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J Exerc Rehabil > Volume 15(4);2019 > Article
Jeon, Choi, Kim, Lee, Lim, and Choi: Sex- and fiber-type-related contractile properties in human single muscle fiber


This study aimed to examine the distribution and contractile properties of single muscle fiber sex/myosin heavy chain (MHC) type-related differences and to evaluate the correlation of cross-sectional area (CSA) and specific force (SF) in a single muscle fiber. Six young men and six young women were participated in this study. Muscle sample was obtained from vastus lateralis muscle. To examine potential gender differences within each fiber contractile properties (CSA, maximal isometric force, SF, maximal shortening velocity) and relationship between CSA and SF of single fiber using Pearson correlation. After mechanical measurements, single muscle fiber determined MHC isoforms using silver stain. MHC isoform composition did not differ by sex (chi-square=6.978, P=0.073). There were sex-related differences in CSA and maximal isometric force (P<0.05), but no fiber type-related differences (P>0.05). Related to SF and maximal shortening velocity, there were no sex-related differences only fiber type-related differences (P<0.05). However, there were differences in SF between single fiber types in men but not in women. A negative correlation was found between CSA and SF in both men and women (P<0.05). It is suggested that there might be different mechanical properties of cross-bridges according to sex.


The human skeletal muscle is a vital tissue that produces force and power by converting chemical energy into mechanical energy enabling posture and movement (Frontera and Ochala, 2015). Skeletal muscles are composed of different types of fibers which diverge morphologically, physiologically, and mechanically (Haizlip et al., 2015). Physical performance of the body is determined by the distribution of skeletal muscle fiber types (Trevino et al., 2016) and contractile properties of each fiber (Gür et al., 2003).
Skeletal muscle fiber types are identified by the myosin heavy chain (MHC) isoform expression with three main classifications in human skeletal muscle; type I, type IIa, and type IIx. Type I is an oxidative fiber with slow muscle contractile velocity and high resistance to fatigue, whereas type IIx, a glycolytic fiber, exhibits fast muscle contractile velocity but less resistance to fatigue. Type IIa, an oxidized fast fiber, demonstrates intermediate characteristics of both fiber types and participates in both oxidative and glycolytic metabolism. In addition, a hybrid fiber which coexpresses multiple isoforms has recently been observed.
The function of skeletal muscle may be influenced by activation of central motor units, peripheral nerve function, excitation-contraction coupling, or contractile elements of muscle cells (Frontera et al., 2000). These factors vary depending on age, sex, disease, and training (Miller et al., 2014; Widrick et al., 2002). In particular, influences from hormones, such as estrogen, affect the number and function of cross-bridges cycling in a single muscle fiber, ultimately creating a difference in whole muscle strength between men and women (Phillips et al., 1993). Due to the combined effects of various factors, it is challenging to elucidate the mechanism of sex-based differences in vivo.
Skinned muscle fiber analysis allows direct investigation of sex-related intrinsic contractile properties in muscle cell levels without the confounding effects of protein heterogeneity and nervous system factors (Larsson and Moss, 1993; Wood et al., 1975). This in vitro method allows for analysis of single muscle fiber quantity and quality. Reviewing a study comparing sex-specific muscle fiber type and contractile properties in human beings, we found that, through adenosine triphosphatase (ATPase) histochemistry analysis, the quantity of MHC I fibers in male and female individuals was 36% and 44%, respectively. MHC IIa fibers differ in the distribution of fiber subtypes by sex: 41% for male individuals and 34% for female individuals (Staron et al., 2000), indicating that this distribution may influence the differences in the whole muscle force of transfers on the basis of sex. Cross-sectional area (CSA) of MHC I fibers is 13% less in younger women than men, however, there are no sex-specific differences in CSA of MHC II fibers (Trappe et al., 2003). In the same study, maximal isometric force (Po) of MHC I fibers was 23% lower and MHC II fibers were 20% lower in young women than men. Po results are proportional to CSA (Trappe et al., 2003). Related to the elderly, there was a sex-related difference in the maximal shortening velocity (Vo) of MHC I and MHC II fibers, but no difference was seen between younger men and women (Krivickas et al., 2001). Previous studies have shown that the contractile properties of a single muscle fiber type are important factors in whole muscle strength. However, the difference in the contractile characteristics of muscle fibers between the sexes was reported by distinguishing only between MHC I and MHC II fibers. Studies carrying out comparative analyses of the contractile characteristics between the fiber types in young adults by sex are very few.
Since Po of a single muscle fiber is proportional to CSA, the specific force (SF), which is Po normalized to the CSA, has been utilized to evaluate the quality of single muscle fiber contractile force in previous studies. However, SF does not appear to differ according to sex. In sex-based comparisons between SF in different muscle fiber types, male individuals showed a difference (Shoepe et al., 2003; Widrick et al., 2002), but conflicting results were reported in female individuals (Frontera et al., 2000). These results suggest that the contractile force of single muscle fiber may be influenced by sex-related factors rather than by CSA alone. To date, sex-based studies on single muscle fibers have only reported a correlation between Po and CSA (Miller et al., 2013; Widrick et al., 2002). Studies analyzing the correlation between SF and CSA are rare.
The present study aimed to examine the distribution and contractile properties (CSA, Po, SF, Vo) of single muscle fiber sex/MHC-type-related differences, by extracting a single muscle fiber from the vastus lateralis in young men and women, and evaluate the correlation of CSA and SF in a single muscle fiber.



