scholarly journals A Review on Aging, Sarcopenia, Falls, and Resistance Training in Community-Dwelling Older Adults

2022 ◽  
Vol 19 (2) ◽  
pp. 874
Author(s):  
Filipe Rodrigues ◽  
Christophe Domingos ◽  
Diogo Monteiro ◽  
Pedro Morouço
Keyword(s):  
Resistance Training ◽  
Muscle Strength ◽  
Physical Exercise ◽  
Muscle Mass ◽  
Well Being ◽  
The Elderly ◽  
Community Dwelling ◽  
Narrative Review ◽  
Current Evidence ◽  
Resistance Training Program

As aging continues to grow in our society, sarcopenia and associated fall risk is considered a public health problem since falling is the third cause of chronic disability. Falls are negatively related to functionality and independence and positively associated with morbidity and mortality. The cost of treatment of secondary injuries related to falls is high. For example, one in ten fall incidents leads to bone fractures and several other comorbidities. As demonstrated by several experimental studies, adopting a more active lifestyle is critical for reducing the number of fall episodes and their consequences. Therefore, it is essential to debate the proven physical exercise methods to reduce falls and fall-related effects. Since muscle mass, muscle strength, bone density, and cartilage function may play significant roles in daily activities, resistance training may positively and significantly affect the elderly. This narrative review aimed to examine current evidence on existing resistance training using resistance machines and bodyweight or low-cost equipment for the elderly and how they are related to falls and fall-related consequences. We provide theoretical links between aging, sarcopenia, and falls linking to resistance training and offer practical suggestions to exercise professionals seeking to promote regular physical exercise to promote quality of life in this population. Exercise programs focusing on strength may significantly influence muscle mass and muscle strength, minimizing functional decline and risk of falling. Resistance training programs should be customized to each elderly according to age, sex, and other fundamental and individual aspects. This narrative review provides evidence to support recommendations for practical resistance training in the elderly related to intensity and volume. A properly designed resistance training program with adequate instructions and technique is safe for the elderly. It should include an individualized approach based on existing equipment (i.e., body weight, resistance machines). Existing literature shows that exercise performance towards 2–3 sets of 1–2 exercises per major muscle group, performing 5–8 repetitions or achieving intensities of 50–80% of 1RM, 2–3 times per week should be recommended, followed by training principles such as periodization and progression. Bearing this in mind, health and exercise professionals should combine efforts focusing on efficient strategies to reduce falls among the elderly and promote higher experiences of well-being at advanced stages in life.

Impact of protein supplementation on lean muscle mass in adult survivors of childhood cancer engaged in resistance training.

2019 ◽  
Vol 37 (15_suppl) ◽  
pp. 10027-10027
Author(s):  
Matthew R Krull ◽  
Carrie R. Howell ◽  
Robyn Partin, MS ◽  
Ginger Carney ◽  
Daniel A. Mulrooney ◽  
...  
Keyword(s):  
Resistance Training ◽  
Muscle Strength ◽  
Childhood Cancer ◽  
Training Program ◽  
Muscle Mass ◽  
Adult Survivors ◽  
Protein Supplementation ◽  
Resistance Training Program ◽  
Lean Muscle Mass ◽  
Survivors Of Childhood Cancer

