Metabolic cost, mechanical work, and efficiency during walking in young and older men

Aim: To investigate mechanical work, efficiency, and antagonist muscle co-activation with a view to better understand the cause of the elevated metabolic cost of walking (CW) in older adults. Methods: Metabolic, mechanical and electromyographic measurements were made as healthy young (YOU; n = 12, age = 27 ± 3 years) and older (OLD; n = 20, age = 74 ± 3 years) men of equivalent body mass and leg length walked on a treadmill at four speeds (ranging from 0.83 to 1.67 m s-1). Results: Net (above resting) CW, determined by indirect calorimetry was 31% higher (average across speeds) in OLD (P < 0.05). The integrity of the passive pendulum like interchange of mechanical energies of the centre of mass (COM B), an energy-saving mechanism, was maintained in OLD. Furthermore, total mechanical work, determined from fluctuations in mechanical energy of COMB and of body segments relative to COMB, was not significantly elevated in OLD. This resulted in a lower efficiency in OLD (-17%, P < 0.05). Co-activation, temporally quantified from electromyography recordings, was 31% higher in OLD for antagonist muscles of the thigh (P < 0.05). Thigh co-activation was moderately correlated with CW at three speeds (r = 0.38-0.52, P < 0.05). Conclusion: Healthy septuagenarians with no gait impairment have an elevated CW which is not explained by an elevation in whole body mechanical work. Increased antagonist muscle co-activation (possibly an adaptation to ensure adequate joint stability) may offer partial explanation of the elevated CW.