Aging often results in a decline of most physiological systems of the
body. However, the maintenance of some appropriate level of neuromuscu
lar function into old age is critical if we expect the elderly to be a
ble to maintain normal daily activity and functional independence. It
is well established that muscular strength declines in old age, but an
equally important parameter of neuromuscular function, muscular endur
ance, has received only minimal attention in the literature. Important
information regarding age-associated changes in muscular endurance ca
n be obtained from both animal and human research models, each having
their own set of limitations and advantages, One problem in trying to
interpret past research dealing in this area is the fact that muscular
endurance can be expressed in a variety of ways and can be measured b
y a variety of techniques. It seems that conflicting reports arise fro
m substantial differences in research design, statistical analyses or
the ability to control extraneous influences such as physical activity
levels and dietary intakes. This review will examine both human and a
nimal literature in an attempt to elucidate methodological concerns in
the assessment of muscular endurance and the controversial evidence r
egarding changes in muscle morphology and muscle metabolism that may b
e responsible for age-related changes in muscular endurance. Issues th
at address the possible selective loss of fibre type and the declines
in both total fibre number as well as fibre size will be presented, si
nce muscle quantity and quality have obvious links to endurance capaci
ty. In conjunction with the alterations reported in skeletal muscle ti
ssue, muscle blood flow and the relationship between fibre and capilla
ry numbers and their possible influences on substrate availability wil
l also be discussed in relation to muscle endurance capabilities. Fina
lly, the adaptive ability of aged skeletal muscle to improve muscular
endurance by different training regimens and through different physiol
ogical mechanisms will be investigated.