High -and moderate-intensity resistance training provokes different effects on body composition, functionality, and well-being in elderly
Keywords:
Women, Obese, Elastic bands, Short-term trainingAbstract
Purpose: To compare the short-term effects of a resistance training program with elastic bands at moderate and high intensity on the body composition, functional capacity, and well-being of overweight and obese older women. Method: 75 women (68.7 ± 4.7 years) were assigned to a control group (n = 25) or to one of two treatment groups: (i) high intensity (G6 = 6 repetitions, n = 25) and (ii) moderate intensity (G15 = 15 repetitions, n = 25). Body composition (fat and fat-free mass), functional capacity (isometric strength; 30-s-arm-curl, 30-s-chair-stand, timed up & go test, and 6-min-walk-test [6MWT]), and well-being were evaluated before and after 8 weeks of intervention by using the 36-Item-Short-Form-Survey (SF-36). Results: 61 participants completed the study. The G15 group generated greater positive changes in the percentages of total and segmental fat mass (≃2.8%, p ≤ .05) and better performance in the 6MWT than the other groups. The G6 group showed greater improvements in the timed up & go and muscle strength tests than the G15 group. The G6 and G15 groups showed significant improvements in the following sections of SF-36: general health perceptions, physical functioning, mental health, and vitality. The performance of all variables worsened in the control group. Conclusions: The 8 weeks of intervention caused positive and significant changes in all study variables, although the results confirmed that this duration is insufficient to generate clear differences according to the level of exercise intensity. Nevertheless, G15 caused greater improvements in the percentage of fat mass and in aerobic resistance, whereas G6 improved the lower-limb muscle strength.
Funding
(i) Aging Department on the Council of Valencia (Spain). (ii) University Clinic of Nutrition, physical Activity and Physiotherapy (Lluís Alcanyís Foundation, University of Valencia, Spain). (iii) Grant Ignacio Larramendi 2014 from the Mapfre Foundation.Downloads
References
Ades, P. A., Ballor, D. L., Ashikaga, T., Utton, J. L., & Nair, K. S. (1996). Weight training improves walking endurance in healthy elderly persons. Annals of internal medicine, 124(6), 568-572. https://doi.org/10.7326/0003-4819-124-6-199603150-00005
Alfonso‐Rosa, R. M., del Pozo‐Cruz, B., del Pozo‐Cruz, J., Sañudo, B., & Rogers, M. E. (2014). Test-Retest Reliability and Minimal Detectable Change Scores for Fitness Assessment in Older Adults with Type 2 Diabetes. Rehabilitation Nursing, 39(5), 260-268. https://doi.org/10.1002/rnj.111
Alonso, J., Prieto, L., & Antó, J. M. (1995). The Spanish version of the SF-36 Health Survey (SF-36 Health Questionnaire): an instrument for the measurement of clinical outcomes. Med Clin (Barc), 104(20), 771-776.
American College of Sports Medicine. (2013). ACSM's Exercise for Older Adults, Philadelphia: Lippincott Williams & Wilkins.
