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Muscles and Muscle Tissue. P A R T A. Muscle Overview. The three types of muscle tissue are skeletal, cardiac, and smooth Skeletal and smooth muscle cells are elongated and are called muscle fibers Muscle contraction depends on two kinds of myofilaments – actin and myosin. - PowerPoint PPT Presentation
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Muscles and Muscle Tissue
P A R T A
Muscle Overview
The three types of muscle tissue are skeletal, cardiac, and smooth
Skeletal and smooth muscle cells are elongated and are called muscle fibers
Muscle contraction depends on two kinds of myofilaments – actin and myosin
Muscle Similarities
Muscle terminology is similarSarcolemma – muscle plasma
membraneSarcoplasm – cytoplasm of a
muscle cellPrefixes – myo, mys, and sarco
all refer to muscle
Skeletal Muscle Tissue
Packaged in skeletal muscles that attach to and cover the bony skeleton
It is striated Is controlled voluntarily Contracts rapidly but tires easily Is responsible for all locomotion,
posture, joint stabilization and heat generation
Cardiac Muscle Tissue
Occurs only in the heart Is striated like skeletal muscle but
involuntary Contracts at a fairly steady rate set
by the heart’s pacemaker
Smooth Muscle Tissue
Found in the walls of hollow visceral organs
Propels food and other substances through organs
It is not striated and involuntary
Functional Characteristics of Muscle Tissue
Excitability, or irritability – the ability to receive and respond to stimuli
Contractility – the ability to shorten forcibly
Extensibility – the ability to be stretched or extended
Elasticity – the ability to recoil and resume the original resting length
Structure and Organization of Skeletal Muscle
Table 9.1a
Structure and Organization of Skeletal Muscle
Skeletal Muscle
Each muscle is a discrete organ composed of muscle tissue, blood vessels, nerve fibers, and connective tissue
Skeletal Muscle
The three connective tissue sheaths are:Endomysium – fine sheath of
connective tissue surrounding each muscle fiber
Perimysium – fibrous connective tissue that surrounds groups of muscle fibersFascicles
Skeletal Muscle
Epimysium A layer of fibrous connective tissue that surrounds the entire muscle
Skeletal Muscle
Figure 9.2a
Skeletal Muscle: Nerve and Blood Supply
Each muscle is served by one nerve, an artery, and one or more veins
Each skeletal muscle fiber is supplied with a nerve ending that controls contraction
Contracting fibers require continuous delivery of oxygen and nutrients via arteries
Wastes must be removed via veins
Skeletal Muscle: Attachments
Most skeletal muscles span joints and are attached to bone in at least two places
When muscles contract the movable bone, the muscle’s insertion moves toward the immovable bone, the muscle’s origin
Skeletal Muscle: Attachments
Muscles attach:Directly – epimysium of the
muscle is fused to the periosteum of a bone
Indirectly – connective tissue wrappings extend beyond the muscle as a tendon or aponeurosis
Microscopic Anatomy of a Skeletal Muscle Fiber
Fibers are up to hundreds of centimeters long
Each cell is a syncytium produced by fusion of embryonic cells
Microscopic Anatomy of a Skeletal Muscle Fiber
Sarcoplasm has numerous glycosomes and a unique oxygen-binding protein called myoglobin
Fibers contain the usual organelles, myofibrils, sarcoplasmic reticulum, and T tubules
Sarcoplasmic reticulum (modified ER) T-tubules and myofibrils aid in
contractionT-tubules are continuous with the
sarcolemma and filled with extracellular fluid
Skeletal muscle fibers
Sarcoplasmic Reticulum (SR)
SR - smooth endoplasmic reticulum that mostly runs longitudinally and surrounds each myofibrilTerminal cisterna
Terminal enlargement of the SR Functions in the regulation of
intracellular calcium levels
Sarcoplasmic Reticulum (SR)
Figure 9.5
T Tubules
T tubules are continuous with the sarcolemma
T tubule proteins act as voltage sensors
They conduct impulses to the deepest regions of the muscle
These impulses signal for the release of Ca2+ from adjacent terminal cisternae
T Tubules
They penetrate into the cell’s interior at each A band–I band junction
Filled with extracellular fluid Triad
Pair of terminal cisternaT-tubule
Myofibrils
Myofibrils are densely packed, rodlike contractile elements
They make up most of the muscle volume
The arrangement of myofibrils within a fiber is such that a perfectly aligned repeating series of dark A bands and light I bands is evident
Myofibrils
Figure 9.3b
Sarcomeres
The smallest contractile unit of a muscle
It goes from Z disc to Z disc Composed of thin (actin) and thick
(myosin) myofilaments
Sarcomeres
Figure 9.3c
Sarcomere A bands
Formed by thin and thick filamentsM line
Central part of the thick filamentProtein that keeps the thick filaments together
H zoneOn each side of the M lineFormed by thick filament
