Strength training at high versus low external resistance in older adults: Effects on muscle volume, muscle strength, and force–velocity characteristics
Abstract
Muscle adaptations can be induced by high-resistance exercise. Despite being potentially more suitable for older adults, low-resistance exercise protocols have been less investigated. We compared the effects of high- and low-resistance training on muscle volume, muscle strength, and force-velocity characteristics. Fifty-six older adults were randomly assigned to 12 weeks of leg press and leg extension training at either HIGH (2×10-15 repetitions at 80% of one repetition maximum (1RM)), LOW (1×80-100 repetitions at 20% of 1RM), or LOW+ (1×60 repetitions at 20% of 1RM, followed by 1×10-20 repetitions at 40% of 1RM). All protocols ended with muscle failure. Leg press and leg extension of 1RM were measured at baseline and post intervention and before the first training session in weeks 5 and 9. At baseline and post intervention, muscle volume (MV) was measured by CT-scan. A Biodex dynamometer evaluated knee extensor static peak torque in different knee angles (PT(stat90°), PT(stat120°), PT(stat150°)), dynamic peak torque at different speeds (PT(dyn60°s)(-1), PT(dyn180°s)(-1), PT(dyn240°s)(-1)), and speed of movement at 20% (S20), 40% (S40), and 60% (S60) of PTstat90°. HIGH and LOW+ resulted in greater improvements in 1RM strength than LOW (p<0.05). These differences were already apparent after week 5. Similar gains were found between groups in MV, PT(stat), PT(dyn60°s)(-1), and PT(dyn180°s)(-1). No changes were reported in speed of movement. HIGH tended to improve PT(dyn240°s)(-1) more than LOW or LOW+ (p=0.064). In conclusion, high- and low-resistance exercises ending with muscle failure may be similarly effective for hypertrophy. High-resistance training led to a higher increase in 1RM strength than low-resistance training (20% of 1RM), but this difference disappeared when using a mixed low-resistance protocol in which the resistance was intensified within a single exercise set (40% of 1RM). Our findings support the need for more research on low-resistance programs in older age, in particular long-term training studies and studies focusing on residual effects after training cessation.
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Other age-, sex-, or ethnicity-related differences between participants were not accounted for, although they are important determinants of the decrease in muscle power with increasing age.
“Other age- (young old versus oldest old), sex-, or ethnicity-related differences between participants were also not accounted for, but are important determinants of the decrease in muscle power with increasing age [11, 13, 44].”
From Effectiveness of power training compared to strength training in older adults: a systematic review and meta-analysis (2022) · cites this paper as [44]
Findings on isokinetic strength are conflicting; some studies show a benefit of heavy load training, others show a benefit to low-load training, and yet others show no differences between conditions.
“the findings from available evidence are conflicting; some studies show a benefit of heavy load training [27,28], others show a benefit to low-load training [29] and yet others show no differences between conditions on this metric [30,31].”
From Loading recommendations for muscle strength, hypertrophy, and local endurance: a re-examination of the repetition continuum. (2021) · cites this paper as [28]
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“When compared with other studies using a RT-protocol of similar intensity and duration in older men, strength gains were similar for SPT (+6 to +11% vs. +10 ± 14% in the present study) (Onambélé-Pearson et al., 2010; Van Roie et al., 2013), higher for IKPT (+6 to 10% vs. +15 ± 14% in the present study) (Frontera et al…”
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“Muscle strength The 1-RM was measured on the leg press device as previously described (28).”
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“7%) as previously reported after resistance exercise [22] or walking [20].”
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“In home settings, older adults may use exercise regimens that are of lower intensity, but at higher repetitions until momentary muscle failure is achieved to induce muscle hypertrophy.(66) Hong and colleagues(67) reported that a resistive exercise program delivered via telerehabilitation resulted in improved lower lim…”
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“By contrast, traditional strength training intensity is determined by concentric strength (i.e., one repetition maximum – 1-RM), which is relatively lower compared with eccentric strength (Weir et al., 1995).”
Strength testing or strength training: considerations for future research
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“…strength training may be similarly effective to high-load training in previously untrained older adults for gains in strength and muscle mass (Taaffe et al., 1996; Tanimoto and Ishii, 2006; Van Roie et al., 2013), which is reflected by results of a recent meta-analysis (Csapo and Alegre, 2016).”
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“27 seconds) (38) and is larger than the change observed in a number of recent studies in this area (16,47).”
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“8 Low intensities are potentially more suitable for elderly than high intensities since these exercises are more accessible, safer, and pleasant to perform.”
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“previously untrained older adults [67, 107].”
BackgroundEffect of a resistance exercise program for sarcopenic elderly women: quasi-experimental study
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“Accordingly, previous studies have shown training at moderate-to-high loads to be superior to increase strength in untrained individuals (Campos et al., 2002; Mitchell et al., 2012; Ogasawara et al., 2013; Van Roie et al., 2013).”
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Identification and treatment of older persons with sarcopenia
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“Bautmans [52] and colleagues elegantly showed that high-resistance training leads to a higher increase in one repetition maximum (1RM) strength than low-resistance training (20% of 1RM).”
