International resistance training recommendations for older adults: Implications for the promotion of healthy aging in Spain
Keywords:Guidelines resistance exercise, Europe, Exercise recommendations, Aging, Elderly people
The publication of the American College of Sport Medicine (ACSM) Position Stand on Physical Activity and Exercise for Older Adults and the release of the US Government Physical Activity Guidelines for Americans have emphasized the need for the development of national guidelines for the promotion of appropriate physical activity levels. Similar efforts are being conducted in many different countries. Due to the rapid aging of the world population, it is important to develop evidence-based recommendations regarding lifestyle activities known to decreased chronic disease and promote functional independence. It is increasing apparent that both aerobic and resistance type of physical activity are needed. The European Union has strongly advised its member states to adopt a series of physical activity recommendations, which have been developed to promote physical activity as a major goal of public health. In Spain several measures are being introduced on this subject. One of the main aspects of this paper is to examine current international guidelines regarding strength training for older adults. Recommendations for future action are included.
Ackermann, R., Cheadle, A., Sandhu, N., Madsen, L., Wagner, E., Logerfo, J. (2003) Community exercise program use and changes in healthcare costs for older adults. American Journal of Preventive Medicine, 25(3): 232-237. https://doi.org/10.1016/S0749-3797(03)00196-X
American College of Sports Medicine. Position statement on the recommended quantity and quality of exercise for developing and maintaining fitness in healthy adults. Medicine and science in sports and exercise. 1978;10(3):vii-x.
Arguelles, I., Forga, L., Izquierdo, M., Gorostiaga, E., Fuentes, C., Ibanez, J., & Rivero, A. (2004). Progressive resistance training (PRT) decreases abdominal fat and improves insulin sensitivity in Type 2 diabetic older men. Diabetologia, 47, 677.
Asikainen, T. M., Kukkonen-Harjula, K., & Miilunpalo, S. (2004). Exercise for health for early postmenopausal women - A systematic review of randomised controlled trials. Sports medicine, 34(11), 753-778. https://doi.org/10.2165/00007256-200434110-00004
Australian Government (2006). Physical Activity Recommendations for Older Australians Retrieved 5 May, 2011, from http://www.health.gov.au/internet/main/publishing.nsf/content/health-pubhlth-strateg-phys-act-guidelines.
Bean, J. F., Kiely, D. K., LaRose, S., Goldstein, R., Frontera, W. R., & Leveille, S. G. (2010). Are Changes in Leg Power Responsible for Clinically Meaningful Improvements in Mobility in Older Adults? Journal of the American Geriatrics Society, 58(12), 2363-2368. https://doi.org/10.1111/j.1532-5415.2010.03155.x
Bean, J. F., Kiely, D. K., LaRose, S., O'Neill, E., Goldstein, R., & Frontera, W. R. (2009). Increased Velocity Exercise Specific to Task Training Versus the National Institute on Aging's Strength Training Program: Changes in Limb Power and Mobility. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 64(9), 983-991. https://doi.org/10.1093/gerona/glp056
Bull, F. C., & the Expert Working Group. (2010). Physical activity guidelines in the U.K.: Review and recommendations. Leicestershire, UK.: School of Sport, Exercise, and Health Sciences. Loughborough University.
British Heart Foundation (2008). Guidelines for the promotion of physical activity with older people. Retrieved 5 May, 2011, from http://www.bhf.org.uk/
Campos, G., Luecke, T., Wendeln, H., Toma, K., Hagerman, F., & Murray, T. (2002). Muscular adaptations in response to three different resistance-training regimens: specificity of repetition maximum training zones. European journal of applied physiology, 88(1-2), 50-60. https://doi.org/10.1007/s00421-002-0681-6
Caserotti, P., Aagaard, P., & Puggaard, L. (2008). Changes in power and force generation during coupled eccentric-concentric versus concentric muscle contraction with training and aging. European journal of applied physiology, 103(2), 151-161. https://doi.org/10.1007/s00421-008-0678-x
Chodzko-Zajko, W., Proctor, D., Singh, M., Minson, C., Nigg, C., & Salem, G. (2009). Exercise and Physical Activity for Older Adults. Medicine and science in sports and exercise, 41(7), 1510-1530. https://doi.org/10.1249/MSS.0b013e3181a0c95c
de Souza, E., & Luz, M. (2011). A critical analysis of research guidelines in Chinese medicine. Historia Ciencias Saude, 18(1), 155-174. https://doi.org/10.1590/S0104-59702011000100010
Department of Health South Africa (2000). Guideline for the promotion of active ageing in older adult at primari level Retrieved 7 May, from http://www.capegateway.gov.za/Text/2003/ageing.pdf
Doherty, T. J. (2003). Aging and sarcopenia. Journal of Applied Physiology, 95(4), 1717-1727. https://doi.org/10.1152/japplphysiol.00347.2003
Drinkwater, B. C., Grimston, S. K., Raab-Cullen, D. M., & Snow-Harter, C. M. (1995). ACSM position stand on osteoporosis and exercise. Medicine & Science in Sports & Exercise, 24(4), i-vii.
