Interrelationship of Exercise and Nutrition in the Elderly

  • John W. ShepardJr.


Although there is both truth and humor in the statement “We are what we eat,” a more comprehensive description of ourselves would be, “We are both what we eat and what we do.” The genetically determined components of body composition are known to be importantly modified by both nutritional status and physical activity levels throughout the human life span. This chapter is intended to provide a broad overview of how alterations in substrate consumption (nutrition) and combustion (energy production) throughout adult life affect the composition and functional capacities of the human body.


Physical Activity Body Composition Exercise Training Lean Body Mass Endurance Training 
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  1. 1.
    Behnke AR, Wilmore JH: Evaluation and Regulation of Body Build and Composition. Englewood Cliffs, New Jersey, Prentice-Hall, 1974.Google Scholar
  2. 2.
    Saltin B, Henriksson J, Nygaard E, Andersen P: Fiber types and metabolic potentials of skeletal muscles in sedentary man and endurance runners. Ann NY Acad Sci 1977; 301:3–29.PubMedCrossRefGoogle Scholar
  3. 3.
    McArdle WD, Katch FI, Katch VL: Exercise Physiology: Energy, Nutrition, and Human Performance. Philadelphia, Lea & Febiger, 1981, pp 234–248.Google Scholar
  4. 4.
    Edstrom L, Ekblom B: Differences in sizes of red and white muscle fibres in vastus lateralis of musculus quadriceps femoris of normal individuals and athletes. Relation to physical performance. Scand J Clin Lab Invest 1972; 30:175–181.PubMedCrossRefGoogle Scholar
  5. 5.
    MacDougall JD, Ward GR, Sale DG, Sutton JR: Biochemical adaptation of human skeletal muscle to heavy resistance training and immobilization. J Appl Physiol 1977; 43:700–703.PubMedGoogle Scholar
  6. 6.
    Thorstensson A: Muscle strength, fibre types and enzyme activities in man. Acta Physiol Scand (Suppl) 1976; 443.Google Scholar
  7. 7.
    Booth FW, Gollnick PD: Effects of disuse on the structure and function of skeletal muscle. Med Sci Sports Exerc 1983; 15:415–420.PubMedGoogle Scholar
  8. 8.
    Greenleaf JE, Bernauer EM, Juhos LT, et al: Effects of exercise on fluid exchange and body composition in man during 14-day bed rest. J Appl Physiol 1977; 43:126–132.PubMedGoogle Scholar
  9. 9.
    Salans LB, Horton ES, Sims EAH: Experimental obesity in man: Cellular character of the adipose tissue. J Clin Invest 1971; 50:1005–1011.PubMedCrossRefGoogle Scholar
  10. 10.
    Bjorntorp P, Carlgren G, Isaksson B, et al: Effect of an energy-reduced dietary regimen in relation to adipose tissue cellularity in obese women. Am J Clin Nutr 1975; 28:445–452.PubMedGoogle Scholar
  11. 11.
    Hirsch J, Knittle JL: Cellularity of obese and nonobese human adipose tissue. Fed Proc 1970; 29:1516–1521.PubMedGoogle Scholar
  12. 12.
    Hirsch J, Batchelor BR: Adipose tissue cellularity in human obesity. Clin Endocrinol Metab 1976; 5:299–311.PubMedCrossRefGoogle Scholar
  13. 13.
    Rossman I: Anatomic and body composition changes with aging, in Finch CE, Hayflick L (eds): Handbook of the Biology of Aging. New York, Van Nostrand Reinhold, 1977, pp 189–221.Google Scholar
  14. 14.
    Shephard RJ: Physical Activity and Aging. London, Croom Helm, 1978.Google Scholar
  15. 15.
    Meneely GR, Heyssel RM, Ball COT, et al: Analysis of factors affecting body composition determined from potassium content in 915 normal subjects. Ann NY Acad Sci 1963; 110:271–281.PubMedCrossRefGoogle Scholar
  16. 16.
    Tzankoff SP, Norris AH: Effect of muscle mass decrease on age-related BMR changes. J Appl Physiol 1977; 43:1001–1006.PubMedGoogle Scholar
  17. 17.
