Abstract
Using an integrative approach, this review highlights the benefits of resistance training toward improvements in functional status, health and quality of life among older adults. Sarcopenia (i.e. muscle atrophy) and loss of strength are known to occur with age. While its aetiology is poorly understood, the multifactorial sequelae of sarcopenia are well documented and present a major public health concern to our aging population, as both the quality of life and the likelihood of age-associated declines in health status are influenced. These age-related declines in health include decreased energy expenditure at rest and during exercise, and increased body fat and its accompanying increased dyslipidaemia and reduced insulin sensitivity. Quality of life is affected by reduced strength and endurance and increased difficulty in being physically active. Strength and muscle mass are increased following resistance training in older adults through a poorly understood series of events that appears to involve the recruitment of satellite cells to support hypertrophy of mature myofibres. Muscle quality (strength relative to muscle mass) also increases with resistance training in older adults possibly for a number of reasons, including increased ability to neurally activate motor units and increased high-energy phosphate availability. Resistance training in older adults also increases power, reduces the difficulty of performing daily tasks, enhances energy expenditure and body composition, and promotes participation in spontaneous physical activity. Impairment in strength development may result when aerobic training is added to resistance training but can be avoided with training limited to 3 days/week.
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References
Sheapard RJ. Aging, physical activity, and health. Champaign (IL): Human Kinetics, 1997
US Center for Health Statistics, 1986–88. Vital statistics. Hyattsville (MD): US Center for Health Statistics, 1993; 10 (182)
Young A, Stokes M, Crowe M. Size and strength of the quadriceps muscle of old and young women. Eur J Clin Invest 1984; 14: 282–7
Rice CL, Cunningham DA, Paterson DH, et al. Strength in an elderly population. Eur J Appl Physiol 1989; 70: 391–7
Larsson L, Grimby G, Karlsson J. Muscle strength and speed of movement in relation to age and muscle morphology. J Appl Physiol 1979; 46: 451–6
Frontera WR, Hughes VA, Lutz KJ, et al. A cross sectional study of muscle strength and mass in 45 to 78 yr old men and women. J Appl Physiol 1991; 71: 644–50
Bruce SA, Newton D, Woledge RC. Effect of age on voluntary force and cross-sectional area of human adductor possicis. Q J Exp Physiol 1989; 74: 359–62
Poehlman E, Toth M, Fonong T. Exercise, substrate utilization and energy requirements in the elderly. Int J Obes 1995; 19: S93–6
Hunter GR, Weinsier RL, Gower BA, et al. Age-related decrease in resting energy expenditure in sedentary white women: effects of regional differences in lean and fat mass. Am J Clin Nutr 2001; 73: 333–7
Keys A, Taylor HL, Grande F. Basal metabolism and age of adult man. Metabolism 1973; 22: 579–87
Poehlman ET, Goran MI, Gardner AW, et al. Determinants of decline in resting metabolic rate in aging females. Am J Physiol 1993; 264: E450–5
Flynn MA, Nolph GB, Baker AS, et al. Total body potassium in aging humans: a longitudinal study. Am J Clin Nutr 1989; 50: 713–7
Shock NW, Watkin DM, Yiengst MJ, et al. Age differences in the water content of the body as related to basal oxygen consumption in males. J Gerontol 1963; 18: 1–8
Fukagawa NK, Bandini LG, Young JB. Effect of age on body composition and resting metabolic rate. Am J Physiol 1990; 259: E233–8
Klausen B, Toubro S, Astrup A. Age and sex effects on energy expenditure. Am J Clin Nutr 1997; 65: 895–907
Morgan JB, York DA. Thermic effect of feeding in relation to energy balance in elderly men. Ann Nutr Metab 1983; 27: 71–7
Visser M, Deurenberg P, van Staveren WA, et al. Resting metabolic rate and diet-induced thermogenesis in young and elderly subjects: relationship with body composition, fat distribution, and physical activity level. Am J Clin Nutr 1995; 61: 772–8
Evans WJ. Effects of exercise on body composition and functional capacity of the elderly. J Gerontol A Biol Sci Med Sci 1995; 50: 147–50
Dutta C. Significance of sarcopenia in the elderly. J Nutr 1997; 127: 992–3S
Evans WJ, Campbell WW. Sarcopenia and age-related changes in body composition and functional capacity. J Nutr 1993; 123: 465–8
Hunter GR, Treuth MS, Weinsier RL, et al. The effects of strength conditioning on older women’s ability to perform daily tasks. J Am Geriatr Soc 1995; 43: 756–60
Marcus R. Relationship of age-related decreases in muscle mass and strength to skeletal status. J Gerontol A Biol Sci Med Sci 1995; 50: 86–7
Landers KA, Hunter GR, Wetzstein CJ, et al. The interrelationship among muscle mass, strength, and the ability to perform physical tasks of daily living in younger and older women. J Gerontol 2001; 56A: B443–8
Klitgaard H, Mantoni M, Schiaffino S, et al. Function, morphology and protein expression of aging skeletal muscle: a cross-sectional study of elderly men with different training backgrounds. Acta Physiol Scand 1990; 140: 41–54
