Resting expired gases were collected using the Parvo Medics 2400 TrueMax Metabolic Measurement System. The participant then performed a standard symptom-limited maximal Bruce treadmill exercise test according to standard procedures [32]. Calibration of gas and flow sensors was completed every morning prior to testing and was found to be within 3% of the previous calibration point. A standard isotonic Olympic bench press (Nebula Fitness, Versailles, OH) was used for the isotonic bench press tests. A one repetition maximum (1 RM) test was performed using standard procedures. Following determination of the participants 1RM, subjects performed a bench press muscular endurance test at 70% of 1RM. Test
to test reliability of performing these strength 3MA tests in our lab on resistance-trained participants have yielded low mean coefficients of variation and high reliability for the bench press (1.9%, intra-class r = 0.94). Isokinetic testing was performed
Go6983 using the Biodex Multijoint Isokinetic Testing System (Biodex Medical Systems, Shirley, NY) to measure knee strength and endurance. Isokinetic strength was assessed bilaterally. Testing began from a dead stop with the participants’ leg at 90 degrees of flexion and consisted of five, ten, and fifteen maximal voluntary concentric reciprocal knee extension and flexion repetitions at three different test speeds. Velocities were presented in a fixed order at 60, 180 and 300 degrees per second with one-minute rest between bouts. Fatigue index was calculated as the change in average force produced from the first to last third of each set of work performed. Positive values represent the percentage decline in force generation over the set while negative values represent an increase in average force generated at the latter third of the set of repetitions. Test-to-test reliability data for women with osteoarthritis has been reported to vary from 0.83 to
0.94 [33]. Balance and functional assessment Measurements of balance and functional capacity were obtained using the Neurocom SmartEquitest® (Neurocom Selleck ABT 737 International, Portland, OR). Data were collected on postural balance and mobility utilizing the sit PAK6 to stand, step up and over, and forward lunge tests following standardized procedures. Test-to-test reliability in women aged 65-75 has been reported to be r = 0.92 [34]. Blood collection and analysis Fasted whole blood and serum samples were collected using standard phlebotomy techniques. Whole blood samples were analyzed for complete blood counts with platelet differentials using an Abbott Cell Dyn 3500 (Abbott Laboratories, Abbott Park, IL) automated hematology analyzer. Serum samples were analyzed for a complete metabolic panel using a calibrated Dade Behring Dimension RXL (Siemans AG, Munich, Germany) automated clinical chemistry analyzer. Coefficient of variation (CV) for the tests using this analyzer was similar to previously published data for these tests (range: 1.0 to 9.6%) [35].