ultrasound imaging. The range of movement of the first metatarsophalangeal joint was measured using functional extension with maximal ankle plantarflexion, balance was measured in a unilateral stance with the heel raised, endurance was evaluated through a modified heel rise fatigue test, and a counter movement jump to assess the vertical jump performance was measured bilaterally. Results: There were no significant differences recorded between the dominant and non-dominant limbs for each variable, within both groups. Contemporary dancers showed a greater thickness and cross-sectional area of the flexor hallucis longus muscle than classical dancers. However, classical dancers showed an increase of balance, endurance, range of movement of the first metatarsophalangeal joint, and counter movement jump with respect to contemporary dancers. Conclusion: Bilateral symmetry was identified in all variables for both groups. The size and performance of the flexor hallucis longus muscle may be influenced by the specific nature of dance modality. Sin financiación 2.430 JCR (2020) Q2, 80/169 Medicine, General & Internal 0.530 SJR (2020) Q3, 1256/2448 Medicine (miscellaneous) No data IDR 2019 UEM

In many species, individuals contest resources using specialized morphologies to overpower rivals, hereafter referred to as weapons. Despite their importance in fights, little is known about the selective forces affecting weapon evolution. This may be particularly important to understand why weapons are highly variable among species. Due to their role during fighting, we expect that whenever fighting becomes more important for individual fitness so should the intensity of selection on weapon strength and morphology (which affect the efficiency of a weapon during combat). If true, we expect species that fight more intensely to have stronger and more mechanically efficient weapons. We tested this idea using males of three species of Aegla crabs (A. longirostri, A. abtao, and A. denticulata) that vary in their fight intensity. We compared the muscle size, the mechanical advantage (a proxy for the efficiency of the movable finger of the claw), and the correlation between weapon biomechanics and overall weapon shape (a proxy for the efficiency of the entire claw) among the species. We found that species with more intense fights presented stronger claws, higher mechanical advantage, and less variation in the regression between biomechanics and overall shape. Interestingly, the species with the largest claws were not the most mechanically efficient, suggesting that weapon size is not the sole factor behind weapon evolution. We conclude that fight intensity might be an important factor affecting weapon biomechanics, which ultimately might lead to a better understanding of weapon evolution. Animals fight using specialized morphologies to overpower rivals—termed weapons. Given the importance of fighting on leaving descendants to the next generation, weapon features related to winning fights are probably under selection. If true, then species in which fighting is more important should have stronger and more mechanically efficient weapons. Our results suggest that this might be true: Aegla crabs that fight more intensely have stronger and more efficient weapons (their claws). Interestingly, we also show that size is not the sole predictor of a better claw—muscle mass and mechanical efficiency might be higher in smaller claws when compared to larger claws. Thus, weapon evolution might not be solely tied to weapon size, but also to weapon morphology and mechanical efficiency.

INTRODUCTION AND OBJECTIVE:Testosterone is the major sex hormone in males and plays an important role in the development of the penis and testes, muscle size, bone growth, sex drive, and sperm prod...

The important function of the intrinsic foot muscles is the dynamic stabilization of the medial longitudinal arch (MLA). Several studies have reported that implementing short foot exercise (SFE) and electrical stimulation (ES) amid the intrinsic foot muscles may increase MLA height. Hence, the aim of this study was to compare the effects of ES versus SFE on navicular drop (ND), calcaneal pitch angle (CPA), and cross sectional area (CSA) of the abductor hallucis (AbdH) muscle. 20 healthy female subjects were randomly assigned to undergo ES (n=10) or SFE (n=10). SFE performed 30 repetitions whereas 20 min per day for ES, 3 days/week, for 4 weeks. ND, CPA, and the CSA of the AbdH muscle were assessed before and after intervention. The results showed that ES group significantly decreased in ND after training (p0.05). The CSA of the AbdH muscle in both groups was increased (ES =10.93 mm2 and SFE=7.44 mm2 ; p