Wheeler J, Woodward C, Ucovich RL, et al. Rising from a chair: influence of age and chair design. Phys Ther 1985; 65: 22–6
Schultz A. Muscle function and mobility echanics in the elderly: an overview of some recent research. J Gerontol A Biol Sci Med Sci 2003; 1995: 60–3
Schulz R, Curnow C. Peak performance and age among super-athletes: track and field, swimming, baseball, tennis, and golf. J Gerontol 1988; 43: P113–20
Jette AM, Branch LG. The Framingham disability study: II. physical disability among the aging. Am J Public Health 1981; 71: 1211–6
Bassey EJ, Bendall MJ, Pearson M. Muscle strength in the triceps surae and objectively measured customary walking activity in men and women over 65 years of age. Clin Sci 1988; 74: 85–9
Fiatarone MA, Marks EC, Ryan ND, et al. High-intensity strength training in nonagenarians: effects on skeletal muscle. JAMA 1990; 263: 3029–34
Backman E, Johansson V, Hager B, et al. Isometric muscle strength and muscular endurance in normal persons aged between 17 and 70 years. Scand J Rehabil Med 1995; 27: 109–17
Lindle RS, Metter EJ, Lynch NA, et al. Age and gender comparisons of muscle strength in 654 women and men aged 20–39 yr. J Appl Physiol 1997; 83: 1581–7
Samson MM, Meeuwsen IB, Crowe A, et al. Relationships between physical performance measures, age, height and body weight in healthy adults. Ageing 2000; 29: 235–42
Hurley BF. Age, gender, and muscular strength. J Gerontol A Biol Sci Med Sci 1995; 50: 41–4
Izquierdo M, Ibanez J, Gorostiaga EM, et al. Maximal strength and power characteristics in isometric and dynamic actions of the upper and lower extremities in middle-aged and older men. Acta Physiol Scand 2000; 167: 57–68
DeVito G, Bernardi M, Forte R, et al. Determinants of maximal instantaneous muscle power in women aged 50–75 years. Eur J Appl Physiol Occup Physiol 1999; 78: 59–64
Martin JC, Farrar RP, Wagner BM, et al. Maximal power across the lifespan. J Gerontol A Biol Sci Med Sci 2000; 55: M311–6
Metter EJ, Conwit R, Tobin J, et al. Age-associated loss of power and strength in the upper extremities in women and men. J Gerontol A Biol Sci Med Sci 1997; 52: B267–76
Caserotti P, Aagaard P, Simonsen EB, et al. Contraction-specific differences in maximal muscle power during stretch-shortening cycle movements in elderly males and females. Eur J Appl Physiol 2001; 84: 206–12
Fried LP, Tangen CM, Walston J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci 2001; 56: M146–56
Proctor DN, Sinning WE, Walro JM, et al. Oxidative capacity of human muscle fiber types: effects of age and training status. J Appl Physiol 1995; 78: 2033–8
Bamman MM, Hill VJ, Adams GR, et al. Gender differences in resistance-training-induced myofiber hypertrophy among older adults. J Gerontol A Biol Sci Med Sci 2003; 58: 108–16
Grimby G. Muscle performance and structure in the elderly as studied cross- sectionally and longitudinally. J Gerontol A Biol Sci Med Sci 1995; 50: 17–22
Lexell J. Human aging, muscle mass, and fiber type composition. J Gerontol A Biol Sci Med Sci 1995; 50: 11–6
Kent-Braun JA, Ng AV, Young K. Skeletal muscle contractile and noncontractile components in young and older women and men. J Appl Physiol 2000; 88: 662–8
Trappe S, Godard M, Gallagher P, et al. Resistance training improves single muscle fiber contractile function in older women. Am J Physiol Cell Physiol 2001; 281: C398–406
Delbono O, O’Rourke KS, Ettinger WH. Excitation-calcium release uncoupling in aged single human skeletal muscle fibers. J Membr Biol 1995; 148: 211–22
Renganathan M, Messi ML, Delbono O. Overexpression of IGF-1 exclusively in skeletal muscle prevents age-related decline in the number of dihydropyridine receptors. J Biol Chem 1998; 273: 28845–51
Kostka T, Arsac LM, Patricot MC, et al. Leg extensor power and dehydroepiandrosterone sulfate, insulin-like growth factor-I and testosterone in healthy active elderly people. Eur J Appl Physiol 2000; 82: 83–90
Lamberts SW, van den Beld AW, van der Lely AJ. The endocrinology of aging. Science 1997; 278: 419–24
Morales AJ, Haubrich RH, Hwang JY, et al. The effect of six months treatment with a 100mg daily dose of dehydroepiandrosterone (DHEA) on circulating sex steroids, body composition and muscle strength in age-advanced men and women. Clin Endocrinol (Oxf) 1998; 49: 421–32
Urban R, Bodenburg Y, Gilkinson C, et al. Testosterone administration to elderly men increases skeletal muscle strength and protein synthesis. Am J Physiol 1995; 269: E820–6
Balagopal P, Rooyackers OE, Adey DB, et al. Effects of aging on in vivo synthesis of skeletal muscle myosin heavy- chain and sarcoplasmic protein in humans. Am J Physiol 1997; 273: E790–800
Proctor DN, Balagopal P, Nair KS. Age-related sarcopenia in humans is associated with reduced synthetic rates of specific muscle proteins. J Nutr 1998; 273: E790–800
Volpi E, Sheffield-Moore M, Rasmussen BB, et al. Basal muscle amino acid kinetics and protein synthesis in healthy young and older men. JAMA 2001; 286: 1206–12
Adams GR, Caiozzo VJ, Haddad F, et al. Cellular and molecular responses to increased skeletal muscle loading after irradiation. Am J Physiol Cell Physiol 2002; 283: C1182–95
Rosenblatt JD, Yong D, Parry DJ. Satellite cell activity is required for hypertrophy of overloaded adult rat muscle. Muscle Nerve 1994; 17: 608–13