10027 Background: Muscle weakness, low lean muscle mass and poor physical performance are prevalent among adult survivors of childhood cancer. We evaluated the effects of resistance training with and without protein supplementation on lean muscle mass, and muscle strength among childhood cancer survivors. Methods: This double-blind placebo-controlled trial enrolled survivors aged ≥18 to < 45 years. Participants were randomized to resistance training with daily protein supplement (21g protein/day, 90kcal) (RT+S) or resistance training with placebo (sucrose, 90kcal) (RT+P). Both groups received educational materials, access to a local fitness center and a tailored resistance training program with tapered supervision. Lean muscle mass and muscle strength were assessed at baseline and 24 weeks, using dual x-ray absorptiometry and dynamometer testing respectively. Mean changes were compared within and between groups. Results: Of 93 participants randomized, 57 completed the 24-week intervention (24 in RT+S, 33 in RT+P). The mean age was 33.1 (SD 7.0), 67% were white and 47% female. The RT+S group had a significant increase in lean body mass (1.05 kg [SD 2.34], p = 0.04), while the RT+P group did not (0.13 kg [SD 2.19], p = 0.74). Mean change in handgrip strength also improved in the RT+S group (1.98 [SD 4.30], p = 0.03); change approached significance in the RT+P group (1.49 [SD 4.60], p = 0.07). All survivors significantly improved their strength over time (Table) as measured by one max repetition test at baseline and follow-up. Conclusions: Preliminary findings indicate that a supervised resistance training program among adult survivors of childhood cancer that includes protein supplementation is feasible and may increase total lean body mass and muscle strength. Clinical trial information: NCT02501460. [Table: see text]

scholarly journals Elastic Band Training Effect to Parameters of Sarcopenia in Elderly Community-Dwelling

2019 ◽  
Vol 7 (2) ◽  
Author(s):  
Vitriana Biben ◽  
Irma Ruslina Defi ◽  
Derry Suselo
Keyword(s):  
Muscle Strength ◽  
Muscle Mass ◽  
Physical Performance ◽  
Bioelectrical Impedance ◽  
Impedance Analysis ◽  
The Elderly ◽  
Community Dwelling ◽  
Walking Distance ◽  
Elastic Band ◽  
Strengthening Exercise

Physiologically aging causes the decreased of muscle mass, strength, and or limited activity known as sarcopenia in the elderly. The decrease in muscle capacity occurs in all elderly, active, or sedentary. Exercise for the elderly is considered not enough to prevent the decrease of function that will occur. Therefore, it is necessary to add strength training to the elderly, such as elastic band exercise. The effect of strength training in 12 weeks with elastic band strengthening exercise on muscle mass, muscle strength, and physical performance as sarcopenia parameters measured in this study. The interventional study design was conducted in elderly community-dwelling in Bandung city, West Java, from May to July 2016. Thirty elderly (60–81 years old) muscle mass measured using bioelectrical impedance analysis (BIA), handgrip strength using hand dynamometer and walking distance as the parameter of physical performance, using 6-minute walking test. Significant differences found in hand muscle strength (p=0.007), walking distance (p=0.000) after elastic band strengthening exercise, but there were no significant changes in muscle mass (p=0.236) even though the muscle mass increased after 12 weeks of strengthening exercise. In conclusion, additional elastic band strength exercise for regular elderly exercise can increase muscle strength and physical performance. PENGARUH LATIHAN DENGAN PITA ELASTIK TERHADAP PARAMETER SARKOPENIA PADA USILA DI KOMUNITASPenuaan secara fisiologis menyebabkan penurunan massa, kekuatan otot dan/atau keterbatasan aktivitas pada usia lanjut (usila). Penurunan kemampuan otot ini terjadi pada semua usila, baik yang aktif maupun nonaktif sehingga senam usila yang ada dianggap tidak mencukupi untuk mencegah penurunan fungsi yang akan terjadi. Oleh karena itu, diperlukan penambahan latihan kekuatan pada usila seperti latihan kekuatan menggunakan pita elastik. Penelitian ini bertujuan mengetahui pengaruh latihan kekuatan dengan pita elastik selama 12 minggu terhadap massa otot, kekuatan otot, dan performa fisik yang merupakan parameter sarkopenia pada usila. Desain penelitian intervensi dilakukan pada usila di komunitas Kota Bandung, Jawa Barat periode bulan Mei sampai Juli 2016. Sebanyak 30 partisipan (usia 60–81 tahun) diukur massa otot menggunakan bioelectrical impedance analysis (BIA) dan kekuatan otot menggunakan dinamometer tangan, serta uji jalan 6 menit untuk mengukur performa fisik. Perbedaan bermakna ditemukan pada kekuatan otot tangan (p=0,007) dan jarak tempuh jalan (p=0,000) setelah dilakukan latihan kekuatan dengan pita elastik, tetapi tidak didapatkan perbedaan bermakna pada massa otot tangan dan kaki (p=0,236) walaupun terjadi peningkatan massa otot setelah dilakukan latihan selama 12 minggu. Simpulan, penambahan latihan kekuatan dengan pita elastik pada program senam usila meningkatkan secara bermakna kekuatan otot dan performa fisik usila.

