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Muscle function in monozygotic female twin pairs discordant for hormone replacement therapy

✍ Scribed by Taija Finni; Marika Noorkoiv; Eija Pöllänen; Paula H.A. Ronkainen; Markku Alén; Jaakko Kaprio; Vuokko Kovanen; Sarianna Sipilä


Publisher
John Wiley and Sons
Year
2011
Tongue
English
Weight
176 KB
Volume
44
Category
Article
ISSN
0148-639X

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✦ Synopsis


Abstract

Introduction: Postmenopausal monozygotic twin pairs discordant for hormone replacement therapy (HRT) provide an advantageous study design controlling for genetic background for elucidating the relationships between aging, sex hormone levels, muscle strength, contractile capacity, and fatigability. Methods: Thirteen postmenopausal monozygotic twin pairs discordant for HRT were measured for maximal voluntary torque (MVC) and twitch characteristics using electrical stimulation before and after intermittent dynamic plantarflexor exercise until exhaustion. Results: Peak twitch torque was 32% higher in HRT users than in their non‐HRT, genetically identical sisters (P = 0.002), but MVC did not differ. There were no differences in the activation level or twitch time characteristics between the co‐twins. Fatigue caused decreases in MVC (P = 0.001), twitch torque (P = 0.001), time to peak (P = 0.013), and half‐relaxation time (P = 0.001) similarly in HRT users and non–HRT users. Conclusion: In early postmenopausal women, involuntary but not voluntary force‐generating mechanisms of the plantarflexors are augmented by the use of HRT. Muscle Nerve, 2011


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## Abstract Although postmenopausal hormone‐replacement therapy (HRT) is known to prevent fractures, knowledge on the influence of long‐term HRT on bone strength and its determinants other than areal bone mineral density is scarce. This study used a genetically controlled design with 24 monozygotic