Bonavaud S, Thibert P, Gherardi RK, et al. Primary human muscle satellite cell culture: variations of cell yield, proliferation and differentiation rates according to age and sex of donors, site of muscle biopsy, and delay before processing. Biol Cell 1997; 89: 233–40
Owino V, Yang SY, Goldspink G. Age-related loss of skeletal muscle function and the inability to express the autocrine form of insulin-like growth factor-1 (MGF) in response to mechanical overload. FEBS Lett 2001; 505: 259–63
Roth SM, Martel GF, Ivey FM, et al. Skeletal muscle satellite cell populations in healthy young and older men and women. Anat Rec 2000; 260: 351–8
Bornemann A, Maier F, Kuschel R. Satellite cells as players and targets in normal and diseased muscle. Neuropediatrics 1999; 30: 167–75
Schoser BG, Wehling S, Blottner D. Cell death and apoptosis-related proteins in muscle biopsies of sporadic amyotrophic lateral sclerosis and polyneuropathy. Muscle Nerve 2001; 24: 1083–9
Thomas M, Langley B, Berry C, et al. Myostatin, a negative regulator of muscle growth, functions by inhibiting myoblast proliferation. J Biol Chem 2000; 275: 40235–43
Langley B, Thomas M, Bishop A, et al. Myostatin inhibits myoblast differentiation by down-regulating MyoD expression. J Biol Chem 2002; 277: 49831–40
Sharma M, Langley B, Bass J, et al. Myostatin in muscle growth and repair. Exerc Sport Sci Rev 2001; 29: 155–8
McPherron AC, Lee SJ. Double muscling in cattle due to mutations in the myostatin gene. Proc Natl Acad Sci U S A 1997; 94: 12457–61
Lee SJ, McPherron AC. Regulation of myostatin activity and muscle growth. Proc Natl Acad Sci U S A 2001; 98: 9306–11
Corsi AM, Ferrucci L, Gozzini A, et al. Myostatin polymorphisms and age-related sarcopenia in the Italian population. J Am Geriatr Soc 2002; 50: 1483–8
Seibert MJ, Xue QL, Fried LP, et al. Polymorphic variation in the human myostatin (GDF-8) gene and association with strength measures in the Women’s Health and Aging Study II cohort. J Am Geriatr Soc 2001; 49: 1093–6
Ivey FM, Roth SM, Ferrell RE, et al. Effects of age, gender, and myostatin genotype on the hypertrophic response to heavy resistance strength training. J Gerontol A Biol Sci Med Sci 2000; 55: M641–8
Wehling M, Cai B, Tidball JG. Modulation of myostatin expression during modified muscle use. FASEB J 2000; 14: 103–10
Zachwieja JJ, Smith SR, Sinha-Hikim I, et al. Plasma myostatin-immunoreactive protein is increased after prolonged bed rest with low-dose T3 administration. J Gravit Physiol 1999; 6: 11–5
Reardon KA, Davis J, Kapsa RM, et al. Myostatin, insulin-like growth factor-1, and leukemia inhibitory factor mRNAs are upregulated in chronic human disuse muscle atrophy. Muscle Nerve 2001; 24: 893–9
Gonzalez-Cadavid NF, Taylor WE, Yarasheski K, et al. Organization of the human myostatin gene and expression in healthy men and HIV-infected men with muscle wasting. Proc Natl Acad Sci U S A 1998; 95: 14938–43
Welle S, Bhatt K, Shah B, et al. Insulin-like growth factor-1 and myostatin mRNA expression in muscle: comparison between 62–77 and 21–31 yr old men. Exp Gerontol 2002; 37: 833–9
Schulte JN, Yarasheski KE. Effects of resistance training on the rate of muscle protein synthesis in frail elderly people. Int J Sport Nutr Exerc Metab 2001; 11 Suppl.: S111–8
Yarasheski KE, Bhasin S, Sinha-Hikim I, et al. Serum myostatin-immunoreactive protein is increased in 60–92 year old women and men with muscle wasting. J Nutr Health Aging 2002; 6: 343–8
Kawada S, Tachi C, Ishii N. Content in power with resistance training in older and younger power characteristics in isometric and mic actions of the upper and lower extremities in middle-aged and older men. J Muscle Res Cell Motil 2001; 22: 627–33
Argiles JM, Alvarez B, Carbo N, et al. The divergent effects of tumour necrosis factor-alpha on skeletal muscle: implications in wasting. Eur Cytokine Netw 2000; 11(4): 552–9
Li YP, Reid MB. NF-kappaB mediates the protein loss induced by TNF-alpha in differentiated skeletal muscle myotubes. Am J Physiol Regul Integr Comp Physiol 2000; 279: R1165–70
Meadows KA, Holly JM, Stewart CE. Tumor necrosis factor-alpha-induced apoptosis is associated with suppression of insulin-like growth factor binding protein-5 secretion in differentiating murine skeletal myoblasts. J Cell Biol 2000; 183: 330–7
Vescovo G, Ambrosio GB, Dalla LL. Apoptosis and changes in contractile protein pattern in the skeletal muscle in heart failure. Acta Physiol Scand 2001; 171: 305–10
Langen RC, Schols AM, Kelders MC, et al. Inflammatory cytokines inhibit myogenic differentiation through activation of nuclear factor-kappaB. FASEB J 2001; 15: 1169–80
Szalay K, Razga Z, Duda E. TNF inhibits myogenesis and downregulates the expression of myogenic regulatory factors myoD and myogenin. Eur J Cell Biol 1997; 74: 391–8
Greiwe JS, Cheng B, Rubin DC, et al. Resistance exercise decreases skeletal muscle tumor necrosis factor alpha in frail elderly humans. FASEB J 2001; 15: 475–82
Bamman MM, Clarke MSF, Feeback DL, et al. Impact of resistance exercise during bed rest on skeletal muscle sarcopenia and myosin isoform distribution. J Appl Physiol 1998; 84: 157–63
MacDougall JD, Elder GC, Sale DG, et al. Effects of strength training and immobilization on human muscle fibres. Eur J Appl Physiol Occup Physiol 1980; 43: 25–34