There were six young men and six young women participating in this study. They did not suffer from musculoskeletal or metabolic diseases, and had not performed regular exercise within the previous 3 months. Applicants were selected according to the target conditions. The participants were explained the purpose of and procedures in the study verbally, and they gave written consent for voluntary participation. The characteristics of participants included in the final study are displayed in Table 1. Written informed consent was provided prior to commencing the study and all procedures were carried out in accordance with the Helsinki Declaration of 1964, following approval by the Institutional Review Board of Seoul National University Bundang Hospital (B-1610/365–001).

Experimental protocol

Body composition

Body mass index and hip-waist circumference (waist/hip ratio) were measured using anthropometry of height, weight, hip circumference, and waist circumference. Skeletal muscle mass, body fat and percentage of body fat were measured by bioelectrical impedance analysis (Inbody S10, Inbody Co., Seoul, Korea).

Knee extensor muscle function

Knee extensor torque and power were measured under isometric and isokinetic conditions using a dynamometer (BTE Primus RS, BTE tech, Hanover, MD, USA). Isometric torque was measured during maximal voluntary contraction and the peak torque taken from two attempts. Isokinetic strength at 60°/sec and isokinetic power at 180°/sec were measured during the isovelocity phase of muscle contraction.

Muscle biopsy

Muscle biopsy procedures were performed by a physician at Seoul National University Bundang Hospital. Before each biopsy was performed, left lower limb location and depth were evaluated using ultrasound (Ultrasound V20 Prestige, Samsung Medison Co. Ltd., Seoul, Korea) to ensure safe sampling. Biopsies were taken first from the vastus lateralis, under local anesthesia (2% lidocaine hydrochloride), to reduce discomfort caused by muscle tissue extraction. Muscle tissue was then collected using a biopsy needle with suction through a 5- to 7-mm skin incision.

Tissue sample processing

Specimens were immediately transferred to relaxant solutions (2.5 M KCl, 0.1 M EGTA, 0.1 M CaCl2, 0.5 M Imidazole, 0.1 M MgCl2) at 4°C and 50–100 single muscle fibers were dissected. The separated fiber bundles were placed in skinning solution (50% glycerol, 50% relaxant solution) and incubated at 4°C for 24 hr. After incubation, the fibers were stored at −20°C until analysis within 3 weeks.

