Keeping In Good Shape In
Old Age Is Harder For Women
Women aged 65-plus find it harder than men of the same age to preserve
muscle -- which probably impacts on their ability to stay as strong
and fit, according to new research.
For the first time, scientists have shown that it is more difficult
for women to replace muscle that is lost naturally as they get
older -- because of key differences in the way their bodies react
to food.
Experts at Washington University School of Medicine in St Louis,
Missouri, USA and The University of Nottingham, UK discovered
that post-menopausal women were less able to respond to food to
build muscle mass whereas men of the same age (65-80 years old)
were able to store protein in muscle. The change is probably the
result of hormonal changes with the menopause -- a possible culprit
being that of the hormone estrogen which is already known to be
needed in women and men to help maintain bone mass.
The researchers say their findings fit in with other preliminary
results showing that women are less able to respond to build muscle
after resistance exercise -- lifting weights in the gym. Younger
men and women who have not reached the menopause do not seem to
show any differences.
But all is not lost. The new results underline the importance
for older women of eating plenty of protein such as eggs, fish,
chicken and lean red meat, in conjunction with resistance exercise.
Maintaining muscle is crucial in reducing the risk of falls --
one of the major causes of premature death in elderly people.
From the age of 50 onwards, people lose up to 0.4 per cent of
muscle mass every year making them less mobile, more prone to
fractures and at higher risk of a potentially life-threatening
fall.
Half of all elderly people who suffer a serious fall die within
two years. But it is thought the number of falls could be reduced
if muscle mass could be more effectively maintained so that hips
and knees remain strong and well supported.
Up until now, scientists have found no differences between men
and women in muscle protein synthesis -- the process by which
the body builds muscle. But the latest research has found that
in their mid- to late-60s, the female body's response to food
and exercise starts to decline. Women are particularly at risk
of muscle loss because they tend to have less muscle and more
fat than men in early and middle age -- so they are nearer to
the 'danger' threshold of becoming frail when they reach their
50s and 60s.
Michael Rennie, Professor of Clinical Physiology at The University
of Nottingham, said: "Nobody has ever discovered any mechanistic
differences between men and women in muscle loss before. This
is a significant finding for the maintenance of better health
in old age and reducing demands on the National Health Service.
"Rather than eating more, older people should focus on eating
a higher proportion of protein in their everyday diet. In conjunction
with resistance exercise, this should help to reduce the loss
of muscle mass over time. There is also a case for the beneficial
hormonal effect of limited HRT, although this has to be balanced
against the other risks associated with such treatment."
The researchers at The University of Nottingham UK and Washington
University School of Medicine in St Louis, USA, whose work was
funded by US National Institutes of Health, studied 29 men and
women aged 65-80 who were in good health. The full published article
can be viewed in PLoS One at http://www.plosone.org/doi/pone.0001875
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