Despite the considerable scientific interest in the variability and patterns of integration in the dog skull, how these patterns impact or are driven by function remains largely unexplored. Since the mandible is directly involved in mastication, it can be expected to be directly related to the development of the adductor and abductor muscles. Here, we explore whether variation in the architecture and size of the masticatory muscles is associated with the variation in mandibular shape in dogs. We obtained muscle data from the dissection of 48 dogs from different breeds and morphotypes to explore the architecture of the muscles and used 3D geometric morphometric approaches to quantify the shape of the mandible. Covariations between the masticatory muscles and mandibular shape were explored using two-block partial least square analyses (2B-PLS). Our results show there is a strong covariation between mandibular shape and masticatory muscles mass (rPLS from 0.70 to 0.74 for the first axis representing more than 90% of the total covariance) and physiological cross-sectional area (rPLS from 0.64 to 0.73 for the first axis representing more than 80% of the total covariance), irrespective of whether size is taken into account or not. These results suggest muscle size and thus attachment area requirements for individual muscles are likely drivers of mandibular shape. Moreover, mandible shape is likely to be a good predictor of muscle force. Finally, it appears that domestication of dogs has not resulted in a disuse phenotype characterized by a decoupling between form and function.

The purpose of this study was to use polynomial regression analyses to examine the torque- and power-velocity relationships and calculate and compare the vertices of these nonlinear models, and how they relate to measurements of muscle size and maximal strength, between male and female children and adolescents during maximal isokinetic leg extension muscle actions. Sixteen children (n = 8 males, n = 8 females) and 22 adolescents (n = 11 males, n = 11 females) participated in this study. Measurements of growth included age, maturity offset, height, body mass, fat-free mass, and quadriceps femoris muscle cross-sectional area (CSA). Participants completed maximal voluntary isometric contractions (MVICs) of the leg extensors and maximal voluntary isokinetic leg extensions at 60, 120, 180, 240, and 300°·s−1. Variables calculated during all leg extension muscle actions included peak torque (PT, Nm) and mean power (MP, W). Polynomial regression analyses determined the model of best fit for the PT- and MP-velocity relationships. For each participant, the vertex from the PT- and MP-velocity quadratic models were quantified as the predicted maximum velocity of last measurable torque (VPT) and the predicted velocity of maximum mean power (VMP), respectively. Measurements of growth, PT and MP at all velocities, VPT, and VMP were greater in the adolescents than children. When normalized to CSA, VPT and VMP remained greater for adolescents than children, and exhibited low to very high relationships with measurements of growth. When normalized to MVIC strength, VPT and VMP were no longer different between children and adolescents and exhibited negligible to low relationships with measurements of growth. The results of the present study suggest that the ability to produce torque and power at high velocities may be more dependent on muscle strength than muscle size, which suggests that mechanisms other than muscular hypertrophy affect torque and power production at high velocities in young males and females.

BACKGROUND Neuromuscular electrical stimulation (NMES) devices for abdominal muscles are being marketed to the general public to improve physical appearance. Abdominal muscles play an important role in lumbopelvic stability for optimizing performance. We investigated the effects of NMES training of abdominal muscles on muscle size, muscle strength, endurance, and lumbopelvic stability. METHODS Twenty-three subjects (12 females, 11 males) performed abdominal muscle NMES training for 8 weeks. Before and after NMES training, we measured muscle size (cross-sectional area [CSA] of the rectus abdominals [RA] and lateral abdominal wall [LAW]) by magnetic resonance imaging, muscle strength (trunk flexor and side bridge strength), endurance (trunk flexor and side bridge endurance time), and lumbopelvic stability (one-leg loading test). RESULTS There were significant increases between pre- and post-NMES training differences in the size (CSA of RA 21.7-25.4%, P