INE: Instituto Nacional de Estadistica (2011). Demografia y población. Retrieved Marc/21, 2011, from http://www.ine.es/
Evans, W. J. (1995). What is the Sarcopenia. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 50, 5-8. https://doi.org/10.1093/gerona/50A.Special_Issue.5
Fiatarone-Singh, M. A., Lloyd, B., Hansen, R., Finnegan, T., Allen, B., & Singh, N. (2008). Functional performance/falls and mobility methodology and baseline characteristics for the sarcopenia and hip fracture (SHIP) study: a one-year prospective study. Gerontologist, 48, 99-100.
Frontera, W. R. (2006). Strengthening exercise in elderly. Medicina Dello Sport, 59(4), 449-450.
Frontera, W. R., Hughes, V. A., Fielding, R. A., Fiatarone, M. A., Evans, W. J., & Roubenoff, R. (2000). Aging of skeletal muscle: a 12-yr longitudinal study. Journal of Applied Physiology, 88(4), 1321-1326.
Frontera, W. R., Reid, K. F., Phillips, E. M., Krivickas, L. S., Hughes, V. A., Roubenoff, R., & Fielding, R. A. (2008). Muscle fiber size and function in elderly humans: a longitudinal study. Journal of Applied Physiology, 105(2), 637-642. https://doi.org/10.1152/japplphysiol.90332.2008
Hass, C., Feigenbaum, M., & Franklin, B. (2001). Prescription of resistance training for healthy populations. Sports medicine, 31(14), 953-964. https://doi.org/10.2165/00007256-200131140-00001
Haskell, W.L., Lee, I.M., Pate, R.R., et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39(8): 1423-34. https://doi.org/10.1249/mss.0b013e3180616b27
Izquierdo, M., Hakkinen, K., Anton, A., Garrues, M., Ibanez, J., Ruesta, M., & Gorostiaga, E. M. (2001). Maximal strength and power, endurance performance, and serum hormones in middle-aged and elderly men. Medicine and science in sports and exercise, 33(9), 1577-1587. https://doi.org/10.1097/00005768-200109000-00022
Izquierdo, M., Hakkinen, K., Ibanez, J., Garrues, M., Anton, A., Zuniga, A., . . . Gorostiaga, E. M. (2001). Effects of strength training on muscle power and serum hormones in middle-aged and older men. Journal of Applied Physiology, 90(4), 1497-1507.
Izquierdo, M., Hakkinen, K., Ibanez, J., Kraemer, W., & Gorostiaga, E. (2005). Effects of combined resistance and cardiovascular training on strength, power, muscle cross-sectional area, and endurance markers in middle-aged men. European journal of applied physiology, 94(1-2), 70-75. https://doi.org/10.1007/s00421-004-1280-5
Izquierdo, M., Ibanez, J., Gorostiaga, E., Garrues, M., Zuniga, A., Anton, A., . . . Hakkinen, K. (1999). Maximal strength and power characteristics in isometric and dynamic actions of the upper and lower extremities in middle-aged and older men. Acta Physiologica Scandinavica, 167(1), 57-68. https://doi.org/10.1046/j.1365-201x.1999.00590.x
Izquierdo, M., Martinez-Ramirez, A., Larrion, J., Irujo-Espinosa, M., & Gomez, M. (2008). Functional capacity evaluation in a clinical and ambulatory setting: new challenges of accelerometry to assessment balance and muscle power in aging population. Anales del sistema sanitario de Navarra, 31(2), 159-170.