Measurements of single fiber contractile properties in vitro

The fiber bundles were transferred into the chamber of an experimental apparatus (Model 600A, Aurora Scientific, Aurora, ON, Canada) containing relaxant solution (pCa 9.0) and separated into single fibers. Single fibers were then tied to a titanium wire with a medical 10–0 nylon suture, leaving an average fiber segment length of 1.51±0.14 mm exposed to the solution. They were connected to a force transducer (Model 403A, Aurora Scientific) and a length controller (Model 315C, Aurora Scientific). The apparatus was set up on the frame of an inverted microscope (Olympus IX71, Olympus, Tokyo, Japan); fiber segments were observed with 80–400× magnification. Images were obtained using a camera and graphic acquisition board (Fig. 1). Sarcomere length remained at 2.5 μm throughout all procedures. Fiber length (FL) was measured using a micrometer mounted on a microscope. CSA was calculated from the width, depth, and elliptical circumference. Fiber width was measured on the optical surface, and depth was measured using an image reflected from a prism directed toward the muscle fiber. Width and depth were measured with an eyepiece micrometer. All measurements were performed at 15°C. Po and Vo were measured by the slack test procedure described in the previous study (Choi and Widrick, 2010; Jeon et al., 2018). The single muscle fibers were activated at pCa 4.5 and, once peak force was reached, various range about 7%–15% of FL of shortening length were rapidly changed (within 1–2 msec). After the shortening length change was applied, the time until tension was regenerated was measured. This process was repeated 5 times with different shortening length changes. Vo of a single muscle fiber was determined by calculating the time to shortening length by least-squares regression, and the slope of the fitted line was recorded as Vo. When the power of explanation (r2) of the regression equation was 0.95 or higher, it was recorded as valid. Po was calculated as the difference between peak force and baseline force during unloaded shortening in the activating solution. This calculation was utilized to eliminate a potential error in muscle force measurement due to baseline drift from external influences.

MHC determination

After measurements were taken, each fiber was placed into a microtube containing 15 μL of sodium dodecyl sulfate (SDS) sample buffer and stored at −20°C until silver staining analysis. Silver staining was performed by SDS-PAGE (Bio-Rad Mini-PRTEAN Tetra Cell electrophoresis system, Bio-Rad Laboratories, Inc., Hercules, CA, USA), as previously described (Jeon et al., 2018). MHC composition of single muscle fibers was determined using 8% separating gel (40% acrylamide, 1.5 M tris pH 8.8, 10% SDS, 60% glycerol, tetramethylethylenediamine [TEMED], 10% ammonium persulfate [APS] and 4% stacking gel (40% acrylamide, 0.5 M tris pH 6.8, 10% SDS, 60% glycerol, TEMED, and 10% APS). Constant current (30 mA) was maintained for 5 hr 40 min. After electrophoresis, the gel was incubated in fixing solution, washed with distilled water 2–3 times, then shaken in glutarldehyde solution (10%) for 45 min. It was again washed with distilled water 4 times for 15 min, then stained with silver staining solution (0.09 M NaOH, 28% NH4OH, 1.14 M AgNO3) for 10 min. Finally, it was washed 3 times with distilled water for 90 sec. The gel was shaken into developing solution (47.6 mM citric acid, 37% formaldehyde) until band classification of MHC types appeared (Fig. 2), then placed in storage solution (5% acetic acid).

Statistical analysis

All data obtained were expressed as means±standard error. Statistical data were processed using IBM SPSS ver. 18.0 (IBM Co., Armonk, NY, USA). Comparisons of MHC-type distribution by sex were verified by chi-square test. Two-way analysis of variance was performed to test the effect of MHC type and sex, and the least significant difference was estimated post hoc. Pearson correlation was used to analyze the relationship between CSA and SF of single muscle. Statistical significance was accepted at P<0.05.


Single muscle fiber MHC composition

MHC-type analysis of single muscle fibers (n=114 males; n= 101 females) was undertaken using silver stain (Table 2). Four types of fibers were analyzed, excluding hybrid type I/IIa fibers. The distribution of type I fibers was highest at 51.8% followed by type IIa at 39.5%. Both type IIa/IIx and type IIx fibers exhibited a low distribution of 4.4%. The distribution of single muscle fiber types in women was 63.4% for type I fibers, 34.7% for type IIa, and 2.0% for type IIx, showing the highest distribution of type I fibers, similar to that found in men, however type IIa/IIx distributions in men were not analyzed. No difference was found in the distribution ratio between MHC types according to sex (chi-square=6.978, P=0.073).

Cross-sectional area

CSA of single muscle fiber is shown in Fig. 3A. In male individuals, type IIa fiber (7,397.19±1,102.71 μm2) was larger than type I (7,006.32±912.15 μm2) IIa/IIx (5,557.7±2,485.48 μm2), and IIx (4,534.94±2,028.09 μm2), but there was no significant statistical difference (P>0.05) between them. The order was different in female individuals; type I (5,299.16±662.4 μm2) was the largest, followed by type IIa (4,965.7±839.36 μm2), then type IIx (3,220.64±2,277.34 μm2) and, again, there was no statistical difference between the measurements (P>0.05). On the other hand, CSA of type I and type IIa fibers in women were smaller than those in men, at −32.2% and −49%, respectively (P<0.05).