Angst, F., Aeschlimann, A., & Stucki, G. (2001). Smallest detectable and minimal clinically important differences of rehabilitation intervention with their implications for required sample sizes using WOMAC and SF‐36 quality of life measurement instruments in patients with osteoarthritis of the lower extremities. Arthritis Care & Research: Official Journal of the American College of Rheumatology, 45(4), 384-391. https://doi.org/10.1002/1529-0131(200108)45:4<384::AID-ART352>3.0.CO;2-0
Bhattacharya, P., Deka, K., & Roy, A. (2016). Assessment of inter-rater variability of the Senior Fitness Test in the geriatric population: A community-based study. International Journal of Biomedical and Advance Research, 7(5), 208-212. https://doi.org/10.7439/ijbar.v7i5.3249
Brochu, M., Tchernof, A., Turner, A. N., Ades, P. A., & Poehlman, E. T. (2003). Is there a threshold of visceral fat loss that improves the metabolic profile in obese postmenopausal women? Metabolism, 52(5), 599-604. https://doi.org/10.1053/meta.2003.50095
Bruce, B., Fries, J. F., & Hubert, H. (2008). Regular vigorous physical activity and disability development in healthy overweight and normal-weight seniors: a 13-year study. American Journal of Public Health, 98(7), 1294-1299. https://doi.org/10.2105/AJPH.2007.119909
Burger, H., & Marincek, C. (2001). Functional testing of elderly subjects after lower limb amputation. Prosthetics and orthotics international, 25(2), 102-107. https://doi.org/10.1080/03093640108726582
Campos, G. E., Luecke, T. J., Wendeln, H. K., Toma, K., Hagerman, F. C., Murray, T. F., ... & Staron, R. S. (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
Candow, D. G., Chilibeck, P. D., Abeysekara, S., & Zello, G. A. (2011). Short-term heavy resistance training eliminates age-related deficits in muscle mass and strength in healthy older males. The Journal of Strength & Conditioning Research, 25(2), 326-333. https://doi.org/10.1519/JSC.0b013e3181bf43c8
Carrasco-Poyato, M., & Reche-Orenes, D. (2018). Effects of an integrated physical training program in old women functional condition. Cultura_Ciencia_Deporte, 37 (13), 31-38. https://doi.org/10.12800/ccd.v13i37.1036
Cassilhas, R. C., Viana, V. A., Grassmann, V., Santos, R. T., Santos, R. F., Tufik, S. E. R. G. I. O., & Mello, M. T. (2007). The impact of resistance exercise on the cognitive function of the elderly. Medicine & Science in Sports & Exercise, 39(8), 1401-1407. https://doi.org/10.1249/mss.0b013e318060111f
Chupel, M. U., Direito, F., Furtado, G. E., Minuzzi, L. G., Pedrosa, F. M., Colado, J. C., ... & Teixeira, A. M. (2017). Strength training decreases inflammation and increases cognition and physical fitness in older women with cognitive impairment. Frontiers in physiology, 8, 377. https://doi.org/10.3389/fphys.2017.00377
Colado, J.C., Furtado, G.E., Teixeira, A.M., Flandez, J., & Naclerio, F. (2020b). Concurrent and construct validation of a new scale for rating perceived exertion during elastic resistance training in the elderly. Journal of sports science and medicine, 19(1), 175-186.
Colado, J. C., García-Massó, X., Pellicer Catalán, M., Alakhdar, Y., Benavent, J., & Cabeza Ruiz, R. (2010). A comparison of elastic tubing and isotop resistance exercises. International journal of sports medicine, 31(11), 810-817. https://doi.org/10.1055/s-0030-1262808
Colado, J. C., Garcia-Masso, X., Triplett, N. T., Calatayud, J., Flandez, J., Behm, D., & Rogers, M. E. (2014). Construct and concurrent validation of a new resistance intensity scale for exercise with thera-band® elastic bands. Journal of sports science and medicine, 13(4), 758.
Colado, J. C., Mena, R., Calatayud, J., Gargallo, P., Flández, J., & Page, P. (2020a). Effects of strength training with variable elastic resistance across the lifespan: a systematic review. Cultura, Ciencia y Deporte, 15(44), 147-164. https://doi.org/10.12800/ccd.v15i44.1458
Colado, J. C., Pedrosa, F. M., Juesas, A., Gargallo, P., Carrasco, J. J., Flandez, J., Chupel M.U & Naclerio, F. (2018). Concurrent validation of the OMNI-Resistance Exercise Scale of perceived exertion with elastic bands in the elderly. Experimental gerontology, 103, 11-16. https://doi.org/10.1016/j.exger.2017.12.009
Colado, J. C., & Triplett, N. T. (2008). Effects of a short-term resistance program using elastic bands versus weight machines for sedentary middle-aged women. The Journal of Strength & Conditioning Research, 22(5), 1441-1448. https://doi.org/10.1519/JSC.0b013e31817ae67a
Davies, T., Orr, R., Halaki, M., & Hackett, D. (2016). Effect of training leading to repetition failure on muscular strength: a systematic review and meta-analysis. Sports medicine, 46(4), 487-502. https://doi.org/10.1007/s40279-015-0451-3
Degens, H., Erskine, R., y Morse, C. (2009). Disproportionate changes in skeletal muscle strength and size with resistance training and ageing. Journal of Musculoskeletal and Neuronal Interactions, 9(3), 123-129.