James, M., & Carroll, S. (2006). High-intensity resistance training and postmenopausal bone loss: a meta-analysis. Osteoporosis International, 17(8), 1225-1240. https://doi.org/10.1007/s00198-006-0083-4
James, M., & Carroll, S. (2009). A meta-analysis of impact exercise on postmenopausal bone loss: the case for mixed loading exercise programmes. British Journal of Sports Medicine, 43(12), 898-908. https://doi.org/10.1136/bjsm.2008.052704
James, M., Duffield, L., & Carroll, S. (2010). High and low-intensity resistance training for postmenopausal bone: an updated meta-analysis. Osteoporosis International, 21, 173-173.
Kato, Y., Kawakami, O., & Ohta, T. (2006). Physical activity and healthy aging in elderly people. Japanese Journal of Physical Fitness and Sports Medicine, 55(2), 191-206. https://doi.org/10.7600/jspfsm.55.191
Kraemer, W., Adams, K., Cafarelli, E., Dudley, G., Dooly, C., & Feigenbaum, M. (2002). Joint Position Statement: progression models in resistance training for healthy adults. Medicine and science in sports and exercise, 34(2), 364-380. https://doi.org/10.1097/00005768-200202000-00027
Kraemer, W., & Ratamess, N. (2004). Fundamentals of resistance training: Progression and exercise prescription. Medicine and science in sports and exercise, 36(4), 674-688. https://doi.org/10.1249/01.MSS.0000121945.36635.61
Lee, I., & Buchner, D. (2008). The importance of walking to public health. Medicine and science in sports and exercise, 40(Supplement), S512-S518. https://doi.org/10.1249/MSS.0b013e31817c65d0
Leite, R. D., Prestes, J., Pereira, G. B., Shiguemoto, G. E., & Perez, S. E. A. (2010). Menopause: Highlighting the Effects of Resistance Training. International Journal of Sports Medicine, 31(11), 761-767. https://doi.org/10.1055/s-0030-1263117
Lloyd, B. D., Fiatarone-Singh, M., Singh, N., Hansen, R., Finnegan, T., & Allen, B. (2008). recurrent and injurious falls in the year following hip fracture: a prospective study of incidence and risk factors from the sarcopenia and hip fracture (SHIP) study. Gerontologist, 48, 100-100.
Lloyd, B. D., Williamson, D. A., Singh, N. A., Hansen, R. D., Diamond, T. H., Finnegan, T. P., . . . Fiatarone Singh, M. A. (2009). Recurrent and Injurious Falls in the Year Following Hip Fracture: A Prospective Study of Incidence and Risk Factors From the Sarcopenia and Hip Fracture Study. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 64(5), 599-609. https://doi.org/10.1093/gerona/glp003
Martinson, B., Crain, A., Pronk, N., O'Connor, P., & Maciosek, M. (2003). Changes in physical activity and short-term changes in health care charges: a prospective cohort study of older adults. Preventive medicine, 37(4), 319-326. https://doi.org/10.1016/S0091-7435(03)00139-7
Mazzeo, R. S., & Tanaka, H. (2001). Exercise prescription for the elderly - Current recommendations. Sports medicine, 31(11), 809-818. https://doi.org/10.2165/00007256-200131110-00003
Nelson, M., Rejeski, W., Blair, S., Duncan, P., Judge, J., King, A. (2007). Physical activity and public health in older adults - Recommendation from the American college of sports medicine and the American heart association. Circulation, 116(9), 1094-1105. https://doi.org/10.1161/CIRCULATIONAHA.107.185650
Nicola, F. (2011). Dose-response relationship of resistance training in older adults: A meta-analysis. British Journal of Sports Medicine, 45(3), 233-234. https://doi.org/10.1136/bjsm.2010.083246
Ohta, T., Tabata, I., & Mochizuki, Y. (1999). Japanese national physical activity and health promotion guidelines. Journal of aging and physical activity, 7(3), 231-246. https://doi.org/10.1123/japa.7.3.231
Pate, R.; Pratt, M.; Blair, S.; Haskell, W.; Macera, C.; Bouchard, C.; Buchner, D.; Ettinger, W.; Heath, G.; King, A.; Kriska, A.; Leon, A.; Marcus, B.; Morris, J.; Paffenbarger, R.; Patrick K.; Pollock, M.; Rippe, J.; Sallis, J.; Wilmore, J. (1995) Physical Activity and Public Health. A Recommendation From the Centers for Disease Control and Prevention and the American College of Sports Medicine. JAMA, 273(5):402-407). https://doi.org/10.1001/jama.1995.03520290054029