Zone of overlapThin filament between thick filaments
Sarcomere
I bandFormed by thin filamentsZ line
actinin proteins that anchors the thin filaments
Titin keep the thick and thin filaments aligned and prevents the muscle fiber from overstretching
From Z line to Z line
30
Titin
Keep the thick and thin filaments aligned
Prevents the muscle fiber from overstretching
Helps the sarcomere to restore to resting length after contraction
Myofilaments: Banding Pattern
Figure 9.3c,d
Ultrastructure of Myofilaments: Thick Filaments
Thick filaments are composed of the protein myosin
Each myosin molecule has a tail and two globular headsTails – two interwoven, heavy
polypeptide chainsHeads – two smaller, light
polypeptide chains called cross bridges
Thick Filaments
Figure 9.4a,b
Thin Filaments
Thin filaments are chiefly composed of G actin - globular subunits
The G actin contain the active sites to which myosin heads attach during contraction
Thin Filaments
Tropomyosin Double stranded protein that covers the active sites of the G protein
Troponin – composed of 3 globular subunitsOne subunit binds CaOne subunit binds to tropomyosinOne subunit binds to G actin
Ultrastructure of Myofilaments: Thin Filaments
Figure 9.4c
Arrangement of the Filaments in a Sarcomere
• Longitudinal section within one sarcomere
Figure 9.4d
Sliding Filament Model of Contraction
Thin filaments slide past the thick ones so that the actin and myosin filaments overlap to a greater degree
In the relaxed state, thin and thick filaments overlap only slightly
Upon stimulation, myosin heads bind to actin and sliding begins
Sliding Filament Model of Contraction
Each myosin head binds and detaches several times during contraction, acting like a ratchet to generate tension and propel the thin filaments to the center of the sarcomere
As this event occurs throughout the sarcomeres, the muscle shortens
Skeletal Muscle Contraction
In order to contract, a skeletal muscle must:Be stimulated by a nerve endingPropagate an electrical current, or
action potential, along its sarcolemma
Have a rise in intracellular Ca2+ levels, the final trigger for contraction
Skeletal Muscle Contraction
Linking the electrical signal to the contraction is excitation-contraction coupling
Nerve Stimulus of Skeletal Muscle
Skeletal muscles are stimulated by motor neurons of the somatic nervous system
Axons of these neurons travel in nerves to muscle cells
Axons of motor neurons branch profusely as they enter muscles
Each axonal branch forms a neuromuscular junction with a single muscle fiber
Neuromuscular Junction
Formed from:Axonal endings whith synaptic
vesicles that contain acetylcholineThe motor end plate of a muscle,
which is a specific part of the sarcolemma that contains ACh receptors and helps form the neuromuscular junction
Neuromuscular Junction
Though exceedingly close, axonal ends and muscle fibers are always separated by a space called the synaptic cleft
Neuromuscular Junction
Figure 9.7 (a-c)
Neuromuscular Junction
When a nerve impulse reaches the end of an axon at the neuromuscular junction:Voltage-regulated calcium channels
open and allow Ca2+ to enter the axon
Ca2+ inside the axon terminal causes axonal vesicles to fuse with the axonal membrane
Neuromuscular Junction
This fusion releases ACh into the synaptic cleft via exocytosis
ACh diffuses across the synaptic cleft to ACh receptors on the sarcolemma
Binding of ACh to its receptors initiates an action potential in the muscle
Role of Acetylcholine (Ach)
ACh binds its receptors at the motor end plate
Binding opens chemically (ligand) gated channels that allows Na+ and K+ movements
Na+ diffuses in, K+ diffuse out and the interior of the sarcolemma becomes less negative
Depolarization
Initially, this is a local electrical event called end plate potential
Later, it ignites an action potential that spreads in all directions across the sarcolemma
Destruction of Acetylcholine
ACh bound to ACh receptors is quickly destroyed by the enzyme acetylcholinesterase
This destruction prevents continued muscle fiber contraction in the absence of additional stimuli
Muscles and Muscle Tissue
P A R T B
Excitation-Contraction Coupling
Once generated, the action potential:Is propagated along the
sarcolemmaTravels down the T tubulesTriggers Ca2+ release from
terminal cisternae
Excitation-Contraction Coupling
Ca2+ binds to troponin and causes Tropomyosin to expose the active
site of G protein
Excitation-Contraction Coupling
Myosin cross bridges alternately attach and detach
Thin filaments move toward the center of the sarcomere
Hydrolysis of ATP powers this cycling process
Ca2+ is removed into the SR, tropomyosin blockage is restored, and the muscle fiber relaxes
Figure 9.10
ADP
Pi
Net entry of Na+ Initiatesan action potential whichis propagated along thesarcolemma and downthe T tubules.
