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Home-based Resistance Training Health Benefits for Older Adults: An Evidence-Based Approach to Enhancing the Physiological Functions

Year 2017, Volume: 3 Issue: 4, 65 - 71, 01.10.2017
https://doi.org/10.5455/umj.20170531035008

Abstract

Background: Older adults are typically characterized by Frailty, disability, falls, fractures, loss of independency and chronic diseases. Home-based resistance training using body weight, weighted vests and belts, elastic bands, dumbbells or other portable implements can positively influence the physical and physiological capacities of elderly people. Home-based resistance training can maintain lean body mass, which in turn, provides required strength for proper execution of daily tasks. Moreover, elevated resting metabolic rate as a result of increased muscle mass can reduce some of multiple cardiovascular and metabolic risk factors. Further, osteogenic response of mechanical loading may improve bone mineral density and content. This reduces fall-related fractures. Conclusion: Home-based resistance training as an important part of exercise training provides a valuable opportunity for older adults to increase physical activity and take advantage of exercise benefits for overall health and quality of life. However, more research is needed to provide reliable recommendations.

References

  • Rogers MA, Evans WJ. Changes in skeletal muscle with aging: effects of exercise training. Exercise and sport sciences reviews. ;21(1):65-102. Kirkendall DT, Garrett WE. The effects of aging and training on skeletal muscle. The American journal of sports medicine. ;26(4):598-602. Puggaard L. Effects of training on functional performance in , 75 and 85 year-old women: Experiences deriving from community based studies in Odense, Denmark. Scandinavian journal of medicine & science in sports. 2003;13(1):70-6.
  • Kraemer WJ, Spiering BA, Volek JS, Ratamess NA, Sharman MJ, Rubin MR, et al. Androgenic responses to resistance exercise: effects of feeding and L-carnitine. Medicine and science in sports and exercise. 2006;38(7):1288.
  • STAND P. Progression models in resistance training for healthy adults. Medicine and science in sports. 2009;41(3):687-708.
  • Zavanela PM, Crewther BT, Lodo L, Florindo AA, Miyabara EH, Aoki MS. Health and fitness benefits of a resistance training intervention performed in the workplace. The Journal of Strength & Conditioning Research. 2012;26(3):811-7.
  • Folland JP, Williams AG. Morphological and neurological contributions to increased strength. Sports medicine. ;37(2):145-68. Carter JR, Ray CA, Downs EM, Cooke WH. Strength training reduces arterial blood pressure but not sympathetic neural activity in young normotensive subjects. Journal of applied physiology. 2003;94(6):2212-6.
  • Lovell DI, Cuneo R, Gass GC. Resistance training reduces the blood pressure response of older men during submaximum aerobic exercise. Blood pressure monitoring. 2009;14(4):137-44.
  • Stewart KJ, Bacher AC, Turner KL. Effect of exercise on blood pressure in older persons. ACC Current Journal Review. ;14(7):13-4. Fluckey JD, Hickey MS, Brambrink JK, Hart KK, Alexander K, Craig BW. Effects of resistance exercise on glucose tolerance in normal and glucose-intolerant subjects. Journal of Applied Physiology. 1994;77(3):1087-92.
  • Miller W, Sherman W, Ivy J. Effect of strength training on glucose tolerance and post-glucose insulin response. Medicine and science in sports and exercise. 1984;16(6):539-43.
  • Gutin B, Kasper M. Can vigorous exercise play a role in osteoporosis prevention? A review. Osteoporosis International. ;2(2):55-69. Layne JE, Nelson ME. The effects of progressive resistance training on bone density: a review. Medicine and science in sports and exercise. 1999;31(1):25-30.
