Evidence map›Paper›PMID 29494293›Full record

ArticleJournal of applied physiology (Bethesda, Md. : 1985)2018

Mechanisms for the age-related increase in fatigability of the knee extensors in old and very old adults.

Christopher W Sundberg, Andrew Kuplic, Hamidollah Hassanlouei, Sandra K Hunter

Open access · greenAbstract read
In one paragraph

Article in Journal of applied physiology (Bethesda, Md. : 1985), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 3 syntheses or guidelines pooled it, 70 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
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  8. Article
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  10. Motor performance and aging in males and females.Journal of electromyography and kinesiology : official journal of the International Society of Electrophysiological Kinesiology · 2025
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Are females getting more fatigable as they age?European journal of applied physiology · 2025
    Article
  16. Cumulative effects of HThe Journal of physiology · 2025
    Article
  17. Article
  18. Article
  19. Article
  20. Validation of the Pittsburgh Performance Fatigability Index in the Study of Muscle, Mobility and Aging.The journals of gerontology. Series A, Biological sciences and medical sciences · 2023
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Christopher W SundbergExercise Science Program, Department of Physical Therapy, Marquette University , Milwaukee, Wisconsin.ORCID 0000-0002-6709-4078
Andrew KuplicExercise Science Program, Department of Physical Therapy, Marquette University , Milwaukee, Wisconsin.
Hamidollah HassanloueiExercise Science Program, Department of Physical Therapy, Marquette University , Milwaukee, Wisconsin.
Sandra K HunterExercise Science Program, Department of Physical Therapy, Marquette University , Milwaukee, Wisconsin.ORCID 0000-0001-8013-2051
Marquette University · US

Funding

Fatigability of Limb Muscle in Older Adults: Protective Effects of ExerciseR01AG048262 · NIA · MARQUETTE UNIVERSITY · PI FITTS, ROBERT H, HUNTER, SANDRA K · 2015 to 2024
$6.1M
Motor Function in Older Adults: the Importance of Apolipoprotein-E ε4 InheritancR21AG045766 · NIA · MARQUETTE UNIVERSITY · PI HUNTER, SANDRA K · 2014 to 2015
$413k
Mechanisms of Neuromuscular Fatigue with AgingF31AG052313 · NIA · MARQUETTE UNIVERSITY · PI SUNDBERG, CHRISTOPHER · 2016 to 2017
$53k
NIA NIH HHS F31 AG052313NIA NIH HHS R01 AG048262NIA NIH HHS R21 AG045766
6 · The paper itself

Abstract

The mechanisms for the age-related increase in fatigability during high-velocity contractions in old and very old adults (≥80 yr) are unresolved. Moreover, whether the increased fatigability with advancing age and the underlying mechanisms differ between men and women is not known. The purpose of this study was to quantify the fatigability of knee extensor muscles and identify the mechanisms of fatigue in 30 young (22.6 ± 0.4 yr; 15 men), 62 old (70.5 ± 0.7 yr; 33 men), and 12 very old (86.0 ± 1.3 yr; 6 men) men and women elicited by high-velocity concentric contractions. Participants performed 80 maximal velocity contractions (1 contraction per 3 s) with a load equivalent to 20% of the maximum voluntary isometric contraction. Voluntary activation and contractile properties were quantified before and immediately following exercise (<10 s) using transcranial magnetic stimulation and electrical stimulation. Absolute mechanical power output was 97 and 217% higher in the young compared with old and very old adults, respectively. Fatigability (reductions in power) progressively increased across age groups, with a power loss of 17% in young, 31% in old, and 44% in very old adults. There were no sex differences in fatigability among any of the age groups. The age-related increase in power loss was strongly associated with changes in the involuntary twitch amplitude ( r = 0.75, P < 0.001). These data suggest that the age-related increased power loss during high-velocity fatiguing exercise is unaffected by biological sex and determined primarily by mechanisms that disrupt excitation contraction coupling and/or cross-bridge function. NEW & NOTEWORTHY We show that aging of the neuromuscular system results in an increase in fatigability of the knee extensors during high-velocity exercise that is more pronounced in very old adults (≥80 yr) and occurs similarly in men and women. Importantly, the age-related increase in power loss was strongly associated with the changes in the electrically evoked contractile properties suggesting that the increased fatigability with aging is determined primarily by mechanisms within the muscle for both sexes.

Indexed as

AdultAgedAged, 80 and overAge FactorsElectric StimulationElectromyographyFemaleHumansIsometric ContractionKneeKnee JointMaleMuscle ContractionMuscle FatigueMuscle, SkeletalMuscle Strengthagingcontractile propertiesmuscle fatiguesex differencestranscranial magnetic stimulation

Identifiers

PMID29494293
PMCPMC6086970
OpenAlexW2794167918

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.