Dixon, C. B., Deitrick, R. W., Pierce, J. R., Cutrufello, P. T., & Drapeau, L. L. (2005). Evaluation of the BOD POD and leg-to-leg bioelectrical impedance analysis for estimating percent body fat in National Collegiate Athletic Association Division III collegiate wrestlers. The Journal of Strength & Conditioning Research, 19(1), 85-91. https://doi.org/10.1519/14053.1
Flandez, J., Gene-Morales, J., Modena, N., Martín, F., Colado, J.C., & Gargallo, P. (2020). Effects of power resistance training program with elastic bands on body composition, muscle strength and physical function in older women. Journal of Human Sport and Exercise, 15(4proc), S1322-S1337. https://doi.org/10.14198/jhse.2020.15.Proc4.30
Fritz, N. B., Juesas, Á., Gargallo, P., Calatayud, J., Fernández-Garrido, J., Rogers, M. E., & Colado, J. C. (2018). Positive effects of a short-term intense elastic resistance training program on body composition and physical functioning in overweight older women. Biological research for nursing, 20(3), 321-334. https://doi.org/10.1177/1099800418757676
Garber, C. E., Blissmer, B., Deschenes, M. R., Franklin, B. A., Lamonte, M. J., Lee, I. M., ... & Swain, D. P. (2011). Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Medicine & Science in Sports & Exercise, 3(7), 1334-1359. https://doi.org/10.1249/MSS.0b013e318213fefb
Gargallo, P., Colado, J. C., Juesas, A., Hernando-Espinilla, A., Estañ-Capell, N., Monzó-Beltran, L., ... & Sáez, G. T. (2018). The Effect of Moderate-Versus High-Intensity Resistance Training on Systemic Redox State and DNA Damage in Healthy Older Women. Biological research for nursing, 20(2), 205-217. https://doi.org/10.1177/1099800417753877
Gene-Morales, J., Gené-Sampedro, A., Salvador, R., & Colado, J. C. (2020). Adding the load just above sticking point using elastic bands optimizes squat performance, perceived effort rate, and cardiovascular responses. Journal of sports science and medicine, 19(4), 735-744.
Goisser, S., Kemmler, W., Porzel, S., Volkert, D., Sieber, C. C., Bollheimer, L. C., & Freiberger, E. (2015). Sarcopenic obesity and complex interventions with nutrition and exercise in community-dwelling older persons-a narrative review. Clinical interventions in aging, 10, 1267. https://doi.org/10.2147/CIA.S82454
Hunter, G. R., Bryan, D. R., Wetzstein, C. J., Zuckerman, P. A., & Bamman, M. M. (2002). Resistance training and intra-abdominal adipose tissue in older men and women. Medicine & Science in Sports & Exercise, 34(6), 1023-1028. https://doi.org/10.1097/00005768-200206000-00019
Ibañez, J., Izquierdo, M., Argüelles, I., Forga, L., Larrión, J., García-Unciti, M.,...Gorostiaga, E. (2005). Twice-weekly progressive resistance training decreases abdominal fat and improves insulin sensitivity in older men with type 2 diabetes. Diabetes Care, 28(3), 662-667. https://doi.org/10.2337/diacare.28.3.662
Kimber, N. E., Heigenhauser, G. J., Spriet, L. L., & Dyck, D. J. (2003). Skeletal muscle fat and carbohydrate metabolism during recovery from glycogen-depleting exercise in humans. The Journal of physiology, 548(Pt 3): 919-927. https://doi.org/10.1113/jphysiol.2002.031179