T tubuleSarcolemma
SR tubules (cut)
SynapticcleftSynaptic
vesicle
Axon terminal
ACh ACh ACh
Neurotransmitter released diffusesacross the synaptic cleft and attachesto ACh receptors on the sarcolemma.
Action potential inT tubule activatesvoltage-sensitive receptors,which in turn trigger Ca2+
release from terminalcisternae of SRinto cytosol.
Calcium ions bind to troponin;troponin changes shape, removingthe blocking action of tropomyosin;actin active sites exposed.
Contraction; myosin heads alternately attach toactin and detach, pulling the actin filaments towardthe center of the sarcomere; release of energy byATP hydrolysis powers the cycling process.
Removal of Ca2+ by active transportinto the SR after the actionpotential ends.
SR
Tropomyosin blockage restored,blocking myosin binding sites onactin; contraction ends andmuscle fiber relaxes.
Ca2+
Ca2+
Ca2+
Ca2+
Ca2+Ca2+
Ca2+
Ca2+
Ca2+
Ca2+
1
2
3
4
5
6
Sequential Events of Contraction
Cross bridge formation – myosin cross bridge attaches to actin filament
Working (power) stroke – myosin head pivots and pulls actin filament toward M line
Cross bridge detachment – ATP attaches to myosin head and the cross bridge detaches
“Cocking” of the myosin head – energy from hydrolysis of ATP cocks the myosin head into the high-energy state
Figure 9.12
ATP
ADP
ADPATPhydrolysis
ADP
ATP
Pi
Pi
Myosin head(high-energyconfiguration)
Myosin head attaches to the actinmyofilament, forming a cross bridge.
Thin filament
As ATP is split into ADP and Pi, the myosinhead is energized (cocked into the high-energyconformation).
Inorganic phosphate (Pi) generated in theprevious contraction cycle is released, initiatingthe power (working) stroke. The myosin headpivots and bends as it pulls on the actin filament,sliding it toward the M line. Then ADP is released.
Myosin head(low-energyconfiguration)
As new ATP attaches to the myosin head, the link betweenmyosin and actin weakens, and the cross bridge detaches.
