Systematic Review of High-Intensity Progressive Resistance Strength Training of the Lower Limb Compared With Other Intensities of Strength Training in Older Adults
Abstract
Objective To examine the effect of high-intensity progressive resistance strength training (HIPRST) on strength, function, mood, quality of life, and adverse events compared with other intensities in older adults. Data sources Online databases were searched from their inception to July 2012. Study selection Randomized controlled trials of HIPRST of the lower limb compared with other intensities of progressive resistance strength training (PRST) in older adults (mean age ≥ 65y) were identified. Data extraction Two reviewers independently completed quality assessment using the Physiotherapy Evidence Database (PEDro) scale and data extraction using a prepared checklist. Data synthesis Twenty-one trials were included. Study quality was fair to moderate (PEDro scale range, 3-7). Studies had small sample sizes (18-84), and participants were generally healthy. Meta-analyses revealed HIPRST improved lower-limb strength greater than moderate- and low-intensity PRST (standardized mean difference [SMD]=.79; 95% confidence interval [CI], .40 to 1.17 and SMD=.83; 95% CI, -.02 to 1.68, respectively). Studies where groups performed equivalent training volumes resulted in similar improvements in leg strength, regardless of training intensity. Similar improvements were found across intensities for functional performance and disability. The effect of intensity of PRST on mood was inconsistent across studies. Adverse events were poorly reported, however, no correlation was found between training intensity and severity of adverse events. Conclusions HIPRST improves lower-limb strength more than lesser training intensities, although it may not be required to improve functional performance. Training volume is also an important variable. HIPRST appears to be a safe mode of exercise in older adults. Further research into its effects on older adults with chronic health conditions across the care continuum is required.
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Multiple studies support the utility of both TRT and HVPT for improving functional performance in older adults.
“While multiple studies support the utility of both TRT and HVPT for improving functional performance in older adults, 29,34 -40 the relative effect of each training modality on functional performance is likely to be task speci fi c. 41”
From High-velocity power training has similar effects to traditional resistance training for functional performance in older adults: a systematic review (2023) · cites this paper as [36]
Although heavier loads are superior to improve maximum strength, lower resistance training loads (<60% of 1RM) still provide substantial increases in muscular strength and physical function in older adults.
“Although heavier loads are superior to improve maximum strength, 50 lower resistance training loads ( , 60% of 1RM) still provide substantial increases in muscular strength and physical function in older adults, 36,51 meaning that relevant studies may have been omitted.”
From High-velocity power training has similar effects to traditional resistance training for functional performance in older adults: a systematic review (2023) · cites this paper as [36]
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- Authors
- Raymond, M. J., Bramley-Tzerefos, R. E., Jeffs, K. J., Winter, A., & Holland, A. E.
- Affiliations
- La Trobe University (AU)
- Northern Health (AU)
- The Alfred Hospital (AU)
- Corresponding author
- Raymond, Melissa J.
- Venue
- Archives of Physical Medicine and Rehabilitation
- Publisher
- Elsevier BV
- Published
- 2013-08
- Volume
- 94
- Issue
- 8
- Pages
- 1458-1472
- ISSN
- 0003-9993 (ISSN-L)
- OpenAlex
- W2055185857
- Cited by
- 202
- References
- 8
- Citations by year
- 2026: 10 · 2025: 12 · 2024: 18 · 2023: 10 · 2022: 38 · 2021: 13 · 2020: 16 · 2019: 14 · 2018: 17 · 2017: 18 · 2016: 14 · 2015: 14 · 2014: 8
- FWCI
- 1.30
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Archives of Physical Medicine and Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Nutrition and Health in Aging
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- exercise intensity, older adults, lower limb strength, functional performance, disability, mood, quality of life, adverse events, training volume
- MeSH terms
- Age Factors, Aged, Humans, Physical Endurance, Quality of Life, Outcome Assessment, Health Care, Recovery of Function, Lower Extremity, Muscle Strength, Resistance Training
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