Context Neck pain (NP), neck injuries, and concussions are more prevalent in female athletes than in their male counterparts. Females exhibit less neck girth, strength, and stiffness against a perturbation. As part of the clinical examination for individuals with NP, ultrasound (US)–based imaging of the cervical muscles has become common. Muscle size or thickness and stiffness can be measured with US-based B-mode and shear-wave elastography (SWE), respectively. Information on reliability, normative values, and sex differences based on US-based muscle size or thickness and stiffness in young and athletic individuals is limited. Objective To evaluate sex differences in US-based muscle size or thickness and biomechanical properties of the cervical-flexor and -extensor muscles. Design Cross-sectional study. Setting Laboratory. Patients or Other Participants A total of 13 women (age = 23.7 ± 1.9 years, height = 167.1 ± 6.1 cm, mass = 63.8 ± 5.6 kg) and 11 men (age = 25.6 ± 4.9 years, height = 178.7 ± 8.3 cm, mass = 78.9 ± 12.0 kg). Main Outcome Measure(s) The same examiner collected all measures, using US B-mode to scan the cross-sectional area and thickness of the longus colli (LC), sternocleidomastoid (SCM), cervical-extensor muscles, and upper trapezius (UT) muscle. The US SWE-mode was used to measure the stiffness of the SCM and UT. Independent t tests or Mann-Whitney U tests were calculated to determine sex differences. The intraclass correlation coefficient (ICC) measured intrarater test-retest reliability. Results Men had thicker SCMs than women (P = .01). No sex differences were present for longus colli cross-sectional area, cervical-extensor muscle thickness, or UT thickness (P > .05). In addition, no sex differences were evident for SCM (P = .302) or UT (P = .703) SWE stiffness. Reliability was good to excellent (ICC = 0.715–0.890) except for SCM SWE stiffness (ICC = 0.554). Conclusions The only sex difference was in SCM thickness. However, smaller SCMs in women did not result in less SCM SWE stiffness. We provided normative values for US-based imaging of the cervical-flexor and -extensor muscles in young and athletic men and women.

Spitz, RW, Wong, V, Bell, ZW, Viana, RB, Chatakondi, RN, Abe, T, and Loenneke, JP. Blood flow restricted exercise and discomfort: A Review. J Strength Cond Res XX(X): 000-000, 2020-Blood flow restriction exercise involves using a pneumatic cuff or elastic band to restrict arterial inflow into the muscle and block venous return out of the muscle during the exercise bout. The resultant ischemia in conjunction with low-load exercise has shown to be beneficial with increasing muscle size and strength. However, a limitation of using blood flow restriction (BFR) is the accompanying discomfort associated with this type of exercise. Factors that may influence discomfort are applied pressure, width of the cuff, cuff material, sex, and training to failure. The goal of this review was to evaluate the existing literature and elucidate how these factors can be manipulated to reduce discomfort during exercise as well as provide possible directions for future research. Thirty-eight different studies were located investigating BFR and discomfort. It was found that BFR training causes more discomfort than exercise without BFR. However, chronic use of BFR may increase tolerability, but discomfort may still be elevated over traditional non-blood flow restricted exercise. Discomfort can be attenuated by the application of lower applied pressures and stopping short of task failure. Finally, in the upper body, wider cuffs seem to increase ratings of discomfort compared with more narrow cuffs. In conclusion, applying the proper-sized cuff and making the applied pressure relative to both the individual and the cuff applied may attenuate discomfort. Reducing discomfort during exercise may help increase adherence to exercise and rehabilitation programs.

Muscle quality is well-known to decrease with aging and is a risk factor for metabolic abnormalities. However, there is a lack of information on race-associated differences in muscle quality and other neuromuscular features related to functional performance. This study aimed to compare muscle quality, function, and morphological characteristics in Japanese and Brazilian older individuals. Eighty-four participants aged 65–87 years were enrolled in the study (42 Japanese: 23 men, 19 women, mean age 70.4 years; 42 Brazilians: 23 men, 19 women, mean age 70.8 years). Echo intensity (EI) and muscle thickness (MT) of the quadriceps femoris were measured using B-mode ultrasonography. A stepwise multiple linear regression analysis with EI as a dependent variable revealed that MT was a significant variable for Japanese participants (R2 = 0.424, P = 0.001), while MT and subcutaneous adipose tissue (SCAT) thickness were significant variables for Brazilian participants (R2 = 0.490, P = 0.001). A second stepwise multiple linear regression analysis was performed after excluding MT and SCAT thickness from the independent variables. Sex and age for Japanese participants (R2 = 0.381, P = 0.001) and lean body mass and body mass index for Brazilian participants (R2 = 0.385, P = 0.001) were identified as significant independent variables. The present results suggest that MT is closely correlated with muscle quality in Japanese and Brazilian older individuals. Increases in muscle size may induce decreases in intramuscular adipose tissue and/or connective tissues, which are beneficial for reducing the risks of metabolic impairments in Japanese and Brazilian older individuals.