Thick filament
1
4 2
3
Contraction of Skeletal Muscle Fibers
Contraction – refers to the activation of myosin’s cross bridges (force-generating sites)
Shortening occurs when the tension generated by the cross bridge exceeds forces opposing shortening
Contraction ends when cross bridges become inactive, the tension generated declines, and relaxation is induced
Motor Unit: The Nerve-Muscle Functional Unit
A motor unit is a motor neuron and all the muscle fibers it supplies
The number of muscle fibers per motor unit can vary from four to several hundred
Muscles that control fine movements (fingers, eyes) have small motor units
Motor Unit: The Nerve-Muscle Functional Unit
Figure 9.13a
Motor Unit: The Nerve-Muscle Functional Unit
Large weight-bearing muscles (thighs, hips) have large motor units
Muscle fibers from a motor unit are spread throughout the muscle; therefore, contraction of a single motor unit causes weak contraction of the entire muscle
Muscle Twitch
Cycle of contraction, relaxation produced by a single brief threshold stimulus
There are three phases to a muscle twitchLatent periodPeriod of contractionPeriod of relaxation
Phases of a Muscle Twitch• Latent period – first few
msec after stimulus; EC coupling taking place
• Period of contraction – cross bridges from; muscle shortens
• Period of relaxation – Ca2+ reabsorbed; muscle tension goes to zero
Figure 9.14a
Muscle Twitch Comparisons
Figure 9.14b
Treppe: The Staircase Effect
Treppe Repeated stimulation of the same
strength after relaxation phase has been completed
It causes increased contraction There is increasing availability of Ca2+
in the sarcoplasmMuscle enzyme systems become more
efficient because heat is increased as muscle contracts
Treppe: The Staircase Effect
Figure 9.18
Graded Muscle Responses
Graded muscle responses are:Variations in the degree of muscle
contraction according to the demand imposed on the muscle
Responses are graded by:Changing the frequency of
stimulationChanging the strength of the
stimulus
Changing the Frequency of Stimulation
Repeated stimulation before relaxation phase has been completed will cause:
Wave summationFrequently delivered stimuli where
muscle does not have time to completely relax
It increases contractile force
Changing the Frequency of Stimulation
Incomplete tetanusMore rapidly delivered stimuli than
in wave summation. Only some muscle relaxation allowed
Complete tetanusIf stimuli are given even more
rapidly than in incomplete tetanus. No muscle relaxation allowed
Figure 9.15
Frequency of Stimulation
Changing the Strength of Stimulation
Threshold stimulus – the stimulus strength at which the first muscle contraction occurs
Multiple motor unit summation or recruitment
Muscle contracts more vigorously as stimulus strength is increased
It brings more and more muscle fibers into play
Threshold and Recruitment
Figure 9.16
Size Principle
Figure 9.17
Muscle Tone
Muscle tone:Is the constant, slightly contracted
state of all muscles, which does not produce active movements
Keeps the muscles firm, healthy, and ready to respond to stimulus
Keeps postureStabilizes bones and joints
Muscle Tone
Spinal reflexes account for muscle tone by:Activating one motor unit and then
anotherResponding to activation of stretch
receptors in muscles and tendons
Isotonic Contractions
Isotonic contractionsThe muscle changes in length Once tension is sufficient to move
the load it will stay the same Types of isotonic contractions
Concentric contractions – the muscle shortens because the muscle tension is greater than the load
Isotonic Contractions
Eccentric contractions – the muscle elongates because the peak tension developed is less than the load
The muscle elongates because the contraction of opposing muscles or
the gravity
Isotonic Contractions
Figure 9.19a
Isometric Contractions
Isometric ContractionsTension increases to the muscle’s
capacity, but the muscle neither shortens nor lengthens
Occurs if the load is greater than the tension the muscle is able to develop
Isometric Contractions
Figure 9.19b
Muscle Metabolism: Energy for Contraction
ATP is the only source used directly for contractile activity
As soon as available stores of ATP are hydrolyzed (4-6 seconds), they are regenerated by:The interaction of ADP with
creatine phosphate (CP) Aerobic respirationAnaerobic glycolysis
Muscle Contraction requires large amounts of energy
Immediate energyATP + Creatine = ADP + creatine
phosphateCreatine phosphate releases stored
energy to convert ADP to ATP Aerobic metabolism provides most
ATP needed for contractionLong-term energyKrebs cycle in mitochondria
Muscle Metabolism: Energy for Contraction
Figure 9.20
Muscle Contraction requires large amounts of energy
Anaerobic metabolism When muscle contractile activity
reaches 70% of maximum:Bulging muscles compress blood
vesselsOxygen delivery is impairedPyruvic acid is converted into
lactic acid
Muscle Contraction requires large amounts of energy
