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How to simultaneously optimize muscle strength, power, functional capacity, and cardiovascular gains in the elderly: an update
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The purpose of the present study was to review the scientific literature that investigated concurrent training adaptations in elderly populations, with the aim of identifying the optimal combination of both training program variables (i.e., strength and endurance) to avoid or minimize the interference effect in the elderly. Scielo, Science Citation Index, MEDLINE, Scopus, SPORTDiscus, and ScienceDirect databases were searched. Concurrent training is the most effective strategy by which to improve neuromuscular and cardiorespiratory functions as well as functional capacity in the elderly. The volume and frequency of training appears to play a critical role in concurrent training-induced adaptations in elderly subjects. Furthermore, new evidence indicates that the intra-session exercise order may influence the magnitude of physiological adaptations. Despite the interference effect on strength gains that is caused by concurrent training, this type of training is advantageous in that the combination of strength and endurance training produces both neuromuscular and cardiovascular adaptations in the elderly. The interference phenomenon may be observed in elderly subjects when a moderate weekly volume of concurrent training (i.e., three times per week) is performed. However, even with the occurrence of this phenomenon, the performance of three concurrent training sessions per week appears to optimize the strength gains in relative brief periods of training (12 weeks). Moreover, performing strength prior to endurance exercise may optimize both neuromuscular and cardiovascular gains.
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“There were insufficient data to determine if the multicomponent function was positively affected by load (24), range of motion (87), or concurrent training (119).”
From American College of Sports Medicine Position Stand. Resistance Training Prescription for Muscle Function, Hypertrophy, and Physical Performance in Healthy Adults: An Overview of Reviews (2026) · cites this paper as [119]
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ESSR Marks the Start of the 40th Volume Year
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Discontinuation of combined resistance?endurance training increases cardiovascular risk factors
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Acute Physiological Effects of Different Circuit Training Protocols in Young Adults
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Cadore, E. L., Casas-Herrero, A., Zambom-Ferraresi, F., Idoate, F., Millor, N., Gómez, M., Rodriguez-Mañas, L., & Izquierdo, M. (2014) · AGE · doi:10.1007/s11357-013-9586-z · Cited by 526
Resistance exercise as a treatment for sarcopenia: prescription and delivery
Hurst, C., Robinson, S. M., Witham, M. D., Dodds, R. M., Granic, A., Buckland, C., Biase, S. D., Finnegan, S., Rochester, L., Skelton, D. A., et al. (2022) · Age and Ageing · doi:10.1093/ageing/afac003 · Cited by 354
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Strength and Endurance Training Prescription in Healthy and Frail Elderly
Cadore, E. L. (2014) · Aging and Disease · doi:10.14336/ad.2014.0500183 · Cited by 298
Ramírez-Campillo, R., Castillo, A., de la Fuente, C. I., Campos-Jara, C., Andrade, D. C., Álvarez, C., Martínez, C., Castro-Sepúlveda, M., Pereira, A., Marques, M. C., et al. (2014) · Experimental Gerontology · doi:10.1016/j.exger.2014.07.001 · Cited by 212
Metadata
- Authors
- EL, C., & M, I.
- Venue
- AGE
- Published
- 2013-01-04
- Volume
- 35
- Issue
- 6
- Pages
- 2329-2344
- ISSN
- 0161-9152 (ISSN-L)
- 1574-4647
- PMC
- PMC3825007
- OpenAlex
- W1981472563
- Cited by
- 105
- References
- 88
- Citations by year
- 2026: 4 · 2025: 6 · 2024: 9 · 2023: 11 · 2022: 6 · 2021: 8 · 2020: 8 · 2019: 10 · 2018: 13 · 2017: 6 · 2016: 12 · 2015: 6 · 2014: 2 · 2013: 3
- FWCI
- 1.28
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- AGE (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Health Sciences › Nursing › Nutrition and Dietetics › Muscle metabolism and nutrition
- Keywords
- concurrent training, older adults, resistance training, endurance training, interference effects, muscle strength, functional capacity, cardiovascular adaptation, neuromuscular adaptation, exercise order, training volume, exercise frequency, aging
- MeSH terms
- Adaptation, Physiological, Aged, Aging, Humans, Physical Endurance, Muscle, Skeletal, Muscle Strength, Resistance Training
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