The possibility that early fetal programming affects health or disease stat
us in adult life has been considered in relation to tissues such as the car
diovascular system but not with respect to skeletal muscle. Since muscle ma
ss and function are important for life, it is pertinent to ask whether even
ts during the development of muscle in utero can affect the performance of
the tissue in later life. This review discusses the factors that influence
muscle performance, outlines the current understanding of myogenesis and ex
amines how manipulations alter myogenic outcome after birth. The performanc
e of muscle is determined by the number, type and size of the muscle fibres
, these in turn being affected by a number of factors, and the evidence ind
icates that the proportions of types of muscle fibre have a heritable compo
nent. The formation of muscle occurs early in embryogenesis and it appears
that the major impacts on myogenesis are associated with extremes of treatm
ent or embryo manipulations. The impact of extremes of treatment or embryo
manipulations on myogenesis is seen in the secondary fibres whereas primary
fibres appear to be insensitive or protected. Overall, the opportunities f
or manipulation of myogenesis in utero to improve adult performance are lim
ited.