Alway SE, Carson JA, Roman WJ. Adaptation in myosin expression of avian skeletal muscle after weighting and un-weighting. J Muscle Res Cell Motil 1995; 16: 11–22
Hespel P, Op’t EB, Van Leemputte M, et al. Oral creatine supplementation facilitates the rehabilitation of disuse atrophy and alters the expression of muscle myogenic factors in humans. J Physiol 2001; 536: 625–33
Barton-Davis ER, Shoturma DI, Musaro A, et al. Viral mediated expression of insulin-like growth factor I blocks the aging-related loss of skeletal muscle function. Proc Natl Acad Sci U S A 1998; 95: 15603–7
McCall G, Allen D, Linderman J, et al. Maintenance of myonuclear domain size in rat soleus after overload and growth hormone/IGF-I treatment. J Appl Phyisiol 1998; 84: 1407–12
Adams G. Role of insulin-like growth factor-I in the regulation of skeletal muscle adaptation to increased loading. Exerc Sport Sci Rev 1998; 26: 31–60
Yablonka-Reuveni Z, Seger R, Rivera AJ. Fibroblast growth factor promotes recruitment of skeletal muscle satellite cells in young and old rats. J Histochem Cytochem 1999; 47: 23–42
Hikida RS, Staron RS, Hagerman FC, et al. Effects of high-intensity resistance training on untrained older men: II. muscle fiber characteristics and nucleo-cytoplasmic relationships. J Gerontol A Biol Sci Med Sci 2000; 55: B347–54
Dupont-Versteegden EE, Houle JD, Gurley CM, et al. Early changes in muscle fiber size and gene expression in response to spinal cord transection and exercise. Am J Physiol 1998; 275: C1124–33
Mozdziak PE, Greaser ML, Schultz E. Myogenin, MyoD, and myosin expression after pharmacologically and surgically induced hypertrophy. J Appl Physiol 1998; 84: 1359–64
Marsh DR, Criswell DS, Carson JA, et al. Myogenic regulatory factors during regeneration of skeletal muscle in young, adult, and old rats. J Appl Physiol 1997; 83: 1270–5
Haddad F, Adams GR. Selected contribution: acute cellular and molecular responses to resistance exercise. J Appl Physiol 2002; 93: 394–403
Tamaki T, Uchiyama S, Uchiyama Y, et al. Limited myogenic response to a single bout of weight-lifting exercise in old rats. Am J Physiol Cell Physiol 2000; 278: C1143–52
Lowe DA, Lund T, Alway SE. Hypertrophy-stimulated myogenic regulatory factor mRNA increases are attenuated in fast muscle of aged quails. Am J Physiol 1998; 275: C155–62
Hameed M, Orrell RW, Cobbold M, et al. Expression of IGF-I Splice variants in young and old human skeletal muscle after high intensity resistance exercise. J Physiol 2003; 547: 247–54
Adams GR. Invited review: autocrine/paracrine IGF-I and skeletal muscle adaptation. J Appl Physiol 2002; 93: 1159–67
Chakravarthy MV, Booth FW, Spangenburg EE. The molecular responses of skeletal muscle satellite cells to continuous expression of IGF-1: implications for the rescue of induced muscular atrophy in aged rats. Int J Sport Nutr 2001; 11: S44–8
Yang S, Alnaqeeb M, Simpson H, et al. Cloning and characterization of an IGF-1 isoform expressed in skeletal muscle subjected to stretch. J Muscle Res Cell Motil 1996; 17: 487–95
Musaro A, Rosenthal N. Maturation of the myogenic program is induced by postmitotic expression of insulin-like growth factor I. Mol Cell Biol 1999; 19: 3115–24
Adams GR, Haddad F, Baldwin KM. Time course of changes in markers of myogenesis in overloaded rat skeletal muscles. J Appl Physiol 1999; 87: 1705–12
Bamman MM, Shipp JR, Jiang J, et al. Mechanical load increases muscle IGFI and androgen receptor mRNA concentrations in humans. Am J Physiol 2001; 280: E383–90
Williamson D, Gallagher P, Harber M, et al. Mitogen-activated protein kinase (MAPK) pathway activation: effects of age and acute exercise on human skeletal muscle. J Physiol 2003; 547(3): 977–87
Brown AB, McCartney N, Sale DG. Positive adaptations to weight lifting training in the elderly. J Appl Physiol 1990; 69: 1725–33
Charette SL, McEvoy L, Pyka G, et al. Muscle hypertrophy response to resistance training in older women. J Appl Physiol 1991; 70: 1912–6
Esmarck B, Andersen JL, Olsen S, et al. Timing of postexercise protein intake is important for muscle hypertrophy with resistance training in elderly humans. J Physiol 2001; 535: 301–11
Frontera WR, Meredith CN, O’Reilly KP, et al. Strength conditioning in older men: skeletal muscle hypertrophy and improved function. J Appl Physiol 1988; 64: 1038–44
Godard MP, Gallagher PM, Raue U, et al. Alterations in single muscle fiber calcium sensitivity with resistance training in older women. Pflugers Arch 2002; 444: 419–25
Hakkinen K, Kraemer WJ, Newton RU, et al. Changes in electromyographic activity, muscle fibre and force production characteristics during heavy resistance/power strength training in middle-aged and older men and women. Acta Physiol Scand 2001; 171: 51–62
Hakkinen K, Newton RU, Gordon SE, et al. Changes in muscle morphology, electromyographic activity, and force production characteristics during progressive strength training in young and older men. J Gerontol A Biol Sci Med Sci 1998; 53: B415–23
Hepple RT, Mackinnon SL, Thomas SG, et al. Quantitating the capillary supply and the response to resistance training in older men. Pflugers Arch 1997; 433: 238–44
