Chronological aging is associated with a decrease in skeletal muscle mass and bone mineral density, an increase in fat mass, frequency of falls and fractures, and the likelihood of obesity, diabetes, and coronary heart disease. Resistance exercise has been shown to counter all of these effects of aging and, in turn, reduce the risk of all-cause mortality. However, variables such as volume and frequency have become contentious issues, with recent publications suggesting that similar physiological adaptations are possible with both high- and low-volume approaches. The aim of this research was to consider strength increases as a result of brief, infrequent resistance exercise. The present study offers data from 33 (14 male and 19 female) older adults ( years) who underwent brief (<15 minutes per exercise session), infrequent (2×/week), resistance exercise to a high intensity of effort (6-repetition maximum) at a controlled repetition duration (10 seconds concentric?:?10 seconds eccentric) on 5 resistance machines (chest press, leg press, pull-down, seated row, and overhead press). Data is presented for training interventions of 12 weeks (male) and 19 weeks (female). Significant strength increases were identified for all exercises. With the detailed health benefits obtainable, the present study suggests that resistance exercise can be efficacious in much smaller volumes than previously considered. 1. Introduction The natural homeostatic processes in the human body often result in a physical decline with age. We lose bone mineral density (BMD), muscle mass, and strength and we have an increase in fat mass, ultimately resulting in reduced physical performance [1–4]. As such, with aging there is generally an increased risk of acute and chronic conditions including greater frequency of bone fractures, obesity, diabetes, coronary heart disease, and cancers [5]. However, by performing resistance training (RT) a person can improve their strength [6], muscle size [7], cardiovascular fitness [8], metabolic health [9], and BMD [10]. As a result, people can decrease the potential for injuries through strengthening their joints, tendons, and ligaments [11, 12]. Hurley and Roth [13] comment that the data suggests that “~2 decades of age-associated strength loss can be regained in ~2 months of resistance exercise.” Indeed, reduced strength has been shown to be a strong risk factor for all-cause mortality independently of muscle mass [14]. Melov et al. [15] reported reversal in mitochondrial deterioration to the extent that participants with an average age of 68 years
References
[1]
L. Warming, C. Hassager, and C. Christiansen, “Changes in bone mineral density with age in men and women: a longitudinal study,” Osteoporosis International, vol. 13, no. 2, pp. 105–112, 2002.
[2]
D. B. Burr, “Muscle strength, bone mass, and age-related bone loss,” Journal of Bone and Mineral Research, vol. 12, no. 10, pp. 1547–1551, 1997.
[3]
I. Janssen, S. B. Heymsfield, Z. Wang, and R. Ross, “Skeletal muscle mass and distribution in 468 men and women aged 18-88yr,” Journal of Applied Physiology, vol. 89, no. 1, pp. 81–88, 2000.
[4]
I. Janssen, S. B. Heymsfield, and R. Ross, “Low relative skeletal muscle mass (sarcopenia) in older persons is associated with functional impairment and physical disability,” Journal of the American Geriatrics Society, vol. 50, no. 5, pp. 889–896, 2002.
[5]
K. Strong, C. Mathers, S. Leeder, and R. Beaglehole, “Preventing chronic diseases: how many lives can we save?” Lancet, vol. 366, no. 9496, pp. 1578–1582, 2005.
[6]
J. Fisher, J. Steele, S. Bruce-Low, and D. Smith, “Evidence-based resistance training recommendations,” Medicina Sportiva, vol. 15, no. 3, pp. 147–162, 2011.
[7]
J. Fisher, J. Steele, and D. Smith, “Evidence-based resistance training recommendations for muscular hypertrophy,” Medicina Sportiva, vol. 17, no. 4, pp. 217–235, 2013.
[8]
J. Steele, J. Fisher, D. McGuff, S. Bruce-Low, and D. Smith, “Resistance training to momentary muscular failure improves cardiovascular fitness in humans: a review of acute physiological responses and chronic physiological Adaptations,” Journal of Exercise Physiology Online, vol. 15, no. 3, pp. 53–80, 2012.
[9]
J. O. Holloszy, “Invited review: exercise-induced increase in muscle insulin sensitivity,” Journal of Applied Physiology, vol. 99, no. 1, pp. 338–343, 2005.
[10]
G. A. Kelley, K. S. Kelley, and Z. V. Tran, “Resistance training and bone mineral density in women: a meta-analysis of controlled trials,” The American Journal of Physical Medicine and Rehabilitation, vol. 80, no. 1, pp. 65–77, 2001.
[11]
M. H. Stone, “Muscle conditioning and muscle injuries,” Medicine and Science in Sports and Exercise, vol. 22, no. 4, pp. 457–462, 1990.