Background. Tracking progression of diabetic peripheral polyneuropathy (DPN) is usually focused on sensory nerves and subjective testing methods. Recent studies have suggested that distal muscle atrophy may precede sensation loss. Methods to objectively measure distal muscle size and strength are needed to help understand how neuropathy affects muscle function. Purpose. To evaluate individual intrinsic and extrinsic foot muscle sizes and functional foot strength in participants with DPN. Methods. Thirty individuals participated in this cross-sectional study (15 DPN and 15 matched controls). Sizes of 10 separate muscles of the lower leg and foot were measured using ultrasound imaging. Functional foot strength was also quantified using custom great toe and lateral toe flexion tests along with a doming test. Muscle size and strength metrics were compared between groups using ANOVAs and paired t-tests (α=0.05). Correlations between strength and relevant muscle sizes were also evaluated. Results. The sizes of all four intrinsic foot muscles were smaller in individuals with DPN (p≤0.03), while only one (toe extensor) of the six extrinsic muscles was smaller (p<0.01). Great toe flexion (p=0.03) and lateral toe flexion (p<0.01) strengths were decreased between groups and showed moderate to strong correlations (0.43≤r≤0.80) with several corresponding intrinsic muscle sizes. The doming strength test did not show any difference between groups and was moderately correlated with one muscle size (r=0.59). Conclusion. Diabetic peripheral polyneuropathy affects intrinsic muscles before extrinsics. Ultrasound imaging of individual muscles and functional toe flexion tests can be used clinically to monitor DPN progression and foot function. Participants need to be trained in the doming test before a relationship can be established between this test and DPN foot function. Future studies should include muscle quality measurements to better understand characteristics of affected muscles.

Highlights • Based on the results of the studies included in our review, it seems that plyometric and resistance training may produce similar effects on whole muscle hypertrophy for the muscle groups of the lower extremities, in untrained and recreationally trained individuals, and over short-term (i.e., ≤12 weeks) intervention periods. • The evidence for the effects of plyometric training on hypertrophy on the muscle fiber level is currently limited for drawing inferences. • Combining plyometric and resistance exercise does not seem to produce additive effects on anabolic signaling or muscle growth, even though this area requires future study., Objective In this review, we critically evaluate studies directly comparing the effects of plyometric vs. resistance training on skeletal muscle hypertrophy. Methods We conducted electronic searches of PubMed/MEDLINE, Scopus, SPORTDiscus, and Web of Science to find studies that explored the effects of plyometric vs. resistance training on muscle hypertrophy. Results Eight relevant studies were included in the review. Six studies compared the effects of plyometric vs. resistance training on muscle hypertrophy, while 2 studies explored the effects of combining plyometric and resistance training vs. isolated resistance training on acute anabolic signaling or muscle hypertrophy. Based on the results of these studies, we conclude that plyometric and resistance training may produce similar effects on whole muscle hypertrophy for the muscle groups of the lower extremities. Therefore, it seems that plyometric training has a greater potential for inducing increases in muscle size than previously thought. Despite the findings observed at the whole muscle level, the evidence for the effects of plyometric training on hypertrophy on the muscle fiber level is currently limited for drawing inferences. Compared to isolated resistance training, combining plyometric and resistance exercise does not seem to produce additive effects on anabolic signaling or muscle growth; however, this area requires future study. The limitations of the current body of evidence are that the findings are specific to (a) musculature of the lower extremities, (b) short-term training interventions that lasted up to 12 weeks, and (c) previously untrained or recreationally active participants. Conclusion This review highlights that plyometric and resistance training interventions may produce similar effects on whole muscle hypertrophy, at least for the muscle groups of the lower extremities, in untrained and recreationally trained individuals, and over short-term (i.e., ≤12 weeks) intervention periods., Graphical abstract Image, graphical abstract