  • Jette AM, Rooks D, Lachman M, Lin TH, Levenson C, Heislein D, et al. Home-based resistance training: predictors of participa tion and adherence. The Gerontologist. 1998;38(4):412-21.
  • Villareal DT, Apovian CM, Kushner RF, Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity research. 2005;13(11):1849-63.
  • Chang S-H, Beason TS, Hunleth JM, Colditz GA. A systematic review of body fat distribution and mortality in older people. Maturitas. 2012;72(3):175-91.
  • Schaap LA, Koster A, Visser M. Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons. Epidemiologic reviews. 2013;35(1):51-65.
  • Jankowski CM, Gozansky WS, Pelt RE, Schenkman ML, Wolfe P, Schwartz RS, et al. Relative Contributions of Adiposity and Muscularity to Physical Function in Community-dwelling Older Adults. Obesity. 2008;16(5):1039-44.
  • Campbell WW, Crim MC, Young VR, Evans WJ. Increased energy requirements and changes in body composition with resistance training in older adults. The American journal of clinical nutrition. 1994;60(2):167-75.
  • Fleck SJ, Kraemer W. Designing Resistance Training Programs, 4E: Human Kinetics; 2014.
  • Dunstan DW, Daly RM, Owen N, Jolley D, Vulikh E, Shaw J, et al. Home-based resistance training is not sufficient to maintain improved glycemic control following supervised training in older individuals with type 2 diabetes. Diabetes care. 2005;28(1):3-9.
  • Judge JO, Kleppinger A, Kenny A, Smith J-A, Biskup B, Marcella G. Home-based resistance training improves femoral bone mineral density in women on hormone therapy. Osteoporosis international. 2005;16(9):1096-108.
  • Bruce-Brand RA, Walls RJ, Ong JC, Emerson BS, O’Byrne JM, Moyna NM. Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial. BMC musculoskeletal disorders. ;13(1):118. Morse CI, Thom JM, Mian OS, Muirhead A, Birch KM, Narici MV. Muscle strength, volume and activation following 12-month resistance training in 70-year-old males. European journal of applied physiology. 2005;95(2-3):197-204.
  • Aronow MS, Diaz-Doran V, Sullivan RJ, Adams DJ. The effect of triceps surae contracture force on plantar foot pressure distribution. Foot & Ankle International. 2006;27(1):43-52.
  • Tsuzuku S, Kajioka T, Endo H, Abbott RD, Curb JD, Yano K. Favorable effects of non-instrumental resistance training on fat distribution and metabolic profiles in healthy elderly people. European journal of applied physiology. 2007;99(5):549-55.
  • Kamide N, Shiba Y, Shibata H. Effects on balance, falls, and bone mineral density of a home-based exercise program without home visits in community-dwelling elderly women: a randomized controlled trial. Journal of physiological anthropology. 2009;28(3):115-22.
  • Gomez-Cabello A, Ara I, González-Agüero A, Casajus J, Vicente-Rodriguez G. Effects of training on bone mass in older adults. Sports Medicine. 2012;42(4):301-25.
  • Taaffe DR, Robinson TL, Snow CM, Marcus R. High-Impact Exercise Promotes Bone Gain in Well-Trained Female Athletes. Journal of bone and mineral research. 1997;12(2):255-60.
  • Korpelainen R, Keinänen-Kiukaanniemi S, Heikkinen J, Väänänen K, Korpelainen J. Effect of impact exercise on bone mineral density in elderly women with low BMD: a population- based randomized controlled 30-month intervention. Osteoporosis International. 2006;17(1):109-18.
  • Papaioannou A, Adachi J, Winegard K, Ferko N, Parkinson W, Cook R, et al. Efficacy of home-based exercise for improving quality of life among elderly women with symptomatic osteoporosis-related vertebral fractures. Osteoporosis International. 2003;14(8):677-82.
  • Young CM, Weeks BK, Beck BR. Simple, novel physical activity maintains proximal femur bone mineral density, and improves muscle strength and balance in sedentary, postmenopausal Cau casian women. Osteoporosis international. 2007;18(10):1379-87.
  • Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clinical interventions in aging. ;8:549-56. Nelson ME, Layne JE, Bernstein MJ, Nuernberger A, Castaneda C, Kaliton D, et al. The effects of multidimensional home-based exercise on functional performance in elderly people. The Journals of Gerontology: Series A. 2004;59(2):M154.
  • Plotnikoff R, Eves N, Jung M, Sigal R, Padwal R, Karunamuni N. Multicomponent, home-based resistance training for obese adults with type 2 diabetes: a randomized controlled trial. International journal of obesity. 2010;34(12):1733-41.
  • Galvao DA, Spry N, Denham J, Taaffe DR, Cormie P, Joseph D, et al. A multicentre year-long randomised controlled trial of exercise training targeting physical functioning in men with prostate cancer previously treated with androgen suppression and radiation from TROG 03.04 RADAR. European urology. ;65(5):856-64. Mikesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. European journal of applied physiology and occupational physiology. 1994;69(4):316-20.
  • Henwood TR, Taaffe DR. Short-term resistance training and the older adult: the effect of varied programmes for the enhancement of muscle strength and functional performance. Clinical physiology and functional imaging. 2006;26(5):305-13.
  • Yamauchi T, Islam MM, Koizumi D, Rogers ME, Rogers NL, Takeshima N. Effect of home-based well-rounded exercise in community-dwelling older adults. Journal of Sports Science and Medicine. 2005;4(4):563-71.
  • Jette AM, Lachman M, Giorgetti MM, Assmann SF, Harris BA, Levenson C, et al. Exercise--it's never too late: the strong-for-life program. American Journal of Public Health. 1999;89(1):66-72.
  • Krebs DE, Scarborough DM, McGibbon CA. Functional vs. strength training in disabled elderly outpatients. American journal of physical medicine & rehabilitation. 2007;86(2):93-103.
  • Chandler JM, Duncan PW, Kochersberger G, Studenski S. Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders? Archives of physical medicine and rehabilitation. ;79(1):24-30. Cyarto EV, Brown WJ, Marshall AL, Trost SG. Comparison of the effects of a home-based and group-based resistance training program on functional ability in older adults. American Journal of Health Promotion. 2008;23(1):13-7.
  • Capodaglio P, Facioli M, Burroni E, Giordano A, Ferri A, Scaglioni G. Effectiveness of a home-based strengthening program for elderly males in Italy. A preliminary study. Aging clinical and experimental research. 2002;14(1):28-34.
  • Katznelson L, Robinson MW, Coyle CL, Lee H, Farrell CE. Effects of modest testosterone supplementation and exercise for weeks on body composition and quality of life in elderly men. European journal of endocrinology. 2006;155(6):867-75.
  • Liu-Ambrose T, Donaldson MG, Ahamed Y, Graf P, Cook WL, Close J, et al. Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. Journal of the American Geriatrics Society. 2008;56(10):1821-30.
  • Hagerman FC, Walsh SJ, Staron RS, Hikida RS, Gilders RM, Murray TF, et al. Effects of high-intensity resistance training on untrained older men. I. Strength, cardiovascular, and metabolic responses. The journals of gerontology series A: Biological Sciences and medical sciences. 2000;55(7):B336-B46.
  • Braith RW, Stewart KJ. Resistance exercise training. Circulation. 2006;113(22):2642-50.
  • Kelley GA, Kelley KS. Impact of progressive resistance training on lipids and lipoproteins in adults: a meta-analysis of randomi zed controlled trials. Preventive medicine. 2009;48(1):9-19.
  • Tokudome M, Nagasaki M, Shimaoka K, Sato Y. Effects of home-based combined resistance training and walking on metabolic profiles in elderly Japanese. Geriatrics & Gerontology International. 2004;4(3):157-62.
Year 2017, Volume: 3 Issue: 4, 65 - 71, 01.10.2017
https://doi.org/10.5455/umj.20170531035008