Trappe S, Williamson D, Godard M, et al. Effect of resistance training on single muscle fiber contractile function in older men. J Appl Physiol 2000; 89: 143–52
Newton RU, Hakkinen K, Hakkinen A, et al. Mixed-methods resistance training increases power and strength of young and older men. Med Sci Sports Exerc 2002; 34: 1367–75
Pyka G, Lindenberger E, Charette S, et al. Muscle strength and fiber adaptations to a year-long resistance training program in elderly men and women. J Gerontol 1994; 49: M22–7
Singh MA, Ding W, Manfredi TJ, et al. Insulin-like growth factor I in skeletal muscle after weight-lifting exercise in frail elders. Am J Physiol 1999; 277: E135–43
McCarthy JP, Agre JC, Graf BK, et al. Compatibility of adaptive responses with combining strength and endurance training. Med Sci Sports Exerc 1995; 27: 429–36
Taaffe DR, Pruitt L, Pyka G, et al. Comparative effects of high- and low-intensity resistance training on thigh muscle strength, fiber area, and tissue composition in elderly women. Clin Physiol 1996; 16: 381–92
Ferketich AK, Kirby TE, Alway SE. Cardiovascular and muscular adaptations to combined endurance and strength training in elderly women. Acta Physiol Scand 1998; 164: 259–67
Hakkinen K, Pakarinen A, Kraemer WJ, et al. Selective muscle hypertrophy, changes in EMG and force, and serum hormones during strength training in older women. J Appl Physiol 2001; 91: 569–80
Grimby G, Aniansson A, Hedberg M, et al. Training can improve muscle strength and endurance in 78- to 84-year-old men. J Appl Physiol 1992; 73: 2517–23
Larsson L. Physical training effects on muscle morphology in sedentary males at different ages. Med Sci Sports Exerc 1982; 14: 203–6
Taaffe DR, Marcus R. Dynamic muscle strength alterations to detraining and retraining in elderly men. Clin Physiol 1997; 17: 311–24
Hakkinen K, Hakkinen A. Neuromuscular adaptations during intensive strength training in middle-aged and elderly males and females. Electromyogr Clin Neurophysiol 1995; 35: 137–47
Welle S, Totterman S, Thornton CA. Effect of age on muscle hypertrophy induced by resistance training. J Gerontol 1996; 51A: M270–5
Ivey FM, Tracy BL, Lemmer JT, et al. Effects of strength training and detraining on muscle quality: age and gender comparisons. J Gerontol A Biol Sci Med Sci 2000; 55: B152–B157; discussion B158-B152-7; discussion B159
Tracy BL, Ivey FM, Hurlbut D, et al. Muscle quality: II. effects of strength training in 65- to 75-yr-old men and women. J Appl Physiol 1999; 86: 195–201
McMahon CD, Popovic L, Jeanplong F, et al. Sexual dimorphism is associated with decreased expression processed myostatin in males. Am J Physiol 2003; 284: E377–81
Hunter GR, Treuth MS. Relative training intensity and increases in strength in older women. J Strength Cond Res 1995; 9: 188–91
Hunter GR, Wetzstein CJ, McLafferty CL, et al. High resistance versus variable resistance training in older adults. Med Sci Sports Exerc 2001, 63
Earles DR, Judge JO, Gunnarsson OT. Velocity training induces power-specific adaptations in highly functioning older adults. Arch Phys Med Rehabil 2001; 82: 872–8
Ferri A, Scaglioni G, Pousson M, et al. Strength and power changes of the human plantar flexors and knee extensors in response to resistance training in old age. Acta Physiol Scand 2003; 177: 69–78
Fielding RA, LeBrasseur NK, Cuoco A, et al. High-velocity resistance training increases skeletal muscle peak power in older women. J Am Geriatr Soc 2002; 50: 655–62
Jozsi AC, Campbell WW, Joseph L, et al. Changes in power with resistance training in older and younger men and women. J Gerontol A Biol Sci Med Sci 1999; 54: M591–6
Kraemer WJ, Mazzetti SA, Nindl BC, et al. Effect of resistance training on women’s strength/power and occupational performances. Med Sci Sports Exerc 2001; 33: 1011–25
McCartney N, Hicks AL, Martin J, et al. Long-term resistance training in the elderly: effects on dynamic strength, exercise capacity, muscle and bone. J Gerontol A Biol Sci Med Sci 1995; 50: B97–104
Skelton DA, Young A, Greig CA, et al. Effects of resistance training on strength, power, and selected functional abilities of women aged 75 and older. J Am Geriatr Soc 1995; 43: 1081–7
Hakkinen K, Kraemer WJ, Kallinen M, et al. Bilateral and unilateral neuromuscular function and muscle cross-sectional area in middle-aged and elderly men and women. J Gerontol A Biol Sci Med Sci 1996; 51: B21–9
Brooks SV, Faulkner JA. Skeletal muscle weakness in old age: underlying mechanisms. Med Sci Sports Exerc 1994; 26: 432–9
Lynch NA, Metter EJ, Lindle RS, et al. Muscle quality: I. age-associated differences between arm and leg muscle groups. J Appl Physiol 1999; 86: 188–94
Bemben MG. Age-related physiological alterations to muscles and joints and potential exercise interventions for their improvement. J Okla State Med Assoc 1999; 92(1): 13–20
Metter EJ, Lynch N, Conwit R, et al. Muscle quality and age: cross-sectional and longitudinal comparisons. J Gerontol A Biol Sci Med Sci 2003; 54A: B207–18
Vandervoort AA, McComas AJ. Contractile changes in opposing muscles of the human ankle joint with aging. J Appl Physiol 1986; 61: 361–7
Young A, Stokes M, Crowe M. The size and strength of the quadriceps muscles of old and young men. Clin Physiol 1985; 5: 145–54
Davies CTM, Thomas DO, White MJ. Mechanical properties of young and elderly human muscle. Acta Physiol Scand Suppl 1986; 711: 219–26