scholarly journals Effects of Physical Exercise Programs on Sarcopenia Management, Dynapenia, and Physical Performance in the Elderly: A Systematic Review of Randomized Clinical Trials

2019 ◽  
Vol 2019 ◽  
pp. 1-7 ◽  
Author(s):  
Renato Gorga Bandeira de Mello ◽  
Roberta Rigo Dalla Corte ◽  
Joana Gioscia ◽  
Emilio Hideyuki Moriguchi
Keyword(s):  
Clinical Trials ◽  
Muscle Strength ◽  
Physical Exercise ◽  
Muscle Mass ◽  
Randomized Clinical Trials ◽  
Meta Analysis ◽  
The Elderly ◽  
Muscle Quality ◽  
Exercise Programs ◽  
Pubmed Database

Introduction. Sarcopenia is a prevalent condition in the elderly population, imposing a significant impact over their functional ability as well as their quality of life. Furthermore, it is associated with greater incidence of major geriatric outcomes, as reduced mobility, falls, loss of independence, cognitive impairment, and all-cause mortality. Physical Exercise Programs directed to improve muscle mass and its function may be key to reduce sarcopenia consequences. However, a significant heterogeneity is found in clinical trials, especially as a consequence of different exercise protocols applied to research subjects. Objectives. To access the effects of physical exercise programs compared to no exercise interventions to improve sarcopenia components and its determinants in sarcopenic elder individuals. Methods. A systematic review was conducted in the Pubmed database to identify randomized clinical trials (RCTs) which tested the effects of physical exercise programs to manage sarcopenia components in sarcopenic elder individuals. Two independent reviewers assessed the studies’ eligibility according to specified inclusion criteria in a four-step strategy. Data regarding population characteristics, muscle mass, muscle quality, muscle strength, and muscle function were extracted from each one of the included studies. Assessment of quality and individual studies risk of bias were assessed through Cochrane Risk of Bias Tool®. Assuming theoretical expected heterogeneity among studies, especially regarding different physical exercise programs and different outcome measurements, authors decided to be conservative and present study results in descriptive tables. Results. Search strategy retrieved 298 papers on PubMed database. Three more were identified through manual search, being 301 studies revised for inclusion. 278 were excluded during title/abstract review. After further evaluation of 23 full-texts, 5 RCTs were included. All 5 trials tested the efficacy of isolated exercise programs to improve sarcopenia components in the elderly compared to no physical intervention. Resistance training was the main intervention component in all included trials compared to inactive control groups (health education mainly). Physical training improved muscle strength, muscle quality, and muscle function compared to inactive control groups. Considering muscle mass, no differences were demonstrated. Data meta-analysis was not possible to be performed due to high heterogeneity among trials and small number of studies for each outcome comparison. Conclusion. Heterogeneity among trials and small number of RCTs limited robust conclusions and data meta-analysis. However, resistance training protocols can improve muscle strength and physical performance in elders previously diagnosed with sarcopenia, although its effect size and clinical impact are barely relevant.

scholarly journals Sarcopenia and homocysteine: is there a possible association in the elderly? A narrative review

