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Chapter 11  The Muscular System   405

    Checkpoint                                                       	 The Ability to Recover from Muscular Injuries Decreases. The

    	18.	 Shrugging your shoulders uses which muscles?                 number of satellite cells steadily decreases with age, and
    1	 9.	 Baseball pitchers sometimes suffer from rotator cuff        the amount of fibrous tissue increases. As a result, when an
                                                                       injury occurs, repair capabilities are limited. Scar tissue for-
          injuries. Which muscles are involved in this type of         mation is the usual result.
          injury?
    2	 0.	 An injury to the flexor carpi ulnaris muscle would            Regular exercise helps control body weight, strengthens
          impair which two movements?                               bones, and generally improves the quality of life at all ages.
    2	 1.	 Which leg movement would be impaired by injury to        Extremely demanding exercise is not as important as regular
          the obturator muscle?                                     exercise. In fact, extreme exercise in the elderly can damage
    	22.	 To what does a “pulled hamstring” refer?                  tendons, bones, and joints.
    2	 3.	 How would a torn calcaneal tendon affect movement of
          the foot?                                                 Checkpoint                                                                	11

     See the blue Answers tab at the back of the book.              2	 4.	 Describe general age-related effects on skeletal muscle
                                                                         tissue.
11-7    With advancing age, the size
                                                                    	25.	 Define fibrosis.
and power of muscle tissue decrease
                                                                    See the blue Answers tab at the back of the book.
Learning Outcome  Identify age-related changes of the muscular
system.                                                             11-8    Exercise produces responses

We can summarize the effects of aging on the muscular system        in multiple body systems
as follows:
                                                                    Learning Outcome  Explain the functional relationship between the
 	 Skeletal Muscle Fibers Become Smaller in Diameter. This re-      muscular system and other body systems, and explain the role of exercise
                                                                    in producing various responses in other body systems.
   duction in size reflects a decrease in the number of myo-
   fibrils. In addition, the muscle fibers contain smaller ATP,     To operate at maximum efficiency, the muscular system must
   CP, and glycogen reserves and less myoglobin. The overall        be supported by many other systems. The changes that take
   effect is a reduction in skeletal muscle size, strength, and     place during exercise provide a good example of such interac-
   endurance, combined with a tendency to fatigue quickly.          tion. As noted earlier, active muscles consume oxygen and gen-
   Because cardiovascular performance also decreases with           erate carbon dioxide and heat. The immediate effects of exercise
   age, blood flow to active muscles does not increase with ex-     on various body systems include the following:
   ercise as rapidly as it does in younger people. These factors
   interact to produce decreases of 30–50 percent in anaero-         	 Cardiovascular System: Blood vessels in active muscles and
   bic and aerobic performance by age 65.
                                                                       the skin dilate, and heart rate increases. These adjustments
 	 Skeletal Muscles Become Less Elastic. Aging skeletal muscles        speed up oxygen and nutrient delivery to and carbon diox-
                                                                       ide removal from the muscle. They also bring heat to the
   develop increasing amounts of fibrous connective tissue,            skin for radiation into the environment.
   a process called fibrosis. Fibrosis makes the muscle less
   flexible, and the collagen fibers can restrict movement and       	 Respiratory System: Respiratory rate and depth of respiration
   circulation.
                                                                       increase. Air moves into and out of the lungs more quickly,
	 Tolerance for Exercise Decreases. A lower tolerance for exercise     keeping pace with the increased rate of blood flow through
                                                                       the lungs.
   comes in part from tiring quickly and in part from reduced
   thermoregulation, described in Chapter 5. p. 194                  	 Integumentary System: Blood vessels dilate, and sweat gland
   Individuals over age 65 cannot eliminate the heat their
   muscles generate during contraction as effectively as younger       secretion increases. This combination increases evaporation
   people can. For this reason, they are subject to overheating.       at the skin surface and removes the excess heat generated
                                                                       by muscular activity.
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