Reed RL, Pearlmutter L, Yochum K, et al. The relationship between muscle mass and muscle strength in the elderly. J Am Geriatr Soc 1991; 39: 555–61
Treuth MS, Hunter GR, Kekes-Szabo T, et al. Reduction in intra-abdominal adipose tissue after strength training in older women. J Appl Physiol 1995; 78: 1425–31
Hunter GR, Wetzstein CJ, Fields DA, et al. Resistance training increases total energy expenditure and free-living physical activity in older adults. J Appl Physiol 2000; 89: 977–84
Hakkinen K, Alen M, Komi PV. Changes in isometric force- and relaxation-time, electromyographic and muscle fibre characteristics of human skeletal muscle during strength training and detraining. Acta Physiol Scand 1985; 125: 573–85
Hakkinen K, Komi PV. Electromyographic changes during strength training and detraining. Med Sci Sports Exerc 1983; 15: 455–60
Moritani T, De Vries HA. Neural factors versus hypertrophy in the time course of muscle strength gain. Am J Phys Med 1979; 58: 115–30
McCarthy JP, Pozniak MA, Agre JC. Neuromuscular adaptations to concurrent strength and endurance training. Med Sci Sports Exerc 2002; 34: 511–9
Bell G, Syrotuik D, Socha T, et al. Effect of strength training and concurrent strength and endurance training on strength, testosterone, and cortisol. J Strength Cond Res 1997; 11: 57–64
Cress ME, Thomas DP, Johnson J, et al. Effect of training on VO2max, thigh strength, and muscle morphology in septuagenarian women. Med Sci Sports Exerc 1991; 23: 752–8
Narici MV, Hoppeler H, Kayser B. Human quadriceps cross-sectional area, torque and neural activation during 6 months strength training. Acta Physiol Scand 1996; 157: 175–86
Thorstensson A, Karlsson J, Viitasalo JHT, et al. Effect of strength training on EMG of human skeletal muscle. Acta Physiol Scand 1976; 98: 232–6
Phillips SK, Bruce SA, Woledge RC. In mice, the muscle weakness due to age is absent during stretching. J Physiol (Lond) 1991; 437: 63–70
Kawakami Y, Abe T, Kukunaga T. Muscle fiber pennation angles are greater in hypertrophied than in normal muscles. J Appl Physiol 2003; 74: 2740–4
Alnaqeeb MA, Al Zaid NS, Goldspink G. Connective tissue changes and physical properties of developing and ageing skeletal muscle. J Anat 1984; 139: 677–89
Larew K, Hunter GR, Larson-Meyer EE, et al. Muscle metabolic function, exercise performance, and weight gain. Med Sci Sports Exerc 2003; 35: 230–6
Borges O, Essen-Gustavsson B. Enzyme activities in type I and II muscle fibres of human skeletal muscle in relation to age and torque development. Acta Physiol Scand 1989; 136: 29–36
Hunter GR, Newcomer BR, Weinsier RL, et al. Age is independently related to muscle metabolic capacity in premenopausal women. J Appl Physiol 2002; 93: 70–6
Gotshalk LA, Volek JS, Staron RS, et al. Creatine supplementation improves muscular performance in older men. Med Sci Sports Exerc 2002; 34: 537–43
Larson-Meyer DE, Hunter GR, Trowbridge CA, et al. The effect of creatine supplementation on muscle strength and body composition during off-season training in female soccer players. J Strength Cond Res 2000, 434–42
Casey A, Constantin-Teodosiu D, Howell S, et al. Creatine ingestion favorably affects performance and muscle metabolism during maximal exercise in humans. Am J Physiol 1996; 271: E31–7
Kreider RB, Ferreira M, Wilson M, et al. Effects of creatine supplementation on body composition, strength, and sprint performance. Med Sci Sports Exerc 1998; 30: 73–82
Maganaris CN, Maughan RJ. Creatine supplementation enhances maximum voluntary isometric force and endurance capacity in resistance trained men. Acta Physiol Scand 1998; 163: 279–87
McArdle WD, Katch FI, Katch VL. Exercise physiology: energy, nutrition, and human performance. Philadelphia (PA): Lea & Febiger, 1991
Pearson SJ, Young A, Macaluso A, et al. Muscle function in elite master weightlifters. Med Sci Sports Exerc 2002; 7: 1199–206
Weinsier RL, Hunter GR, Zuckerman PA, et al. Energy expenditure and free-living physical activity in black and white women: comparison before and after weight loss. Am J Clin Nutr 2000; 71: 1138–46
Knutzen KM, Brilla L, Caine D, et al. Absolute vs relative machine strength as predictors of function in older adults. J Strength Cond Res 2002; 16: 628–40
Rogers DM, Turley KR, Kujawa Kl, et al. The reliability and variability of running economy in 7-,8-, and 9-year-old children. Pediatr Exerc Sci 1994; 6: 287–96
Heitmann DK, Gossman RR, Shaddeau SA, et al. Balance performance and step width in noninstitutionalized, elderly, female fallers and nonfallers. Phys Ther 1989; 69: 923–31
Millington PJ, Myklebust BM, Shambes GM. Biomechanical analysis of the sit-to-stand motion in elderly persons. Arch Physiol Med Rehab 1992; 73: 609–17
Rogers MA, Evans WJ. Changes in skeletal muscle with aging: effects of exercise training. Exerc Sports Sci Rev 1993; 21: 67–102
Weiner DK, Long R, Hughes MA, et al. When older adults face the chair-rise challenge: a study of chair height availability and height-modified chair-rise performance in the elderly. J Am Geriatr Soc 1993; 41: 6–10
Chandler JM, Hadley EC. Exercise to improve physiological and functional performance in old age. Clin Geriatr Med 1996; 12: 761–84