[12]
J. B. Lauersen, D. M. Bertelsen, and L. B. Andersen, “The effectiveness of exercise interventions to prevent sports injuries: a systematic review and meta-analysis of randomised controlled trials,” British Journal of Sports Medicine, vol. 48, no. 11, pp. 871–877, 2014.
[13]
B. F. Hurley and S. M. Roth, “Strength training in the elderly: effects on risk factors for age-related diseases,” Sports Medicine, vol. 30, no. 4, pp. 249–268, 2000.
[14]
A. B. Newman, V. Kupelian, M. Visser et al., “Strength, but not muscle mass, is associated with mortality in the health, aging and body composition study cohort,” Journals of Gerontology— Series A Biological Sciences and Medical Sciences, vol. 61, no. 1, pp. 72–77, 2006.
[15]
S. Melov, M. A. Tamopolsky, K. Bechman, K. Felkey, and A. Hubbard, “Resistance exercise reverses aging in human skeletal muscle,” PLoS ONE, vol. 2, no. 5, article e465, 2007.
[16]
J. R. Ruiz, X. Sui, F. Lobelo et al., “Association between muscular strength and mortality in men: prospective cohort study,” British Medical Journal, vol. 337, p. a439, 2008.
[17]
E. G. Artero, D.-C. Lee, J. R. Ruiz et al., “A prospective study of muscular strength and all-cause mortality in men with hypertension,” Journal of the American College of Cardiology, vol. 57, no. 18, pp. 1831–1837, 2011.
[18]
O. Seynnes, M. A. F. Singh, O. Hue, P. Pras, P. Legros, and P. L. Bernard, “Physiological and functional responses to low-moderate versus high-intensity progressive resistance training in frail elders,” Journals of Gerontology Series A: Biological Sciences and Medical Sciences, vol. 59, no. 5, pp. 503–509, 2004.
[19]
H. T. Rabelo, R. J. Oliveira, and M. Bottaro, “Effects of resistance training on activities of daily living in older women,” Biology of Sport, vol. 21, no. 4, pp. 325–336, 2004.
[20]
I. G. Fatouros, A. Kambas, I. Katrabasas et al., “Strength training and detraining effects on muscular strength, anaerobic power, and mobility of inactive older men are intensity dependent,” The British Journal of Sports Medicine, vol. 39, no. 10, pp. 776–780, 2005.
[21]
S. Steib, D. Schoene, and K. Pfeifer, “Dose-response relationship of resistance training in older adults: a meta-analysis,” Medicine and Science in Sports and Exercise, vol. 42, no. 5, pp. 902–914, 2010.
[22]
J. Fisher and D. Smith, “Attempting to better define “intensity” for muscular performance: is it all wasted effort,” European Journal of Applied Physiology, vol. 112, no. 12, pp. 4183–4185, 2012.
[23]
M. Tanimoto and N. Ishii, “Effects of low-intensity resistance exercise with slow movement and tonic force generation on muscular function in young men,” Journal of Applied Physiology, vol. 100, no. 4, pp. 1150–1157, 2006.
[24]
M. Tanimoto, K. Sanada, K. Yamamoto et al., “Effects of whole-body low-intensity resistance training with slow movement and tonic force generation on muscular size and strength in young men,” Journal of Strength and Conditioning Research, vol. 22, no. 6, pp. 1926–1938, 2008.
[25]
E. van Roie, C. Delecluse, W. Coudyzer, S. Boonen, and I. Bautmans, “Strength training at high versus low external resistance in older adults: effects on muscle volume, muscle strength, and force-velocity characteristics,” Experimental Gerontology, vol. 48, no. 11, pp. 1351–1361, 2013.
[26]
M. L. Pollock, J. F. Carroll, J. E. Graves et al., “Injuries and adherence to walk/jog and resistance training programs in the elderly,” Medicine and Science in Sports and Exercise, vol. 23, no. 10, pp. 1194–1200, 1991.
[27]
P. M. Tiidus and C. D. Ianuzzo, “Effects of intensity and duration of muscular exercise on delayed soreness and serum enzyme activities,” Medicine and Science in Sports and Exercise, vol. 15, no. 6, pp. 461–465, 1983.
[28]
R. N. Carpinelli and R. M. Otto, “Strength training: single versus multiple sets,” Sports Medicine, vol. 26, no. 2, pp. 73–84, 1998.
[29]
R. A. Winett, “Meta-analyses do not support performance of multiple sets or high volume resistance training,” Journal of Exercise Physiology Online, vol. 7, no. 5, pp. 10–20, 2004.
[30]
R. M. Otto and R. N. Carpinelli, “A critical analysis of the single versus multiple set debate,” Journal of Exercise Physiology, vol. 9, no. 1, pp. 32–57, 2006.
