Effects of Progressive Resistance Training on Body Composition in Frail Older Adults: Results of a Randomized, Controlled Trial

Binder, Ellen F.; Yarasheski, Kevin E.; Steger-May, Karen; Sinacore, David R.; Brown, Mark G.; Schechtman, Kenneth B.; Holloszy, John O.

doi:10.1093/gerona/60.11.1425

Cited by 237 publications

(195 citation statements)

References 33 publications

Supporting

Mentioning

169

Contrasting

Unclassified

Order By: Relevance

“…Reviewing the literature for exercise-induced LBM changes in subjects 50 years and older (Peterson et al 2011) as assessed by DXA shows that WB-EMS effects were well within the range of conventional exercise effects in elderly cohorts. Even with a focus on high-intensity exercise protocols (>70 % 1RM) (Ades 2001;Binder et al 2005;Marques et al 2011b;Nelson et al 1996), no relevant differences can be noted. A direct comparison of the present WB-EMS results and data of our recent 18-month Senior Fitness and Prevention (SEFIP) trial (Kemmler et al 2010c), which also applied an intense resistance protocol using identical methods and a comparable cohort of community living elderly women (69±4 years) who were however less lean (BMI, 26±4 kg/m 2 ), revealed comparable net effects (WB-EMS vs. CG) for ASMM (WB-EMS, 294 g vs. SEFIP, 299 g) and LBM (WB-EMS, 568 g vs. SEFIP, 509 g).…”

Section: Discussionmentioning

confidence: 98%

Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the Training and ElectroStimulation Trial (TEST-III)

Kemmler

Bębenek

Engelke

et al. 2013

AGE

152

View full text Add to dashboard Cite

Most studies have confirmed the positive impact of resistance training on muscle mass and functional capacity in aging adults. However, due to physical limitation or a simple aversion against regular exercise, the majority of elderly subjects do not reach the exercise doses recommended for impacting strength or muscle mass. This led us to evaluate the effect of whole-body electromyostimulation (WB-EMS), a novel, timeefficient and smooth training technology, on body composition with special regard to sarcopenia. Seventy-six lean, non-sportive women (75±4 years) were randomly assigned to either a WB-EMS group (WB-EMS, n=38) that performed 18 min of WB-EMS (bipolar, 85 Hz) 3 sessions in 14 days (1.5 sessions/week) or a semi-active control group (aCG, n=38). Body composition was assessed by dual-energy X-ray absorptiometry and maximum strength was evaluated using isometric techniques for trunk and legs. After 54 weeks of intervention, significant inter-group differences were determined for appendicular skeletal muscle mass (WB-EMS, 0.4±2.2 % vs. aCG, −1.5±3.1 %; p=0.009), lean body mass (WB-EMS, 0.8±1.8 % vs. aCG, −0.8±2.7 %; p=0.008) and maximum isometric strength (leg extensors, 9.8±12.9 % vs. 0.2±10.4 %; p=0.003; trunk extensors, 10.1±12.7 vs. −1.6±8.6 %; p=0.001). Although borderline significant for abdominal fat mass (WB-EMS, −2.9±8.3 vs. aCG, 1.5±10.7 %; p=0.069), differences did not reach statistically significant levels for body fat parameters. Considering the clinical effectiveness for impacting sarcopenia and the good acceptance of this technology by this non-sportive cohort of elderly women, we conclude that for elderly subjects unable or unwilling to perform dynamic strength exercises, electromyostimulation may be a less off-putting alternative to maintain lean body mass and strength.

show abstract

Section: Discussionmentioning

confidence: 98%

Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the Training and ElectroStimulation Trial (TEST-III)

Kemmler

Bębenek

Engelke

et al. 2013

AGE

152

View full text Add to dashboard Cite

show abstract

“…Several randomized clinical trials have demonstrated the positive effects of specific physical activity programs in diseased or frail older adults (Ettinger et al 1997;Chin et al 2008;Daniels et al 2008;Binder et al 2005;Messier et al 2000). For example, in FAST study (Ettinger et al 1997), a randomized trial conducted among 439 community dwelling older adults with knee osteoarthritis, selfreported physical function was significantly improved among those participating in an 18-months aerobic exercise training or resistance exercise training program, as opposed to those participating in a health Exacerbation of underlying joint disease education program.…”

Section: Physical Activity and Functional Impairmentmentioning

confidence: 99%

Moving against frailty: does physical activity matter?

