This study determined the cellular energetic and structural adaptations of
elderly muscle to exercise training. Forty male and female subjects (69.2 /- 0.6 yr) were assigned to a control group or 6 mo of endurance (ET) or re
sistance training (RT). We used magnetic resonance spectroscopy and imaging
to characterize energetic properties and size of the quadriceps femoris mu
scle. The phosphocreatine and pH changes during exercise yielded the muscle
oxidative properties, glycolytic ATP synthesis, and contractile ATP demand
. Muscle biopsies taken from the same site as the magnetic resonance measur
ements were used to determine myosin heavy chain isoforms, metabolite conce
ntrations, and mitochondrial volume densities. The ET group showed changes
in all energetic pathways: oxidative capacity (+31%), contractile ATP deman
d (-21%), and glycolytic ATP supply (-56%). The RT group had a large increa
se in oxidative capacity (57%). Only the RT group exhibited change in struc
tural properties: a rise in mitochondrial volume density (31%) and muscle s
ize (10%). These results demonstrate large energetic, but smaller structura
l, adaptations by elderly muscle with exercise training. The rise in oxidat
ive properties with both ET and RT suggests that the aerobic pathway is par
ticularly sensitive to exercise training in elderly muscle. Thus elderly mu
scle remains adaptable to chronic exercise, with large energetic changes ac
companying both ET and RT.