Abstract

References

  • Rogers MA, Evans WJ. Changes in skeletal muscle with aging: effects of exercise training. Exercise and sport sciences reviews. ;21(1):65-102. Kirkendall DT, Garrett WE. The effects of aging and training on skeletal muscle. The American journal of sports medicine. ;26(4):598-602. Puggaard L. Effects of training on functional performance in , 75 and 85 year-old women: Experiences deriving from community based studies in Odense, Denmark. Scandinavian journal of medicine & science in sports. 2003;13(1):70-6.
  • Kraemer WJ, Spiering BA, Volek JS, Ratamess NA, Sharman MJ, Rubin MR, et al. Androgenic responses to resistance exercise: effects of feeding and L-carnitine. Medicine and science in sports and exercise. 2006;38(7):1288.
  • STAND P. Progression models in resistance training for healthy adults. Medicine and science in sports. 2009;41(3):687-708.
  • Zavanela PM, Crewther BT, Lodo L, Florindo AA, Miyabara EH, Aoki MS. Health and fitness benefits of a resistance training intervention performed in the workplace. The Journal of Strength & Conditioning Research. 2012;26(3):811-7.
  • Folland JP, Williams AG. Morphological and neurological contributions to increased strength. Sports medicine. ;37(2):145-68. Carter JR, Ray CA, Downs EM, Cooke WH. Strength training reduces arterial blood pressure but not sympathetic neural activity in young normotensive subjects. Journal of applied physiology. 2003;94(6):2212-6.
  • Lovell DI, Cuneo R, Gass GC. Resistance training reduces the blood pressure response of older men during submaximum aerobic exercise. Blood pressure monitoring. 2009;14(4):137-44.
  • Stewart KJ, Bacher AC, Turner KL. Effect of exercise on blood pressure in older persons. ACC Current Journal Review. ;14(7):13-4. Fluckey JD, Hickey MS, Brambrink JK, Hart KK, Alexander K, Craig BW. Effects of resistance exercise on glucose tolerance in normal and glucose-intolerant subjects. Journal of Applied Physiology. 1994;77(3):1087-92.
  • Miller W, Sherman W, Ivy J. Effect of strength training on glucose tolerance and post-glucose insulin response. Medicine and science in sports and exercise. 1984;16(6):539-43.
  • Gutin B, Kasper M. Can vigorous exercise play a role in osteoporosis prevention? A review. Osteoporosis International. ;2(2):55-69. Layne JE, Nelson ME. The effects of progressive resistance training on bone density: a review. Medicine and science in sports and exercise. 1999;31(1):25-30.
  • Jette AM, Rooks D, Lachman M, Lin TH, Levenson C, Heislein D, et al. Home-based resistance training: predictors of participa tion and adherence. The Gerontologist. 1998;38(4):412-21.
  • Villareal DT, Apovian CM, Kushner RF, Klein S. Obesity in older adults: technical review and position statement of the American Society for Nutrition and NAASO, The Obesity Society. Obesity research. 2005;13(11):1849-63.
  • Chang S-H, Beason TS, Hunleth JM, Colditz GA. A systematic review of body fat distribution and mortality in older people. Maturitas. 2012;72(3):175-91.
  • Schaap LA, Koster A, Visser M. Adiposity, muscle mass, and muscle strength in relation to functional decline in older persons. Epidemiologic reviews. 2013;35(1):51-65.
  • Jankowski CM, Gozansky WS, Pelt RE, Schenkman ML, Wolfe P, Schwartz RS, et al. Relative Contributions of Adiposity and Muscularity to Physical Function in Community-dwelling Older Adults. Obesity. 2008;16(5):1039-44.
  • Campbell WW, Crim MC, Young VR, Evans WJ. Increased energy requirements and changes in body composition with resistance training in older adults. The American journal of clinical nutrition. 1994;60(2):167-75.