It is generally assumed that small birds improve their shivering heat production capacity by developing the size of their pectoralis muscles. However, some studies have reported an enhancement of thermogenic capacity in the absence of muscle mass variation between seasons or thermal treatments. We tested the hypothesis that an increase in muscle mass is not a prerequisite for improving avian thermogenic capacity. We measured basal (BMR) and summit (Msum) metabolic rates of black capped chickadees (Poecile atricapillus) acclimated to thermoneutral (27 °C) and cold (−10 °C) temperatures and obtained body composition data from dissections. Cold acclimated birds consumed 44% more food, and had 5% and 20% higher BMR and Msum, respectively, compared to individuals kept at thermoneutrality. However, lean dry pectoralis and total muscle mass did not differ between treatments, confirming that the improvement of thermogenic capacity did not require an increase in skeletal muscle mass. Nevertheless, within temperature treatments, Msum was positively correlated with the mass of all measured muscles, including the pectoralis. Therefore, for a given acclimation temperature individuals with large muscles do benefit from muscle size in term of heat production but improving thermogenic capacity during cold acclimation likely requires an upregulation of cell functions.

Spinal muscle cross‐sectional area has been highly associated with spinal pathology. Despite the medium‐high prevalence of spinal pathology in children, there is very limited knowledge regarding muscle size and growth pattern in individuals younger than 20 years of age. The aim of this study is to analyze the change in size and symmetry of spinal muscles (erector spinae, multifidus, psoas and quadratus lumborum) in children 2–20 years of age. We studied reformatted images from 91 abdominal computed tomographic scans of children aged 2–20 years, from an existing imaging dataset. The cross‐sectional area of the muscles was bilaterally measured parallel to the upper endplate of the lumbar vertebrae L3–L5 and at true horizontal for S1. The cross‐sectional area of the upper vertebral endplate was measured at spinal levels L3–L5. Results were analyzed according to six groups based on children's age: 2–4 years (group 1), 5–7 years (group 2), 8–10 years (group 3), 11–13 years (group 4), 14–16 years (group 5) and 17–20 years (group 6). Vertebral endplate and spinal muscles cross‐sectional area increased with age. Two patterns were observed: Endplate, psoas and quadratus lumborum increased up to our 6th oldest age group (17–20), and multifidus and erector spinae reached their largest size in the 5th age group (14–16). The epaxial muscles (erector spinae and multifidus) reached their maximal cross‐sectional area before skeletal maturity (18–21 years of age). The hypaxial muscles (psoas and quadratus lumborum) continued to increase in size at least until spinal maturity. Contributing factors for the differences in developmental pattern between the epaxial and hypaxial muscles might include functional, embryological and innervation factors. In conclusion, this research is the first to describe the cross‐sectional area of spinal muscles in children. Future longitudinal studies are needed for further understanding of muscle development during childhood and adolescence. Level of evidence: level 2b, Retrospective cohort study.

The loss of muscle size, strength, and quality with aging is a major determinant of morbidity and mortality in the elderly. The regulatory pathways that impact the muscle phenotype include the translational regulation maintained by microRNAs (miRNA). Yet the miRNAs that are expressed in human skeletal muscle and relationship to muscle size, strength, and quality are unknown. Using next-generation sequencing, we selected the 50 most abundantly expressed miRNAs and then analyzed them in vastus lateralis muscle, obtained by biopsy from middle-aged males ( n = 48; 50.0 ± 4.3 yr). Isokinetic strength testing and midthigh computed tomography was undertaken for muscle phenotype analysis. Muscle attenuation was measured by computerized tomography and is inversely proportional to myofiber lipid content. miR-486-5p accounted for 21% of total miR sequence reads, with miR-10b-5p, miR-133a-3p, and miR-22-3p accounting for a further 15, 12, and 10%, respectively. Isokinetic knee extension strength and muscle cross-sectional area were positively correlated with miR-100-5p, miR-99b-5p, and miR-191-5p expression. Muscle attenuation was negatively correlated to let-7f-5p, miR-30d-5p, and miR-125b-5p expression. In silico analysis implicates miRNAs related to strength and muscle size in the regulation of mammalian target of rapamycin, while miRNAs related to muscle attenuation may have potential roles regulating the transforming growth factor-β/SMAD3 pathway.