Maximal isometric force

Po of a single muscle fiber is shown in Fig. 3B. The Po in male individuals was calculated in type I (0.75±0.1 mN), type IIa (0.87±0.13 mN), type IIa/IIx (0.67±0.3 mN), and type IIx; there was no difference in contractility between fiber types (P>0.05). Po of single muscle fibers in women was classified as type I (0.6±0.08 mN), type IIa (0.59±0.1 mN), and type IIx (0.33±0.23 mN) and, as in men, there was no difference between fiber types (P>0.05). When comparing Po of single muscle fiber types between sexes, the results for female individuals were lower than for male individuals for type I (−25%), type IIa (−47.5%), and type IIx (−121.2%) (P<0.05).

Specific force

SF normalized to CSA of a single muscle fiber is depicted in Fig. 3C. In male individuals, SF was the highest in type IIx (162.44±72.65 kN/m2) among all single fiber types (P<0.05). Comparing SF between categories, type IIx fibers were 32% higher than type I (110.39±14.37 kN/m2), 26.2% higher than type IIa (119.96±17.88 kN/m2), and 26.5% higher than type IIa/IIx (119.43±53.41 kN/m2); type IIa fibers were 8% higher than type I (P<0.05). There was no difference among female individuals in SF between type I (114.83±14.35 kN/m2), type IIa (122.32± 20.68 kN/m2), and type IIx (101.42±71.71 kN/m2) (P>0.05). Comparing SF between fiber types by sex, SF of type IIx was −60.2% lower in female individuals than in male individuals (P< 0.05), but there were no sex-specific differences found between the other fiber types (P>0.05).

Maximal shortening velocity

Vo of a single muscle fiber is depicted in Fig. 3D. In male individuals the highest VO was seen in type IIx (7.37±3.3 FL/s) among all fiber types (P<0.05). Type IIa (2.2±0.33 FL/sec) and type IIa/IIx (2.74±1.23 FL/sec) were 70% and 75.9% higher, respectively, when compared to type I (0.66±0.09 FL/sec). No statistical difference was seen between type IIa and type IIa/IIx (P>0.05). Vo of single muscle fibers in female individuals was highest in type IIx (5.18±3.66 FL/sec) among all the fiber types (P<0.05), and type IIa (2.51±0.42 FL/sec) was higher than type I (0.74±0.09 FL/sec). There was no difference in Vo by sex (P>0.05).

Relationships between CSA and SF

The relationship between CSA and SF of single muscle fibers by sex is shown in Fig. 4. This relationship was analyzed by division into MHC I and MHC II fiber types by sex. A negative correlation was found between CSA and SF in MHC I (r=−0.499, P=0.001) and MHC II (r=−0.334, P=0.013) fiber types in male individuals, and MHC I (r=−0.323, P=0.009) and MHC II (r= −0.366, P=0.026) in female individuals.