  • Fleck SJ, Kraemer W. Designing Resistance Training Programs, 4E: Human Kinetics; 2014.
  • Dunstan DW, Daly RM, Owen N, Jolley D, Vulikh E, Shaw J, et al. Home-based resistance training is not sufficient to maintain improved glycemic control following supervised training in older individuals with type 2 diabetes. Diabetes care. 2005;28(1):3-9.
  • Judge JO, Kleppinger A, Kenny A, Smith J-A, Biskup B, Marcella G. Home-based resistance training improves femoral bone mineral density in women on hormone therapy. Osteoporosis international. 2005;16(9):1096-108.
  • Bruce-Brand RA, Walls RJ, Ong JC, Emerson BS, O’Byrne JM, Moyna NM. Effects of home-based resistance training and neuromuscular electrical stimulation in knee osteoarthritis: a randomized controlled trial. BMC musculoskeletal disorders. ;13(1):118. Morse CI, Thom JM, Mian OS, Muirhead A, Birch KM, Narici MV. Muscle strength, volume and activation following 12-month resistance training in 70-year-old males. European journal of applied physiology. 2005;95(2-3):197-204.
  • Aronow MS, Diaz-Doran V, Sullivan RJ, Adams DJ. The effect of triceps surae contracture force on plantar foot pressure distribution. Foot & Ankle International. 2006;27(1):43-52.
  • Tsuzuku S, Kajioka T, Endo H, Abbott RD, Curb JD, Yano K. Favorable effects of non-instrumental resistance training on fat distribution and metabolic profiles in healthy elderly people. European journal of applied physiology. 2007;99(5):549-55.
  • Kamide N, Shiba Y, Shibata H. Effects on balance, falls, and bone mineral density of a home-based exercise program without home visits in community-dwelling elderly women: a randomized controlled trial. Journal of physiological anthropology. 2009;28(3):115-22.
  • Gomez-Cabello A, Ara I, González-Agüero A, Casajus J, Vicente-Rodriguez G. Effects of training on bone mass in older adults. Sports Medicine. 2012;42(4):301-25.
  • Taaffe DR, Robinson TL, Snow CM, Marcus R. High-Impact Exercise Promotes Bone Gain in Well-Trained Female Athletes. Journal of bone and mineral research. 1997;12(2):255-60.
  • Korpelainen R, Keinänen-Kiukaanniemi S, Heikkinen J, Väänänen K, Korpelainen J. Effect of impact exercise on bone mineral density in elderly women with low BMD: a population- based randomized controlled 30-month intervention. Osteoporosis International. 2006;17(1):109-18.
  • Papaioannou A, Adachi J, Winegard K, Ferko N, Parkinson W, Cook R, et al. Efficacy of home-based exercise for improving quality of life among elderly women with symptomatic osteoporosis-related vertebral fractures. Osteoporosis International. 2003;14(8):677-82.
  • Young CM, Weeks BK, Beck BR. Simple, novel physical activity maintains proximal femur bone mineral density, and improves muscle strength and balance in sedentary, postmenopausal Cau casian women. Osteoporosis international. 2007;18(10):1379-87.
  • Milanović Z, Pantelić S, Trajković N, Sporiš G, Kostić R, James N. Age-related decrease in physical activity and functional fitness among elderly men and women. Clinical interventions in aging. ;8:549-56. Nelson ME, Layne JE, Bernstein MJ, Nuernberger A, Castaneda C, Kaliton D, et al. The effects of multidimensional home-based exercise on functional performance in elderly people. The Journals of Gerontology: Series A. 2004;59(2):M154.
  • Plotnikoff R, Eves N, Jung M, Sigal R, Padwal R, Karunamuni N. Multicomponent, home-based resistance training for obese adults with type 2 diabetes: a randomized controlled trial. International journal of obesity. 2010;34(12):1733-41.
