Effects of resistance training with moderate vs heavy loads on muscle mass and strength in the elderly: A meta‐analysis

Csapo, Robert; Alegre, Luis M.

doi:10.1111/sms.12536

Cited by 184 publications

(167 citation statements)

References 77 publications

(147 reference statements)

Supporting

Mentioning

142

Contrasting

Unclassified

Order By: Relevance

“…Thus, when approximately 20 exercise repetitions are performed, which is common in clinical practice, ultra-short-term HRV analysis appears feasible (14). Because resistance exercises for the elderly promote the gain of bone and muscle mass and the improvement of cardiovascular behavior, physical capacity, and quality of life, studies that assess HRV during experimental exercise programs appropriate for the training of this population are of great importance (34). …”

Section: Discussionmentioning

confidence: 99%

Ultra-short-term heart rate variability during resistance exercise in the elderly

Arêas

Caruso

Simões

et al. 2018

Braz J Med Biol Res

View full text Add to dashboard Cite

Despite the appeal of ultra-short-term heart rate variability (HRV) methods of analysis applied in the clinical and research settings, the number of studies that have investigated HRV by analyzing R-R interval (RRi) recordings shorter than 5 min is still limited. Moreover, ultra-short-term HRV analysis has not been extensively validated during exercise and, currently, no indications exist for its applicability during resistance exercise. The aim of the present study was to compare ultra-short-term HRV analysis with standard short-term HRV analysis during low-intensity, dynamic, lower limb resistance exercise in healthy elderly subjects. Heart rate (HR) and RRi signals were collected from 9 healthy elderly men during discontinuous incremental resistance exercise consisting of 4-min intervals at low intensities (10, 20, 30, and 35% of 1-repetition maximum). The original RRi signals were segmented into 1-, 2-, and 3-min sections. HRV was analyzed in the time domain (root mean square of the of differences between adjacent RRi, divided by the number of RRi, minus one [RMSSD]), RRi mean value and standard deviation [SDNN] (percentage of differences between adjacent NN intervals that are greater than 50 ms [pNN50]), and by non-linear analysis (short-term RRi standard deviation [SD1] and long-term RRi standard deviation [SD2]). No significant difference was found at any exercise intensity between the results of ultra-short-term HRV analysis and the results of standard short-term HRV analysis. Furthermore, we observed excellent (0.70 to 0.89) to near-perfect (0.90 to 1.00) concordance between linear and non-linear parameters calculated over 1- and 2-min signal sections and parameters calculated over 3-min signal sections. Ultra-short-term HRV analysis appears to be a reliable surrogate of standard short-term HRV analysis during resistance exercise in healthy elderly subjects.

show abstract

Section: Discussionmentioning

confidence: 99%

Ultra-short-term heart rate variability during resistance exercise in the elderly

Arêas

Caruso

Simões

et al. 2018

Braz J Med Biol Res

View full text Add to dashboard Cite

show abstract

“…In particular, it promotes muscle function, which is helpful to prevent declines in the ability to complete activities of daily living [10]. A recent meta-analysis has shown that a sufficient amount of resistance training, even light load intensity training, leads to improvements in muscle function in older adults [11]. In addition, to maintain or improve muscle function, older adults must continue their physical exercise.…”