The purpose of this study was to compare the contractile properties of single muscle fiber types according to sex and to analyze relationships between CSA and SF in young men and women. According to the results of this study, there were sex-related differences in CSA and Po, but no fiber type-related differences. Related to MHC-type distribution, SF and Vo, there were no sex-related differences only fiber type-related differences. However, in women, there was no difference in SF between single muscle fiber types. Therefore, it is suggested that there might be different mechanical properties of cross-bridges according to sex. On the other hand, a negative correlation between CSA and SF of MHC I and II types were seen in both sexes.
In vitro analysis of skinned single muscle fibers has developed over the last 10–15 years due to study regulation of human muscle contraction of healthy and diseased individuals at the cellular and molecular levels (Larsson et al., 1999). Until now, there have been no studies investigating the sex-specific characteristics of single muscle fibers for Koreans. Therefore, this study was conducted to analyze single muscle fiber type measured proportions and contractile properties. The distribution order of MHC isoforms in men and women examined through silver staining of fibers from highest to lowest was as follows by type: I (51.8%), IIa (39.5%), IIa/IIx (4.4%), and IIx (4.4%). Percentages in female individuals were similar to male individuals with type I (63.4%), followed by IIa (34.7%) and IIx (2.0%). These results are in agreement with those of previous studies showing that inactive or sedentary young men and women have similar MHC distribution ratios (Trappe et al., 2003), in that single muscle fiber distribution is similar between sexes.
CSA of a single muscle fiber is an important physiological index in the development of the musculoskeletal system as it directly affects whole muscle mass and volume (Frontera et al., 2003). In general, it has been reported that CSA of a single muscle fiber in male individuals is larger than in female individuals. In the present study, there was no significant difference in CSA between sexes. CSA was smaller in female individuals than male individuals for type I and type IIa fibers at −32.2% and −49.0%, respectively. A study of single muscle fibers in the vastus lateralis of male and female individuals of similar age (20–30 years) demonstrated CSA of type I and type II in women was smaller when compared to men, at −10.4% and −18.7%, respectively (Claflin et al., 2011). Since single muscle fiber CSA is proportional to skeletal muscle mass (Staron et al., 2000), the single muscle fiber CSA of male individuals appears to be larger than that of female individuals due to relatively greater skeletal muscle mass.
Single muscle fiber contractile force directly influences whole muscle contractile force in a pattern similar to the way CSA of a single muscle fiber affects human skeletal muscle mass (Frontera et al., 2000; Frontera et al., 2003; Malisoux et al., 2007; Trappe et al., 2003). Po of single muscle fibers in this study failed to exhibit sex-specific differences between fibers, but was significantly lower overall in female individuals when compared to male individuals (type I, −25%; type IIa, −47.5%; type IIx, −121.2%). The results for Po were demonstrated to be proportional to CSA. This study also showed single muscle fiber Po in female individuals was less when compared to male individuals, at −23% for type I and −20% for type II (Trappe et al., 2003).
Because Po is dependent on CSA, it is possible to make relative comparisons through the SF of each fiber normalized to CSA reflecting the quality of contractile force. In this study, SF showed no sex-based difference except in type IIx fiber. CSA of female individuals was smaller than that of male individuals; this is thought to be due to the fact that Po is lower in a single muscle fiber. Only type IIx fiber showed a difference between sexes in the study, which likely results from insufficient quantity of type IIx fiber analyzed (5 fibers from men, two fibers from women). In previous studies, type IIx fibers were not analyzed or the number of type IIx fibers was extremely small; thus, most studies did not present results for type IIx fibers (Harber et al., 2009; Hvid et al., 2017; Shoepe et al., 2003). Since our study included type IIx fiber, it is difficult to compare our results directly with those of previous studies. When analyzing the difference in SF between single muscle fibers by sex, male individuals showed SF differences between single muscle fibers, (type IIx>type IIa>type I), whereas female individuals did not. Previous studies analyzing these differences either did not include women (Hvid et al., 2011) or results combined sexes (Larsson and Moss, 1993; Miller et al., 2015), resulting in inconsistencies. Most studies have shown that SF was higher in MHC II- than in MHC I-type fibers in male individuals or combined sex (Miller et al., 2015; Shoepe et al., 2003; Widrick et al., 2002). This is due to the high ratio of bound myosin head and cross-bridge stiffness of MHC II comparative to MHC I fibers (Miller et al., 2015). A study examining differences in SF according to sex in the elderly (Frontera et al., 2000) reported SF of type IIa to be higher than type I in elderly male individuals, while no difference was seen in elderly female individuals. These results suggest the possibility that men possess greater cross-bridge kinetic characteristics of the MHC II subtype than women. Further evaluation of sex-related differences of SF between muscle fiber types is recommended.
The Vo of a single muscle fiber is closely related to the fiber type expressed by MHC as one of the factors in skeletal muscle contraction. Some studies have shown that Vo of a single muscle fiber is related to physical activity levels such as exercise training (Trappe et al., 2000; Trappe et al., 2001), space flight (Widrick et al., 1999), and long convalescence (Larsson et al., 1996). Studies analyzing Vo of single muscle fibers in young participants by age and sex (Krivickas et al., 2001) did not see sex-specific differences. However, in the elderly, Vo of type I and type II fibers were slower in female than in male individuals, probably because of the damage of calcium kinetics and myosin ATPase activity due to the change in estrogen concentration after menopause. In a study that analyzed Vo of single muscle fiber according to age and sex (Krivickas et al., 2001), there was no sex-specific difference within the younger group. This trend was similar to other studies demonstrating that Vo is not different between sexes in young participants (Degens et al., 1998; Haizlip et al., 2015). Between muscle fiber types, however, Vo was significantly different. The Vo of type IIa and type IIa/IIx fibers in male individuals was 70% and 75.9% higher, respectively, and when compared with type I, and type IIx was highest among all types. Similarly, with female individuals, type IIa fiber was higher than type I, and type IIx was the highest. Increases in Vo are likely to depend on the type of muscle fiber in the order of type I<type I/IIa<type IIa<type IIa/IIx< type IIx (Bottinelli and Reggiani, 2000).
This is the first study that clarified a correlation between CSA and SF by type of single muscle fiber in young adults according to sex. There was a negative correlation between CSA and SF of single muscle fibers in MHC I and MHC II fibers of both sexes. We did not directly explain the mechanisms leading to these outcomes but work of previous studies has supported this finding. The first hypothesis is that decrease in SF with increasing CSA of fibers is due to limited cross-bridge cycling due to the accumulation of small molecules, such as ADP or Pi (Elzinga et al., 1989; Gilliver et al., 2009). Another hypothesis is that the SF of larger fibers is lessened by decreasing the number and stiffness of the strongly bound cross-bridges (Palmer et al., 2007; Tanner et al., 2007). Although the nature of the relationship of CSA to SF has not been clearly delineated, it may be related to the kinetic character of myosin-actin cross-bridges. It is obvious that the contractile force of a single muscle fiber is not dependent only on CSA but may be affected by other factors. A more in-depth study will be needed to investigate the nature of the various factors (molecular, kinetics) that may impact single muscle fiber contractile properties.


