Journal of Human Sport and Exercise

Effect of a 16-month exercise training program on functional capacities in a centenarian male master athlete: A case study

Ario Federici, Carlo Ferri-Marini, Gabriele Brandoni, Eugenio Grassi, Manuela Valentini, Francesco Lucertini

Abstract

The effects of exercise training have never been investigated in centenarians. This single-subject research study aimed to assess the effects of a structured training protocol on functional capacities in a centenarian master athlete. A 99.5 years old male subject participated in the study. Before and after a 16-month training intervention the participant underwent a test battery for flexibility (YMCA sit and reach), balance (single leg stance), upper limb strength (hand grip and pinch strength), and lower limb power (counter movement jump) and muscular endurance (horizontal leg press with 85 kg load). After training, sit and reach (-3 cm) and counter movement jump (- 0.5 cm) scores decreased, whereas single leg stance (+1.3 s), left hand grip (+2.0 kg), right hand pinch (+ 0.5 kg), and horizontal leg press (+2 repetitions) scores increased. Right hand grip strength and left-hand pinch strength did not change after training. When pre- and post-training scores were compared to gender-matched normative values, flexibility resulted well below average, maybe because of a relatively broad age category (> 65 years). When more specific age categories were available, the participant’s balance resulted slightly below average (age category 80-99 years) and upper limb strength above average (age category > 85 years). No normative values were found for lower limb power and muscular endurance. In conclusion, this study highlights that structured exercise training may play a role in maintaining – and even in increasing – functional capacities in the oldest old age.


Keywords

Oldest old; Single-subject research; Aging; Exercise program

References

American College of Sports Medicine, Chodzko-Zajko, W. J., Proctor, D. N., Fiatarone Singh, M. A., Minson, C. T., Nigg, C. R., . . . Skinner, J. S. (2009). American College of Sports Medicine position stand. Exercise and physical activity for older adults. Med Sci Sports Exerc, 41(7), 1510-1530. https://doi.org/10.1249/mss.0b013e3181a0c95c

American College of Sports Medicine, & Pescatello, L. S. (2014). ACSM's guidelines for exercise testing and prescription (9th ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins Health.

American College of Sports Medicine, Riebe, D., Ehrman, J. K., Liguori, G., & Magal, M. (2018). ACSM's guidelines for exercise testing and prescription (Tenth edition. ed.). Philadelphia, PA: Wolters Kluwer Health.

Angst, F., Drerup, S., Werle, S., Herren, D. B., Simmen, B. R., & Goldhahn, J. (2010). Prediction of grip and key pinch strength in 978 healthy subjects. BMC Musculoskelet Disord, 11, 94. https://doi.org/10.1186/1471-2474-11-94

Balogun, J. A., Akindele, K. A., Nihinlola, J. O., & Marzouk, D. K. (1994). Age-related changes in balance performance. Disabil Rehabil, 16(2), 58-62. https://doi.org/10.3109/09638289409166013

Bohannon, R. W., Larkin, P. A., Cook, A. C., Gear, J., & Singer, J. (1984). Decrease in timed balance test scores with aging. Phys Ther, 64(7), 1067-1070. https://doi.org/10.1093/ptj/64.7.1067

Borg, G. (1982). A category scale with ratio properties for intermodal and interindividual comparisons. Psychophysical judgment and the process of perception, 25-34.

Borg, G. (1998). Borg's Perceived exertion and pain scales. Champaign, IL: Human Kinetics.

Brzycki, M. (1993). Strength testing - predicting a one-rep max from reps-to-fatigue. Journal of Physical Education, Recreation & Dance, 64(1), 88-90. https://doi.org/10.1080/07303084.1993.10606684

Chodzko-Zajko, W. J. (2014). ACSM's exercise for older adults (1st ed.). Philadelphia: Wolters Kluwer/Lippincott Williams & Wilkins.

Eibel, B., Sbruzzi, G., Dipp, T., Casali, K. R., & Plentz, R. D. (2011). Functional electrical stimulation training on functional capacity and blood pressure variability in a centenarian woman: case study. Rev Bras Fisioter, 15(4), 338-341. https://doi.org/10.1590/s1413-35552011005000016

Gunther, C. M., Burger, A., Rickert, M., & Schulz, C. U. (2008). Key pinch in healthy adults: normative values. J Hand Surg Eur Vol, 33(2), 144-148. https://doi.org/10.1177/1753193408087031

Jansen, C. W., Niebuhr, B. R., Coussirat, D. J., Hawthorne, D., Moreno, L., & Phillip, M. (2008). Hand force of men and women over 65 years of age as measured by maximum pinch and grip force. J Aging Phys Act, 16(1), 24-41. https://doi.org/10.1123/japa.16.1.24

Kaminsky, L. A., & American College of Sports Medicine. (2014). ACSM's health-related physical fitness assessment manual (4th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.

Mathiowetz, V., Kashman, N., Volland, G., Weber, K., Dowe, M., & Rogers, S. (1985). Grip and pinch strength: normative data for adults. Arch Phys Med Rehabil, 66(2), 69-74.

Puh, U. (2010). Age-related and sex-related differences in hand and pinch grip strength in adults. Int J Rehabil Res, 33(1), 4-11. https://doi.org/10.1097/mrr.0b013e328325a8ba

Rejeski, W. J., & Mihalko, S. L. (2001). Physical activity and quality of life in older adults. J Gerontol A Biol Sci Med Sci, 56 Spec No 2, 23-35.

Springer, B. A., Marin, R., Cyhan, T., Roberts, H., & Gill, N. W. (2007). Normative values for the unipedal stance test with eyes open and closed. J Geriatr Phys Ther, 30(1), 8-15. https://doi.org/10.1519/00139143-200704000-00003

Wang, Y. C., Bohannon, R. W., Li, X., Sindhu, B., & Kapellusch, J. (2018). Hand-Grip Strength: Normative Reference Values and Equations for Individuals 18 to 85 Years of Age Residing in the United States. J Orthop Sports Phys Ther, 48(9), 685-693. https://doi.org/10.2519/jospt.2018.7851

Werle, S., Goldhahn, J., Drerup, S., Simmen, B. R., Sprott, H., & Herren, D. B. (2009). Age- and gender-specific normative data of grip and pinch strength in a healthy adult Swiss population. J Hand Surg Eur Vol, 34(1), 76-84. https://doi.org/10.1177/1753193408096763

YMCA. (2000). YMCA fitness testing and assessment manual (4th ed.). Champaign, Ill.: Human Kinetics.




DOI: https://doi.org/10.14198/jhse.2020.154.20





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