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Se
niors
benefit from Strength Training
Newswise — An updated Cochrane review finds
that progressive resistance muscle training
improves strength in older adults and
enhances their ability to do daily tasks
such as walking, climbing steps or getting
out of a chair.
This form of exercise has people working
against resistance that increases as the
muscle gets stronger, usually using exercise
machines, free weights or elastic bands. It
fills a need in the older population.
“It is well established that as people get
older, they begin to lose muscle mass which
can impact on their ability to do some
activities of daily living,” said lead
author Chiung-ju Liu, Ph.D., of the
department of occupational therapy at
Indiana University-Purdue University
Indianapolis.
Liu and his co-author looked at 121
randomized controlled trials involving 6,700
participants from as young as 60 to older
than 80.
In addition to showing that older adults who
exercised two to three times a week become
stronger, the researchers also found
improved performance on measurements of
simple tasks, such as standing up from a
chair more quickly. Other studies have shown
that activity is important to continued good
health as a person ages.
Those with osteoarthritis also reported
reductions in pain following progressive
resistance training.
“We saw the most improvement in muscle
strength, which is not a big surprise,” Liu
said. “In addition, we found that this
improvement translates into doing daily
activities from shopping to walking around
the neighborhood more easily.”
The updated review appears in the current
issue of The Cochrane Library, a
publication of The Cochrane Collaboration,
an international organization that evaluates
research in all aspects of health care.
Systematic reviews draw evidence-based
conclusions about medical practice after
considering both the content and quality of
existing trials on a topic.
Small sample sizes have limited much of the
research on strength training in older
adults. The review combined many of these
studies together to overcome sample size
concerns.
“By doing the review, we were able to pull
all of the evidence together,” Liu said.
“This allowed us to get a better picture of
the impacts of progressive resistance
training. In addition, we were able to
include a much larger age range, between 60
and 80, than the individual studies.”
One of the surprising outcomes of the review
was that these improvements continued into
later years.
“We found that older adults can benefit from
this type of exercise even at the age of 80,
and even with some types of health condition
including arthritis and after hip surgery,”
Liu said.
“However, we recommend exercise
cautiously to seniors. They should consult
with a health professional or an exercise
professional to prevent exercise injuries.”
“This is a solid review that reinforces our
current understanding,” said Wojtek
Chodzko-Zajko, Ph.D., head of the department
of kinesiology at the University of Illinois
at Urbana-Champaign.
“It underscores the
importance of resistance training to the
health and independence of older adults. It
gives clear evidence for initiating physical
activity in this group.”
Chodzko-Zajko, who had no affiliation with
the review, suggests 30 minutes a day or 150
minutes a week of moderately vigorous
exercise that includes resistance training
for older adults.
“This confirmed the positive benefits people
of all ages accumulate by including
progressive resistance training as a
component of a well-rounded exercise
program,” he said.
“For the vast majority, the health risks of
being sedentary are much greater than the
health risks of a well balanced exercise
program.”
The Cochrane Collaboration is an
international nonprofit, independent
organization that produces and disseminates
systematic reviews of health care
interventions and promotes the search for
evidence in the form of clinical trials and
other studies of interventions. Visit
http://www.cochrane.org for more
information.
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