“…The shoulder flexibility enhancement could also be considered an expected result, as it has been already reported in older adults without mobility and cognitive impairment (American College of Sports Medicine Position Stand, 1998;Nelson et al, 2007). The lack of changes in arm circumference, considered an index of muscle atrophy (Cureton, Collins, Hill, & McElhannon, 1988), suggests that the improvement of strength was obtained without a significant change of muscle volume. Several reasons may be related to the absence of muscle mass increase: the light-load resistant training used, the limited consumption of proteins with food, the short duration of the program (Fiatarone et al, 1994), and for this specific population the frequent use of corticosteroid-based medications that reduced the turnover of contractile proteins (Nava et al, 2002;Nici et al, 2006).…”