    Parizkova J, Eiselt E, Sprynarova S, Wachtlova M: Body composition, aerobic capacity, and density of muscle capillaries in young and old men. J Appl Physiol 1971; 31:323–325.PubMedGoogle Scholar
  18. 18.
    Bergstrom J, Hermansen L, Hultman E, Saltin B: Diet, muscle glycogen and physical performance. Acta Physiol Seand 1967; 71:140–150.CrossRefGoogle Scholar
  19. 19.
    Wahren J: Glucose turnover during exercise in man. Ann NY Acad Sci 1977; 301:45–55.PubMedCrossRefGoogle Scholar
  20. 20.
    Coyle EF, Hagberg JM, Hurley BF, et al: Carbohydrate feeding during prolonged strenuous exercise can delay fatigue. J Appl Physiol 1983; 55:230–235.Google Scholar
  21. 21.
    Bergstrom J, Hultman E: A study of the glycogen metabolism during exercise in man. Scand J Clin Lab Invest 1967; 19:218–228.PubMedCrossRefGoogle Scholar
  22. 22.
    Costill DL, Gollnick PD, Jansson ED, et al: Glycogen depletion pattern in human muscle fibres during distance running. Acta Physiol Scand 1973; 89:374–383.PubMedCrossRefGoogle Scholar
  23. 23.
    Gollnick PD, Armstrong RB, Sembrowich WL, et al: Glycogen depletion pattern in human skeletal muscle fibers after heavy exercise. J Appl Physiol 1973; 34:615–618.PubMedGoogle Scholar
  24. 24.
    Felig P: Amino acid metabolism in exercise. Ann NY Acad Sci 1977; 301:56–63.PubMedCrossRefGoogle Scholar
  25. 25.
    Young DR: Physical Performance Fitness and Diet. Springfield, 111, Charles C Thomas, 1977, pp 11–49.Google Scholar
  26. 26.
    Gollnick PD: Free fatty acid turnover and the availability of substrates as a limiting factor in prolonged exercise. Ann NY Acad Sci 1977; 301:64–71.PubMedCrossRefGoogle Scholar
  27. 27.
    Astrand P-O: Physical performance as a function of age. JAMA 1968; 205:729–733.PubMedCrossRefGoogle Scholar
  28. 28.
    Dehn MM, Bruce RA: Longitudinal variations in maximal oxygen intake with age and activity. J Appl Physiol 1972; 33:805–807.PubMedGoogle Scholar
  29. 29.
    Astrand I, Astrand P-O, Hallback I, Kilbom A: Reduction in maximal oxygen uptake with age. J Appl Physiol 1973; 35:649–654.PubMedGoogle Scholar
  30. 30.
    Robinson S, Dill DB, Tzankoff SP, et al: Longitudinal studies of aging in 37 men. J Appl Physiol 1975; 38:263–267.PubMedGoogle Scholar
  31. 31.
    Hossack KF, Bruce RA: Maximal cardiac function in sedentary normal men and women: Comparison of age-related changes. J Appl Physiol 1982; 53:799–804.PubMedGoogle Scholar
  32. 32.
    Robinson S, Dill DB, Robinson RD, et al: Physiological aging of champion runners. J Appl Physiol 1976; 41:46–51.PubMedGoogle Scholar
  33. 33.
    Sidney KH, Shephard RJ: Maximum and submaximum exercise tests in men and women in the seventh, eighth, and ninth decades of life. J Appl Physiol 1977; 43:280–287.PubMedGoogle Scholar
  34. 34.
    Heath GW, Hagberg JM, Ehsani AA, Holloszy JO: A physiological comparison of young and older endurance athletes. J Appl Physiol 1981; 51:634–640.PubMedGoogle Scholar
  35. 35.
    Klissouras V, Pirnay F, Petit J-M: Adaptation to maximal effort: Genetics and age. J Appl Physiol 1973; 35:288–293.PubMedGoogle Scholar
  36. 36.
    Gerstenblith G, Lakatta EG, Weisfeldt ML: Age changes in myocardial function and exercise response. Prog Cardiovasc Dis 1976; 19:1–21.PubMedCrossRefGoogle Scholar
  37. 37.