The lactic acid:Diffuses into the bloodstreamIs picked up and used as fuel by
the liver, kidneys, and heartIs converted back into pyruvic
acid by the liver Short-term energy
Muscle Fatigue
The muscle is in a state of physiological inability to contract
Muscle fatigue occurs when:ATP production fails to keep pace with
ATP useThere is a relative deficit of ATP,
causing contracturesLactic acid accumulates in the muscleIonic imbalances are present
Muscle Fatigue
Intense exercise produces rapid muscle fatigue (with rapid recovery)
Na+-K+ pumps cannot restore ionic balances quickly enough
Low-intensity exercise produces slow-developing fatigue
SR is damaged and Ca2+ regulation is disrupted
Muscles and Muscle Tissue
P A R T C
Oxygen Debt
Oxygen debt – the extra amount of O2 needed for the above restorative processes
Oxygen Debt
Vigorous exercise causes dramatic changes in muscle chemistry
For a muscle to return to a resting state:Oxygen reserves must be replenishedLactic acid must be converted to
pyruvic acidGlycogen stores must be replacedATP and CP reserves must be
resynthesized
Heat Production During Muscle Activity
Only 40% of the energy released in muscle activity is useful as work
The remaining 60% is given off as heat
Dangerous heat levels are prevented by radiation of heat from the skin and sweating
Force of Muscle Contraction
The force of contraction is affected by:The number of muscle fibers
contracting – the more motor fibers in a muscle, the stronger the contraction
The relative size of the muscle – the bulkier the muscle, the greater its strength
Force of Muscle Contraction
Degree of muscle stretch – muscles contract strongest when muscle fibers are 80-120% of their normal resting length
Force of Muscle Contraction
Figure 9.21a–c
Length Tension Relationships
Figure 9.22
Muscle Fiber Type: Functional Characteristics
Speed of contraction – determined by speed in which ATPases split ATP
ATP-forming pathwaysOxidative fibers – use aerobic
pathwaysGlycolytic fibers – use anaerobic
glycolysis These two criteria define three
categories – slow oxidative fibers, fast oxidative fibers, and fast glycolytic fibers
Fast versus Slow Fibers
Figure 10.21
Half the diameter of fast fibers Take three times as long to contract after
stimulation Abundant mitochondria
aerobic metabolism Extensive capillary supply High concentrations of myoglobin Fatigue resistant Red color
Slow oxidative fibers
Large in diameter Contain densely packed myofibrils Large glycogen reserves Relatively few mitochondria Produce rapid, powerful contractions of
short duration Fast fatigue White color
Fast glycolytic fibers
Similar to fast fibers Greater resistance to fatigue Pink color Intermediate glycogen storage many mitochondria Many capillaries Uses mainly aerobic metabolism
Fast oxidative or Intermediate fibers
Load and Contraction
Figure 9.23
Effects of Aerobic Exercise
Aerobic exercise results in an increase of:Muscle capillariesNumber of mitochondriaMyoglobin synthesisMainly in slow oxidative fibersNot significant muscle
hypertrophy
Effects of Resistance Exercise
Resistance exercise (typically anaerobic) results in:Muscle hypertrophyIncreased mitochondria,
myofilaments, and glycogen stores
Increases muscle fibers
The Overload Principle
Forcing a muscle to work promotes increased muscular strength
Muscles adapt to increased demands
Muscles must be overloaded to produce further gains
Smooth Muscle
Composed of spindle-shaped fibers with a diameter of 2-10 m and lengths of several hundred m
Lack the coarse connective tissue sheaths of skeletal muscle, but have fine endomysium
Organized into two layers (longitudinal and circular) of closely apposed fibers
Smooth Muscle
Found in walls of hollow organs (except the heart)
Have essentially the same contractile mechanisms as skeletal muscle
Smooth Muscle
Figure 9.24
Peristalsis
When the longitudinal layer contracts, the organ dilates and shorten
When the circular layer contracts, the organ elongates and constrict
Peristalsis – alternating contractions and relaxations of smooth muscles that mix and squeeze substances through the lumen of hollow organs
Innervation of Smooth Muscle
Smooth muscle lacks neuromuscular junctions
Innervating nerves have bulbous swellings called varicosities
Varicosities release neurotransmitters into wide synaptic clefts called diffuse junctions
Innervation of Smooth Muscle
Figure 9.25
Microscopic Anatomy of Smooth Muscle
SR is less developed than in skeletal muscle and lacks a specific pattern
T tubules are absent Plasma membranes have pouchlike
infoldings called caveoli
Microscopic Anatomy of Smooth Muscle
Ca2+ is sequestered in the extracellular space near the caveoli, allowing rapid influx when channels are opened
There are no visible striations and no sarcomeres
Thin and thick filaments are present
Proportion and Organization of Myofilaments in Smooth Muscle
Ratio of thick to thin filaments is much lower than in skeletal muscle
