Strength training in seniors: The knowledge of positive aspects of eccentric training in elderly is sparse
Keywords:Strength training, Eccentric exercises, Seniors, Cardiac rehabilitation
Eccentric (lengthening) resistance training respectively muscle work requires a lower share of cardiac activity in comparison to concentric (shortening) muscle work. Especially in seniors suffering from cardiovascular diseases (still the most common cause of death in industrialized countries) this kind of activity is predisposed due to its possibility of high stimulation of musculoskeletal system only partly (20-25%) stimulating cardiovascular system. Comprehension of positive aspects was addressed for a sample of people doing regular work out while having access to concentric and eccentric training stations. 38 females (57 ± 15.7 years / 163.3 ± 19.4 cm / 63.6 ± 10.4 kg) and 36 males (57.6 ± 16.9 years / 177.4 ± 6.9 cm / 80.6 ± 8.7 kg) visiting at least once a week a fitness mall with access to eccentric and concentric training stations were asked concerning cardiovascular diseases, their corresponding risk factors and their own experience with eccentric muscle training. Differences in the perception of eccentric muscle training compared to concentric training were reported by 18 women and 24 men, however reported Rates of perceived Exertion measured by BORG-Scale (6-20) did not significantly differ. A positive Bias that especially persons with cardiovascular illnesses respectively risk factors preferred this kind of activity was not detectable and knowledge of positive aspects of eccentric training was sparse. General practitioners are encouraged to inform patients of the existence of positive aspects of eccentric muscle training and to motivate patients to absolve their training respectively.
Abbott, B.C., Bigland, B., Ritchie, J.M. (1952). The physiological cost of negative work. J Physiol (Lond), 117, 380–390. https://doi.org/10.1113/jphysiol.1952.sp004755
Besson, D., Joussain, C., Gremeaux, V., Morisset, C., Laurent, Y., Casillas, J.M., Laroche, D. (2013) Eccentric training in chronic heart failure: feasibility and functional effects. Results of a comparative study. Ann Phys Rehabil Med, 56(1):30-40. https://doi.org/10.1016/j.rehab.2013.01.003
Borg, G. (1962). Physical performance and perceived exertion. Oxford: Universität Lund.
Borg, G. (1970). Perceived exertion as an indicator of somatic stress. Scandinavian Journal of Rehabilitation Medicine, 2(2), 92–98.
Borg, G. (1998). Borg's perceived exertion and pain scales. Champaign: Human Kinetics.
Borg, G. (2004). Anstrengungsempfinden und körperliche Aktivitat. Deutsches Ärzteblatt, 101(15), A1016–A1021.
Bortz, J. (2005). Statistik für Human- und Sozialwissenschaftler (6. Aufl.). Berlin: Springer.
Chen, M.J., Fan, X., Moe, S.T. (2002). Criterion-related validity of the Borg ratings of perceived exertion scale in healthy individuals: a meta-analysis. Journal of Sports Sciences, 20(11), 873–899. https://doi.org/10.1080/026404102320761787
Chung, P.K., Zhao, Y., Liu, J.D., Quach, B. (2015). A brief note on the validity and reliability of the rating of perceived exertion scale in monitoring exercise intensity among chines older adults in Hong Kong. Percept Mot Skills. 121(3), 805-9. https://doi.org/10.2466/29.PMS.121c24x8
Doherty, T.J. (2003). Invited review: Aging and sarcopenia. J Appl Physiol, 95(4), 1717–27. https://doi.org/10.1152/japplphysiol.00347.2003
Elmer, S.J., Marshall, C.S., McGinnis, K.R., Van Haitsma, T.A., LaStayo, P.C. (2013). Eccentric arm cycling: physiological characteristics and potential applications with healthy populations. Eur J Appl Physiol, 113(10), 2541-52. https://doi.org/10.1007/s00421-013-2687-7
Elmer, S.J., Danvind, J., Holmberg, H.C. (2013). Development of a novel eccentric arm cycle ergometer for training the upper body. Med Sci Sports Exerc, 45(1), 206-11. https://doi.org/10.1249/MSS.0b013e318269c79c
Elmer, S. J., & LaStayo, P. C. (2014). Revisiting the positive aspects of negative work. Journal of Experimental Biology, 217(14), 2434–2436. https://doi.org/10.1242/jeb.092247
Gearhart, R.F., Goss, F.L., Lagally, K.M., Jakicic, J.M., Gallagher, J., Gallagher, K.I., Robertson, R.J. (2002). Ratings of perceived exertion in active muscle during high-intensity and low-intensity resistance exercise. J Strength Cond Res, 16(1), 87-91. https://doi.org/10.1519/00124278-200202000-00013
Hoppeler, H., Perrig, W., Buschkühl, M., Lippuner, K., Steiner, R., Breil, F., Däpp, C., Müller, M. (2009). Seniorensport: intensiv bremsen statt langsam treten. Schweiz Med Forum., 9(20), 380.