    Strandell T: Circulatory studies on healthy old men. Acta Med Scand (Suppl) 1964; 414:1–44.Google Scholar
  38. 38.
    Granath A, Jonsson B, Strandell T: Circulation in healthy old men, studied by right heart catheterization at rest and during exercise in supine and sitting position. Acta Med Scand 1964; 176:425–446.PubMedCrossRefGoogle Scholar
  39. 39.
    Granath A, Strandell T: Relationships between cardiac output, stroke volume and intracardiac pressures at rest and during exercise in supine position and some anthropometric data in healthy old men. Acta Med Scand 1964; 176:447–466.PubMedCrossRefGoogle Scholar
  40. 40.
    Strandell T: Cardiac output in old age, in Caird FI, Dali JLC, Kennedy RD (eds): Cardiology in Old Age, New York, Plenum Press, 1976, pp 81–100.Google Scholar
  41. 41.
    Port S, Cobb FR, Coleman RE, Jones RH: Effect of age on the response of the left ventricular ejection fraction to exercise. N Engl J Med 1980; 303:1133–1137.PubMedCrossRefGoogle Scholar
  42. 42.
    Yin FCP, Weisfeldt ML, Milnor WR: Role of aortic input impedance in the decreased cardiovascular response to exercise with aging in dogs. J Clin Invest 1981; 68:28–38.PubMedCrossRefGoogle Scholar
  43. 43.
    Julius S, Amery A, Whitlock LS, Conway J: Influence of age on the hemodynamic response to exercise. Circulation 1967; 36:222–230.PubMedGoogle Scholar
  44. 44.
    Conway J, Wheeler R, Sannerstedt R: Sympathetic nervous activity during exercise in relation to age. Cardiovasc Res 1971; 5:577–581.PubMedCrossRefGoogle Scholar
  45. 45.
    Kanstrup I-L, Ekblom B: Influence of age and physical activity on central hemodynamics and lung function in active adults. J Appl Physiol 1978; 45:709–717.PubMedGoogle Scholar
  46. 46.
    Sorbini CA, Grassi V, Solinas E, Muiesan G: Arterial oxygen tension in relation to age in healthy subjects. Respiration 1968; 25:3–13.PubMedCrossRefGoogle Scholar
  47. 47.
    Mellemgaard K: The alveolar-arterial oxygen difference: its size and components in normal man. Acta Physiol Scand 1966; 67:10–20.PubMedCrossRefGoogle Scholar
  48. 48.
    Ekblom B, Goldbarg AN, Gullbring B: Response to exercise after blood loss and reinfusion. J Appl Physiol 1972; 33:175–180.Google Scholar
  49. 49.
    Bray GA: The energetics of obesity. Med Sci Sports Exerc 1983; 15:32–40.PubMedGoogle Scholar
  50. 50.
    Shock NW: Systems integration, in Finch CE, Hayflick L (eds): Handbook of the Biology of Aging. New York, Van Nostrand Reinhold, 1977, pp 639–665.Google Scholar
  51. 51.
    Astrand P-O, Rodahl K (eds): Textbook of Work Physiology. New York, McGraw-Hill, 1977.Google Scholar
  52. 52.
    Davis JA, Frank MH, Whipp BJ, Wasserman K: Anaerobic threshold alterations caused by endurance training in middle-aged men. J Appl Physiol 1979; 46:1039–1046.PubMedGoogle Scholar
  53. 53.
    Saltin B, Blomqvist G, Mitchell JH, et al: Response to exercise after bed rest and after training. A longitudinal study of adaptive changes in oxygen transport and body composition. Circulation (Suppl VII) 1968; 38:1–78.Google Scholar
  54. 54.
    Hartley LH, Grimby G, Kilbom A, et al: Physical training in sedentary middle-aged and older men. III. Cardiac output and gas exchange at submaximal and maximal exercise. Scand J Clin Lab Invest 1969; 24:335–344.PubMedCrossRefGoogle Scholar
  55. 55.