[31]
N. L. Silva, R. B. Oliveira, S. J. Fleck, A. C. Leon, and P. Farinatti, “Influence of strength training variables on strength gains in adults over 55 years-old: a meta-analysis of dose-response relationships,” Journal of Science and Medicine in Sport, vol. 17, no. 3, pp. 337–344, 2014.
[32]
W. L. Westcott, R. A. Winett, E. S. Anderson et al., “Effects of regular and slow speed resistance training on muscle strength,” Journal of Sports Medicine and Physical Fitness, vol. 41, no. 2, pp. 154–158, 2001.
[33]
P. F. Lachance and T. Hortobagyi, “Influence of cadence on muscular performance during push-up and pull-up exercises,” Journal of Strength and Conditioning Research, vol. 8, pp. 76–79, 1994.
[34]
M. C. Morrissey, E. A. Harman, P. N. Frykman, and K. H. Han, “Early phase differential effects of slow and fast barbell squat training,” The American Journal of Sports Medicine, vol. 26, no. 2, pp. 221–230, 1998.
[35]
A. Sakamoto and P. J. Sinclair, “Effect of movement velocity on the relationship between training load and the number of repetitions of bench press,” Journal of Strength and Conditioning Research, vol. 20, no. 3, pp. 523–527, 2006.
[36]
R. A. Winett, D. M. Williams, and B. M. Davy, “Initiating and maintaining resistance training in older adults: a social cognitive theory-based approach,” The British Journal of Sports Medicine, vol. 43, no. 2, pp. 114–119, 2009.
[37]
J. Fisher, J. Steele, M. Brzycki, and B. DeSimone, “Primum non nocere: a commentary on avoidable injuries and safe resistance training techniques,” Journal of Trainology, vol. 3, pp. 31–34, 2014.
[38]
J. Cohen, “A power primer,” Psychological Bulletin, vol. 112, no. 1, pp. 155–159, 1992.
[39]
M. Fr?hlich, E. Emrich, and D. Schmidtbleicher, “Outcome effects of single-set versus multiple-set training—an advanced replication study,” Research in Sports Medicine, vol. 18, no. 3, pp. 157–175, 2010.
[40]
E. Whitley and J. Ball, “Statistics review 4: sample size calculations,” Critical Care, vol. 6, no. 4, pp. 335–341, 2002.
[41]
P. Gentil, S. R. S. Soares, M. C. Pereira et al., “Effect of adding single-joint exercises to a multi-joint exercise resistance-training program on strength and hypertrophy in untrained subjects,” Applied Physiology, Nutrition and Metabolism, vol. 38, no. 3, pp. 341–344, 2013.
[42]
P. Gentil, S. Soares, and M. Bottaro, “Single vs. Multi-joint resistance exercise: effects on muscle strength and hypertrophy,” Asian Journal of Sports Medicine. In press.
[43]
A. E. J. Miller, J. D. MacDougall, M. A. Tarnopolsky, and D. G. Sale, “Gender differences in strength and muscle fiber characteristics,” European Journal of Applied Physiology and Occupational Physiology, vol. 66, no. 3, pp. 254–262, 1993.
[44]
R. S. Lindle, E. J. Metter, N. A. Lynch et al., “Age and gender comparisons of muscle strength in 654 women and men aged 20–93 yr,” Journal of Applied Physiology, vol. 83, no. 5, pp. 1581–1587, 1997.
[45]
D. A. Hackett, N. A. Johnson, M. Halaki, and C.-M. Chow, “A novel scale to assess resistance-exercise effort,” Journal of Sports Sciences, vol. 30, no. 13, pp. 1405–1413, 2012.
[46]
A. Barnett, B. Smith, S. R. Lord, M. Williams, and A. Baumand, “Community-based group exercise improves balance and reduces falls in at-risk older people: a randomised controlled trial,” Age and Ageing, vol. 32, no. 4, pp. 407–414, 2003.
[47]
L. Z. Rubenstein, K. R. Josephson, P. R. Trueblood et al., “Effects of a group exercise program on strength, mobility, and falls among fall-prone elderly men,” Journals of Gerontology Series A Biological Sciences and Medical Sciences, vol. 55, no. 6, pp. M317–M321, 2000.
[48]
P. Gentil and M. Bottaro, “Influence of supervision ratio on muscle adaptations to resistance training in nontrained subjects,” Journal of Strength and Conditioning Research, vol. 24, no. 3, pp. 639–643, 2010.
[49]
J. Fisher, “A critical commentary on the practical application of resistance training studies,” Journal of Trainology, vol. 2, pp. 10–12, 2013.