Conley KE, Jubrias SA, Esselman PC. Oxidative capacity and ageing in human muscle. J Physiol 2000; 526 Pt 1: 203–10
Houmard JA, Seidner ML, Gavigan KE, et al. Fiber type and citrate synthase activity in the human gastrocnemius and vastus lateralis with aging. J Appl Physiol 1998; 85: 1337–41
Kent-Braun JA, Ng AV. Skeletal muscle oxidative capacity in young and older women and men. J Appl Physiol 2000; 89: 1072–8
Papa S. Mitochondrial oxidative phosphorylation changes in the life span: molecular aspects and physiopathological implications. Biochim Biophys Acta 1996; 1276: 87–105
Rooyackers OE, Adey DB, Ades PA, et al. Effect of age on in vivo rates of mitochondrial protein synthesis in human skeletal muscle. Proc Nat Acad Sci U S A 1996; 93: 15364–9
Barazzoni R, Nair KS. Changes in uncoupling protein-2 and -3 expression in aging rat skeletal muscle, liver, and heart. Am J Physiol 2001; 280: E413–9
Holloszy JO, Chen M, Cartee GD, et al. Skeletal muscle atrophy in old rats: differential changes in the three fiber types. Mech Ageing Dev 1991; 60: 199–213
Hughs MA, Myers BS, Schenkman ML. The role of strength in rising from a chair in the functionally impaired elderly. J Biomech 1996; 29: 1509–13
Ratanen T, Avela J. Leg extension power and walking speed in very old people living independently. J Gerontol 1997; 52A: M225–31
Ratanen T, Periie E, Heikkinen E. Maximal isometric knee extension strength and stair-mounting ability in 75- and 80-year-old men and women. Scand J Rehabil Med 1996; 28: 89–93
Weinsier RL, Hunter GR, Desmond RA, et al. Free-living activity energy expenditure in women successful and unsuccessful in maintaining a normal body weight. Am J Clin Nutr 2002; 75: 499–504
Kang J, Robertson RJ, Goss FL, et al. Metabolic efficiency during arm and leg exercise at the same relative intensities. Med Sci Sports Exerc 1997; 29: 377–82
Hunter GR, Wetzstein CJ, McLafferty CL, et al. High-resistance versus variable-resistance training in older adults. Med Sci Sports Exerc 2001; 33: 1759–64
Parker ND, Hunter GR, Treuth MS, et al. Effects of strength training on cardiovascular responses during a submaximal walk and a weight-loaded walking test in older females. J Cardiopulm Rehabil 1996; 16: 56–62
Sauvage LR, Myklebust BM, Crow-Pan J, et al. A clinical trial of strengthening and aerobic exercise to improve gait and balance in elderly male nursing home residents. Am J Phys Med Rehabil 1992; 71: 333–42
Fiatarone MA, O’Neill EF, Ryan ND, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 1994; 330: 1769–75
Frontera WR, Meredith CN, O’Reilly KP, et al. Strength training and determinants of Vo2 max in older men. J Appl Physiol 1990; 68: 329–33
Hickson RC, Dvorak BA, Gorostiaga EM, et al. Potential for strength and endurance training to amplify endurance performance. J Appl Physiol 1988; 65: 2285–90
Stone MH, Wilson GD, Blessing WD, et al. Cardiovascular responses to short-term Olympic style weight-training in young men. Can J Appl Sports Sci 1983; 8: 134–9
Hunter GR, Blackman L, Dunnam L, et al. Bench press metabolic rate as a function of exercise intensity. J Appl Sport Sci Res 1988; 2: 1–6
Hunter GR, Newcomer BR, Larson-Meyer DE, et al. Muscle metabolic economy is inversely related to exercise intensity and type II myofiber distribution. Muscle Nerve 2001; 24: 654–61
Ballard-Barbash R, Schatzkin A, Albanes D, et al. Physical activity and risk of large bowel cancer in the Framingham study. Cancer Res 1990; 50: 3610–3
Westerterp KR. Daily physical activity and ageing. Curr Opin Clin Nutr Metab Care 2000; 3: 485–8
Samaras K, Kelly PJ, Chiano MN, et al. Genetic and environmental influences on total-body and central abdominal fat: the effects of physical activity in female twins. Ann Intern Med 1999; 130: 873–82
Poehlman ET, Toth MJ, Bunyard LB. Physiological predictors of increasing total and central adiposity in aging men and women. Arch Intern Med 1995; 155: 2442–8
Rissanen AM, Heliovaara M, Knekt P, et al. Determinants of weight gain and overweight in adult Finns. Eur J Clin Nutr 1991; 45: 419–30
French SA, Jeffery RW, Forster JL, et al. Predictors of weight change over two years among a population of working adults: the Healthy Worker Project. Int J Obes 1994; 18: 145–54
Klem ML, Wing RR, McGuire MT, et al. A descriptive study of individuals successful at long-term maintenance of substantial weight loss. Am J Clin Nutr 1997; 66: 239–46
McCarthy JP, Bamman MM, Yelle JM, et al. Resistance exercise training and the orthostatic response. Eur J Appl Physiol 1997; 76: 32–40
Pratley R, Nicklas B, Rubin M, et al. Strength training increases resting metabolic rate and norepinephrine levels in healthy 50-to 65-yr-old men. J Appl Physiol 1994; 76: 133–7
Breeder CE, Burrhus KA, Svanevik LS, et al. The effects of either high-intensity resistance or endurance training on resting metabolic rate. Am J Clin Nutr 1992; 55: 802–10
Spady DW, Payne PR, Picou D, et al. Energy balance during recovery from malnutrition. Am J Clin Nutr 1976; 29: 1073–88
Forbes GB, Brown MR, Welle SL, et al. Deliberate overfeeding in women and men: energy cost and composition of the weight gain. Br Nutr J 1986; 56: 1–9
Forbes GB. Human body composition, growth, aging, nutrition, and activity. New York: Springer-Verlag, 1987