Section: Discussionmentioning

confidence: 99%

Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults

Yamada

Arai

2017

IJERPH

View full text Add to dashboard Cite

Preventing frailty and its adverse health outcomes is crucial in countries with a large elderly population, such as Japan. Since the long-term care insurance (LTCI) system was launched, the number of certified older adults with LTCI service requirement has continued to increase. This is a serious problem, because the LTCI service requirement certification is equivalent to disability. The aim of this study was to evaluate the effect of a self-management group intervention on new LTCI service requirement certifications in community-dwelling older adults in Japan. We analyzed the cohort data from a prospective study. In this study, we recruited community-dwelling adults aged 65 years and older who were independent in a city in Kyoto prefecture in 2012. The subjects in the participation group (n = 1620) attended 60-min group training sessions once or twice every two weeks from December 2012 to December 2016. The exercise sessions consisted of mild-intensity aerobic exercise, mild strength training, flexibility and balance exercises, and cool-down activities. These exercise classes were facilitated by well-trained volunteer staff. The outcome measure was the number of new LTCI requirement certifications during a four-year follow-up period. During the four-year follow-up period, 247 subjects (15.2%) in the participation group and 334 (20.6%) in the control group were newly certified for LTCI service requirements. The hazard ratio for new LTCI service requirements in the participation group compared with the control group was 0.73 (95% CI = 0.62–0.86) in the four-year follow-up period. These results indicate the usefulness of self-management group exercise to reduce the incidence of disability in older adults. Thus, increasing self-management group activities in each community should be encouraged.

show abstract

“…For the management of sarcopenia, there is a strong recommendation that individuals with sarcopenia should be enrolled in a resistance exercise programme. There is a reasonable amount of evidence that resistance exercise will increase both muscle mass and strength . The use of a protein rich diet (1 to 1.5 g/day) or protein supplementation received a conditional recommendation based on a small amount of evidence and a previous consensus conference .…”

Section: Management Of Sarcopeniamentioning

confidence: 99%

Sarcopenia: A Time for Action. An SCWD Position Paper

Bauer

Morley

Schols

et al. 2019

J cachexia sarcopenia muscle

490

370

View full text Add to dashboard Cite

The term sarcopenia was introduced in 1988. The original definition was a “muscle loss” of the appendicular muscle mass in the older people as measured by dual energy x‐ray absorptiometry (DXA). In 2010, the definition was altered to be low muscle mass together with low muscle function and this was agreed upon as reported in a number of consensus papers. The Society of Sarcopenia, Cachexia and Wasting Disorders supports the recommendations of more recent consensus conferences, i.e. that rapid screening, such as with the SARC‐F questionnaire, should be utilized with a formal diagnosis being made by measuring grip strength or chair stand together with DXA estimation of appendicular muscle mass (indexed for height2). Assessments of the utility of ultrasound and creatine dilution techniques are ongoing. Use of ultrasound may not be easily reproducible. Primary sarcopenia is aging associated (mediated) loss of muscle mass. Secondary sarcopenia (or disease‐related sarcopenia) has predominantly focused on loss of muscle mass without the emphasis on muscle function. Diseases that can cause muscle wasting (i.e. secondary sarcopenia) include malignant cancer, COPD, heart failure, and renal failure and others. Management of sarcopenia should consist of resistance exercise in combination with a protein intake of 1 to 1.5 g/kg/day. There is insufficient evidence that vitamin D and anabolic steroids are beneficial. These recommendations apply to both primary (age‐related) sarcopenia and secondary (disease related) sarcopenia. Secondary sarcopenia also needs appropriate treatment of the underlying disease. It is important that primary care health professionals become aware of and make the diagnosis of age‐related and disease‐related sarcopenia. It is important to address the risk factors for sarcopenia, particularly low physical activity and sedentary behavior in the general population, using a life‐long approach. There is a need for more clinical research into the appropriate measurement for muscle mass and the management of sarcopenia. Accordingly, this position statement provides recommendations on the management of sarcopenia and how to progress the knowledge and recognition of sarcopenia.

show abstract

Effects of resistance training with moderate vs heavy loads on muscle mass and strength in the elderly: A meta‐analysis

Cited by 184 publications

References 77 publications

Ultra-short-term heart rate variability during resistance exercise in the elderly

Ultra-short-term heart rate variability during resistance exercise in the elderly

Self-Management Group Exercise Extends Healthy Life Expectancy in Frail Community-Dwelling Older Adults

Sarcopenia: A Time for Action. An SCWD Position Paper

Contact Info

Product

Resources

About