    Rerych SK, Scholz PM, Sabiston Jr DC, Jones RH: Effects of exercise training on left ventricular function in normal subjects: A longitudinal study by radionuclide angiography. Am J Cardiol 1980; 45:244–252.PubMedCrossRefGoogle Scholar
  56. 56.
    Gollnick PD, Armstrong RB, Saubert IV CW, et al: Enzyme activity and fiber composition in skeletal muscle of untrained and trained men. J Appl Physiol 1972; 33:312–319.PubMedGoogle Scholar
  57. 57.
    Gollnick PD, Armstrong RB, Saltin B, et al: Effect of training on enzyme activity and fiber composition of human skeletal muscle. J Appl Physiol 1973; 34:107–111.PubMedGoogle Scholar
  58. 58.
    Fournier M, Ricci J, Taylor AW, et al: Skeletal muscle adaptation in adolescent boys: Sprint and endurance training and detraining. Med Sci Sports Exerc 1982; 14:453–456.PubMedCrossRefGoogle Scholar
  59. 59.
    Gillespie AC, Fox EL, Merola AJ: Enzyme adaptations in rat skeletal muscle after two intensities of treadmill training. Med Sci Sports Exerc 1982; 14:461–466.PubMedCrossRefGoogle Scholar
  60. 60.
    Young JC, Chen M, Holloszy JO: Maintenance of the adaptation of skeletal muscle mitochondria to exercise in old rats. Med Sci Sports Exerc 1983; 15:243–246.PubMedGoogle Scholar
  61. 61.
    Benestad AM: Trainability of old men. Acta Med Scand 1965; 178:321–327.PubMedCrossRefGoogle Scholar
  62. 62.
    Roskamm H: Optimum patterns of exercise for healthy adults, in Proceedings of the International Symposium on Physical Activity and Cardiovascular Health. Can Med Assoc J 1967; 96:895–899.PubMedGoogle Scholar
  63. 63.
    Barry AJ, Daly J W, Pruett EDR, et al: The effects of physical conditioning on older individuals. I. Work capacity, circulatory-respiratory function, and work electrocardiogram. J Gerontol 1966; 21:182–191.PubMedGoogle Scholar
  64. 64.
    deVries HA: Physiological effects of an exercise training regimen upon men aged 52 to 88. J Gerontol 1970; 25:325–336.Google Scholar
  65. 65.
    Stamford BA: Physiological effects of training upon institutionalized geriatric men. J Gerontol 27:451–455.Google Scholar
  66. 66.
    Tzankoff SP, Robinson S, Pyke FS, Brawn CA: Physiological adjustments to work in older men as affected by physical training. J Appl Physiol 1972; 33:346–350.PubMedGoogle Scholar
  67. 67.
    Adams GM, deVries HA: Physiological effects of an exercise training regimen upon women aged 52 to 79. J Gerontol 1973; 28:50–55.PubMedGoogle Scholar
  68. 68.
    Niinimaa V, Shephard RJ: Training and oxygen conductance in the elderly. II. The cardiovascular system. J Gerontol 1978; 33:362–367.Google Scholar
  69. 69.
    Sidney KH, Shephard RJ: Frequency and intensity of exercise training for elderly subjects. Med Sci Sports Exerc 1978; 10:125–131.Google Scholar
  70. 70.
    Sidney KH, Shephard RJ, Harrison JE: Endurance training and body composition of the elderly. Am J Clin Nutr 1977; 30:326–333.PubMedGoogle Scholar
  71. 71.
    Pollock ML, Dawson GA, Miller Jr HS, et al: Physiologic responses of men 49 to 65 years of age to endurance training. J Am Geriatr Soc 1976; 24:97–104.PubMedGoogle Scholar
  72. 72.
    Wilmore JH: Body composition in sport and exercise: Directions for future research. Med Sci Sports Exerc 1983; 15:21–31.PubMedGoogle Scholar
  73. 73.
    Misner JE, Boileau RA, Massey BH, Mayhew JL: Alterations in the body composition of adult men during selected physical training programs. J Am Geriatr Soc 1974; 22:33–38.PubMedGoogle Scholar

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© Springer-Verlag New York, Inc. 1984

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  • John W. ShepardJr.

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