Thick filaments have heads along their entire length
There is no troponin complex
Proportion and Organization of Myofilaments in Smooth Muscle
Thick and thin filaments are arranged diagonally, causing smooth muscle to contract in a corkscrew manner
Noncontractile intermediate filament bundles attach to dense bodies (analogous to Z discs) at regular intervals
Smooth Muscle
Proportion and Organization of Myofilaments in Smooth Muscle
Figure 9.26
Contraction of Smooth Muscle
Whole sheets of smooth muscle exhibit slow, synchronized contraction
They contract in unison, reflecting their electrical coupling with gap junctions
Action potentials are transmitted from cell to cell
Contraction of Smooth Muscle
Some smooth muscle cells: Act as pacemakers and set the
contractile pace for whole sheets of muscle
Are self-excitatory and depolarize without external stimuli
Contraction Mechanism
Actin and myosin interact according to the sliding filament mechanism
The final trigger for contractions is a rise in intracellular Ca2+
Ca2+ is released from the SR and from the extracellular space
Ca2+ interacts with calmodulin and myosin light chain kinase to activate myosin
Contraction Mechanism
Ca2+ binds to calmodulin and activates it Activated calmodulin activates the kinase
enzyme Activated kinase transfers phosphate
from ATP to myosin cross bridges Phosphorylated myosin heads form cross
bridges with actin
Contraction Mechanism
Power stroke is executed Smooth muscle relaxes when
intracellular Ca2+ levels drop
Figure 9.27
Special Features of Smooth Muscle Contraction
Unique characteristics of smooth muscle include:Smooth muscle toneSlow, prolonged contractile activityLow energy requirementsResponse to stretch
Response to Stretch Smooth muscle exhibits a phenomenon
called stress-relaxation response in which: Smooth muscle responds to stretch
only briefly, and then adapts to its new length
The new length, however, retains its ability to contract
This enables organs such as the stomach and bladder to temporarily store contents
Hyperplasia Certain smooth muscles can divide and
increase their numbers by undergoing hyperplasia
This is shown by estrogen’s effect on the uterusAt puberty, estrogen stimulates the
synthesis of more smooth muscle, causing the uterus to grow to adult size
Types of Smooth Muscle: Single Unit
The cells of single-unit smooth muscle, commonly called visceral muscle:Contract rhythmically as a unitAre electrically coupled to one
another via gap junctionsOften exhibit spontaneous action
potentialsAre arranged in opposing sheets and
exhibit stress-relaxation response
Types of Smooth Muscle: Multiunit
Multiunit smooth muscles are found:In large airways to the lungsIn large arteriesIn arrector pili musclesIn the intrinsic eye muscles
Types of Smooth Muscle: Multiunit
Their characteristics include:Rare gap junctionsInfrequent spontaneous depolarizationsStructurally independent muscle fibers A rich nerve supply, which, with a
number of muscle fibers, forms motor units
Graded contractions in response to neural stimuli - recruitment
Table 9.3.3
Table 9.3.4
Developmental Aspects
Muscle tissue develops from embryonic mesoderm called myoblasts
Multinucleated skeletal muscle cells form by fusion of myoblastsSyncytium
The growth factor agrin stimulates the clustering of ACh receptors at newly forming motor end plates
Developmental Aspects
As muscles are brought under the control of the somatic nervous system, the numbers of fast and slow fibers are also determined
Cardiac and smooth muscle myoblasts do not fuse but develop gap junctions at an early embryonic stage
Developmental Aspects: Regeneration
Cardiac and skeletal muscle become amitotic, but can lengthen and thicken
Myoblastlike satellite cells show very limited regenerative ability
Cardiac cells lack satellite cells Smooth muscle has good
regenerative ability
Developmental Aspects: After Birth
Muscular development reflects neuromuscular coordination
Development occurs head-to-toe, and proximal-to-distal
Peak natural neural control of muscles is achieved by midadolescence
Athletics and training can improve neuromuscular control
Developmental Aspects: Male and Female
There is a biological basis for greater strength in men than in women
Women’s skeletal muscle makes up 36% of their body mass
Men’s skeletal muscle makes up 42% of their body mass
Developmental Aspects: Male and Female
These differences are due primarily to the male sex hormone testosterone
With more muscle mass, men are generally stronger than women
Developmental Aspects: Age Related
With age, connective tissue increases and muscle fibers decrease
Muscles become stringier and more sinewy
By age 80, 50% of muscle mass is lost (sarcopenia)
Developmental Aspects: Age Related
Regular exercise reverses sarcopenia
Aging of the cardiovascular system affects every organ in the body
Atherosclerosis may block distal arteries, leading to intermittent claudication and causing severe pain in leg muscles