2021 ◽  
pp. 1-36
Author(s):  
Rachele De Giuseppe ◽  
Chiara Elena Tomasinelli ◽  
Alessandra Vincenti ◽  
Ilaria Di Napoli ◽  
Massimo Negro ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Muscle Mass ◽  
Physical Performance ◽  
Working Group ◽  
The Elderly ◽  
Adverse Outcomes ◽  
Narrative Review ◽  
Increased Risk ◽  
European Working ◽  
Muscle Homeostasis

Abstract Background Sarcopenia (SA) is a progressive skeletal muscle disorder, associated with increased risk of adverse outcomes, including falls, fractures, physical disability and mortality. Several risks factors may contribute to the development of SA in the elderly; among them, nutrition plays a key role in muscle health. The elderly are at risk of inadequate intake in terms of micronutrients affecting muscle-homeostasis, such as B vitamins, related to homocysteine (Hcy) metabolism. Objectives and Methods This narrative review analysed the association between increased Hcy levels and SA, according to the criteria of the International Working Group on Sarcopenia, the European Working Group on Sarcopenia in Older People and the Asian Working Group for Sarcopenia. The authors focused not only on SA per se but also on exploring the association between increased Hcy levels and components of SA, including muscle mass, muscle strength and physical performance. Results Results are inconsistent, except for muscle mass, showing no significant associations with Hcy levels. Conclusions Few and conflicting data emerged in this review on the association between SA and increased Hcy levels due to numerous differences between studies that change the significance of the association of Hcy and SA, as well as with the muscle strength, muscle mass and physical performance. Furthermore, because the ageing process is not uniform in the population due to differences in genetics, lifestyle and general health, chronological age fails to address the observed heterogeneity among the "elderly" of the studies reported in this revision. Therefore, further studies are still needed.

scholarly journals Effects of Resistance Training Program on Muscle Mass and Muscle Strength and the Relationship with Cognition in Older Women

2021 ◽  
Vol 13 (14) ◽  
pp. 7687
Author(s):  
Edgardo Molina-Sotomayor ◽  
Alexis Espinoza-Salinas ◽  
Giovanny Arenas-Sánchez ◽  
Francisco Pradas de la Fuente ◽  
Juan Antonio Leon-Prados ◽  
...  
Keyword(s):  
Resistance Training ◽  
Muscle Strength ◽  
Strength Training ◽  
Older Women ◽  
Muscle Mass ◽  
Dynamic Strength ◽  
Training Programme ◽  
Resistance Training Program ◽  
Muscle Morphology ◽  
Maximal Dynamic Strength

The aim of this study was to study the effects of a resistance training programme on Maximal Dynamic Strength (MDS) and muscle morphology of the upper limbs (UL) and lower limbs (LL), as well as to analyse their association with cognition, in a population of older women. The study had a duration of 24 months and a total of 93 Chilean older women participated. The participants were divided into two groups: the Physical Activity Group (PAG, n = 45, age (X ± SD) 77.93 ± 3.54 years), and the Sedentary Group (SG, n = 48, age (X ± SD) 77.71 ± 3.41 years). The PAG carried out a muscle strength training routine twice per week. The following variables were evaluated: muscle function through maximal dynamic strength (1RM), muscle morphology through arm and calf circumference (AC and CC, respectively), and cognition (Mini Mental State Examination: MMSE). The results show that the SG recorded significant decreases (percent changes; p < 0.05) in the analysed variables: MMSE (−3.5%), MDS in UL (−3.3%), MDS in LL (−4.1%), AC (−4.5%), CC (−4.1%), and BMI (−3.1%). However, the PAG improved significantly in all the analysed variables except in BMI: MMSE (3.9%), MDS in UL (3.6%), MDS in LL (3.5%), AC (1.8%), and CC (2.5%). Moreover, there was a significant association (p < 0.05) between the changes in the muscle strength variables and the changes in cognition level. Therefore, it can be concluded that a two-year muscle strength training programme (load intensity between 30–55% 1RM) in older women improves Maximal Dynamic Strength in UL and LL, as well as muscle mass in arms and calves. Furthermore, it can be asserted that the changes in muscle strength levels could predict the changes in the levels of cognition in older women.