Peterson, M. D., Rhea, M. R., Sen, A., & Gordon, P. M. (2010). Resistance exercise for muscular strength in older adults: A meta-analysis. Ageing research reviews, 9(3), 226-237. https://doi.org/10.1016/j.arr.2010.03.004
Pollock, M., Gaesser, G., Butcher, J., Despres, J., Dishman, R., & Franklin, B. (1998). The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Medicine and science in sports and exercise, 30(6), 975-991. https://doi.org/10.1097/00005768-199806000-00032
Queiroz, A., Kanegusuku, H., & Forjaz, C. (2010). Effects of Resistance Training on Blood Pressure in the Elderly. Arquivos Brasileiros de Cardiologia, 95(1), 135-140. https://doi.org/10.1590/S0066-782X2010001100020
Roubenoff, R., & Hughes, V. A. (2000). Sarcopenia: Current concepts. Journals of Gerontology Series a-Biological Sciences and Medical Sciences, 55(12), M716-M724. https://doi.org/10.1093/gerona/55.12.M716
Sandstrom, L., & Stahle, A. (2005). Rehabilitation of elderly with coronary heart disease - Improvement in quality of life at a low cost. Advances in physiotherapy, 7(2), 60-66. https://doi.org/10.1080/14038190510010287
Sharratt, M. T. (2007). Canada's physical activity guides: Background, process, and development. Applied physiology, nutrition, and metabolism, 32(SUPPL. 2E), S9-S15. https://doi.org/10.1139/H07-124
Sims, J., Hill, K., Hunt, S., & Haralambous, B. (2009). Physical activity recommendations for older Australians. Australasian journal on ageing, 29(2), 81-87. https://doi.org/10.1111/j.1741-6612.2009.00388.x
Steib, S. (2010). Dose-response relationship of resistance training in older adults: A meta-analysis. Medicine and science in sports and exercise, 42(5), 902-914. https://doi.org/10.1249/MSS.0b013e3181c34465
Tremblay, M. S., Warburton, D. E. R., Janssen, I., Paterson, D. H., Latimer, A. E., Rhodes, R. E., . . . Duggan, M. (2011a). New Canadian directives on physical activity matters. Applied Physiology Nutrition and Metabolism-Physiologie Appliquee Nutrition Et Metabolisme, 36(1), 47-58. https://doi.org/10.1139/H11-010
Tremblay, M. S., Warburton, D. E. R., Janssen, I., Paterson, D. H., Latimer, A. E., Rhodes, R. E., . . . Duggan, M. (2011b). New Canadian Physical Activity Guidelines. Applied Physiology Nutrition and Metabolism-Physiologie Appliquee Nutrition Et Metabolisme, 36(1), 36-46. https://doi.org/10.1139/H11-009
USDHHS (2008). Physical activity guidelines for Americans. Retrieved 5 May, 2011, from http://www.health.gov/PAGuidelines/
Visvanathan, R., & Chapman, I. (2010). Preventing sarcopaenia in older people. Maturitas, 66(4), 383-388. https://doi.org/10.1016/j.maturitas.2010.03.020
Warburton, D., Janssen, I., Paterson, D., Latimer, A., Rhodes, R., & Tremblay, M. (2011a). New Canadian directives on physical activity matters. Applied physiology, nutrition, and metabolism, 36(1), 47.
Warburton, D., Janssen, I., Paterson, D., Latimer, A., Rhodes, R., & Tremblay, M. (2011b). New Canadian Physical Activity Guidelines. Applied physiology, nutrition, and metabolism, 36(1), 36. https://doi.org/10.1139/H11-009
Warburton, D., Nicol, C., & Bredin, S. (2006). Health benefits of physical activity: the evidence. Canadian Medical Association.Journal CMAJ, 174(6), 801-809. https://doi.org/10.1503/cmaj.051351
WHO (2009). Global health risks: mortality and burden of disease attributable to selected major risks. Geneve: WHO.
WHO (2010a). Global Strategy on Diet, Physical Activity and health. Retrieved January/12, 2011, from http://www.who.int/dietphysicalactivity/strategy/eb11344/strategy_english_web.pdf
WHO (2010b). Golbal recommendations on physical activity for health. Retrieved January/12, from http://www.who.int/dietphysicalactivity/factsheet_recommendations/en/index.html
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