Campbell WW, Crim MC, Young VR, et al. Increased energy requirements and changes in body composition with resistance training in older adults. Am J Clin Nutr 1994; 60: 167–75
Treuth MS, Hunter GR, Weinsier RL, et al. Energy expenditure and substrate utilization in older women after strength training: 24 hour metabolic chamber. J Appl Physiol 1995; 78: 2140–6
Goran MI, Poehlman ET. Endurance training does not enhance total energy expenditure in healthy elderly persons. Am J Physiol 1992; 263 (5 Pt 2): E950–7
McLafferty CL, Wetzstein CJ, Hunter GR. Resistance training and mood in older adults. Percept Mot Skills. In press
American College of Sports Medicine. Position stand on exercise and physical activity for older adults. Med Sci Sports Exerc 1998; 30: 992–1008
Tseng BS, Marsh DR, Hamilton MT, et al. Strength and aerobic training attenuate muscle wasting and improve resistance to the development of disability with aging. J Gerontol A Biol Sci Med Sci 1995; 50: 113–9
Mazzeo RS, Tanaka H. Exercise prescription for the elderly: current recommendations. Sports Med 2001; 31: 809–18
Hurley BF, Hagberg JM. Optimizing health in older persons: aerobic or strength training? Exerc Sport Sci Rev 1998; 26: 61–89
Hickson RC. Interference of strength development by simultaneously training for strength and endurance. Eur J Appl Physiol 1980; 45: 255–63
Bell GJ, Syrotuik D, Martin TP, et al. Effect of concurrent strength and endurance training on skeletal muscle properties and hormone concentrations in humans. Eur J Appl Physiol 2000; 81: 418–27
Hennessy LC, Watson AWS. The interference effects of training for strength and endurance simultaneously. J Strength Cond Res 1994; 8: 12–9
Hunter GR, Demment R, Miller D. Development of strength and maximum volume uptake during simultaneous training for strength and endurance. J Sports Med Phys Fitness 1987; 27: 269–75
Kraemer WJ, Patton JF, Gordon SE, et al. Compatibility of high-intensity strength and endurance training on hormonal and skeletal muscle adaptations. J Appl Physiol 1995; 78: 976–89
Hakkinen K, Alen M, Kremer WJ, et al. Neuromuscular adaptations during concurrent strength and endurance training versus strength training. Eur J Appl Physiol 2003; 89: 42–52
Wood RH, Reyes R, Welsch MA, et al. Concurrent cardiovascular and resistance training in healthy older adults. Med Sci Sports Exerc 2001; 33: 1751–8
Nelson AG, Arnall DA, Loy SF, et al. Consequences of combining strength and endurance training regimens. Phys Ther 1990; 70: 287–94
Cress ME, Buchner DM, Questad KA, et al. Exercise effects on physical functional performance in independent older adults. J Gerontol A Biol Sci Med Sci 1999; 54: M242–8
Fragnoli-Munn K, Savage PD, Ades PA. Combined resistive-aerobic training in older patients with coronary artery disease early after myocardial infarction. J Cardiopulm Rehabil 1998; 18: 416–20
Meuleman JR, Brechue WF, Kubilis PS, et al. Exercise training in the debilitated aged: strength and functional outcomes. Arch Phys Med Rehabil 2000; 81: 312–8
Home L, Bell G, Fisher B, et al. Interaction between cortisol and tumour necrosis factor with concurrent resistance and endurance training. Clin J Sport Med 1997; 7: 247–51
Sale DG, MacDougall JD, Jacobs I, et al. Interaction between concurrent strength and endurance training. J Appl Physiol 1990; 68: 260–70
Beniamini Y, Rubenstein JJ, Faigenbaum AD, et al. High-intensity strength training of patients enrolled in an outpatient cardiac rehabilitation program. J Cardiopulm Rehabil 1999; 19: 8–17
Hoff J, Helgerud J, Wisloff U. Endurance training into the next millennium; muscular strength training effects on aerobic endurance performance: a review. Am J Med Sports 2002; 4: 58–67
Hoff J, Gran A, Helgerud J. Maximal strength training improves aerobic endurance performance. Scand J Med Sci Sports 2002; 12: 288–95
Osteras H, Helgerud J, Hoff J. Maximal strength-training effects on force-velocity and force-power relationships explain increases in aerobic performance in humans. Eur J Appl Physiol 2002; 88: 255–63
Hickson RC, Dvorak BA, Gorostiaga EM, et al. Potential for strength and endurance training to amplify endurance performance. J Appl Physiol 1988; 65: 2285–90
Ades PA, Bailor DL, Ashikaga T, et al. Weight training improves walking endurance in healthy elderly persons. Ann Intern Med 1996; 124: 568–72
Rhea MR, Alvar BA, Burkett LN, et al. A meta-analysis to determine the dose response for strength development. Med Sci Sports Exerc 2003; 35: 456–64
Acknowledgements
The UAB studies were supported by NIH (R01DK 49779, R01 DK51684, and R01 AG17896), Ralph L. Smith Foundation, the General Clinical Research Center (M01-RR00032), the Clinical Nutrition Research Unit (P30-DK56336), the University-Wide Clinical Nutrition Research Center and the UAB Center for Aging, Stouffer’s Lean Cuisine entrees were provided by the Nestle Food Co, Solon, OH. The authors have no conflicts of interest that are directly relevant to the content of this review.
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Hunter, G.R., McCarthy, J.P. & Bamman, M.M. Effects of Resistance Training on Older Adults. Sports Med 34, 329–348 (2004). https://doi.org/10.2165/00007256-200434050-00005
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DOI: https://doi.org/10.2165/00007256-200434050-00005