Kok, R. M., & Reynolds, C. F. (2017). Management of depression in older adults: a review. JAMA, 317(20), 2114-2122. https://doi.org/10.1001/jama.2017.5706
Koster, A., Ding, J., Stenholm, S., Caserotti, P., Houston, D. K., Nicklas, B. J., ... & Schwartz, A. V. (2011). Does the amount of fat mass predict age-related loss of lean mass, muscle strength, and muscle quality in older adults? Journals of Gerontology Series A: Biomedical Sciences and Medical Sciences, 66(8), 888-895. https://doi.org/10.1093/gerona/glr070
Kraemer, W.J., Adams, K., Cafarelli, E., Dudley, G.A., Dooly, C., Feigenbaum, M.S., Fleck, S.J., Franklin, B., Fry, A.C., Hoffman, J.R., Newton, R.U., Potteiger, J., Stone, M.H., Ratamess, N.A., Triplett-McBride, T.; American College of Sports Medicine (2002). American College of Sports Medicine position stand. 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
Liao, C. D., Tsauo, J. Y., Huang, S. W., Ku, J. W., Hsiao, D. J., & Liou, T. H. (2018). Effects of elastic band exercise on lean mass and physical capacity in older women with sarcopenic obesity: A randomized controlled trial. Scientific Reports, 8(1), 2317. https://doi.org/10.1038/s41598-018-20677-7
Locks, R. R., Costa, T. C., Koppe, S., Yamaguti, A. M., Garcia, M. C., & Gomes, A. R. (2012). Effects of strength and flexibility training on functional performance of healthy older people. Brazilian Journal of Physical Therapy, 16(3), 184-190. https://doi.org/10.1590/S1413-35552012000300003
Martins, W. R., de Oliveira, R. J., Carvalho, R. S., de Oliveira, V., da Silva, V. Z. y Silva, M. S. (2013). Elastic resistance training to increase muscle strength in elderly: A systematic review with meta-analysis. Archives of Gerontology and Geriatrics, 57(1), 8-15. https://doi.org/10.1016/j.archger.2013.03.002
Morss, G. M., Jordan, A. N., Skinner, J. S., Dunn, A. L., Church, T. S., Earnest, C. P., ... & Blair, S. N. (2004). Dose-response to exercise in women aged 45-75 yr (DREW): design and rationale. Medicine & Science in Sports & Exercise, 36(2), 336-344. https://doi.org/10.1249/01.MSS.0000113738.06267.E5
Motalebi, S. A., & Loke, S. C. (2014). Efficacy of progressive resistance tube training in community dwelling older adults: a pilot study. International Journal of Gerontology, 8(4), 213-218. https://doi.org/10.1016/j.ijge.2013.12.007
Murlasits, Z., Reed, J., y Wells, K. (2012). Effect of resistance training frequency on physiological adaptations in older adults. Journal of Exercise Science & Fitness, 10 (1), 28-32. https://doi.org/10.1016/j.jesf.2012.04.006
Osness WH, Adrian M, Hoeger W, Rabb D, Wiswell R. Functional fitness assessment for adults over 60 years: A field Based Assessment. Reston: AAHPERD; 1990. p. 1-24. 5.
Paoli, A., Pacelli, F., Bargossi, A. M., Marcolin, G., Guzzinati, S., Neri, M., ... & Palma, A. (2010). Effects of three distinct protocols of fitness training on body composition, strength and blood lactate. Journal of sport medicine and physical fitness, 50(1), 43-51.