  • Galvao DA, Spry N, Denham J, Taaffe DR, Cormie P, Joseph D, et al. A multicentre year-long randomised controlled trial of exercise training targeting physical functioning in men with prostate cancer previously treated with androgen suppression and radiation from TROG 03.04 RADAR. European urology. ;65(5):856-64. Mikesky AE, Topp R, Wigglesworth JK, Harsha DM, Edwards JE. Efficacy of a home-based training program for older adults using elastic tubing. European journal of applied physiology and occupational physiology. 1994;69(4):316-20.
  • Henwood TR, Taaffe DR. Short-term resistance training and the older adult: the effect of varied programmes for the enhancement of muscle strength and functional performance. Clinical physiology and functional imaging. 2006;26(5):305-13.
  • Yamauchi T, Islam MM, Koizumi D, Rogers ME, Rogers NL, Takeshima N. Effect of home-based well-rounded exercise in community-dwelling older adults. Journal of Sports Science and Medicine. 2005;4(4):563-71.
  • Jette AM, Lachman M, Giorgetti MM, Assmann SF, Harris BA, Levenson C, et al. Exercise--it's never too late: the strong-for-life program. American Journal of Public Health. 1999;89(1):66-72.
  • Krebs DE, Scarborough DM, McGibbon CA. Functional vs. strength training in disabled elderly outpatients. American journal of physical medicine & rehabilitation. 2007;86(2):93-103.
  • Chandler JM, Duncan PW, Kochersberger G, Studenski S. Is lower extremity strength gain associated with improvement in physical performance and disability in frail, community-dwelling elders? Archives of physical medicine and rehabilitation. ;79(1):24-30. Cyarto EV, Brown WJ, Marshall AL, Trost SG. Comparison of the effects of a home-based and group-based resistance training program on functional ability in older adults. American Journal of Health Promotion. 2008;23(1):13-7.
  • Capodaglio P, Facioli M, Burroni E, Giordano A, Ferri A, Scaglioni G. Effectiveness of a home-based strengthening program for elderly males in Italy. A preliminary study. Aging clinical and experimental research. 2002;14(1):28-34.
  • Katznelson L, Robinson MW, Coyle CL, Lee H, Farrell CE. Effects of modest testosterone supplementation and exercise for weeks on body composition and quality of life in elderly men. European journal of endocrinology. 2006;155(6):867-75.
  • Liu-Ambrose T, Donaldson MG, Ahamed Y, Graf P, Cook WL, Close J, et al. Otago home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. Journal of the American Geriatrics Society. 2008;56(10):1821-30.
  • Hagerman FC, Walsh SJ, Staron RS, Hikida RS, Gilders RM, Murray TF, et al. Effects of high-intensity resistance training on untrained older men. I. Strength, cardiovascular, and metabolic responses. The journals of gerontology series A: Biological Sciences and medical sciences. 2000;55(7):B336-B46.
  • Braith RW, Stewart KJ. Resistance exercise training. Circulation. 2006;113(22):2642-50.
  • Kelley GA, Kelley KS. Impact of progressive resistance training on lipids and lipoproteins in adults: a meta-analysis of randomi zed controlled trials. Preventive medicine. 2009;48(1):9-19.
  • Tokudome M, Nagasaki M, Shimaoka K, Sato Y. Effects of home-based combined resistance training and walking on metabolic profiles in elderly Japanese. Geriatrics & Gerontology International. 2004;4(3):157-62.
There are 42 citations in total.

Details

Primary Language English
Journal Section Research Article
Authors

Hamid Arazi

Mani Izadi This is me

Publication Date October 1, 2017
Published in Issue Year 2017 Volume: 3 Issue: 4

Cite

Vancouver Arazi H, Izadi M. Home-based Resistance Training Health Benefits for Older Adults: An Evidence-Based Approach to Enhancing the Physiological Functions. ULUTAS MED J. 2017;3(4):65-71.