“…In addition to reduced muscle mass, skeletal muscle atrophy is characterized by decreased muscle fiber CSA and contractile protein content (85,89,91). Other changes include endothelial degradation, increased capillary density, decreased mitochondrial quantity, higher levels of intermuscular adipose tissue and connective tissue, as well as increased expression of type 2 muscle fiber types (85,86,87,89,90,91). Chronic muscle disuse also results in increased insulin resistance, decreased calcium ion concentration, degeneration of neuromuscular junctions, nerve terminal disruption, plus decreased maximal voluntary force production and lower fatigue resistance (85,88,89,91,92,93).…”