Declines in maximal aerobic power and skeletal muscle force production with advancing age are examples of functional declines with aging, which can severely limit physical performance and independence, and are negatively correlated with all cause mortality. It is well known that both endurance exercise and resistance training can substantially improve physical fitness and health-related factors in older individuals. Circuit-based resistance training, where loads are lifted with minimal rest, may be a very effective strategy for increasing oxygen consumption, pulmonary ventilation, strength, and functional capacity while improving body composition. In addition, circuit training is a time-efficient exercise modality that can elicit demonstrable improvements in health and physical fitness. Hence, it seems reasonable to identify the most effective combination of intensity, volume, work to rest ratio, weekly frequency and exercise sequence to promote neuromuscular, cardiorespiratory and body composition adaptations in the elderly. Thus, the purpose of this review was to summarize and update knowledge about the effects of circuit weight training in older adults and elderly population, as a starting point for developing future interventions that maintain a higher quality of life in people throughout their lifetime.
The purpose of the present systematic review and meta-analysis was to explore the effects of transcranial direct current stimulation (tDCS) on endurance (i.e., time to task failure (TTF)) and maximal voluntary contraction (MVC). Furthermore, we aimed to analyze whether the duration of stimulation, the brain region targeted for stimulation, and the task performed could also influence motor performance. We performed a systematic literature review in the databases MEDLINE and Web of Science. The short-term effects of anodal tDCS and sham stimulation (placebo) were considered as experimental and control conditions, respectively. A total of 31 interventions were included (MVC = 13; TTF = 18). Analysis of the strength-related tDCS studies showed small improvements in the MVC (SMD = 0.19; 95% CI = −0.02, 0.41; p = 0.08). However, the results of the endurance-related interventions indicated a moderate effect on TTF performance (SMD = 0.26; 95% CI = 0.07, 0.45; p = 0.008). Furthermore, the sub-analysis showed that anodal tDCS over M1 and stimulation durations longer than 10 min produced the best results in terms of TTF performance enhancement. Additionally, the effects of anodal tDCS were larger during full body exercises (i.e., cycling) when compared to uniarticular tasks. In conclusion, the current meta-analysis indicated that anodal tDCS leads to small and moderate effects on MVC and TTF, respectively.
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