BackgroundSelf-citationThe acute muscular effects of cycling with and without different degrees of blood flow restriction
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“However, this recommendation has been challenged over the past decade by evidence which suggests substantial increases in muscle mass and strength following low load resistance exercise taken to failure (9, 29, 36) and submaximal low load resistance exercise completed in combination with blood flow restriction (BFR) (…”
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Nunes, P. R. P., Martins, F. M., Souza, A. P., Carneiro, M. A. S., Nomelini, R. S., Michelin, M. A., Murta, E. F. C., de Oliveira, E. P., & Orsatti, F. L. (2019) · Menopause The Journal of The North American Menopause Society · doi:10.1097/gme.0000000000001399 · Cited by 23 · see citing works
Age-Related Change in Muscle Characteristics and Resistance Training for Older Adults
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“A study conducted among community-dwelling individuals aged 60 years and above, involving 12 weeks of low-intensity exercise (20% of 1RM) with high frequency (1 set of 80–100 repetitions), resulted in a significant increase in muscle mass [71].”
BackgroundStrength Gains as a Result of Brief, Infrequent Resistance Exercise in Older Adults
Fisher, J. P., Steele, J., McKinnon, P., & McKinnon, S. (2014) · Journal of Sports Medicine · doi:10.1155/2014/731890 · Cited by 21 · see citing works
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“…reported in favour of RE above AE due to the plethora of health benefits including but not limited to reduced risk of cardiovascular disease, increased resting metabolic rate, improved blood lipid profiles, reduced resting blood pressure, improved bone mineral density and pain reduction for…”
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“, ,50% of 1 repetition maximum [1RM]), as long as the exercise is performed to muscle failure (20,36).”
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“However, concerns about inappropriate exposure to such high-intensity SSC, especially at old age, have prompted investigators to explore training at lower intensities (26,43).”
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“Using this tradition and stepped care [21], the fields of, adaptive interventions [19], and tailoring and personalization [27] can be integrated into personalized behavioral medicine to produce more beneficial clinical phenotypic outcomes.”
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“In week 5 (session 10), a new assessment of the 1RM load in both exercises was performed to adjust the absolute loads (kg) in the RT group (18,40).”
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“Determination of MV was performed using Cavalieri’s approximation (Walton et al., 1997; Nordez et al., 2009), Eq.”
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Physiological stimuli necessary for muscle hypertrophy
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Age-related differences in rate of power development exceed differences in peak power
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“The test protocol, which was used in previous studies in our lab (24), was conducted twice and included two standardized tests in the following order: isometric and isotonic tests.”
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“In addition, if low loads are used, repetitions should be performed up to concentric failure in order to optimize adaptations (Van Roie et al., 2013).”
BackgroundSex difference in the heat shock response to high external load resistance training in older humans
Njemini, R., Forti, L. N., Mets, T. F., Roie, E. V., Coudyzer, W., Beyer, I., Delecluse, C., & Bautmans, I. (2017) · Experimental Gerontology · doi:10.1016/j.exger.2017.04.005 · Cited by 13 · see citing works
“The assessment of leg press 1RM started with a warm-up set of 8 repetitions at approximately 50% of the estimated 1RM, followed by another set of 3 repetitions at 70% of the estimated 1RM (Van Roie et al., 2013).”
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“Additionally, this tendency is also seen in the context of older adults [15].”
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“Resistance exercise using body weight has been shown to improve strength, muscle mass, and physical function in older subjects (Van Roie et al., 2013).”
BackgroundIncreasing Fracture Risk Associates With Plasma Circulating MicroRNAs in Aging People’s Sarcopenia
He, N., Zhang, Y., Zhang, Y., Feng, B., Zheng, Z., Wang, D., Zhang, S., & Ye, H. (2021) · Frontiers in Physiology · doi:10.3389/fphys.2021.678610 · Cited by 10 · see citing works
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- Authors
- Van Roie, E., Delecluse, C., Coudyzer, W., Boonen, S., & Bautmans, I.
- Affiliations
- KU Leuven (BE)
- Vrije Universiteit Brussel (BE)
- Venue
- Experimental Gerontology
- Publisher
- Elsevier BV
- Published
- 2013-11
- Volume
- 48
- Issue
- 11
- Pages
- 1351-1361
- ISSN
- 0531-5565 (ISSN-L)
- OpenAlex
- W2070935373
- Cited by
- 178
- References
- 58
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 7 · 2023: 10 · 2022: 27 · 2021: 13 · 2020: 17 · 2019: 15 · 2018: 11 · 2017: 20 · 2016: 10 · 2015: 18 · 2014: 13
- FWCI
- 13.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Experimental Gerontology (publishedVersion)
- PubMed (publishedVersion)
- VUBIR (Vrije Universiteit Brussel) (submittedVersion)
- Funders
- Research Foundation Flanders, Belgium (FWO-Vlaanderen)
- Topics
- Health Sciences › Medicine › Orthopedics and Sports Medicine › Sports Performance and Training
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Muscle metabolism and nutrition
- Keywords
- resistance training, older adults, muscle hypertrophy, muscle volume, muscle strength, force-velocity relationship, quadriceps strength, leg press, leg extension, muscle failure, movement speed, one-repetition maximum, muscle adaptation, sarcopenia prevention, muscular endurance
- MeSH terms
- Aged, Aging, Biomechanical Phenomena, Female, Humans, Hypertrophy, Male, Middle Aged, Muscle, Skeletal, Muscle Fatigue, Torque, Muscle Strength, Resistance Training
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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