Age-related differences in the neuromuscular performance of fatigue-provoking exercise under severe whole-body hyperthermia conditions

Scand J Med Sci Sports. 2023 Sep;33(9):1621-1637. doi: 10.1111/sms.14403. Epub 2023 May 23.

Abstract

Purpose: The purpose of this study was to determine if aging would lead to greater decline in neuromuscular function during a fatiguing task under severe whole-body hyperthermia conditions.

Methods: Twelve young (aged 19-21 years) and 11 older (aged 65-80 years) males were enrolled in the study, which comprised a randomized control trial under a thermoneutral condition at an ambient temperature of 23°C (CON) and an experimental trial with passive lower body heating in 43°C water (HWI-43°C). Changes in neuromuscular function and fatigability, and physical performance-influencing factors such as psychological, thermoregulatory, neuroendocrine, and immune responses to whole-body hyperthermia were measured.

Results: A slower increase in rectal temperature, and a lower heart rate, thermal sensation, and sweating rate were observed in older males than young males in response to HWI-43°C trial (p < 0.05). Nevertheless, prolactin increased more in response to hyperthermia in young males, while interleukin-6 and cortisol levels increased more in older males (p < 0.05). Peripheral dopamine levels decreased in older males and increased in young males in response to hyperthermia (p < 0.05). Surprisingly, older males demonstrated greater neuromuscular fatigability resistance and faster maximal voluntary contraction (MVC) torque recovery after a 2-min sustained isometric MVC task under thermoneutral and severe hyperthermic conditions (p < 0.05).

Conclusion: Neuromuscular performance during fatigue-provoking sustained isometric exercise under severe whole-body hyperthermia conditions appears to decline in both age groups, but a lower relative decline in torque production for older males may relate to lower psychological and thermophysiological strain along with a diminished dopamine response and prolactin release.

Keywords: cortisol; elderly; neuromuscular function; peripheral dopamine; prolactin.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Aged
  • Dopamine
  • Electromyography
  • Exercise / physiology
  • Fatigue
  • Humans
  • Hyperthermia, Induced*
  • Isometric Contraction / physiology
  • Male
  • Muscle Fatigue / physiology
  • Muscle, Skeletal / physiology
  • Prolactin*
  • Torque

Substances

  • Prolactin
  • Dopamine