Isner-Horobeti, M.E., Dufour, S.P., Vautravers, P., Geny, B., Coudeyre, E., Richard, R. (2013). Eccentric exercise training: modalities, applications and perspectives. Sports Med. 43(6):483-512. https://doi.org/10.1007/s40279-013-0052-y
Laroche, D., Joussain, C., Espagnac, C., Morisset, C., Tordi, N., Gremeaux, V., Casillas, J.M. (2013). Is it possible to individualize intensity of eccentric cycling exercise from perceived exertion on concentric test? Arch Phys Med Rehabil. 94(8), 1621-1627. https://doi.org/10.1016/j.apmr.2012.12.012
LaStayo, P.C., Woolf, J.M., Lewek, M.D., Snyder-Mackler, L., Reich, T., Lindstedt, S.L. (2003a). Eccentric muscle contractions: their contribution to injury, prevention, rehabilitation, and sport. J Orthop Sports Phys Ther. 33(10), 557-71. https://doi.org/10.2519/jospt.2003.33.10.557
LaStayo, P.C., Marcus, R.L., Dibble, L., Frajacomo, F., Lindstedt, S.L. (2014). Eccentric exercise in rehabilitation: safety, feasibility and application. J. Appl. Physiol. 116, 1426-1434. https://doi.org/10.1152/japplphysiol.00008.2013
Lippuner, K., von Overbeck, J., Perrelet, R., Bosshard, H., Jaeger, P. (1997). Incidence and direct medical costs of hospitalizations due to osteoporotic fractures in Switzerland. Osteoporos Int. 7(5):414–25. https://doi.org/10.1007/PL00004149
Löllgen, H. (2004). Standards der Sportmedizin. Das Anstrengungsempfinden (RPE, Borg-Skala). Deutsche Zeitschrift für Sportmedizin. 55(11). 299-300.
Neuhauser,·H., Thamm, M., Ellert, U. (2013). Blutdruck in Deutschland 2008 – 2011. Ergebnisse der Studie zur Gesundheit Erwachsener in Deutschland (DEGS1). Bundesgesundheitsblatt., 56, 795–801. https://doi.org/10.1007/s00103-013-1669-6
Nishikawa, K. (2016). Eccentric contraction: unraveling mechanisms of force enhancement and energy conservation. Journal of Experimental Biology. 219: 189-196. https://doi.org/10.1242/jeb.124057
Pate, R.R., Pratt, M., Blair, S.N., Haskell, W.L., Macera, C.A., Bouchard, C., Buchner, D., Ettinger, W., Heath, G.W., King, A.C. (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), 402-7. https://doi.org/10.1001/jama.1995.03520290054029
Scherr, J., Wolfarth, B., Christle, J.W., Pressler, A., Wagenpfeil, S., Halle, M. (2013). Associations between Borg's rating of perceived exertion and physiological measures of exercise intensity. European Journal of Applied Physiology, 113(1), 147–155. https://doi.org/10.1007/s00421-012-2421-x
Shepard, R.J., Balady, G.J. (1999) Exercise as cardiovascular therapy. Circulation, 99, 963–972. https://doi.org/10.1161/01.CIR.99.7.963
Steiner, R., Meyer, K., Lippuner, K., Schmid, J.P., Saner, H., Hoppeler, H. (2004). Excentric endurance training in subjects with coronary artery disease: a novel exercise paradigm in cardiac rehabilitation? European Journal of Applied Physiology, 91(5–6), 572–8. https://doi.org/10.1007/s00421-003-1000-6
Stuck, A.E., Elkuch, P., Dapp, U., Anders, J., Iliffe, S., Swift, C.G. (2002). Feasibility and yield of a self-administered questionnaire for health risk appraisal in older people in three European countries. Age Ageing. 31(6), 463-7. https://doi.org/10.1093/ageing/31.6.463
Stier, W. (1998). Empirische Forschungsmethoden. (2. Aufl.) Springer: Berlin, Heidelberg.
Vogt, M., Däpp, C., Blatter, J., Weisskopf, R., Suter, G., Hoppeler, H. (2003). Training zur Optimierung der Dosierung exzentrischer Muskelaktivität. Schweizerische Zeitschrift für Sportmedizin und Sporttraumatologie, 51 (4), 188–191.
Zintl, F., Eisenhut, A. (2009). Ausdauertraining: Grundlagen, Methoden, Trainingssteuerung. München: BLV.
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