Muscle disuse results in the loss of muscular strength and size, due to an imbalance between protein synthesis (MPS) and breakdown (MPB). Protein ingestion stimulates MPS, although it is not established if protein is able to attenuate muscle loss with immobilization (IM) or influence the recovery consisting of ambulatory movement followed by resistance training (RT). Thirty men (49.9 ± 0.6 yr) underwent 14 days of unilateral leg IM, 14 days of ambulatory recovery (AR), and a further six RT sessions over 14 days. Participants were randomized to consume an additional 20 g of dairy protein or placebo with a meal during the intervention. Isometric knee extension strength was reduced following IM (−24.7 ± 2.7%), partially recovered with AR (−8.6 ± 2.6%), and fully recovered after RT (−0.6 ± 3.4%), with no effect of supplementation. Thigh muscle cross-sectional area decreased with IM (−4.1 ± 0.5%), partially recovered with AR (−2.1 ± 0.5%), and increased above baseline with RT (+2.2 ± 0.5%), with no treatment effect. Myofibrillar MPS, measured using deuterated water, was unaltered by IM, with no effect of protein. During AR, MPS was increased only with protein supplementation. Protein supplementation did not attenuate the loss of muscle size and function with disuse or potentiate recovery but enhanced myofibrillar MPS during AR. NEW & NOTEWORTHY Twenty grams of daily protein supplementation does not attenuate the loss of muscle size and function induced by 2 wk of muscle disuse or potentiate recovery in middle-age men. Average mitochondrial but not myofibrillar muscle protein synthesis was attenuated during immobilization with no effect of supplementation. Protein supplementation increased myofibrillar protein synthesis during a 2-wk period of ambulatory recovery following disuse but without group differences in phenotype recovery.

This investigation evaluated the progression towards fatigue in two muscles of differing fast- and slow-twitch fiber proportions (abductor pollicis brevis (APB) and vastus lateralis (VL)) when activated by functional electrical stimulation (FES) at three frequencies (10, 35, and 50 Hz). Fatigue was defined as a 50% drop from the initial FES-induced force of 25% maximal voluntary contraction (MVC). Ten healthy adults (mean age: 23.2 ± 3.0 years) were recruited; participants signed an IRB approved consent form prior to participation. Protocols were developed to evaluate the effects of muscle size, fiber type and FES frequency on total time to fatigue. Results indicated that the predominantly fast-twitch VL fatigued more quickly than the slow-twitch APB at the higher frequencies (p 0.05), but did not significantly differ with stimulation at 10 Hz. Overall, muscle size and FES frequencies showed some significant interactions when generating a defined force and during fatigue development. Furthermore, it appears that to reduce fatigue, FES treatments should not extend past ∼14-16 min for large and small muscle groups, respectively, when the muscle group's optimal stimulation frequency is applied.

This issue of the Anatomical Record is the first of a two-volume set that focuses on new investigations into behavioral correlates of muscle functional morphology. Much of the research on functional morphology and adaptation to specific functional niches focuses on the shapes of hard-tissues-bones and teeth. Investigations into soft-tissue anatomy tend to be predominantly descriptive with only brief allusion to ontogenetic or evolutionary origins of structures. When muscles are included in analyses of functional systems, their function tends to be oversimplified-usually considered a simple force vector connecting two osteological points, with the force treated as a constant derived from some simple calculation of muscle size. The goal of these special issues is to present a series of studies that take a more elaborate look at how muscles can be viewed from a functional perspective in studies searching for morphological correlates of behavior. This first volume focuses on the behavioral correlates of cranial muscles-starting with a paper about the mimetic musculature of primates and ending with a series of papers on the masticatory muscles of many lineages of vertebrates. The next issue of the Anatomical Record (March 2018) includes our papers on the behavioral correlates of postcranial muscles. Taken together, we hope you agree that this series presents valuable insights into these form/function relationships using both traditional approaches+ and cutting-edge techniques. Anat Rec, 301:197-201, 2018. © 2018 Wiley Periodicals, Inc.