et al. 2010

View full text Add to dashboard Cite

Frailty is a common condition in older persons and has been described as a geriatric syndrome resulting from age-related cumulative declines across multiple physiologic systems, with impaired homeostatic reserve and a reduced capacity of the organism to resist stress. Therefore, frailty is considered as a state of high vulnerability for adverse health outcomes, such as disability, falls, hospitalization, institutionalization, and mortality. Regular physical activity has been shown to protect against diverse components of the frailty syndrome in men and women of all ages and frailty is not a contra-indication to physical activity, rather it may be one of the most important reasons to prescribe physical exercise. It has been recognized that physical activity can have an impact on different components of the frailty syndrome. This review will address the role of physical activity on the most relevant components of frailty syndrome, with specific reference to: (i) sarcopenia, as a condition which frequently overlaps with frailty; (ii) functional impairment, considering the role of physical inactivity as one of the strongest predictors of physical disability in elders; (iii) cognitive performance, including evidence on how exercise and physical activity decrease the risk of early cognitive decline and poor cognition in late life; and (iv) depression by reviewing the effect of exercise on improving mood and increasing positive well-being.

show abstract

“…In 2012, Stenholm et al reported that lifestyle (e.g., education, leisure time and work-related physical activity, smoking behavior, alcohol consumption), and physical health (e.g., chronic conditions such as hypertension, coronary heart disease, cardiovascular disease, or diabetes mellitus) earlier in life determine the rate of muscle strength decline (measured as handgrip strength) in old age (Stenholm et al 2012). Furthermore, various studies have evidenced that nutritional supplementation-such as vitamin D or protein intake-and exercise interventions can have a beneficial effect on muscle strength and physical performance, even in older populations (Bonnefoy et al 2003;Binder et al 2005;Chale-Rush et al 2010;Pahor et al 2014;Cesari et al 2015). In 2015, Sahni et al found a significantly higher leg lean mass in both males (n = 1166, age 60.2 ± 9.3 years) and females (n = 1509, age 59.0 ± 9.3 years) in the highest quartile of total protein and animal protein intake compared with those in the lowest quartiles (Sahni et al 2015).…”

Section: Introductionmentioning

confidence: 99%

Age-related decline in muscle mass and muscle function in Flemish Caucasians: a 10-year follow-up

Charlier

Knaeps

Mertens

et al. 2016

AGE

View full text Add to dashboard Cite

Aging is a complex process that is accompanied with changes in both muscle mass and muscle function (strength and performance). Therefore, the current longitudinal study aimed to provide a better insight in 10-year aging-related changes in whole-body muscle mass and strength performance of the leg extensors during the adult life span. Data were gathered within the framework of the first- (2002-2004: baseline) and third-generation Flemish Policy Research Center Sport (2012-2014: follow-up). Results are based on muscle characteristics data of 591 Flemish Caucasian adults (19-73 years, 381 men). Skeletal muscle mass (SMM) was determined with bioelectrical impedance analysis. Biodex Medical System 3® dynamometer was used to measure isometric (PT static120°) and isokinetic (PT dynamic60°a nd PT dynamic240°) strength, ballistic movement speed (S 20 % ), and muscular endurance (work) of the knee extensors. Overall strength performance was higher at both evaluation moments in men compared to women (p < 0.01). But only S 20 % declined significantly faster in men compared to women (p < 0.01). Age and baseline strength performance were negatively related with the change in strength performance, even when corrected for SMM, protein intake, and energy expenditure during sports (E sport ). In conclusion, strength performance was not associated with E sport in this study, but protein intake was associated with isometric strength in men, and with ballistic and isokinetic strength in women. Changes in S 20 % were significantly greater in men compared to women. Baseline values of strength performance and age were associated with changes in strength performance parameters, even after correction for SMM, protein intake, and E sport .

show abstract

Effects of Progressive Resistance Training on Body Composition in Frail Older Adults: Results of a Randomized, Controlled Trial

Abstract: Three months of supervised PRT induced improvements in maximal voluntary thigh muscle strength and whole body FFM in frail, community-dwelling elderly women and men. This supervised exercise program may not be sufficient to reduce whole-body or intra-abdominal fat area in this population.

Cited by 237 publications

References 33 publications

Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the Training and ElectroStimulation Trial (TEST-III)

Impact of whole-body electromyostimulation on body composition in elderly women at risk for sarcopenia: the Training and ElectroStimulation Trial (TEST-III)

Moving against frailty: does physical activity matter?

Age-related decline in muscle mass and muscle function in Flemish Caucasians: a 10-year follow-up

Contact Info

Product

Resources

About