The authors wish to thank the participants for their time and cooperation throughout this study. This work was supported by the National Research Foundation of Korea (Grant NRF-2016R1C1B2015125).



No potential conflict of interest relevant to this article was reported.


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Fig. 1
Images of mounted fibers. (A) Single muscle fiber in male individual. (B) Single muscle fiber in female individuals. Calibration bar indicates 25 μm.
Fig. 2
Silver-stained 8% polyacrylamide gel identification of myosin heavy chain isoforms in skinned human vastus lateralis muscle fiber.
Fig. 3
In vitro single muscle fiber size and mechanical characteristics of vastus lateralis. Values are means±standard error. (A) Average fiber cross-sectional area. (B) Maximal isometric force. (C) Specific force. (D) Maximal shortening velocity. *Significantly different from male individuals (P<0.05). a)Significantly different from type I fiber (P<0.05). b)Significantly different from type IIa fiber (P<0.05). c)Significantly different from type IIa/IIx fiber (P<0.05).
Fig. 4
Correlation between cross-sectional area and specific force of single muscle fiber in young male individuals (MHC I, n=59; MHC II, n=55) and young female individuals (MHC I, n=64; MHC II, n=37). MHC, myosin heavy chain. *P<0.05. **P<0.01.
Table 1
In vivo characteristics of participants
Characteristic Men (n=6) Women (n=6)
Age (yr) 27.83±2.12 27±2.35

Height (cm) 176.75±1.45 162.7±1.39*

Weight (kg) 75.88±1.18 53.8±2.11*

Body mass index (kg/m2) 24.32±0.6 20.3±0.83*

Mid-thigh girth (cm)
 Right 53.02±1.27 50.37±2.56
 Left 52.75±1.1 49.87±2.65

Waist-hip ratio 0.86±0.02 0.81±0.04

Skeletal muscle mass (kg) 32.53±0.65 21.65±0.71*

Body fat mass (kg) 18.35±1.69 13.95±1.65

Percent body fat (%) 24.08±2.02 25.6±2.42

Isometric extension (Nm)
 Right 229.44±2.67 145.65±8.11*
 Left 222.32±6.87 146.78±5.03*

Isokinetic extension (60°/Nm)
 Right 178.21±11.66 76.53±11.63*
 Left 177.57±13.04 70.3±10.78*

Isokinetic extension (180°/Nm)
 Right 88.42±8.2 44.64±5.35*
 Left 89.95±5.42 45.3±4.24*

Values are presented as mean±standard deviation.

* P<0.05, statistically significant differences.

Table 2
Myosin heavy chain (MHC) isoform composition between single muscle fiber types by sex
MHC isoform I IIa IIa/IIx IIx
Male fibers (n=114) 59 (51.8) 45 (39.5) 5 (4.4) 5 (4.4)
Female fibers (n=101) 64 (63.4) 35 (34.7) 0 (0) 2 (2.0)

Values are presented as number (%).

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