Background Atrophy and fatty infiltration of muscle with aging are associated with fractures and falls, however, their direct associations with muscle function are not well described. It was hypothesized that participants with lower quadriceps muscle attenuation, area, and greater intramuscular adipose tissue (IMAT) will exhibit slower rates of torque development (RTD) and lower peak knee extension torques. Methods Data from 4,842 participants (2,041 men, 2,801 women) from the Age Gene/Environment Susceptibility Reykjavik Study (mean age 76 ± 0.1 years) with complete thigh computed tomography and isometric knee testing. Regression models were adjusted for health, behavior, and comorbidities. Muscle attenuation was further adjusted for muscle area and IMAT; muscle area adjusted for IMAT and attenuation; and IMAT adjusted for muscle area and attenuation. Standardized betas (β) indicate association effect sizes. Results In the fully-adjusted models, attenuation (men β = 0.06, 95% CI: 0.01, 0.11; women β = 0.07, 95% CI: 0.03, 0.11) and muscle area (men β = 0.13, 95% CI: 0.07, 0.19; women β = 0.10, 95% CI: 0.06, 0.15) were associated with knee RTD. Attenuation (men β = 0.12, 95% CI: 0.08, 0.16; women β = 0.12, 95% CI: 0.09, 0.16) and muscle area (men β = 0.38, 95% CI: 0.33, 0.43; women β = 0.33, 95% CI: 0.29, 0.37) were associated with peak torque. Conclusions These data suggest that muscle attenuation and area are independently associated with RTD and peak torque; and that area and attenuation demonstrate similar contributions to RTD.

Neck muscle size and strength have been linked to lower injury risk and reduced pain. However, prior findings have been inconclusive and have failed to clarify whether there are sex differences in neck muscle size-strength relationships. Such differences may point to an underlying cause for the reported sex difference in neck pain prevalence. Thirty participants (13 males, 17 females) who underwent neck strength testing and MR imaging were analyzed. Strength was measured in three conditions that differed in posture and exertion direction. Muscle size was quantified by three metrics: anatomical cross-sectional area (ACSA), muscle volume (MV), and an estimate of physiological cross-sectional area—reconstruction-based cross-sectional area (RCSA). Inter-posture strength correlations, muscle size-strength correlations, and sex differences were analyzed with linear regression. Males were approximately 65% stronger and had significantly larger muscles. Strength varied significantly across postures, but only female strength values for different postures were significantly correlated. Observed in males only, the sternocleidomastoid (SCM) was a strong predictor of flexion strength in the neutral posture while the anterior scalene (AS) was more involved in the extended. No extensor’s size was significantly linked to extension strength. A greater amount of force variation is unexplained by muscle size alone in females than in males. Males and females exhibited distinct size-strength relationships, highlighting the need for sex-specific models and analyses and the greater potential effect of non-morphometric factors on force generating capacity in females. No advantage of one muscle size metric over another in strength prediction was evidenced.

Background Standing from a chair is a fundamental activity of daily living, and it can be applied to assess the physical function, especially in older individuals. Aim The aim of this study was to elucidate the characteristics of mechanical and temporal parameters during chair stand based on the relationship with skeletal muscle and physical functional parameters in older men and women. Methods Eighty older men and women participated in this study. We measured four parameters of chair stand performance: ground reaction force (GRF), rate of force development (RFD), and chair rise time (CRT) were calculated from the foot-floor force data; sit-to-stand (STS) was also assessed by measuring the time needed to complete 10 chair stand repetitions. The muscle thickness (MT) and echo intensity, as indexes of muscle size and quality, respectively, were measured using axial B-mode ultrasound images from quadriceps femoris. The gait speed and handgrip strength were measured as physical functional parameters. Results Partial correlation was used to determine the association of chair stand performance with MT, echo intensity, and physical parameters while considering the height, body mass, and age. GRF, RFD, and STS were significantly correlated with MT (r = 0.35, 0.26, and -0.49), gait speed (r = 0.32, 0.31, and -0.67), and handgrip strength (r = 0.57, 0.59, and -0.49). As the result of regression analysis, MT, gait speed, and handgrip strength were estimated by GRF and STS. Conclusion These results suggest that chair stand performance is useful as it reflects the muscle size and physical functions in older individuals.