Peterson, M. D., & Gordon, P. M. (2011). Resistance exercise for the aging adult: clinical implications and prescription guidelines. The American journal of medicine, 124(3), 194-198. https://doi.org/10.1016/j.amjmed.2010.08.020
Pietrobelli, A., Rubiano, F., St-Onge, M. P., & Heymsfield, S. B. (2004). New bioimpedance analysis system: improved phenotyping with whole-body analysis. European journal of clinical nutrition, 58(11), 1479-1484. https://doi.org/10.1038/sj.ejcn.1601993
Ratamess, N.A., Alvar, B.A., Evetoch, T.K., Hous, T.J., Kibler, W.B., Kraemer, W.J., Triplett, N.T. (2009). Progression Models in Resistance Training for Healthy Adults. Medicine & Science in Sports & Exercise. 41(3), 687-708. https://doi.org/10.1249/MSS.0b013e3181915670
Raymond, M.J., Bramley-Tzerefos, R.E., Jeffs, K.J., Winter, A., y Holland, A.E. (2013). Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Archives of Physical Medicine and Rehabilitation, 94(8), 1458-1472. https://doi.org/10.1016/j.apmr.2013.02.022
Rieping, T., Furtado, G. E., Letieri, R. V., Chupel, M. U., Colado, J. C., Hogervorst, E., ... & Ferreira, J. P. (2019). Effects of Different Chair-Based Exercises on Salivary Biomarkers and Functional Autonomy in Institutionalized Older Women. Research quarterly for exercise and sport, 90(11), 1-10. https://doi.org/10.1080/02701367.2018.1563272
Rikli R, Jones J. (2001). Senior Fitness Test Manual. 2nd ed. United States: Human Kinetics.
Romero-Arenas, S., Blazevich, A. J., Martínez-Pascual, M., Pérez-Gómez, J., Luque, A. J., López-Román, F. J., & Alcaraz, P. E. (2013). Effects of high-resistance circuit training in an elderly population. Experimental gerontology, 48(3), 334-340. https://doi.org/10.1016/j.exger.2013.01.007
Sarkisian, C.A., Liu, H., Gutierrez, P.R., Seeley, D.G., Cummings, S.R, Mangione, C.M. (2000). Modifiable risk factors predict functional decline among older women: a prospectively validated clinical prediction tool. The Study of Osteoporotic Fractures Research Group. Journal of the American Geriatrics Society, 48(2), 170-178. https://doi.org/10.1111/j.1532-5415.2000.tb03908.x
Straight, C. R., Dorfman, L. R., Cottell, K. E., Krol, J. M., Lofgren, I. E., & Delmonico, M. J. (2012). Effects of resistance training and dietary changes on physical function and body composition in overweight and obese older adults. Journal of Physical Activity and Health, 9(6), 875-883. https://doi.org/10.1123/jpah.9.6.875
Thomas, G. A., Kraemer, W. J., Comstock, B. A., Dunn-Lewis, C., Maresh, C. M., & Volek, J. Obesity, Growth Hormone and Exercise. Sports medicine, 43(9), 839-849. https://doi.org/10.1007/s40279-013-0064-7
Tokmakidis, S. P., Kalapotharakos, V. I., Smilios, I., & Parlavantzas, A. (2009). Effects of detraining on muscle strength and mass after high or moderate intensity of resistance training in older adults. Clinical physiology and functional imaging, 29(4), 316-319. https://doi.org/10.1111/j.1475-097X.2009.00866.x
Toigo, M., & Boutellier, U. (2006). New fundamental resistance exercise determinants of molecular and cellular muscle adaptations. European journal of applied physiology, 97(6), 643-663. https://doi.org/10.1007/s00421-006-0238-1
Vincent, H. K., Raiser, S. N., & Vincent, K. R. (2012). The aging musculoskeletal system and obesity-related considerations with exercise. Ageing research reviews, 11(3), 361-373. https://doi.org/10.1016/j.arr.2012.03.002
Yarasheski, K. E. (2003). Exercise, aging, and muscle protein metabolism. The Journals of Gerontology Series A: Biological Sciences and Medical Sciences, 58(10), 918-922. https://doi.org/10.1093/gerona/58.10.m918
Young, W., & Farrow, D. (2006). A review of agility: Practical applications for strength and conditioning. Strength and conditioning journal, 28(5), 38-39. https://doi.org/10.1519/00126548-200610000-00006
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