scholarly journals Impact of a three-month resistance training program for elderly persons with knee osteoarthritis residing in the community of Santa Cruz, Rio Grande do Norte, Brazil

2016 ◽  
Vol 19 (6) ◽  
pp. 950-957
Author(s):  
Rosa Sá de Oliveira Oliveira Neta ◽  
◽  
Frank Kleber de Lima Jr. ◽  
Tiago Delfino Paiva ◽  
Mayra Carmem de Medeiros ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Resistance Training ◽  
Muscle Strength ◽  
Elderly Patients ◽  
Knee Osteoarthritis ◽  
Rio Grande ◽  
The Elderly ◽  
Santa Cruz ◽  
Resistance Training Program

Abstract Objective: to evaluate the impact of a three-month resistance exercise program on the pain and functionality of elderly patients with knee osteoarthritis from the city of Santa Cruz, Rio Grande do Norte. Method: a quasi-experimental study was performed with 13 elderly patients diagnosed with knee osteoarthritis, who underwent a resistance training program twice a week for 12 weeks. Pain, muscle strength, functionality, quality of life and patient satisfaction were evaluated using the following instruments: the visual analog scale, one repetition maximum testing, the Western Ontario and McMaster Universities Osteoarthritis Index, the Timed Up and Go Test, the 6-minute walk Test, the Short Form (36) Health Survey and the Likert scale. The paired T-test and ANOVA for repeated measures were used for statistical analysis. Results: the mean age of the patients was 62.0 (±10.0) years. At the end of the study, the pain, muscle strength, functional status and some areas of quality of life of the elderly had improved. Conclusion: resistance exercises were an effective and safe method of improving the pain, muscle strength, functionality and quality of life of the population studied. The elderly should be encouraged to perform supervised strength training therapy.

scholarly journals The Effect of 8-Week Resistance Training and Leucine Supplementation on Protein Synthesis Among Elderly Men With Sarcopenia

2018 ◽  
Vol 3 (2) ◽  
pp. 83-88 ◽  
Author(s):  
Zahra Sadat Pormozafari ◽  
Mohsen Aminaie ◽  
Rohollah Nikooie
Keyword(s):  
Protein Synthesis ◽  
Resistance Training ◽  
Muscle Strength ◽  
Muscle Mass ◽  
Muscle Protein ◽  
Serum Insulin ◽  
The Elderly ◽  
Insulin Concentration ◽  
Elderly Men ◽  
Serum Insulin Concentration

Introduction: The aim of present study was to determine the effect of eight weeks resistance training and the supplementation of leucine on protein synthesis in the elderly men with sarcopenia. Methods: A total of 40 elderly men residing in the elderly nursing center were randomly chosen and divided into four groups including Resistance Training and Leucine Supplement (RTLS=10), Resistance Training (RT=10), Leucine Supplement (LS=10), and Control (C=10). Resistance training was performed 8 weeks with intensity training %35-70 of one repetition maximum (1RM) for 20-45 minutes. The group supplement consumed 3 grams of leucine amino acid in every meal. The serum insulin concentration, urine nitrogen, muscle mass, and muscle strength were measured one day before the protocol and 72 hours after the last training session. Ancova was analyzed within and between group changes. Bonferroni post hoc test was used to determine the difference between every two groups. Results: Results showed that Urine nitrogen and muscle mass levels increased significantly after 8 weeks of RT compared to the C group (p<0.05). Serum insulin concentration increased significantly in the RT group compared with the C group (p<0.05). There was a significant increase in muscle strength in the RT and S group compared to the C group (p<0.05). Conclusion: The results of this study revealed that the muscle protein synthesis increased after resistance training in skeletal muscle. This indicates that the rate of sarcopenia reduced as a result of resistance training. In addition, resistance training along with consuming leucine supplement was effective in improving muscle strength.

Sign in / Sign up

Export Citation Format

Share Document